Care for Older Adults: Living Environment Needs
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Questions and Answers

What should be documented for a new drug prescribed on an ongoing basis?

  • The total cost of the therapy
  • Response to therapy within 6 months (correct)
  • Weekly side effects experienced by the patient
  • The do's and don'ts of the drug

    • What is evaluated when warfarin is prescribed?

  • Blood pressure readings
  • Liver enzyme levels
  • International normalized ratio (INR) (correct)
  • Kidney function tests

    • When should electrolytes be checked after initiating thiazide or loop diuretic therapy?

  • Within 6 weeks
  • Within 1 week (correct)
  • Monthly
  • Annually (correct)

    • Why should chlorpropamide be avoided as a hypoglycemic agent?

    <p>It can lead to serious hypoglycemia</p> Signup and view all the answers

    What is the risk associated with prescribing drug therapies that have strong anticholinergic properties?

    <p>Confusion and urinary retention</p> Signup and view all the answers

    What does an annual drug review provide the opportunity for?

    <p>To discontinue unnecessary therapy</p> Signup and view all the answers

    How often should the monitoring for agents with a narrow therapeutic range occur?

    <p>Every 4 days and then every 6 weeks</p> Signup and view all the answers

    What is a significant risk of diuretic therapy related to potassium levels?

    <p>Hypokalemia</p> Signup and view all the answers

    What is the primary goal of fluid control of information sharing for older adults?

    <p>To maximize their autonomy.</p> Signup and view all the answers

    What does non-verbal communication include?

    <p>Facial gestures, body posture, and eye contact.</p> Signup and view all the answers

    Which of the following is NOT one of the basic principles of making contact according to Virginia Satir?

    <p>Ensure absolute agreement.</p> Signup and view all the answers

    What should health care providers do to maximize communication?

    <p>Use language familiar to the patient.</p> Signup and view all the answers

    Why is it important to invite an older adult into a conversation?

    <p>To show respect and interest.</p> Signup and view all the answers

    What does the principle of arranging the environment prioritize?

    <p>Comfort and privacy for effective communication.</p> Signup and view all the answers

    How should control of information sharing ideally evolve with an elder?

    <p>It should depend on the elder's health and functional status.</p> Signup and view all the answers

    Which statement is true regarding the complexities of information sharing with older adults?

    <p>It can become complicated even under well-meaning circumstances.</p> Signup and view all the answers

    What is the primary goal of a needs-based care plan in relation to disease stages?

    <p>To deliver consistent high quality care</p> Signup and view all the answers

    Which of the following is NOT included in the assessments for anticipatory care?

    <p>Personal hobbies and interests of the patient</p> Signup and view all the answers

    Which goal emphasizes pre-planning and anticipation of patient needs?

    <p>Pre-planning and anticipation of needs</p> Signup and view all the answers

    What is crucial during the coordination of care according to the outlined steps?

    <p>Effective communication and coordination among the MDT</p> Signup and view all the answers

    What characterizes the dying phase in the context of care?

    <p>Gradual shutting down of body processes</p> Signup and view all the answers

    Which aspect is considered a goal for improved outcomes in multidisciplinary teamwork?

    <p>Improved staff confidence and teamwork</p> Signup and view all the answers

    What is a primary focus of care delivery in the last days of life?

    <p>Identifying the dying phase</p> Signup and view all the answers

    What type of services are highlighted as important for high-quality care delivery?

    <p>Transportation services, like ambulances</p> Signup and view all the answers

    What primary symptom is Jose experiencing that is of significant concern?

    <p>Back pain rated 7 on a 0–10 scale</p> Signup and view all the answers

    What is Maria particularly struggling with regarding her husband's condition?

    <p>Accepting the reality of his end-of-life status</p> Signup and view all the answers

    Which professional should be directly involved in assessing Jose's need for hospice care?

    <p>A hospice nurse</p> Signup and view all the answers

    What is a critical step when assessing the living environment of older adults?

    <p>Considering their functional, physical, and social needs</p> Signup and view all the answers

    How should the healthcare team approach Jose's end-of-life goals?

    <p>By discussing his preferences and wishes openly</p> Signup and view all the answers

    Which model of care focuses on providing effective transitions across different levels of care for older adults?

