CARE OF THE OLDER ADULT: FINAL
EXAM QUESTIONS AND ANSWERS
How to approach vulnerable older adults? - Answer--without bias or preconceived ideas
-acknowledging & addressing assets and deficits
-as individuals
-with respect and kindness
-with the same positive regard and caring given to any human being
What is a primary principle of geriatric care? - Answer-focus on function; interventions
on maintenance of functional abilities
-mobility
-level of independence in ADL's: personal hygiene, toileting, mobility, shopping for and
preparing food, taking meds, communication, $$$ management
Why would older adults make an effort to hide sxs and signs of illness? - Answer--fear
of hospitalization
-others making the decisions for them
-symptoms often regarded as the "normal" process of aging
-no insurance coverage or no financial resources
-no way to travel to get to care
-life long misconceptions may lead them to feel that there is no reason to seek medical
help
What are some illnesses that may be hidden in older adults? - Answer--depression
-incontinence
-musculoskeletal stiffness
-falling
-alcoholism
-osteoporosis
-hearing loss
-dementia
-dental problems
-poor nutrition
-sexual dysfunction
-osteoarthritis
Common, altered presentations of illness in the older adult: - Answer--depression
without sadness
-may have infectious disease *without* fever, tachycardia, or elevated WBCs
-atypical, acute abdominal disorders
-silent malignancy
-myocardial infarction without chest pain
-non-dyspenic pulmonary edema
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