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Chapter 11-12
Key Concept
48
Health Care
Undergraduate 3
11/12/2014

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Cards

Term
dementia
Definition
organic mental syndrom characterized by general loss of intellectual abilities involving impairment of memory, judgment, and abstract thinking
Term
kyphosis
Definition
an abnormal condition of the vertebral column in which there is increased convexity in the curvature of the thoracic spine
Term
the elderly experience illnesses that are more _________ than acute
Definition
chronic
Term
about 80% of deaths in persons over 65 are caused by
Definition
heart disease, cancer, and stroke
Term
what are the common illnesses/conditions of the elderly
Definition
hypertension, arthritis, diabetes, pulmonary disease, visual/hearing impairments
Term
what are the symptoms of dementia
Definition
disorientation, confusion, gross memory deficits, paranoid ideation, halucinations, and depression
Term
an elderly person should not be left alone in a room because
Definition
they are in danger of becoming confused and/or falling
Term
what happens to old people skin
Definition
back of hands and back become fragile
Term
what happens to old people spine
Definition
upper thoracic curve which may result in kyphosis
Term
what is a result of decreased circulation in the elderly
Definition
hypothermia and complains of feeling cold
Term
the elderly and contrast
Definition
difficulty retaining due to lack of sphincter control
Term
what is the common surgery for the elderly
Definition
total joint replacement (arthroplasty), knee and hip are the most common
Term
what is the most common complication after hip replacement
Definition
dislocation (no adducting!)
Term
how many seniors experience elderly abuse
Definition
1 in 20
Term
what is considered elderly abuse
Definition
physical abuse or violence, sexual abuse, emotional or physchological abuse, isolation or neglect, financial abuse
Term
why do the elderly not always report abuse
Definition
they fear retaliation or want to spare a family member from legal consequences
Term
cystography
Definition
imaging of bladder
Term
cystoscope
Definition
an instrument used for examining the urinary bladder and ereters that is equipped with a light, a viewing abturator, and a lumen for passing catheters
Term
incontinence
Definition
poop or pee your pants
Term
lithotomy position
Definition
a posture in which knees are flexed and thighs abducted and rotated externally
Term
reflux
Definition
backward flow
Term
retrograde
Definition
moving in the direction that is the opposite of what is normal
Term
how many seniors experience elderly abuse
Definition
1 in 20
Term
what is considered elderly abuse
Definition
physical abuse or violence, sexual abuse, emotional or physchological abuse, isolation or neglect, financial abuse
Term
why do the elderly not always report abuse
Definition
they fear retaliation or want to spare a family member from legal consequences
Term
cystography
Definition
imaging of bladder
Term
cystoscope
Definition
an instrument used for examining the urinary bladder and ereters that is equipped with a light, a viewing abturator, and a lumen for passing catheters
Term
incontinence
Definition
poop or pee your pants
Term
lithotomy position
Definition
a posture in which knees are flexed and thighs abducted and rotated externally
Term
reflux
Definition
backward flow
Term
retrograde
Definition
moving in the direction that is the opposite of what is normal
Term
what are the most common nosocomial infections?
Definition
infections of the urinary tract
Term
why are catheters inserted into th bladder
Definition
keep the bladder empty while tissues heal after surgery, drain, irrigate, or instill meds into the bladder, to assist the incontinent patient to control urinary flow, bladder retraining, diagnosis of disease, malfornation, or injury
Term
catheterization of the bladder requires:
Definition
sterile technique
Term
straight catheter
Definition
used to obtain a specimen or to empty the bladder (single lumen tube)
Term
indwelling catheter
Definition
left in place to allow for continuous drainage (double lumen with inflatable balloon)
Term
cleansing antiseptic solution for swimsuit area
Definition
iodine
Term
catheter tip size
Definition
vary according to lumen size, use french scale
Term
3 steps for removing a catheter
Definition
1. remove tape, put on gloves 2. remove sterile water from balloon 3. withdraw catheter
Term
catheter size for children and infants
Definition
5F-8F and 5F feeding tube
Term
suprapubic catheter
Definition
placed directly into the bladder (used after surgical procedures
Term
condom catheter
Definition
soft rubber sheathe that covers the swimsuit area (changed every 24-48 hours)
Term
why are cystographies done
Definition
diagnose pathological changes in the function of the bladder (tumors, trauma, or reflux)
Term
3 cystographic procedures
Definition
cystourethrography, voiding cystography, voiding cystourethrography
Term
how much do you fill the bladder for a cystography
Definition
200-300ml for adult, 50-100ml for child
Term
retrograde pyelography
Definition
visualizes proximal ureters and kidneys
Term
why perform a retrograde pyelography
Definition
assess ureter for obstruction from strictures, tumors, stones, scarring
Term
ureteral stent
Definition
relieves an obstruction (made of silicone)
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