Jersey College - Geriatrics
Stage 2 (Non-REM sleep cycle) - Medium deep sleep
Slow eye movements
Fragmentary dreams
Easily awakened
Reasons for an increase in elderly population. - Falling fertility rates, reduced infant and child
mortality, improved sanitation, vaccinations, increasing survival at older ages.
Income, mobility, housing, intimacy and social interaction. - Why is marital status an important
determinant of health and well being?
Functional independence with consideration for safety and social interaction. - Housing should
promote..
Gerontologic Clinical Nurse Specialist - Master's prepared RN who functions as clinician, educator,
consultant, administrator, or researcher.
Adult Gerontologic Acute Care Nurse Practitioner - Practice in various settings and function as a
provider of primary care and a case manager.
Gerontologic Nursing - nursing specialty concerned with the care of the older adult
Gerontic Nursing - emphasizes nurturing, caring, and comforting more than treatment of disease.
Low level of education Impairments - This can impair...
A healthy lifestyle
,Access to benefit programs
Recognizing health problems and seeking care
Following recommendations for care
Social Security - The major income source for older individuals and couples in 2014.
75% - What percentage of all deaths are caused by: heart disease, lung cancer, COPD, accidents,
strokes, alzheimers, diabetes, kidney disease, flu/pneu, and suicide.
Functional Ability - The capacity to carry out the basic self-care activities that ensure overall
health and well-being.
Medicare Part A - The part of the Medicare program that pays for hospitalization, care in a skilled
nursing facility, home health care, and hospice care.
Medicare Part B - The part of the Medicare program that pays for physician services, outpatient
hospital services, durable medical equipment, and other services and supplies.
Medicare Part C - Managed care health plans offered to medicare beneficiaries under the
medicare advantage program.
Acute Care Setting - Used for acute conditions and do not do well in preventing functional decline
or prompting independence.
Subacute Care Units - Aimed at high-risk, hospitalized older adults, bridge between hospital and
home.
Theories - Purpose of __________
Helps make sense of a particular phenomenon
Provides a sense of order
, Gives a perspective from which to view the facts
Provides a spring board for discussion and research
Human Aging - This is influenced by a composite of biologic, psychologic, social, functional and
spiritual factors.
Process that begins at conception.
Biologic Theories of Aging - Concerned with answering basic questions regarding physiologic
processes that occur in all living organisms over time.
Deleterious effects leading to decreasing function of the organism, gradually occurring age related
changes that progress over time, intrinsic changes that may affect all members of a species of
chronologic age.
Mitochondrial Free Radical Theory - Free radicals are byproducts of fundamental metabolic
activities within the body. Increased by pollutants (ozone and pesticides.)
Neutralized by enzymatic activity or natural antioxidants, but if they are not neutralized, they may cause
cell damage.
Administration of antioxidants postpones the appearance of diseases such as cardiovascular disease and
cancer and can influence the decline of the immune system and on degenerative neurologic diseases.
Vitamin E/C can inhibits functions of free radicals.
Cross-Linkage Theory - With age, some proteins become increasingly cross-linked or enmeshed
and may impede metabolic processes by obstructing the passage of nutrients and wastes between the IC
and EC compartments.
As a person ages and the immune system becomes less efficient, the body's defense mech cannot
remove the cross linking agent before it becomes securely established.
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