NUR 601 Study Guide midterm 1 Primary Care of the Maturing and Aged Family Practicum (Chamberlain University)

NUR 601 Study Guide midterm 1

Primary Care of the Maturing and Aged Family Practicum (Chamberlain University)

NR 601 Midterm Exam Study Guide Weeks 1-4 content Week 1: Reading: Complete

Dunphy, L.M , Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and science of Advanced Practice Nursing-An interprofessional approach. (5th ed) Philadelphia: RA.Davis Company.

• Ch.77 Primary Care of Older Adults p. 1281-1292; (WO 1.1-1.3)

• Ch.77: Medications in the Elderly p.1292-1293; (WO 1.5)

Kennedy-Malone, L., Plank, L. M , & Duf!Y, E. G. (2019). Advanced practice nursing in the care of older

adults (2nd ed). Philadelphia: RA. Davis Company.

• Chapter 1: Changes with Aging (p.2-4); (WO 1.1-1.3)

• Chapter 2: Health Promotion (p.6-18); (WO 1.2)

• Chapter 3: Exercise in Older Adults (p.19-22); (WO 1.1-1.3)

• Chapter 4: Comprehensive Geriatric Assessment (p.26-33); (WO 1.4)

• Chapter 17: Polypharmacy (p.470-473); (W02.3)

Lessons: Complete

Videos: Complete

DE: Complete (if applicable)

Week 2: Readings: Complete

Dunphy, L.M , Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and science of Advanced Practice Nursing-An interprofessional approach. (5th ed) Philadelphia: RA.Davis Company.

• Chapter 28: Common Respiratory Complaints (p.357-361); (W02.1-2.3)

• Chapter 29: Sleep apnea (p. 363-370); (W02.4)

• Chapter 30: Pneumonia (p.375-384); (W02.1)

• Chapter 31:(397-423); (WO 2.1-2.4)

Kennedy-Malone, L., Plank, L. M , & Duf!Y, E. G. (2019). Advanced practice nursing in the care of older

adults (2nd ed). Philadelphia: RA. Davis Company.

• Chapter 8: Chest Disorders; (W02.1)

• Assessment of the respiratory system (p.154); (WO 2.1) • Chronic obstructive pulmonary disease (p.164-170); (W02.1-2.2) • Pneumonia (p.191-196); (W02.1-2.2)

Lessons: Complete

Videos: Complete

DE: Complete (if applicable)

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Week 3: Readings: Complete

Dunphy, L.M , Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and science of Advanced Practice Nursing-An interprofessional approach. (5th ed) Philadelphia: RA.Davis Company.

• Chapter 70: Sleep Wake Disorders: Insomnia (p.1167-1173) (W03.3) • Chapter 64: Overview, Stress & Anxiety and Depressed Mood (p. 1055-1058) (W03.1, 3.2)

• Chapter 67: Major Depressive disorder (p.1100-1110) (W03 .1, 3.2)

• Chapter 68: Generalized anxiety disorder (p. 1129-1135) (W03.1-3.2)

Kennedy-Malone, L., Plank, L. M , & Duf!Y, E. G. (2019). Advanced practice nursing in the care of older

adults (2nd ed). Philadelphia: RA. Davis Company.

• Anxiety (p.434-436) (W03.1-3.2) • Bipolar disorder (p.436-438) (W03.1-3.2) • Depression (p.451-456) (W03 .1-3.2) • Insomnia (p.461-462) (W03.3) • Grief and Bereavement (p.459-460) (W03.5) • Prescription drug misuse (p.436-465) (W03.4)

Lessons: Complete

Videos: Complete

Week 4: Readings: Complete

DE: Complete (if applicable)

Kennedy-Malone, L., Plank, L. M , & Duf!Y, E. G. (2019). Advanced practice nursing in the care of older

adults (2nd ed). Philadelphia: RA. Davis Company.

• Osteoarthritis and Osteoporosis (p.851-870); (WO 4.1-4.3)

Kennedy-Malone, L., Plank, L. M , & Duf!Y, E. G. (2019). Advanced practice nursing in the care of older

adults (2nd ed). Philadelphia: RA. Davis Company.

• Osteoarthritis (p.315-319); (WO 4.1-4.2) • Rheumatoid arthritis (p.322-325); (W04.2)

Lessons: Complete

Videos: Complete

DE: Complete (if applicable)

Week Topics 1 • Develonmental changes!

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!Review Kennedy and Dunphy readings for age related changes ReP.licative senescence is theory states that cells can replicate or divide a specific number of times.This ability tends to decrease with age.Oxidative damage is the cumulative result of the aerobic metabolism , which generates chemicals called free radicals. Free radicals may interact with other chemicals in the body and cause damage to cells.Telomere shortening is a theory that links aging to a reduction in cell division.M'eakening of the immune response leaves older adults more vulnerable to infection and debilitating diseases.

• hysiologica•

Age related Change Functional Change Implications lntegumentary System Loss of dermal and epidermal thickness

Decreased vascularity Loss of subcutaneous tissue and thin epidermis.

• Atrophy of sweat glands resulting in decreased sweat production

• Decreased body odor

• Decreased heat loss

• Dryness Prone to skin breakdown and lllJ Ury

• Alteration in thermoregulatory response

• Fluid requirements may change seasonally

• Loss of skin water

• Increased risk of heat stroke

Respiratory System

Decreased lung tissue elasticity

Cilia atrophy

Decreased respiratory muscle strength

Decreased vital capacity

Change in mucociliary transport

• Reduced ability to handle secretions and reduced effectiveness against noxious foreign particles

• Partial inflation of lungs at rest

Reduced overall efficiency of ventilatory exchange

Increased susceptibility to infection

Increased risk of atelectasis