Glossary of caring for elderly client

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Cardiovascular system
-Hr decrease
-activity intolerance
-decrease cardiac output
treatment of ulcers
-promote healing
-adequete circulation and oxygenation
-rid of dead tissue
Extrinsic factors for falls
environmental conditions
-wet floors
-bad footwear
Alterations in mobility
-immobility is a major medical disability in elders
-can lead numerous complications
-fear of failing can contribute to immobility
-acute health prob lead to
-can cause pnuemonia,embolisms
pressure ulcers,constipation, dehydration,aneroxia
disorder a Pt acquires as result of recieving treatment from a Dr/nurse or get incorrect treatment
-misuse,overdoesage of drugs
-follow a cycle
-involuntary loss of urine control
-major reason elderly in nursing home
-associated with UTI,skin breakdown,behavior disturbance
Musculoskeletal system
-bones less dense, brittle
-wght bearing actv.
-muscle decrease 5%/day if not used
Gait(intrinsic fall factor)
decreased gross motor movements
Sleep apnea
-sleep disorder,stop breathing diff times throughout the night
-treat with CPAP
injury from falls
-can result in hip fractures, death from complications
-intrinsic and extrinsic factors
Respiratory system
-Anatomical changes effect lungs(kyphosis,osteoporsis)
-increase complications with decrease immobility
intrinsic factors for falls
normal aging changes(mental and health
-posture and balance
nursing interventions to promote sleep
-avoid meds
-use massage,comfort,snacks,
socks,warmth,increase daytime actv.
an arch in the spine, can be caused by changes in body and lungs with immobility
Chronic incontinence
-urge(feel urge but no make it to bathroom
-overflow(impaired emptying)
Interventions:surgery,treat underlying cause,kegal exercises
age related changes affecting incontinence
-bladder capacity 1/2 the normal size
-decrease ability of kidney to concentrate urine
Sundown syndrome
-change with day and night
-restlessness,confusion, wandering,screaming
occurs with med prob and goes away when prob fixed
R-restricted mobility
altered nutritional status
-Risks:anorexia,poor fitting dentures,lack of dentures
-assessment:serum albumin or protein, and wght monitoring
increase GI transent time related to decrease peristalsis(contraction),meds can also cause
-interventions:activity,fluid fiber
sleep stages
I-nodding off
II-deep relaxation
III-easy to awake
IV-deep sleep
V-REM sleep, dreams occur
Pressure ulcers
lesion caused by unrelieved pressure which damages underlying tissue,they are preventable!
-mechanical and physiological risk factors
Physiological Risk Factors for pressure ulcers
-aging(thin skin)
-immobility(no move)
-malnutrtion(low wght,low vitamens)
mechanical risk factors for pressure ulcers
-shearing(sliding of PT in bed)
-friction + moisture(softens skin,weakens)
Prevention of Pressure ulcers
-assess risks
-repositioned every 2 hrs
-donot massage red areas
-well balance diet
Staging of Pressure ulcers
I-red skin
II-partial skin loss,abrasion or blister like
III-full thick skin loss, necrosis, deep crater
IV-full thicknes loss with destruction,black tissue,damage to muscle/bone

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