Module 13: Long-Term Care Resident
Section 1: Define Key Terminology
- Objectives:
- Review, spell, pronounce, and use terms correctly.
Section 2: Common Basic Human Needs and Interventions for the Elderly
- Environmental (Physical):
- Safety: more light, freedom from hazards, adaptive devices, hygiene, shelter control, nourishment.
- Psychological:
- Self-esteem, role change adaptation, privacy, choices, activities.
- Social:
- Family involvement, community activities, adjustment to losses, social service referral.
- Recreational:
- Hobbies, community events, family involvement, self-esteem.
- Spiritual:
- Respect for choices, religious activity participation.
Section 3: Common Community Resources for the Elderly
- Resources Include:
- Area Agency on Aging, Adult Day Care, support groups, Alzheimer’s Society, County Health Center, Meals on Wheels, Medicare office, Senior Center, and more.
Section 4: Special Needs of Persons with Developmental and Mental Disorders
- Epilepsy/Seizure Disorders:
- Types: General, Partial, Petite Mal, Status Epilepticus.
- Causes: Metabolic, Nutrition, Medication.
- Nurse Duties: Remain calm, assist laying down, maintain airway.
- Parkinson’s Disease:
- Progressive nervous disorder, loss of dopamine.
- Symptoms: Tremors, muscle rigidity, slurred speech.
- Nurse Duties: Safety, nutrition, emotional support.
- Schizophrenia:
- Paranoia, hallucinations, distorted reality.
- Nurse Duties: Monitor nutrition, involve in reality activities.
- Hypochondriasis:
- Magnifying ailments, supportive care.
- Depression:
- Common in older people, symptoms include sadness, withdrawal.
- Nurse Duties: Encourage activities, report suicidal thoughts.
- Intellectual Disabilities:
- Provide normal environment, emphasize strengths, encourage independence.
- Cerebral Palsy:
- Motor dysfunctions, safe environment, assistive devices.
- Alcoholism/Drug Abuse:
- Common in elderly, set boundaries, support groups.
- Agitated Patients:
- Calm atmosphere, distract activities.
Section 5: Special Needs of Persons with Alzheimer's and Dementias
- Causes & Differences:
- Dementia vs. Delirium vs. Depression.
- Signs/Symptoms of Alzheimer's:
- Stages 1-3: Short-term memory loss to total dependence.
- Nursing Care: Safety, dignity, structured environment.
- Activities: Rocking chairs, music therapy.
- Safety: Reality Orientation, Validation Therapy.
Section 6: Body’s Basic Organization and Composition
- Anatomy & Physiology:
- Systems and structures, cells, tissues, organs.
- Health and Disease:
- Definitions of health and disease.
Section 7: Body Systems Overview
- Integumentary System:
- Skin layers, functions, common diseases.
- Cardiovascular System:
- Heart, blood, vessels, disorders like CAD, MI, CHF.
- Musculoskeletal System:
- Bones, joints, muscles, diseases like arthritis, osteoporosis.
- Endocrine System:
- Glands and hormones, diabetes management.
- Nervous System:
- Brain, nerves, disorders like dementia, Parkinson’s.
- Gastrointestinal System:
- Digestive organs, elimination issues.
- Urinary System:
- Kidneys, bladder, incontinence.
- Reproductive System:
- Male and female structures, common issues.
- Immune System:
- Cells and functions, common issues like HIV/AIDS.
Section 8: Changes in Body Systems with Aging
- Summary of Changes:
- Integumentary, respiratory, cardiovascular, musculoskeletal, endocrine, nervous, gastrointestinal, urinary, reproductive changes.
These notes provide a structured overview of the essential aspects of long-term care for residents, focusing on key terminology, human needs, community resources, special needs related to mental and developmental disorders, Alzheimer's and dementia care, body systems, and the effects of aging.