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CARE OF THE ELDERLY C475 test-bank | Care of The Older Adult TEST BANK (complete questions & answers) Latest Summer 2022.

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WGU study guide for care of the older adult c475

1. large group of people born between 1946-1964. Considered more affluent, better
educated and healthier. Baby boomers have entered the older age groupas of 2011: Baby
Boomers
2. expect and demand excellence in geriatric care. Health disparities exist among
minority elder group.: Baby Boomers unique characteristics that makethem a
challenge for healthcare professionals
3. European
African
Hispanic
Asian
Native Americans: Top five racial groups in United States
4. individualistic, stoic (don't want to be a burden to others),
elders- lose their sense of self worth.
Trust authority- will tend to follow health care advice)

smoking by pregnant women
drug induced deaths
deaths from poisoning
deaths from melanoma,
and deaths from COPD before age 45.: European Americans5
health disparities
5. 2nd larges minority populations.
religion/spirituality plays important role in health and wellness.
Equate good luck, good fortune, and good health with being right with God.Closer ties
with extended families and rely on their close family ties for support.
Distrustful of health care personnel: African Americans
6. gonorrhea,
congenital syphilis,
new cases of AIDS,
deaths due to HIV infection.: African Americans - top five health disparities
7. high values on family, religion, and community.

family interdependence over independence. family

first before seeking outside health care.

homeopathic remedies in conjunction with religious artifacts before engagingthe health
care professional.

, WGU study guide for care of the older adult c475

They disagree with silence and noncompliance.
May not seek health care because they feel that their illness/disease is apunishment of
sins.

Many do not seek health care because they do not have access to it (lack of insurance,
communication difficulties, or fear of ramifications due to being incountry illegally.

Diabetes and heart disease are two health problems that have increased withinthis
cultural group: Hispanic Americans
8. congenital syphilis
TB,
AIDS,
exposure to particulate matter,
cirrhosis deaths: Hispanic Americans - top 5 health disparities
9. still practice holistic (naturalistic) medicine and may incorporate this as anadjunct
to Western medicine.

Majority of influence comes from Confucianism Follows a naturalistic per- spective,
defining health and illness as a balance between the individual andthe world around
the individual.

Treatments may involve - acupuncture, moxibustion (burning of herbal leaveson or
near the body), cupping (the use of warmed glass jars to create suctionon certain
parts of the body), massage, herbal remedies, movement and concentration exercises
(tai chi)

Some elders may forgo life sustaining treatment because of the principles ofren. Ren
is the golden rule of Chines decision making "Do not do to others what you do not
want done to yourself".: Asian Americans
10. new cases of TB, congenital syphilis, no pap test among females > 18, ex-posure to
particulate matter, and carbon monoxide exposure: Asian Americans
- top 5 disparities
11. Insulated from the rest of the country, either literally (by way of land
reservation) or in other ways such as linguistically.
Follow naturalistic approach, believing that health is a balance of the mind, body, and
spirit, and illness occurs when there is an imbalance or disharmonywith nature.

, WGU study guide for care of the older adult c475

Health beliefs are blended with religion, carrying a magic facet as well asholistic
and naturalistic approaches: Native Americans
12. fetal alcohol syndrome, smoking by pregnant women, alcohol related motor
vehicle deaths, cirrhosis deaths, and new cases of gonorrhea: NativeAmericans - top
5 health disparities
13. Visual acuity
Hearing loss
Speech and language difficulties: Age related changes which may affect thera-peutic
communication
14. Hearing deficits -
1. Do not shout.
2)TOUCH or by using a visual cue and wait for patient to visually orient to you before
speaking, 3)STAND in front of person in a well lit room (helps the patientlip read),
4) SPEAK TO THE SIDE THAT HAS BETTER HEARING
5) make sure hearing aid is IN and turned ON
5) use gestures or objects for communication.
LIMIT BACKGROUND NOISE
Allow adequate time for response.
Use short sentences and speak clearly May
need to write or use a pictogram grid

Vision impairments -
Position yourself within their vision field.
Give verbal indication of the actions you are about to do (avoid startling orscaring
them).
Label objects or simplify what is in their visual field.

Aphasia/Dysarthria (speech impairments) -
May be more anxious or self aware.
Limit distractions
Face patient and maintain eye contact
May need to use multiple forms of communication (body language, written orpictorial
information)
Use short uncomplicated sentences with simple choices.
Summarize message for accuracy.
Take time and do not correct every error and respect the elder's limitations. Be
patient!!: ways to communicate/ assist patient with disabilities such as hearingdeficits,
vision impairments, or aphasia and dysarthria.

, WGU study guide for care of the older adult c475

15. discussions simple and questions concise.
Use large print calendars and clocks to assist with orientation.
Pictures of family may assist in reorienting.
Well lit room.
Offer frequent reassurance.
Avoid physical restraints
Use distraction and soothing conversation.: Communication with a deliriouselder
16. Make sure the person is attending to you prior to beginning the conversa-tion.
Face the person
Speak slowly and clearly.
Eye level
Reduce or limit background noise.
Break tasks into small manageable steps and provide simple and clear direc-tions (
one step at a time may be needed )
Praise efforts.
Use concrete terms and familiar words.
Offer simple choices.
Allow adequate time to respond.
Do not argue or attempt to reason with someone regarding delusions or
hallucinations.
Encourage discussion of life events, traditions, memories.Use
large print calendards
Label items
Establish a familiar environment: Communication with DEMENTIA
17. BTE (Behind the ear) - worn behind the outer ear. Has an adjustable volume and is
battery powered. IT IS THE MOST COMMON. Suitable for the entire range of hearing
loss.

OTE (over the ear) - very small and sits on top of the outer ear.

ITE (in the ear) - custom fitted, adjustable volume and battery powered. Much
smaller and some may have difficulty using. Used for mild to moderate hearingloss.

ITC (in the canal) - tiny that fit in the ear canal and barely visible. Customized fit.
May be too small for some to use.

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