Author Question: The nurse is planning care for an older patient to prevent the geriatric cascade. What causes this ... (Read 20 times)

armygirl · **on:** Jul 11, 2018

The nurse is planning care for an older patient to prevent the geriatric cascade. What causes this cascade to occur in older patients? Standard Text: Select all that apply.

1. Frailty
2. Acute illness
3. Institutional care
4. Lack of health insurance
5. Poor appetite and malnutrition

Question 2

The family of a client with advanced dementia and increasing health complications has gathered for a conference to discuss the plan of care for the client relating to the end-of-life plans.

During the conference, concerns about the client's increasing weight loss and inability or desire to eat have been raised. They are requesting information about initiating tube feedings. What response is indicated at this time?
A) Tube feeding will aid the client in gaining weight.
B) Tube feeding is associated with a reduced risk of aspiration.
C) Tube feeding may be beneficial in reducing the discomfort associated with dehydration.
D) At this time, the absence of tube feeding is promoting comfort, as dehydration has been shown to reduce pain sensitivity.

lou · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

1,2,3
Rationale: An older patient can suffer a rapid decline and decompensation as a result of an acute illness or worsening of a chronic condition. The phenomenon of decline is the geriatric cascade and results from the interaction of characteristics. Frailty is a characteristic of this phenomenon.

Answer to Question 2

D