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Chapter 006

Chapter 006

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Published by: lani416 on Jan 11, 2010
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Lewis et al: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 7
th
edition
Key PointsChapter 6: Older Adults
Ageism
(negative attitude based on another’s age) can lead to discrimination anddisparities in health care provided to older adults.
Aging affects every body system.
Biologic aging
is a balance of positive (e.g., healthydiet, exercise, coping, resources) and negative factors (e.g., smoking, obesity).
Biologic theories can be divided into
stochastic
and
non-stochastic
theories.
Older women are especially at risk for chronic health problems, including arthritis,hypertension, strokes, and diabetes.
The
frail elderly
are individuals who are more vulnerable because of declining physicalhealth and limited resources.
Activities of daily living
(ADL), including bathing, dressing, eating, toileting, andtransferring, are important for the nurse to assess in the older patient living with chronicillness.
For the hospitalized older adult, there are special concerns related to high surgical risk,acute confusional state, nosocomial infection, and premature discharge with an unstablecondition.
The intensity and complexity of caregiving place the
caregiver
at risk for high levels of stress. This may lead to emotional problems, including depression, anger, and resentment.
Family members are perpetrators in approximately 9 out of 10 cases of domestic
elderabuse and neglect.
Continuing care retirement communities, congregate housing, and assisted livingfacilities are housing options for the older adult.
Home health care services require physician recommendation and skilled nursing care for Medicare reimbursement.
Copyright © 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

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