Principles of Care/Stress & Coping/End of Life

slow down, pause, and allow more time for response

nursing considerations for the older adult: slower information processing

break info into small chunks, repeat key points, and utilize teach back

nursing considerations for the older adult: slower rate of learning; need for more repetition (3)

give one instruction at a time and reduce distractions

nursing considerations for the older adult: slower ability to divide attention between 2 tasks (2)

normal if they usually remember later and it doesn’t interfere with daily function

is it normal for older adults to have difficulty with words or forgetful of names due to slower rate of learning?

False

True or False: major changes in intellectual function and/or personality are normal changes and are not related to disease/disability

older adults can learn, just slower

they may need more time and repetition

multitasking decreases, so simplify instructions

mild forgetfulness is normal; but major changes are not

always assess for underlying disease if cognition changes suddenly

summary of care of older adults

medicare

Medicare or Medicaid: a federal health insurance program

medicare

Medicare or Medicaid: for age 65 or older or under 65 with certain disabilities

medicare

Medicare or Medicaid: funded by the federal government

medicare

Medicare or Medicaid: Part A: hospital (skilled nursing, hospice), Part B: outpatient (doctors visits, preventative care), Part C: Medicare Advantage (private plans), Part D: prescription drugs

medicare

Medicare or Medicaid: not based on income, patients pay premiums, deductibles, and co-pays

medicaid

Medicare or Medicaid: for low-income individuals and families including many older adults who need long-term care

medicaid

Medicare or Medicaid: a state & federal health insurance program

medicaid

Medicare or Medicaid: funded by both state and federal governments

medicaid

Medicare or Medicaid: covers hospital and outpatient care, long term care (nursing home), home health services, and more

medicaid

Medicare or Medicaid: based on income, ofter covers cost that the other doesn’t

True

True or False: some individuals quality for both medicare and medicaid