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: F.A. 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., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
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: F.A. Davis
Company.
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
• Chapter 8: Chest Disorders; (WO2.1)
• Assessment of the respiratory system (p.154); (WO 2.1)
• Chronic obstructive pulmonary disease (p.164-170); (WO2.1-2.2)
• Pneumonia (p.191-196); (WO2.1-2.2)
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: F.A. Davis
Company.
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
• Osteoarthritis and Osteoporosis (p.851-870); (WO 4.1-4.3)
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Lessons: Complete Videos: Complete DE: Complete (if applicable)
Week Topics
1 Developmental changes
Downloaded by Nelson Awino (nelawino@gmail.com)
,Review Kennedy and Dunphy readings for age related changes
Replicative 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.
Weakening of the immune response leaves older adults more vulnerable to infection
and debilitating diseases.
Physiological
Age related Change Functional Change Implications
Integumentary System
Loss of dermal and Loss of subcutaneous tissue Prone to skin breakdown and
epidermal thickness and thin epidermis. injury
Decreased vascularity • Atrophy of sweat glands • Alteration in thermoregulatory
resulting in decreased sweat response
production
• Fluid requirements may
• Decreased body odor change seasonally
Cilia atrophy Change in mucociliary Increased susceptibility to
transport infection
Decreased respiratory • Reduced ability to handle Increased risk of atelectasis
muscle strength secretions and reduced
effectiveness against noxious
foreign particles
• Partial inflation of lungs at
rest
,
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