STUDY GUIDE for C475 Care of Older Adult Objective Assessment
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STUDY GUIDE for C475
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STUDY GUIDE For C475
STUDY GUIDE for C475 Care of Older Adult Objective Assessment
STUDY GUIDE for C475 Care of Older Adult Objective Assessment
Exam questions are taken from the Learning Objectives under the 9 Competencies:
#1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults
The graduate i...
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STUDY GUIDE for C475 Care of Older Adult Objective Assessment
Exam questions are taken from the Learning Objectives under the 9 Competencies:
#1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults
The graduate integrates principles of compassion and respect for patients and the ir
families into the planning and delivery of care to a diverse population of older adults and
into advocacy for vulnerable older adults.
This topic addresses the following learning objectives:
Recognize the impact of attitudes, values, and expectations about aging.
Describe how the RN’s personal beliefs and values may impact the care of older
adults.
Articulate the concept of individualized care as the standard of practice with
older adults, considering the right care, at the right time, in the right place and
by the right provider of care.
Define Baby Boomers
Those born between 1946-1964; that are now reaching retirement
age
What are the five racial groups listed in your text?
European Americans, African Americans, Hispanic
Americans, Asian Americans, and Native Americans
How would you perform discharge teaching to an Hispanic patient
Whittemore (2007) conducted a systematic review of the literature
to identify culturally competent interventions for Hispanic adults with
type 2 diabetes. In reviewing 11 studies, Whittemore found that
providing educational sessions and written materials, in both
English and Spanish; employing bilingual Hispanic staff; including
family members in an informal atmosphere in health care
encounters; incorporating cultural traditions in interventions;
developing culturally relevant program literature; and providing fact
sheets about risk and potential poor outcomes of chronic conditions
such as diabetes will increase the effectiveness of interventions.
Apply effective and respectful communication strategies in the care of older
adults and the ir families.
List some of the changes of aging that could affect the rapeutic
communication
, Physical: like aphasia (difficulty finding words, writing,
expression), dysarthria (difficult speaking)
Psychological: Dementia, Mental disease, schizophrenia,
depression,
embarrassment (hearing loss, vision loss), English as a second
language (cannot understand or relay message) , fear of being
labeled as a complainer
Eyes: Senile miosis, difficulty adjusting to bright lights, presbyopia
(accomodating near to far), decrease in acuity or depth perception,
dry eyes
Ears: conduction problems, tumors, infections, foreign objects, noise
pollution (hx playing in band), otoxic substances, freq,
presbycuspis most common **
Note the ways to communicate or assist a patient with disabilities
such as
hearing deficits, vision impairments, or aphasia and dysarthria. How should
you address the older adult during the rapeutic communication?
Disabilities in general: Slow down, allow time for reaction, set up
environment, gathe r supplies ahead of time, tell family members to
answer only when directed, introduce your name and role,
eliminate background noise (turn off tv if too loud), determine how
the pt likes to be addressed (never use honey or dear), extend your
hand and shake and smile, maintain eye contact, do not talk down,
avoid crossing arms, do not minimize the ir concerns
Hearing loss: Do not use a high pitch voice or shout, stand in front of
the m, Sit at the side the y hear best, Do not cover your face,
Eliminate background noise
Visual loss: Do not startle, position yourself, provide ample lighting,
be
prepared if the patient states the y see objects that you do not.
Language impairment: use short, uncomplicated sentences,
maintain eye contact, provide an environment low in distractions,
observe facial cues, paper and pen, do not correct what the y say.
Know the abbreviations or acronyms, such as AAC. Know which
hearing aids
cover the widest range of hearing loss. See the box on Types of Hearing
Aids in chapter 5. Both hearing aids and AAC will be mentioned again in
Chapter 16.
-AAC ‘augmented and alternative communication’, is an integrated
group
of components, including symbols, aids, strategies and techniques used by
individuals to enhance communication.
-BTE (behind the ear) is the most common and covers the widest
range of
hearing loss assistive device.
, Make sure you understand what patients could benefit from the use
of the AAC.
Deaf, Dysarthria
Understand what things can occur to make it difficult to communicate
Any barriers listed above, embarrassment, isolation, etc.
Which type of hearing aid covers the entire range of hearing loss?
Behind the ear,functions on battery, easy to use.
What factors in a diverse aging population affect communication?
Support individual health goals that range from healthy activities to simply
achieving comfort.
Illustrate compassionate and individualized care for older adults with chronic
illness that reduces symptom burden and seeks to preserve quality of life.
#2 Competency 742.1.2: Health Promotion/Maintenance and Living Environments
of Older Adults
The graduate evaluates the older adults' life world with special awareness of the
diversity among the health status of older adults, individualizing care according to the
physical, mental/cognitive, functional, and psycho-social well-being of an elder patient,
along with support systems in place. *You will notice that Competencies two through five
overlap one anothe r. Some of the information for one topic may be found in anothe r topic or anothe
r competency. Don’t become frustrated. It will all come togethe r.
This topic addresses the following learning objectives:
Identify functional and physical changes in the aging adult that would
necessitate changes to the living environment.
Identify cognitive, psychological, and social changes common to the aging
adult that would necessitate changes to the living environment.
Recognize steps to mitigate common physical safety issues.
Analyze the living environment of a given older adult with special awareness
of the functional, physical, cognitive, psychological, and social changes of
aging.
What are the five A’s to tobacco cessation?
What are the Five R’s to tobacco cessation?
The 5 As
Ask about smoking status at each health care visit.
Advise client to quit smoking.
Assess client’s willingness to quit smoking at this time.
Assist client to quit using counseling and pharmacothe rapy.
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