Card Set Information
nursing fund. ch.40
What are the 5 common physical care problems of the elderly?
Alteration in elimination
Alteration in nutrition
chronic diseases, parkinson's disease,arthritis, emphysema, cadiac disease
Alterations in mobility and effects of aging are?
Major loss of calcium
Decreased bone density
Decreased muscle mass
Loss of joint flexibility
Some nursing interventions and ways to prevent falls are?
Changing positions slowly
Use of a gait belt if needed
Educate to keep active
Ensure proper arthritis and osteoporosis Treatment
Limit bed confinement
More ways to prevent falls?
Use of assistive devices such as canes or walker
Bed in low position
Call bell in reach
Brakes on w/c locked
Clear path, no spills
Call bell answered quickly
Home environment inspected for safety
Common physical problems in elderly
Urinary incontinence( part of acute or chronic prob)
Altered sphincter control
Loss of bladder muscle tone
Poor kidney function
Nursing Interventions for urinary incontinence.
(One of the main reasons for instiututionalism)
Assess for cause
Prevent skin breakdown
Some common physical care problems of the elderly are what if they are constipated?
Decreased bowel activity
Signs and symptoms of constipation
The passing of small amounts of liquid stool
Loss of appetite
Nursing interventions for constipation or fecal impaction diet remedies?
Hot lemon juice first thing in a.m.
Prunes or prune juice
Bran cereal or whole wheat grains
Raw fruits/ Veggies
More fluid intake 2500ml
Advise patient not to bare down
Common physical problems of the elderly when there is poor nutrition?
Poorly fitted dentures
Decline in taste buds
Decline in sense of smell
Nursing Interventions for nutritional support?
Make food attractive
make environment pleasent
Liquid dietary supplement may be necessary
Tube feedings and parenteral feedings may be necessary
Signs of a vision deficit in the elderly?
Ability to see objects far and near as a result of weak eye muscles
Accumulation of fluid on the eye causing pressure on the nerve =blindness
Clouding of the lens'
Gradual loss of acute, central, and color vision
Nursing interventions for the visually impaired?
Orient patient in new environments
Use bright lights/ remove hazards
Identify yourself to patient
State when leaving
Offer arm when ambulating
Offer magnifiers, large print books, or talking books
Hearing deficit in the elderly can lead to?
leads to frustration and embarassment
inability to hear high pitched sounds and spoken words
Ringing in the ears, may cause a further loss of hearing
Nursing Interventions for the hearing Impaired?
Hearing aid, know how to operate
Face patient and speak clearly
Observe facial expressions for feedback
Speak in good ear if has one
Allow glasses so they can read lips
Environment noises kept to a min
Pad and pencil if message not clear
Use of multiple medications
Result of multiple physicians each unaware of what they are prescribing
Drug interactions and toxicity, which can result in behavioral or cognitive changes
Rate at which drugs are metabolized and excreted
Aging kidney significantly less effective in excreting drugs
Nursing Interventions for Polypharmacy
thorough medical history
Eliminate unnecessary meds
Reduce the risk of adverse drug reactions
Reduce complexity of medication regimen