Unstable - Answer-Illness course/symptoms not controlled by regimen but not requiring
desired hospitilization
Downward - Answer-Progressive decline in physical/mental status characterized by
increasing disability/symptoms
Dying - Answer-Immediate weeks, days, hours preceding death
Cardiovascular disease (CVD) - Answer-Leading cause of death for older adults
Hypertension - Answer-Most common chronic CVD; blood pressure above 140/90
Coronary heart disease (CHD) - Answer-Includes CAD and IHD; condition that either
completely or partially obstructs the flow of oxygenated blood to the heart; highest
among African Americans and lowest among Asians, men>women (until menopause)
Acute myocardial infarction - Answer-A gross necrosis of the myocardium. Caused by
an interruption of the blood supply to the heart muscle; heart attack
Unmodifiable risk factors for CVD - Answer-Age, gender, heredity, and ethnicity
, Treatable risk factors for CVD - Answer-Diabetes mellitus, hypertension, and
hyperlipidemia
Heart failure - Answer-A general term used to describe the end result of the combination
of normal changes with aging and other cardiac disorders
Congestive heart failure - Answer-End-stage and acute heart failure; common
Peripheral vascular disease (PVD) - Answer-Cluster of disorders, all of which are the
result of vascular insufficient and damage to the surrounding dependent tissue
Chronic venous insufficiency - Answer-Most common PVD seen in older adults
Nociceptive pain - Answer-Pain associated with injury to the skin, mucosa, muscle, or
bone and is usually the result of stimulation of pain receptors
Neuropathic pain - Answer-Pain that involves a pathophysiological process of the
peripheral or central nervous system and presents as altered sensation and discomfort
Myth - Answer-M or F: Pain is expected with aging
Fact - Answer-M or F: Pain is not normal with aging, the presence of pain in the elderly
necessitates agressive assessment, diagnosis, and management similar to that of
persons at any age
Myth - Answer-M or F: Pain sensitivity and perception decrease with aging
Fact - Answer-M or F: While an older adult may have developed excellent coping skills
making it more difficult for others to observe cues for pain, there is no evidence that
there is a reduction in actual pain
Myth - Answer-Narcotic medications are inappropriate for patients with persistent
nonmalignant pain
Fact - Answer-M or F: Opiod analgesics are often indicated in persistent nonmalignant
pain
Fact - Answer-M or F: Narcotics may be used safely in the elderly. Although elderly
patients may be more sensitive to narcotics, this does not justify withholding narcotics
and failing to relieve pain
Changes in behavior - Answer-Pain cues: restlessness and/or agitation or reduction in
movement, repetitive movements, physical tension, and unusually cautious
movements/guarding
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