Nur 151 Care of the Older Adult
PI Examination Pointers 100 items
(Exams is more on situational , assessment)
Gerontological Nursing - meaning?
Geriatrics -?
Geriatric Nursing and its Competencies(memorize series)?
Gerontology - rehab , management
Gerontologic Nurse - who is caring the adult. Memorize the def.
American Nurses' Association (ANA)
A. Quality standard
B. Nursing Standards.
What are the quality standard? Memorize.
ANA Code of Ethics for Nurses
What are particular code
Theories of aging • Immunological Theory - immune system
a. Free Radical Theory -I antioxidants, h. Neuroendocrine theory
BERRIES fruits
• I. Age Stratification Theory - group
b. Error Theory
• j. Person-Environment Fit theory
c. Wear and Tear Theory
I. Gerotranscedence Theory - unity with the
d. Cross-link theory - CHO , CHON - universe
nutrients / waste
m. Activity Withdrawal Theory
e. Programmed Theory
o. Activity Disengagement Theory - Decreased
f. Gene/biological clock theory - telomeres Socialization
p. Continuity theory
Roles of a Nurse
a Teacher - health education
b. Provider of Care - act out - perform
C. Research Consumer literature, educ, | d. Manager - balances ge. Advocate - explaining
basic procedures
8 Stages of Erikson's developmental tasks Maturity 65 and above
Integrity versus despair
Who is ERIK ERIKSON? - PSYCHOSOCIAL STAGES OF DEVELOPMENTAL
Morals (read) - Ethics (ethics)
"Elderly Filipino Week* _ 1st week of October - "470*
R.A 9336 - Additional Ben
- Republic Act No. 9257 - Expanded SC at 2003
Polypharmacy - 2 or more medically or non-medically necessary medications
a. Prevention- series
b. reasons - memorize
c.Diphenhydramine (Benadryl) - drowsy vs. Loratidine - non drowse prep
d. Digoxin - S.E / A.D.R?
e. Furosemide - K - electrolytes and fluid.?
Sildenafil citrate (Viagra) - CARDIO - PULMONARY
f. NSAIDS
g. Tricyclic Antidepressant- orthostatic hypotension / S.E? : POSTURAL <BP
h. Diuretics - Bladder (READ MORE)
i. anticholinergic drugs - SECRETIONS - DRY MOUTH and example
• Pressure ulcer Management - Pilla
- Prioritization questions - (Battle of the MINDS TEST HOLTS)search and read more
• Liver - Metabolism of drugs - 1st pass effect ? Research - diagram
• Kidneys - Filtration - filter (GERON 65 y.o and above)
-decrease filtration thereby increase saturation active ingredients in the cell thereby increase A.D.R.
- TITRATE
Nursing Home?
Hospice Facility 6 MONTHS TO LIVE - COMPASSIONATE CARE - COMFORT
Principle of informed consent
- Assessment - gather data, senses
• Sodium level - Na - 135 - 145 mEq/ L |
128 hyponatremia - what are the management?
• Heat stroke - sweating
• Hemiplegia - paralysis, hemi: “half” L or R
-CVA “ stroke” - Dressing (t-shirt) assistance
• Medical Jargon - please avoid medical - health teaching
-MI “heart attack”
• Glaucoma - open, close angle In assessing the lighting for a patient with glaucoma,
What kind of light
• Pressure ulcers
Goal for treatment of leg ulcers in the elderly client should be to
1. alleviate swelling,
2. eliminate infection, and
3. promote healing
movement slows with aging: Changes in musculoskeletal and nervous systems - MOBILITY
RESEARCH
Seizures ?
Tongue protrusions?
Resting tremors?
Eye twitches and spasms?
Osteoarthritis - osteo - bone
• Crepitation- sound-lubricants-lack of synovial fluid
Management:?
