Edelman Chapter 24 - Older Adults

Ego integrity vs Despair (Older Adults)

Coming to terms with life

Ego integrity

Acceptance of life, being at peace

Despair

Fear of death/despair, feeling life was in vain

Ego differentiation vs work role preoccupation

Achieve an identity apart from work

Body transcendence vs body preoccupation

Adjusting to normal aging changes

Ego transcendence vs ego preoccupation

Accepting death

Heat regulation

Older adults are cautious that they protect themselves from the sun; impairment heat/cold perception

Sex education in older adults

Mindset of not getting pregnant or using safe sex precautions.

A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which of the following statements would most likely be made by the nurse?

Older adults need to practice safe sex

Grandparents + Grandchildren Support Group

A support system that helps to connect the caregivers to get resources in the community

Obesity paradox

Some studies have found that in certain populations and specific health conditions, overweight to moderately obese individuals have better survival rates compared to those with normal weight

Hospice

End-of-life comfort and support care

Home care

Assistance with daily living activities

Hospital

Intensive medical and emergency care

Home Health

Medical and therapeutic care at home

List ways to promote cognitive health in long-term care facilities

Being active in different activities, providing activities that help with brain cognition

Healthy Coping Patterns

Counseling, Educating, talking about good times, don't blame yourselves

Suicide Risk Factors for Older Adults

Chronic pain, isolation, illness and loss

Dementia

Death of brain tissue, Alzheimer's disease, can be chronic or progressive. Not a normal change of aging and is an umbrella term for cognitive disorders

Dementia treatment

Should be part of routine physical exams. Medications, vaccine research, encouraging stimulation & routines

Urinary Incontinence Interventions

Increasing fiber, pilates, eliminating dietary caffeine

Food Assistance programs

Meals on Wheels, SNAP, Congregate meals

Malnourishment risks

When placed in nursing homes, poor nutrition in older adults affects their overall health & contributes to increased health care costs

Motivational Factors

Teaching need to be relevant, respectful and paced at a slow rate