COTOA- RANDOM THINGS Flashcards | Quizlet
PASSIVE EUTHANASIA vs ACTIVE EUTHANASIA
ACTIVE euthanasia - a person directly and deliberately causes the patient's death.
-when death is brought about by an act
-when a person is killed by being given an overdose of painkillers.
- morphine or phenobarbital and actively kills patient
-they don't directly take the patient's life,
-they just allow them to die
- Withholding meds or feedings,
- taking off O2.
● Senile Kyphosis-
- occurs with advancing age.
-development of this condition can be postural,
- often corrected with adherence to an exercise and strengthening program.
- an underlying condition is the root cause of the deformity.
● Atrophy of sweat glands,
- very susceptible to heat and cold.
-Lack of glands, easily over-heat.
-Decrease wound healing process.
-Lack of glands, ... easily over-heat.
● Respite care-
care for caregivers to allow them time off from caring for their family members.
● Types of assistive devices-
● Orthopenic position-
upright to prevent SOB
● Restraints:
increase falls,
injure self,
mortality increase with any restraint,
-bed rails,
-mitts,
-seatbelts in wheelchairs
Med rec is correct
Can they access meds and understand when to call Dr.
Electronic records- everything being sent to accepting facility without delays
3 MODELS of TRANSITIONAL CARE
BOOST-Better Outcomes for Older Adults through Safe Transitions
CTI - Care Transitions Intervention
TCM- Transitional Care Model
BOOST: reduce return for older adults to hospital
The Better Outcomes for Older Adults through Safe Transitions (BOOST) intervention that includes predischarge and postdischarge interventions to:
● (1)reduce 30-day hospital readmissionn* rates for older adults
● (2) improve patient satisfaction
● (3) ID high-risk patientss* to prevent adverse events
● (4) improve communication between providers and patients, and
(5) better prepare the pt and family for discharge
● Strength of the education and communication tools
-Provides tools to support nurses in improving care transitions
Care Transitions Intervention (CTI) :Developed by Eric Coleman is a patient-centered 4-week intervention program designed to improve quality of care and contain costs for patients with complex care needs as they transition across care settings.
TCM: The nurse acts as the main care manager, who consults with the patient in hospital, at home within 24 hours of discharge, accompanies the patient to post discharge follow-up visits, and provides weekly home visits and ongoing telephone support for an average of 2 months. The emphasis of TCM is care coordination and continuity of care.
-*reduce return for older adults to hospital
● (4) improve communicationn* between providers and patients,
Developed by Eric Coleman
- is a patient-centered 4-week intervention program designed to improve quality of care and contain costs for patients with complex care needs as they transition across care settings.
The nurse acts as the main care manager, who:
- consults with the patient in hospital,
-at home within 24 hours of discharge,
- accompanies the patient to post discharge follow-up visits,
- provides weekly home visits
-ongoing telephone support for an ave of 2 months
The emphasis of TCM:
- care coordination and continuity of care
List the 3 Triple Aim goals.
- Better care
-better health outcomes,
Palliative care- for life debilitating diseases and have quality of life but active treatment.
Hospice- family involved- 6 mo. or less
Functional incontinence VS Functional decline:
Functional incontinence: -unable to get to restroom because of physical or mental conditions.
Functional decline: - new loss of independence typically associated with decreased mobility & performance of ADLs.
unable to get to restroom because of physical or mental conditions.
Functional decline:
new loss of independence typically associated with decreased mobility & performance of ADLs.
is what the patient says it is.
-Physical activity promotes optimal aging:
Fraility:
Dependency is often described as frailty when there are 3 OR MORE , > 3 ADL deficiencies, combined with weakness and chronic exhaustion.
3 OR MORE ADL deficiencies + weakness + chronic exhaustion
To avoid or slow the descent into frailty, exercise is commonly recommended, even for the very old, but there are many other interventions as well.
Smoking cessation, alcohol moderation, nutrition, fall and injury prevention, social support, medical screenings, immunizations, sleep hygiene, and medication management are just a few of the other factors to consider.
There is plenty that we can control to lower the probability of a dependent life style or frailty or at least to shorten this period of dependency as much as possible.
Smoking cessation- STOP SMOKING,
alcohol moderation- DRINK MODERATELY
nutrition- EAT RIGHT
fall and injury prevention- PREVENT FALLS
social support- SUPPORT GROUPS
medical screenings- CHECK-UPS
immunizations- VACCINES
sleep hygiene- SLEEP WELL
medication management- CHECK MEDS
___________ are just a few of the other factors to consider.
To avoid or slow the descent into frailty, _____________________ is commonly recommended, even for the very old, but there are many other interventions as wel
What exercise recommendations would you offer an older adult?
150mins a week.
often described as FRAILTY when there are 3 OR MORE , > 3 ADL deficiencies, + weakness& chronic exhaustion.
each person has a right to make independent choices and decisions
Facilitate autonomy for a patient who lives in a
LTC- long-term care facility.
-Encourage completion of advance directives
-Provide patient-centered care
-Provide appropriate education and training to patients and their family
-Ensure consents and refusals are truly informed
-Support and educate patients about their rights
-Stay informed of regulatory guidelines and laws related to the elderly
-Provide feedback to legislators developing laws that affect the elderly
-Know how to assist patients to access resources and navigate insurance and the healthcare system
- is cultural and public display of grief through one's behavior
HOW TO Facilitate AUTONOMY for a patient who lives in a long-term care facility- LTC
-Know how to assist patients to access resources and navigate insurance and the healthcare sys
Nonmalfience-
● Hispanic Americans
often use folk remedies before traditional Western medicine.
- emphasize family interdependence over independence.
- self-care is not as important as receiving care in recovery from illness.
- first seek the use of homeopathic remedies i+ religious artifacts before engaging a healthcare professional
leading cause of unintentional injury death in older adults in this country.
Exercise- Walking
● is one of the most beneficial exercises for older adults in preventing CV disease and decreasing mortality risk.
Medicare: > 65 and some patients with disabilities
Medicaid: low income
> 65 and some patients with disabilities
Cells wear out and cannot function with aging.
can relieve dyspnea of a dying patient
Isometric exercise- pushing on the wall
Isotonic- resistance bands
Isometric exercise-
pushing on the wall
Isotonic-
Stroke patient-
what communication is best for them.
SOCIAL SECURITY- retiring early
less money if retire early, 65
PT DYING: wants to hold pain medication-
hold until patient wants the medication.
Short gut syndrome:
Immediately after a patient pass:
when do you plan to quit?
*Tell vigorous man to
go find a new relationship.
assessment of home environment.
*Must find out if patient has stairs in their home
*Older women experience bone loss, more susceptible to hip fracture
. Raise the toilet seat
*When evaluating an older patient they show signs of high depression and shows signs of low self-esteem
. They are at risk for suicide.
*Ask what do you do to relieve stress-
for Breast cancer or prostate cancer patient.
Flu vaccine-
get annually for 65 and older.
Permanent decrease in mental capacity is
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