NUR 257 Concepts of Aging & Chronic Illness
Exam 1
Question:
quality measures of LTC facilities:
what is considered a short stay quality measure?
Answer:
- pain, ulcer, vaccines, new antipsychotic med,
- successful d/c to community, outpatient ED visits
- re-hospitalized after NH admin
- improvements with functionality
Question:
quality measures of LTC facilities:
what is considered a long stay quality measure?
Answer:
- falls, pain, ulcer, vaccines, UTI, loss of b/b,
- chronic cath insertion, physical restraint
- ADL help, wt loss, depression, antianxiety/hypnotic med
- worsening mobility/independence 1 / 4
Question:
culture change cont:
homelike setting doesn't look/function like hospital, how so?
Answer:
- allows them to make decisions they're used to making,
- greater respect for individuality & preferences
Question:
what is transitional care
Answer:
- moving from one practitioner/setting to another as need/condition
- occurs due to rehospitalizations, infx, new dx, relapses
changes
Question:
true statements of re-admissions?
Answer:
1. 1:5 readmitted within 30d of d/c
- some may be predicted but should be prevented
- projects designed to avoid re-admins & transitions
- / 4
Question:
transitional care model for improving transitional care
Answer:
- reduce readmins/costs,
- improve health outcomes,
- enhances pt satisfaction
- nurse roles- transition coach, care coordinators/managers
Question:
cultural destructiveness
Answer:
- systematic elimination of another culture
2. ex: genocide of jews in eastern europe
- treatment of american indians & AA in U.S
Question:
cultural blindness
Answer:
- thinks everyone is same, ignores differences
- applies negative stereotypes, "all old people have dementia"
- prevents sensitive & effective caregiving
- / 4
Question:
cultural precompetence
Answer:
- aware of own's biases, prejudices, attitudes, behaviors
- aware of one's own ageist attitudes & ageism in world
- learns how health is viewed by others
Question:
cultural competence
Answer:
- accepts others bring different values, choices, priorities
- accepts that people are unique & deserving of respect
Question:
cultural proficiency
Answer:
- knowledge for assignment, communication, negotiation, intervention
- build relationships with other culturals as daily practice
- knowledge about ethnicity, culture, language, beliefs, skills to optimize
intercultural communication
- / 4