Older Adults in Canada - Demographics and Ageing
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Questions and Answers

What is the primary cause of visual impairment in older adults?

  • Exposure to sunlight
  • Diabetic complications
  • Cataracts and macular degeneration (correct)
  • Age-related vision change
  • What key strategy can nurses implement to improve hearing loss in older adults?

  • Assess for impacted ear wax (correct)
  • Advise complete silence during care
  • Prescribe medication for tinnitus
  • Suggest over-the-counter ear drops
  • Which factor significantly affects the use of eyeglasses among residents in long-term care?

  • Availability of free glasses
  • Cognitive impairment (correct)
  • Eyeglass fashion trends
  • Personal preference for contacts
  • What is a potential consequence of a lack of routine eye care in long-term care facilities?

    <p>Functional decline</p> Signup and view all the answers

    Which communication strategy is important for nursing practice with older adults experiencing hearing impairment?

    <p>Utilizing visual aids and face-to-face interactions</p> Signup and view all the answers

    Which device is recommended for assisting individuals with low vision?

    <p>CCTV electronic magnification</p> Signup and view all the answers

    What is a common barrier to effective hearing assistance for older adults?

    <p>Presence of impacted ear wax</p> Signup and view all the answers

    What should nurses encourage the use of to enhance life quality for residents with visual impairment?

    <p>Low-vision assistive devices</p> Signup and view all the answers

    What is one characteristic of dysarthria?

    <p>Weakness of speech muscles</p> Signup and view all the answers

    Why is it important to be sensitive and patient with patients who have neurological impairments?

    <p>Communication can be frustrating and exhausting for them.</p> Signup and view all the answers

    What role does reminiscing play in the context of cognitive impairment?

    <p>It decreases social isolation.</p> Signup and view all the answers

    What is a recommended action when caring for patients with communication difficulties?

    <p>Refer them to a Speech Language Pathologist.</p> Signup and view all the answers

    Which factor is crucial for promoting effective communication with older adults experiencing cognitive impairments?

    <p>Maintaining eye contact and using gestures.</p> Signup and view all the answers

    What type of activity can help facilitate communication with cognitively impaired individuals?

    <p>Engaging in activities that recall past memories.</p> Signup and view all the answers

    What is a common misconception regarding the cognitive abilities of patients with dysarthria and aphasia?

    <p>Their cognitive abilities often remain intact.</p> Signup and view all the answers

    Which of the following is NOT an implication of promoting continuity of care for individuals with communication challenges?

    <p>Increasing confusion by changing care teams frequently.</p> Signup and view all the answers

    What is a primary communication difficulty faced by older adults with sensory impairments?

    <p>Altered communication</p> Signup and view all the answers

    Which of the following best describes the characteristics of Elderspeak?

    <p>Speaking in a louder volume and slower rhythm</p> Signup and view all the answers

    What type of hearing impairment results from damage to the inner ear or neural pathways?

    <p>Sensorineural hearing loss</p> Signup and view all the answers

    When communicating with older adults, what is an essential practice to ensure effective interaction?

    <p>Using open-ended questions</p> Signup and view all the answers

    What is a common cause of conductive hearing impairment?

    <p>Fluid in the middle ear</p> Signup and view all the answers

    Which of the following should a nurse avoid when interacting with older adults to foster a non-judgmental environment?

    <p>Using overly simplified language</p> Signup and view all the answers

    Why is cultural competence important when communicating with older adults?

    <p>To avoid misunderstandings</p> Signup and view all the answers

    Which of the following strategies enhances engagement with older adults during communication?

    <p>Maintaining good eye contact</p> Signup and view all the answers

    What type of visual impairment is often caused by aging and is the most common in older adults?

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

    What should a nurse do when facilitating communication with an older adult?

    <p>Allow more time for the patient to respond</p> Signup and view all the answers

    Study Notes

    Older Adults in Canada

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

    Ageing in Canada & Social Determinants of Health (SDOH)

    • Factors like income, social support, education, physical environment, personal health, coping skills, healthy child development, employment, culture, gender, and biology/genetics play a major role in aging populations.

    Terminology

    • Older Adult is a general term.
    • Societal markers like the Canada Pension Plan and Old Age Security are included.
    • Age classifications include Young Old (65-74), Middle Old (74-84), and Old-Old (85+). Centenarians are a subcategory of Old-Old (aged 100+).

    Older Adults in Canada - Demographics

    • Graph 1 and 2 display the proportion of children under 14 years old and people aged 65 and older in Canada, showing the projected increase of the senior proportion in comparison to young population.
    • Life expectancy varies by location in Canada; British Columbia has the highest, while parts of the territories and Newfoundland & Labrador have the lowest. Female life expectancy is higher than male's. This trend exists where women often live alone after widowhood and men often marry again.

    Gerontological Nursing

    • Specialization in gerontological nursing is needed due to the increasing older adult population.
    • The Canadian Gerontological Nursing Association (CGNA) promotes the development of gerontological nursing competencies and standards of practice.
    • The CGNA has created standards including relational care, ethical care, evidenced informed care, aesthetic care, safe care, and socio-politically engaged care.

    Practice Activities

    • Students will be divided into groups.
    • Discuss how older people are portrayed in popular media (TV, movies, commercials).
    • Participants will define aging and share what needs to be done to improve the quality of life for older adults.

    Theories on Aging

    • Biological theories are used to understand the process of aging.
    • Stochastic theories (error-based) explain aging as the accumulation of errors over time in DNA/RNA.
    • Non-stochastic theories (programmed) suggest aging occurs at the cellular level through a pre-programmed process.

    Physiological Aging

    • Each body system undergoes significant changes with aging.
    • Slides mention Integumentary, Musculoskeletal, Cardiovascular, Respiratory, Renal/Urological, Endocrine, Gastrointestinal, and Neurological systems.

    Communicating with Older Adults

    • Ageism is prejudice, discrimination, and stereotypical thinking directed towards older adults.
    • Elderspeak is a form of communication with older adults where simplified language and tones are used that are non-judgemental and thoughtful in expression.

    Sensory Impairments

    • Sensory impairments are a common communication concern with older adults. Hearing (sensorineural and conductive) and visual impairments are discussed in detail.
    • Strategies to improve hearing and vision include hearing aids, assistive devices, cochlear implants, and low vision aids like telescopes, electronic magnification.

    Neurological Disorders

    • Neurological impairments (like aphasia, dysarthria, cognitive impairment) can have major effects on reception, perception, and articulation.
    • Ways to interact with older patients with neurological impairments emphasized careful communication, observation of body language, and patient sensitivity.

    Reminiscing

    • Reminiscing activities that encourage recalling past experiences, cultivates a sense of security, improves social relationships, and can help with depression.

    Evolving Case Study

    • Students will develop their patient's profile in one note, following outlined instructions. Information includes patient demographics, medical history, current diagnoses, allergies, code status, and communication considerations.

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    Description

    This quiz explores the changing demographics of older adults in Canada, including the social determinants of health that impact this population. It highlights the need for specialized healthcare professionals in gerontological nursing and discusses age classifications among older adults. Test your knowledge on the current trends and issues facing seniors in Canada.

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