NURS C475 Care of the older Adult study guide OBjectives
Care of the older Adult.
#1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults
1.	How do you define Baby Boomers?
Born between 1946-1964
2.	What are the five racial groups listed in text?
European Americans, African Americans, Hispanic Americans, Asian Americans, and Native Americans.
3.	How would you perform discharge teaching to an Hispanic patient?
response to disagreement may be silence and non-compliance
4.	How would you perform discharge teaching to a European American patient?
possibly not as many close family ties
trust in science/medicine
5.	How would you perform discharge teaching to an Asian American patient?
more closer to western, with emphasis on science
health philosophy balance between individual and world
traditional medicine focuses on regaining balance
6.	How would you perform discharge teaching to an African American patient?
include religion and spirituality, include family, account for distrust of medical community d/t hx of discrimination
7.	How would you perform discharge teaching to a Native American patient
Issues of trust with providers
8.	What is the concept of individualized care?
the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care.
9.	What are some visual changes related to aging?
lens changes in color (more yellow), more opaque, denser, thinner and less flexible
• pupil/iris- does not dilate as fully (more difficult to see in lower light) or contract as quickly (prob. sudden illumination
10.	What are some communication accommodations that can be made for visual deficits?
Position objects within visual field
• verbal indications of actions about to impart
• Large print type
• avoiding dim-illumination or glare
11.	What are some hearing changes related to aging?
decreased sensitivity to pitch, with high-pitched consonants lost first (t, p, k, f, s, and ch)
• Conductive problems - reduction of sound transmission - wave blocked from outer to inner.
• Sesorinueral - sound wave transmission interrupted from inner ear to auditory cortex (possible damage to choclea and/or auditory nerve).
12.	What is presbycusis?
Old man's hearing - Presbycusis occurs following loss of hair and supporting cells and nerve fibers in the cochlea.
13.	What are some communication accommodations that can be made for hearing deficits?
• Make use of unimpaired senses
• Stand in front of pt in well-lit room
• Limit background noise
• short sentences, speak clearly
• writing, pictograms, other modes
14.	What are some speech/language changes associated with aging?
↓respirations strength, deeper voice and shaky/breathy
• ↓saliva, teeth, elasticity and muscle tone may change articulation
• cognitive changes may result in fewer words and making more semantic errors
15.	What are some communication accommodations that can be made for speech/language deficits?
environment low in distractions
• close proximity (maintaining eye-contact)