EmtGeriatrics - TempleCollege EMSProfessions Persons>65=Fastinggrowingage group By2030, Comprise22%ofpopulation Accountfor70% EffectsofAging

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Geriatric Emergencies Temple College EMS Professions
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Demographic Imperative Persons >65 = Fasting growing age  group By 2030, geriatric patients will: Comprise 22% of population Account for 70% of ambulance transports
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Effects of Aging
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Cardiovascular System Speed, force of myocardial contraction decreases Cardiac conducting system deteriorates Resistance to peripheral blood flow rises, elevating  systolic blood pressure Blood vessels lose ability to constrict, dilate efficiently What effects will these changes have on ability to compensate for  shock?                                             For heat and cold exposure?
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Respiratory System Respiratory muscles lose strength; rib cage calcifies,  becomes more rigid Respiratory capacity decreases Gas exchange across alveolar membrane slows Cough, gag reflexes diminish increasing risk of  aspiration, lower airway infection What will be the consequences of these changes during chest trauma? How will they affect the patient with acute respiratory disease such  as pneumonia?
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Musculoskeletal System Osteoporosis develops, especially in females Spinal disks narrow, resulting in kyphosis Joints lose flexibility, become more  susceptible to repetitive stress injury Skeletal muscle mass decreases What effect do these changes have on incidence and severity of  orthopedic trauma?
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Nervous System Brain weight of decreases 6 to 7% Brain size decreases Cerebral blood flow declines 15 to 20% Nerve conduction slows up to 15% What effect will decreased nerve conduction have on  pain sensation and reaction time?
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Gastrointestinal System Senses of taste, smell decline Gums, teeth deteriorate Saliva flow decreases Cardiac sphincter loses tone, esophageal reflux  becomes more common Peristalsis slows Absorption from GI tract slows What effects can these changes have on the nutrition of older  persons?
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Renal System Renal blood flow decreases 50% Functioning nephrons decrease 30 to 40% What effect will these changes have on ability to  eliminate drugs from the body?
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Dermis thins by 20% Sweat glands decrease; sweating decreases What effect will this have on: Severity of burn injuries? Wound healing?
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This note was uploaded on 12/21/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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EmtGeriatrics - TempleCollege EMSProfessions Persons>65=Fastinggrowingage group By2030, Comprise22%ofpopulation Accountfor70% EffectsofAging

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