Gerontology Exam Study Guide Solutions

Gerontology Exam Study Guide Solutions Acute Care Environment - ANSWER-Primary objective is to get the medical condition resolved. The big picture is important to focus on to incorporate rehabilitative techniques. Negs of acute care environment - ANSWER-lack of quality sleep, med or electrolyte imbalances can cause confusion, lack of time for staff to assist with ADL's, limited space and privacy, unusual noises and odors, sensory overload. Long term care environment - ANSWER-required when the older adult needs help meeting everyday needs. Two categories of residents are found in a long term care facility - ANSWER-Short term and long term skilled nursing facility environment - ANSWER-offers subacute care that has a strong rehab focus and a shorter length of stay Four most common client care needs (at skilled nursing facilities) - ANSWER-physical rehab, stroke rehab, wound care, and recovery from hip fracture Home care environment - ANSWER-older adult receives care at home from family members or organized sources such as visiting nurses or home health aides. ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/15 The typical caregiver is - ANSWER-female and over 65 assisted living - ANSWER-separate living quarters, community activity area, and dining room. provides supervision to relatively independent older adults and some health services adult day care - ANSWER-a setting that provides structured activities during the day much like a child day care. medical model of adult day care - ANSWER-provides health care services along with structured activities during the day social model of adult day care - ANSWER-stresses social activity during structured activities during the day respite care - ANSWER-scheduled stays at a facility to give "time off" to a caregiver 6 services available for those caring for older adults at home - ANSWER-respite care, day care, home health, nutrition programs, senior center, transportation services home health - ANSWER-assistance with ADL's via aide or nursing care via nurses at home nutrition programs - ANSWER-congregate meals or home delivery for a nominal fee, senior centers, meals on wheels ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/15 senior center - ANSWER-Gov funded centers that provide recreational activities, lunch, health screening, and transportation to and from the site transportation services - ANSWER-transportating services for grocery shopping or medical appts Age related changes - ANSWER-absorption, distribution, metabolism, excretion, increased sensitivity, decreased sensitivity, adverse drug reaction absorption - ANSWER-stomach contents become more alkaline, blood flow to intestines and motility is slowed leading to slower absorption NI for absorption - ANSWER-always administer meds on time distribution - ANSWER-slower d/t decreased circulation, decreased body water & increased body fat causing a sustained release and the drug to remain in the body longer. Can cause greater effects or toxicity NI for distribution - ANSWER-Start low with dosage and go slow, checking for toxicity metabolism - ANSWER-occurs in the liver. decrease in liver size and blood flow and functions in the kidney NI for metabolism - ANSWER-A little goes a long way ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/15 excretion - ANSWER-occurs in the kidney and is slowed due to reduced blood flow and function in the kidneys NI for excretion - ANSWER-lower doseages recommended increased sensitivity - ANSWER-can be increased with CNS drugs NI for increased sensitivity - ANSWER-monitor and assess decreased sensitivity - ANSWER-can be decreased with cardiac drug