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geriatric
gerontological nurse practitioner review
25
Other
Professional
02/08/2011

Additional Other Flashcards

 


 

Cards

Term

Demographics

 

What are the elderly poverty levels?

Definition

33% of African American

22% of Hispanic-American

11% of Caucasian-American

Term

Principles

 

What are the critical functions for NPs?

Definition

Health Promotion

Health Maintenance

Disease Prevention

Facilitation of Self-Care

Term
What abilities must the GNP have?
Definition

-Understanding & interacting pathophysiologic & pyschosocial changes of aging and interventions for managing the changes r/t functional status, use clinical reasoning to determine customary & unusual findings

-Provide comprehensive services alone, to care givers, & interdisplinary team

-Promote health aging

-Identify & address ethical problems

-Provide consultation, education, leadership & advocacy

-Collaborate in, use and disseminate research

Provide leadership in developing & maintaining standards of practice

-Participate in continuing ed & certification

Term

What are the top 8 common conditions in older adults?

Definition

1. Arhritis

2. HTN

3. Heart Disease

4. Respiratory Disease

5. DM

6. Cancer

7. CVA

8. Atherochlerosis

Term
What are the top 10 reasons for older adult hospitalization?
Definition

1. Heart Disease

2. Cancer

3. CVA

4. Pneumonia

5. Fracture

6. Bronchitis

7. OA

8. DM

9. Disease of nervous system or sense organs

10. BPH

Term
12 most common cause of death in the elderly?
Definition

1. Heart Disease

2. Cancer

3. CVA

4. COPD

5. Pneumonia & influenza

6. DM

7. Accidents

8. Alzheimer's disease

9. Septicemia

10. Atherochlrosis

11. HTN

Term
What are the stages of adjusting to aging?
Definition

1. Declining Health/Functional Status

2. Increased Mortality Awarness

3. Interest developement

4. Income & Empolyment Issues

5. Family Changes

6. Retirement

7. Shrinking Social World

8. Hearing & Speech deficits

 

Term
Declining Health/Functional Status
Definition
  • Difficult acceptance of declining efficiency of body
  • Common result lead to illness & disability
Term
Increased Mortality Awarness
Definition
  • Widowhood
  • Death of family members (siblings & friends)
  • Recongnition of declining functions
Term
Interest Develop in:
Definition
  • Fulfilling own dreams
  • Deepening religious convictions
  • Strengthening family ties
  • Leaving a legacy
Term
Income & Employment Issues
Definition
  • Economic profile is poor (1/6 in poverty)
  • Retirement income <1/2 salary
  • Social Security many sourse of income
  • Life Style Changes:
  • --relocation
  • --change in social practice
  • --change in diet
  • --lowering of independency

 

Term
Family Changes
Definition
  • Family unit source of satification
  • Key source of support
  • Adjustment to independency of children
  • Limited extended family: children not responsible for aging parents
  • Death of Spouse: affects more women

 

Term
What are Atchley's 7 stages of retirement?
Definition

Remote Phase

Near Phase

Honeymoon Phase

Disenchantment Phase

Reorientation Phase

Stability Phase

Termination Phase

Term
What is the Remote Phase of retirement?
Definition
Future retirement anticipated but ratinal preparation rarely done
Term
What is the Near Phase of retirement?
Definition
Reality of retirement evident, preparation for retirement begins, fantasy regarding retirement role
Term
What is the Honeymoon Phase of retirement?
Definition
  • Following retirement, euphoric period
  • Attempt to do everything never had time to do before
  • Limited by finances
  • Leads to developement of stable lifestyle
Term
What is the Disenchantment Phase of retirement?
Definition
As life stabilizes, let-down begins
Term
What is the Reorientation Phase of retirement?
Definition
Realistic choices & alternative sources of satification
Term
What is the Stability Phase of retirement?
Definition
  • Understanding of retirement role achieved
  • Some enter phase directily after honeymoon phase and other never fully reach it

 

Term
What is the Termination Phase of retirement?
Definition
Retirement phase lost as result of resumption of work or dependency to illness
Term

Cultural & Ethical Influences/Considerations

 

African American

Definition
  • Older age is personal triumph reflecting strength, resourcefulness, & faith
  • May use caution in interacting or utilizing health services
  • Look to family members for decision making before using health services
  • Hold beliefs and practices measure which may be unconventional
  • HTN major health issue affecting population
Term
Asian Culture
Definition
  • Highly valve family: family members expected to care for elderly
  • Care of body & health:
  • --Balance -Yin & Yang
  • --Use senses for assessing medical problems
  • --Disagreement or discomfort not openly expressed
  • --Old age is considered a blessing
  • --Elderly held in high esteem
Term
Caucasian Culture
Definition
  • Youth is valued
  • Families many be geographically distant but often intergenerationally emotionally supportive
  • Institutionalizations
Term
Hispanic Culture
Definition
  • States of health & illness actions of God
  • Medals & crosses worn for well-being
  • Prayer plays important part in healing
  • Older relatives held in high esteem
  • Children are responsible for care of parents
  • Institutionalization avoided at all cost

 

Term
Jewish American Culture
Definition
  • Strong sense of indentiy & shared beliefs
  • Positive feelings toward the elderly
  • Religious traditions of great importance:
  • --Head & feet should always be covered
  • --Kosher Diet
  • --Sabbath ( Sundown Fri to Sundown Sat)
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