    <p>Transitional Care Model</p> Signup and view all the answers

    What might indicate that Jose's emotional state is negatively impacting his daily functioning?

    <p>He is sleeping much of the day and seems disinterested in activities</p> Signup and view all the answers

    What should be identified to assist older adults in preventing mistreatment?

    <p>Potential abuse or self-neglect</p> Signup and view all the answers

    Which of the following is a key factor contributing to Maria's stress concerning her husband's care?

    <p>Maria's advanced age and health issues</p> Signup and view all the answers

    How can effective communication techniques impact the care of older adults?

    <p>By encouraging reflection on diversity in care</p> Signup and view all the answers

    What should be assessed about the family dynamic to improve care for Jose?

    <p>The level of involvement from Maria's children</p> Signup and view all the answers

    What is a likely concern for Jose regarding pain management?

    <p>Potential addiction to pain medications</p> Signup and view all the answers

    Which strategy is crucial for preventing geriatric syndromes?

    <p>Implementing guidelines to identify and manage syndromes</p> Signup and view all the answers

    What aspect should be respected when providing care for older adults?

    <p>The complexity and variations of their care</p> Signup and view all the answers

    What is a key consideration in planning patient-centered care for older adults?

    <p>Integrating mental and physical well-being of all caregivers</p> Signup and view all the answers

    Which approach is essential for ethical decision-making regarding end-of-life care for older adults?

    <p>Facilitating voluntary and informed decision-making</p> Signup and view all the answers

    Study Notes

    Living Environment and Older Adults

    • Functional needs encompass daily activities like bathing, dressing, and mobility, which are affected by the environment's accessibility and safety features.
    • Physical needs involve physical comfort, temperature, and access to healthcare facilities.
    • Cognitive needs relate to memory, attention, and decision-making, influenced by a stimulating environment with clear communication and adequate lighting.
    • Psychological needs encompass emotional well-being, requiring a supportive environment with opportunities for social interaction and personal growth.
    • Social needs involve connections with family, friends, and community, facilitated by accessible transportation, social programs, and community centers.

    Care for Older Adults

    • The care plan should be tailored to the individual's needs, considering the stage of their condition: from diagnosis to stable, unstable/advanced, deterioration, or final days.
    • Holistic assessments should consider anticipatory care needs, caregiver needs, and potential benefits for the patient.
    • Care coordination involves interdisciplinary collaboration with the MDT, communication with out-of-hour services, and transportation arrangements.
    • High-quality care should be available in diverse settings, including home, assisted living, hospice, and nursing homes.
    • End-of-life care necessitates identifying the dying phase, assessing emotional and spiritual needs, supporting decision-making, and facilitating closure.

    Communication with Older Adults

    • Control of information sharing should be dynamic, with respect for the elder's autonomy and preferences.
    • Non-verbal communication includes vocal cues like tone and pitch, as well as nonvocal cues such as facial expressions, posture, and touch.
    • Effective communication strategies include inviting the individual to engage, arranging a comfortable environment, maximizing understanding, and following through on commitments.

    Case Study: Jose & Maria

    • Jose's condition: Jose is experiencing worsening pain, weakness, shortness of breath, and loss of interest in activities, suggesting a terminal illness.
    • Maria's denial: Maria's denial of Jose's deteriorating condition and unrealistic expectations about his recovery may be a coping mechanism.
    • Initial assessment recommendations: Recommend hospice care evaluation, assessment of Maria’s capacity to care for Jose, and exploration of additional support for Maria.
    • Team members: The care plan should involve a physician, nurse, social worker, hospice team, and potentially a chaplain or spiritual advisor.
    • Determining Jose’s goals: Engage in a discussion with Jose, if possible, to understand his wishes and preferences for end-of-life care.
    • Supporting Jose & Maria: Acknowledging the presence of grief and loss, facilitating open communication between Jose and Maria, providing emotional support, and offering practical assistance to alleviate caregiving stress.

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    Related Documents

    Care Of The Older Client (NCM 114a) PDF

    Description

    This quiz explores the essential functional, physical, cognitive, psychological, and social needs of older adults living in various environments. It will assess your understanding of how these needs influence care planning and the importance of a supportive atmosphere. Prepare to evaluate the types of environments that best cater to the elderly's diverse requirements.

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