Gerontological Nursing in Canada
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Questions and Answers

What are the three classifications used to describe older adults?

Young Old Age, Middle Old Age, Old-Old Age

What societal markers do we have for older adults in Canada?

  • Government of Canada: Old Age Security Overview
  • Government of Canada: Canada Pension Plan (Retirement)
  • Both A and B (correct)
  • None of the above
  • What does the term "Centenarians" refer to?

    Adults who are 100 years old or older

    The share of seniors in Canada exceeded the share of children in 2016.

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

    Which of these are true regarding the Canadian life expectancy?

    <p>Life expectancy is lower in the territories and Newfoundland and Labrador than the rest of Canada.</p> Signup and view all the answers

    What is the name of the organization that published NEW Gerontological Nursing Competencies & Standards of Practice?

    <p>The Canadian Gerontological Nursing Association</p> Signup and view all the answers

    What are the six standards of practice published by the CGNA?

    <p>Relational Care</p> Signup and view all the answers

    What are the two types of hearing impairment?

    <p>Sensorineural and Conductive</p> Signup and view all the answers

    Sensorineural hearing loss is the most common form of hearing loss.

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

    Besides hearing aids, assistive devices, and cochlear implants, what are three other potential strategies to improve hearing?

    <p>Assess the presence of impacted ear wax, Removal by the appropriate interprofessional team member, Communication Strategies for Older Adults with Hearing Impairment</p> Signup and view all the answers

    Name five factors that contribute to vision impairment in older adults.

    <p>Cataracts, macular degeneration, glaucoma, diabetic retinopathy, and lack of routine eye care</p> Signup and view all the answers

    What are three assistive devices that can be used to assist with problems caused by visual impairment?

    <p>Talking clocks &amp; watches</p> Signup and view all the answers

    What three areas should be considered, when adapting an assessment for a patient with a hearing or visual impairment?

    <p>Assessment, Communication Strategies (Verbal and Non-Verbal), Environment, &amp; Equipment</p> Signup and view all the answers

    What are the three categories that are affected by neurological disorders, which may impact communication?

    <p>Reception, Perception, and Articulation</p> Signup and view all the answers

    Which of the following neurological disorders can lead to difficulty with Perception?

    <p>Only B, C, and D are correct</p> Signup and view all the answers

    Dysarthria is a disorder that involves a weakness or poor coordination of the muscles required for speech, and is characterized by weakness, slow movement and lack of coordination of speech muscles.

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

    Aphasia is a disorder that affects a person's ability to communicate after a stroke.

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

    What are three things that can be done to assist patients who have neurological impairments?

    <p>Be aware of body language &amp; non-verbal communication, Be sensitive and patient in order to facilitate a therapeutic relationships, Promote continuity of care to learn and understand the patients communication needs and patterns</p> Signup and view all the answers

    Study Notes

    Older Adults in Canada

    • Aging demographics in Canada are changing, with a growing older adult population.
    • Older adults are the core demographic for healthcare, but few healthcare professionals are specialized in gerontological nursing.
    • 60% of medical-surgical patients and 46% of critical care patients are older adults.
    • Nurses need specialized knowledge in the assessment and care of older adults.

    Gerontological Nursing

    • Significant need for gerontological nursing specialization exists due to changing demographics.
    • Older adults constitute a significant part of the healthcare system.
    • The CGNA (Canadian Gerontological Nursing Association) has published standards of practice and competencies for gerontological nursing.
    • These standards guide practice and research related to older adults.

    Theories on Aging

    • Biological theories of aging (stochastic and non-stochastic) are used in understanding the aging process.
    • Stochastic theories consider errors in biological systems that accumulate over time.
    • Non-stochastic theories define aging as a predetermined, pre-programmed process, often at a cellular level

    Physiological Aging

    • All body systems undergo changes with age.
    • Examples include: Integumentary, Musculoskeletal, Cardiovascular, Respiratory, Renal/Urological, Endocrine, Gastrointestinal, and Neurological systems.

    Communicating with Older Adults

    • Common communication barriers for older adults, including sensory impairments and neurological disorders.
    • Ageism, prejudice toward older adults.
    • Practices for communicating with older adults, such as: clarifying messages, asking open-ended questions, addressing non-verbally.

    Sensory Impairments

    • Common health concerns that affect communication, including:
      • Sensory impairments (hearing and visual)
      • Neurological disorders
    • Patients with sensory impairments are at a greater risk for communication complications and require specialized care and attention.

    Hearing Impairment

    • Hearing impairment is the number one communication disorder in older adults.
    • The types of hearing impairment include:
      • Sensorineural
      • Conductive
    • Strategies to manage hearing problems include using hearing aids, assistive devices, and cochlear implants.
    • Nurses should evaluate for the presence of impacted ear wax and recommend intervention.

    Visual Impairment

    • Vision decline is a common occurrence with age.
    • Common causes of visual impairment include:
      • Cataracts
      • Macular degeneration
      • Glaucoma
      • Diabetic retinopathy
    • In LTC settings, there's often a significant lack of routine eye care.

    Neurological Disorders

    • Neurological disorders, examples include: -Aphasia -Dysarthria
    • can affect reception, perception, and articulation.
    • Reception: difficulty receiving messages.
    • Perception: problems understanding words/meaning.
    • Articulation: challenges expressing oneself.

    Reminiscing

    • Reminiscing involves recalling past experiences/memories.
    • This helps promote connectedness, cognitive stimulation, and combat isolation in older adults who have cognitive impairment.

    Practice Activities

    • These varied activities require learners to discuss and address issues relating to various aspects of caring for older adults from a critical perspective.
    • Activities involve group discussions. This may include reviewing portrayals of older adults in media, defining aging, promoting quality of life in older adults.

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    Description

    Explore the challenges and developments in gerontological nursing in Canada, focusing on the growing older adult population and the need for specialized care. This quiz covers the demographic shifts, competency standards, and theories of aging that impact healthcare for older adults.

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