Competency: 742.1.1 Compassionate and Respectful Care of Older Adults 1. Go to the Care of the Older Adult Learning Community. Select documents, select documents, scroll down and select 24/7 Webinar Availability. You want to watch the video Therapeutic Communication and Health Perceptions
1. Read Chapters 4 and 5 and make sure you note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices.
2. Make sure to include Chapter 18 and concentrate on the five racial groups in the United States.
3. Know the abbreviations or acronyms, such as AAC. Know which hearing aids cover the most wide range of hearing loss. See the box on Types of Hearing Aids in chapter 5. Both hearing aids and AAC will be mentioned again in Chapter 16. Make sure you understand what patients could benefit from the use of the AAC.
4. Understand what things can occur to make it difficult to communicate 5.
Competency: 742.1.2 Health Promotion/Maintenance and Living Environments of Older Adults
Competency: 742.1.3 Health Needs of Older Adults
Competency: 742.1.4 Promoting Independence and Autonomy While Reducing Risk Factors in Older Adults
The Goal is to help the older adult remain as independent as safely possible and autonomous. They can make all their own health decisions unless they are cognitively impaired. We do the assessments to determine what is needed to keep them independent as safe
For these competencies, you must know all the changes that come with aging. As you get older there are common physiological changes that occur. For example, night vision decreases, hearing may decrease; kidney function decrease (GFR decreases) and so on. This is what you need to know first. You cannot talk about changing the patient¿s environment or what are their functional losses without knowing what changes occur. You do not have to know the changes down to micro-anatomy, but no how each system is affected due to aging. To do this you will need to:
1. Chapter 6 in the E-book covers Physiological changes of aging. Be familiar with them.
2. Go to http://consultgerirn.org and use the drop down menu, select ¿Age related changes.¿ Here you will find age related changes broken down by major systems. This will support the information you have read in chapter six. 3. You want to be able to also explain how these physical changes lead to functional impairment.
4. There Are three types of assessments: Physical, Cognitive and functional. a. Physical assessment is assessing the patient¿s physical health. It included vital signs, assessing for pain, blood pressure problems, irregular heartbeat, abnormal breath sounds, etc. you know these because as a nurse you are always assessing the patient. In addition for older adults you want to assess cognitive function.
b. Functional assessment is assessing what the older adult can still for themselves. Bathing, eating, getting dress, brushing their teeth and more are functional abilities. Functional abilities can be altered due to physical impairment and illness. Dr. Katz and Dr. Barthel developed ADL/IADL indexes to measure the patients functional abilities. You should have noticed that ADL is used throughout the book. This is because the ADL's can determine the patient's care plan. It determines whether they are safe in the current environment. It impacts their ability to participate in health promotion and disease prevention.
c. Cognitive- thought processing, thinking and reasoning skills. Know what are the normal cognitive changes as a result of aging. Dementia is not normal. There is also a difference between dementia and delirium.
a. Chapter 7 explores assessing the older adults
b. Http://consultgerirn.org also discusses assessing the older adult. Here you will find the best tools
a. Follow the lengths in the course of study to the tools and...
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