• Promote Mild exercise which includes: walking
Alzheimer's Disease - AD prominent GERON
Pneumonia - Respi - Baterial
COPD : Chronic Bronchitis and Emphysema
CHN
- Nursing process -
A.D.P.I.E
- The Principles of CHN - MEMORIZE
-Community
a. characteristic of a healthy community - HEALTHY DESCRIPTIONS
b. 8 sub-systems - CHURCH NOT INCLUDED?
c. Family as the primary group
d. Cooperation
HEALTHY CITY : DOLE OUT
• Types of housing materials :
CONCRETE
SEMI-CONCRETE
MAKE-SHIFT - disponering
• Culture -
a. definition
b. characteristics
c. western lifestyles
-who smoke?
-who Eat fatty food?
-whoDrink a lot of beers?”be happy for tomorrow we will die”
d. religious beliefs :
Muslim: meat + dairy products
Jehovah's Witness member: refuse BT-blood is sacred - life comes from GOD
• Planning nursing care client with different culture background: language and variables
differences affect the health problem
• Positive and negative culture of Filipinos (memorize)
10 items: memorize
• Public Health Nurse
Memorize:
-qualities
-characteristics
-services (health teaching) - health education
-Focus: primary prevention - disease prevention and health promotion
• Public Health Nursing - definition DOH and WHO
• Primary Prevention - ?
• Secondary Prevention - disease…..
• Tertiary Prevention - limit progression of disability
• Community Diagnosis - CD memorize and application
• Community Organizing - CO memorize and application
• PAR - Participatory Action Research - memorize and application
• Vital Statistics - vital - important - B-DAY, KASAL, DEATH, DIVORCE.
• Demography - picture| demographic - profile : DEMOS - PEOPLE
• Reasons why nurse managers should evaluate their staff - MEMORIZE (inclusions)
• Assessing patients from a different culture - problem with -> Language is important for
communication
purposes
• Health Care System - health care system or healthcare system is an organization of
people, institutions, and resources that delivers health care services to meet the health needs of
target populations
• Health Care Delivery HCDS Structures and members:
1. Municipal health Officer MD (Medical Doctors)
2. Public Health Nurse
3. Rural health Midwifes
4. Rural Sanitary Inspector (inspect the water sanitation)
• MMR - Maternal Mortality Rate - DEFINITION & FORMULA
• FDR - Fetal Death Rate - DEF & FORMULA
• IMR - Infant Mortality Rate - DEF & FORMULA : 1 YEAR OLD AND BELOW
• CDR - Crude Death Rate- (CRUDE : GENERAL) - DEF & FORMULA
• Span of Control - REACH - SUBORDINATES - LEADER
Types of Communities
DEFINITION OF :
• Urban
• Rural
• Rurban
The agencies where you can report abuses:
a. Violence Against Women and Children - VAW-C
b. Anti-Child Abuse, Discrimination, Exploitation Division (ACADED) National Bureau of
Investigation
c. Commission on Human Rights Child Rights Center
• Professional Regulation Commission: Definition
• Department of Health: Definition
• Civil Service Commission : GOVERNMENT EMPLOYEES
• Community Immersion CI MEMORIZE
• Community Immersion Program CIP, definition and aim: bring the health programs to people
who cannot access it
• TB-DOTS (Tuberculosis - Directly Observed Therapy)-RHU: Good sputum sample for
microscopy : 6 months treatment with pneumonia
1. breathes air deeply,
2. coughs strongly at the height of inspiration,
3. use of sterile container:
• Effective resources management - Use EBP
• Comprehensive Community Diagnosis
• Steps in conducting Community Diagnosis
• Goals of community health nursing
Social Status - income, communication
Social determinants of health
Resources - Manpower, Material and Health
Unity of command - ONE VOICE ONE SUPERIOR
• Principles of organization: MEMORIZE
Criteria for Selecting a community for COPAR
a. population size
b. no Serious problem
c. absence of resistance
RHU - Rural Health Unit - PHN apply in RHU
Objective/s: definition and what to consider in creating it:
-the patient is able to inject insulin-by himself
-client centered outcome focused
- Priority question: 1st to attend in queueing of patients: Age prioritization and health needs -
pregnant and PWD
-PRIORITY 65 AND ABOVE
Phases of COPAR - Community Organizing Participatory Action Research
Pre entry: and Entry etc
SOCIAL ANALYSIS
