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UNCW NSG 334 - Gero Study Guide Exam 2

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Study Guide Exam 2Group 1- Pg 3061. What are the different types of housing available for the OA? 1. Shared housing: 2. Community care: PACE3. Adult day services: 4. Foster Care 5. Residential care6. Continuing care 7. Senior retirement 8. Special population9. Granny pods2. How does a nurse help to determine what level of house an OA needs? a. Determined by the health care team. Involves many recommendations b. ?Skilled nursing facility: 2 deficits in ADLsc. ?Assisted living: must be able to feed them selves and get to the cafeteria. Group 2 - Pg 227- Home assessment particularly important for OA for fall risk reduction. - Fire and crime risk assessment. - Note bathroom kitchen bedroom- *WORKING FIRE ALRMS - Clutter Group 3 - Pg 401- Elder abuse - Nurses role investigate further. Group 4 - CATs index! Assesses _____. Will determine what level of care they need. - FANSCAPES (another assessment)- SPICES (sleeping probs, probs with eating/feeding, incontinent, confusion, evidence of falls, skin break down) Group 5 Group 6 - Focus on PP for this chapter - BEERS list: list of meds to avoid in OA (have more adverse effects on OA) - Assess Kidney fx. Need to measure BUN & Cr, Cr clearance!- Coumadin can be affected by antibiotics! Can prolong PT/INR: increase-bleeding time. Group 7- HF: most common cause of hospitalizations and readmission- BMP lab value: in CHF BMP will be elevated! - S/S of Stroke (ischemic stroke most common, tx for hemorrhagic and ischemic different) Group 8 - (Page 183)1. What is sleep hygiene, why is it important and nursing implications. - Sleep hygiene: Routine at night and during the day that affects the sleep pattern. RECOGNIZE things that cause sleep disturbance. - Sleep is when the body heals itself- Needs as much as when younger- Implication: i. More active during dayii. Sleep Hygiene Rulls page 183 iii. Restrict fluids after 8iv. No caffeine before bedv. 1 nap a day less than or equal too 30 minsvi. Stay away from stimulantsvii. Epworth sleepiness scaleviii. Melatonin safest to useGroup 9 - Pg 229- Decreased sensation and decreased regulation of temperature in OA. - Difference in fat distribution on body. - Hypo/hyperthermia can happen in the home of the OA, they are much more sensitive to heat/coldGroup 10- Pg. 132 (pg. 136) Ch. 9- Cog. Impairment - Liver mass decrease, so decreased metabolism,- Kidney fx decreased (decreased excretion) build up of med and increased risk of toxicity - Increased sensitivity to meds- Decreased eyesight- Decreased hearing- Impaired tissue integrity- Decreased salivaImplications: - With less saliva, may have trouble dissolving a sublingual


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UNCW NSG 334 - Gero Study Guide Exam 2

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