뭔가 하고 싶은 말이 있는거야?
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Wisdom gained, Integrity achieved, Satisfaction with life, Death acceptance, Optimism maintained, Meaning found
An 82-year-old client is admitted with confusion. Priority assessment: Rule out reversible causes (UTI, medication effects, dehydration) before assuming dementia.
| Aspect | Delirium | Dementia | Depression |
|---|---|---|---|
| Onset | Acute (hours-days) | Gradual (months-years) | Weeks-months |
| Consciousness | Altered/fluctuating | Usually clear | Clear |
| Reversibility | Often reversible | Progressive | Treatable |
Nurses are mandated reporters and must report suspected elder abuse to Adult Protective Services or appropriate authorities immediately.
Screen for abuse, Ask direct questions, Find resources, Ensure safety
| Victim Factors | Perpetrator Factors | Environmental Factors |
|---|---|---|
| Cognitive impairment | Substance abuse | Social isolation |
| Physical dependence | Mental illness | Financial stress |
| Social isolation | Caregiver stress | Inadequate resources |
Remember ABC: Airway, Breathing, Circulation, then SAFETY (fall prevention, medication safety, abuse assessment)
☐ Can you identify the difference between delirium and dementia?
☐ Do you know the mandatory reporting requirements for elder abuse?
☐ Can you list three normal physiological changes of aging?
☐ Do you understand Erikson's integrity vs. despair stage?
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