Group 11)What are the different types of housing available for older adults?Shared, community care (pace) , adult day services, foster, residential care facilities, continuing care retirement, retirement, older adult communitiesFor a family with older adult and oa is independent, granny pod is best option2)How does nurse help the lvl of housing available?Determined by hc team, recommendation, independent – their choiceSNF- 2 deficits in adlsAssisted living – must be able to feed themselves and get to cafeteria Pg 306Group 2 Home safety assessmentImp for fall riskFall and injury, fire, and crimePay attention to high traffic areas P 227Group 3 – elder abuse and nrs roleSex, phys, neg, exploit, emotional, finance, abandonReportMed abuse – someone else using their medicare number to get medical assistance Pg 401, Group 4 – functional statusCats indexGroup 5 – dietMna – older person nutritional status id need if intervention neededObesity paradox – bmi slightly over 25 not unhealthy / not morbidly obese Group 6– meds (pp)Beers list – list of meds with bad effects on oaLabs – bun, cr clear (if cr cl <60 – check meds that may be to blame)Cumdin – affected by antibioticsGroup 7 – heartHf – most common cause of hospital stayDaily weightsStroke sympLeft ventricalLab values - BNP elevated with hfGroup 8- sleepWhat is sleep hygiene, Why importantNursing implicationsMelatonin most important sleep aideGroup 9 – thermo regulationHypothermia – core <95 / med emergencyHyperthermia – heat fatigue, exhaustion, stroke(med emergency)Both can happen inside their homeTherm reg decreases with age/ sensation decrease skin thinner drier, sub q p229Nursing implicationsGroup 10 – Age related changes in affect of medsCog impairment Liver (size decreases)and kidney function decreased / decreased metabolism and excretionIncreased sensitivity to medsEyesight and hearing impairmentTissue intergrity, gi absorp, baro, myocardial sensitivity, dieuretics sensitivity increases, decresed saliva, profusion P