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Degenerative joint changes dehydration of

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Degenerative joint changesDehydration of intervertebral diskFat tissue increaseNeurologicalDegeneration of nerve cellsDecrease in neurotransmittersDecrease in rate of conduction of impulsesSensoryEyes: Decrease accommodations to near/far vision, smaller pupilsEars: Loss of acuity for high frequency tones, build-up of earwaxTaste: Often diminished, often fewer taste budsSmell: Often diminishedTouch: Decreased skin receptorsProprioception: Decreased awareness of body positioning in spaceGenitourinaryFewer nephrons, 50% decrease in renal blood flow by age 80, decreased bladdercapacityMale: enlargement of prostateFemale: Reduced sphincter toneReproductiveMale: Sperm count diminished, smaller testes, erections less firm and slow todevelopFemale: Decreased estrogen production, degeneration of ovaries, atrophy ofvagina, uterus, breastsEndocrineGeneral- alterations in hormone production with decreased ability to respond tostressThyroid- diminished secretionsCortisol, Glucocorticoids- increased anti-inflammatory hormonePancreas- increased fibrosis, decreased secretion of enzyme and hormones,decreased sensitivity to insulinImmune SystemThymus decreases in size and volumeT-cell function decreasesCore temperature elevation is lowered.Functional ChangesFunctional status includes day to day ADLswithin physical, psychological,cognitive and social domainsMay be difficult for patient to accept loss of independence/functionalitywith agingCapacity for and safe performance of ADLs is a sensitive indicator ofhealth or illnessComprehensive assessment may include Occupational and PhysicalTherapistsA sudden change in function is often a sign of onset of acute illness:Such aspneumonia, electrolyte imbalance, urinary tract infectionor worsening (exacerbation) of a chronic problem:such as diabetes, CV disease, COPDADLs(bathing, dressing, toileting)IADLs: instrumental ADLs(ability to write a check, shop, prepare meals, makephone calls)Patient Education: promotes understanding of age-related changes, appropriatelifestyle adjustments, effective copingFactors that promote highest functioning: healthy well-balanced diet, pacedand appropriate activity, regular visits with healthcare provider, participation in
Unit 4 Objectivesmeaningful activities, use of stress management techniques, and avoidance ofalcohol, tobacco and illicit drugsCognitive ChangesSymptoms of cognitive impairment:Disorientation, loss of language skills,loss of ability to calculate, exhibiting poor judgment ARE NOT normal changes dueto agingDeliriumSudden onsetCausative factors: Fever, hypoglycemia, electrolyte imbalanceImpaired memory, judgment, disorganized thinking, incoherentAltered LOCIncreased or decreased activityRapid mood swingsRapid inappropriate speechREVERSIBLEDementia (5 A’s of dementia: Aphasia, Amnesia, Apraxia, Agnosia,Anomia)Slow durationCausative factors: Alzheimer’s, Vascular dsMemory loss, aphasia, ataxia, impaired judgment

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Term
Fall
Professor
emma aquilar
Tags
Nursing, Deficit, Presbypia

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