Need for rehabilitation -improvement of functional capacity to promote coping -maximal independence -sense of well-being -enjoyment of a satisfying life
Symptoms of frailty -unplanned weight loss -slow walking speed -low grip strength -fatigue, poor endurance -low levels of activity
Elderly are a...
NUR 330-Final Exam Questions and
Correct Answers
Need for rehabilitation ✅-improvement of functional capacity to promote coping
-maximal independence
-sense of well-being
-enjoyment of a satisfying life
Symptoms of frailty ✅-unplanned weight loss
-slow walking speed
-low grip strength
-fatigue, poor endurance
-low levels of activity
Elderly are at high risk for ✅-falls
-disability
-hospitalization
-nursing home admission
-death
Prevention of frailty ✅-positive health practices
-effective management of health conditions
-early recognition and intervention
-assessment
Impact of disability ✅-losses and limitations
-relationships, roles, and responsibilities disrupted
-disfigurement and dysfunction alter body image and self-concept
-vulnerable
-frustration
Importance of attitude and coping capacity ✅severity of disability may be less
important than coping capacity
Influence on reactions to disability ✅-previous attitudes
-personality
-lifestyle
-family response
Principles of rehab nursing ✅-increase self-care capacity
-eliminate or minimize self-care limitations
-act for or do for when the person is unable to take action for himself or herself
-improving functional capacity can promote well-being and QOL
Guidelines for rehab nursing ✅-know unique capacities and limitations
-emphasize function, not dysfunction and capabilities, not disabilities
-time and flexibility
-recognize and praise accomplishments
-don't equate physical disability with mental disability
-prevent complications
-demonstrate hope, optimism, and humor
-multidisciplinary team
Functional assessment ✅-status, not diagnosis
-varies
-can change within an ind. depending on control of sx, progression of disease, and
mood
-determine ind. ability to perform ADL and IADL
-tools
-underlying causes needs to be identifies and treated
-can be totally ind., partially ind., or dependent
Risks associated with hospitalization of OA ✅-decreased functional status
-nosocomial infections
-iatrogenic complications: delirium, falls, pressure ulcers, dehydration, incontinence,
constipation, and loss of functional independence
Interventions to minimize risk and promote optimal function ✅-assessment to identify
problems and risks
-early discharge planning
-encouragement of independence
-monitoring of meds
-prevention of complications
-environmental safety protections
-education
Special care for older adults r/t surgery ✅-smaller margin of physiologic reserve
-less ability to adapt to physiologic changes
-age changes can cause greater risk of complications
-proactive strengthening of capacities
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