NURS 2518 Quiz and midterm 1 Exam Questions And
Accurate Answers
What is aging
a universal process
risk factors to an older adult's healthy aging
pathologic conditions
physiological and psychological stressors
ageist attituts
what does functional age focus on
how individuals can contribute to society
emphasis on quality of life
what does wellness involve
ones whole being: physical, emotional, mental and spiritual components
a persons perception of what these components mean to them is based on how they see
the world which is related to several factors including culture
what must a nurse do to encourage healthy aging
provide culturally safe care
ageism
the prejudices and stereotypes that are applied to older people sheerly on the basis of
their age... like racism and sexism, is a way of pigeonholing people and not allowing
them to be individuals with unique ways of living their lives"
,how should we care for the older adult
holistic approach to caring for older adults: social, biological, psychological, spiritual,
cultural, environmental, etc.
promotes "successful healthy aging" by providing care that adressess the holistic
components of an older adults health
how is health though of by dunn
in terms of functional ability rather than absence of disease
what branches does functional ability split off into
development, cognition, culture
nutrition, sensory perception, mobility, gas exchange
elimination, sexuality
family dynamics, motivation, coping, perfusion
functional ability
- key factor in quality of life
- being able to safely and effectively perform activities of daily living (ADL's)
- includes the capacity to perform and the actual performance
what is an individuals functional ability determined by
a person's physiological processes, acquisition of skills and development milestones
what is functional ability affected by
the complex interactions between physical, psychological, cognitive, social, cultural,
and environmental factors
,how to assess functional ability
- identify specific areas in which help is needed
- identify changes in abilities from one period to another
- help to determine the need for specific services
- providing information that may help determine the safety of a particular living situation
function ability: activities of daily living (ADL's)
bathing
dressing
toileting
transferring
continence
feeding
instrumental activity of daily living (IADL's)
using the telephone
travelling
shopping
preparing meals
housework
taking medications
managing money
- requires a higher level of cognitive and physical functioning then ADL's
functional ability: complex interactions between different factors
functional ability: continuum
, disability <------> function
- when assessing patients degree of function vs. disability, you need to be clear about
the level of dependency to address the difficulty performing a particular function
- ex: a patient is unable (difficulty) to transfer from bed to chair, may require total
assistance (dependency)
if you increase difficulty, what is likely to happen
increase dependency
what does functional assessment determine/highlight
ones functional abilities
what may affect functional ability in an older adult
chronic or acute illness
illness in the foreground
nurse can support adults by providing education, emotional support, help older adult
develop courage/resilience
wellness in the foreground
nurses can foster the older adult's focus on emotional, spiritual, social aspects of life
illness vs wellness in the foreground
older adults will shift between these two perspectives depending on when they are
diagnosed, presentation/acuity of symptoms and perception of symptoms
things that may affect an older persons functional ability
mobility, sensory perception, mood and affect (depression), coping skills, elimination,
pharmacokinetics (medications and side effects)
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