Age related changes of the older adult

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Age related changes of the older adult by Mind Map: Age related changes of the older adult

1. Renal and GU

1.1. decrease in drug clearing

1.1.1. decrease in ability of kidney filtration

1.2. decrease in kidney size

1.3. decrease in GFR rate

1.4. decrease in bladder capacity

1.5. prostate enlargement in men

1.5.1. increase risk for BPH

1.6. hypertrophy and thickening of bladder muscle

1.7. changes in cortical control of micturition

1.7.1. nocturia

1.8. decreased tubular function

1.9. increase in renal threshold for glucose

1.10. Common disease processes

1.10.1. Urinary incontience stress, urgency, overflow, neurogenic, functional, mixed

1.10.2. Renal calculi small, hard stone in kidney painful when passing

1.10.3. Glomerulonephritis acute inflammation of kidneys chronic and acute s/s: hematuria, proteinuria, hypertension, edema

2. Gastrointestinal

2.1. atrophy of the tongue

2.1.1. decreased taste sensation

2.2. decrease in saliva production

2.2.1. swallowing can be difficult

2.3. prebyesophagus

2.3.1. weaker esophageal contractions

2.3.2. weakens sphincter

2.4. esophageal and stomach motility decreases

2.4.1. risk for aspiration and indigestion

2.5. decreased elasticity of the stomach

2.5.1. reduction in amount of food accommodation at one time

2.6. decline in hydrochloric acid and pepsin

2.6.1. stomach has higher pH

2.6.2. gastric irritation

2.6.3. interferes with absorption of calcium, iron, folic acid, and vitamin b12

2.6.4. interferes with absorption of protein

2.7. fewer cells on absorbing surface of intestinal wall

2.7.1. impact absorption of dextrose, xylose, and vitamin B and D

2.8. slower peristalsis, inactivity, reduced food/fluid intake, drugs, and low-fiber diet

2.8.1. risk of constipation

2.9. sensory perception decreases

2.9.1. constipation or incomplete emptying of bowel

2.10. decrease synthesis of bile salt

2.10.1. risk of gallstones

2.11. digestion of fats affected by pancreas changes

2.12. Common disease processes

2.12.1. Dysphagia difficult in swallowing

2.12.2. Chronic constipation

2.12.3. Colorectal cancer changes in bowel consistency s/s: bloody stool and abdominal pain

2.12.4. GERD acid reflex causing heartburn

2.12.5. Hiatal hernia part of stomach protrudes into diaphragm

2.12.6. Peptic ulcer disease sore in the lining of stomach, small intestine or esophagus upper abdominal pain is main symtpom

3. Musculoskeletal

3.1. decline in size and number of muscle fibers

3.1.1. decreased body strength

3.1.2. decline in endurance

3.2. reduction in muscle mass

3.3. connective tissue changes

3.3.1. reduced flexibility

3.4. decrease bone strength

3.5. common musculoskeletal conditions

3.5.1. fractures s/s: swelling, brusing, deformity

3.5.2. osteoarthritis s/s: joint pain, stiffness, swelling

3.5.3. rheumatoid arthritis s/s: painful swelling, stiffness, weakness

3.5.4. osteoporosis s/s: bone fractures, loss of height

3.5.5. Gout uric acid build up--kidney stones painful passage

4. Immune system

4.1. decline in size of thymus

4.2. increased number of immature T cells

4.3. T cell function decreaes

4.3.1. reduced response to foreign antigens

4.3.2. decrease in cell-mediated and humoral immunity

4.4. reduced antibody response

4.5. decreaed number of langerhans cells

4.6. reduced thickness and decreased circulation of the skin

4.7. immunologic heal promotion

4.7.1. diet

4.7.2. exercise

4.7.3. immunizations

4.7.4. stress managment could have stress-related diseases ex. hypertension can be a result of stress

4.7.5. mind-body connection

4.7.6. careful use of antibiotics

5. Integumentary

5.1. flattening of the dermal-epidermal junction

5.2. reduced thickness and vascularity of the dermis

5.3. reduction of epidermal turnover

5.4. degeneration of elastic fibers

5.5. increased coarseness of collage

5.6. reduction in melanocytes

5.7. atrophy of hair bulbs and decline in the rate of hair and nail growth

5.8. increased fragility of the skin

5.9. common problems

5.9.1. puritis itching which increases potential for skin breakdown and infection

5.9.2. keratosis acne like bumps on skin

5.9.3. skin cancer basal cell carcinoma squamous cell carcinoma melanoma monitor for changes in moles, moles with irregular borders, "growing" moles

5.9.4. stasis dermatitis s/s: itching, thickened skin, broken skin

5.9.5. pressure ulcers nercosis, sloughing, and tissue ulcerations prevention is the priority intervention

6. Endocrine

6.1. thyroid gland atrophies and activity decreases

6.2. adrenal function decreases

6.3. secretion of ACTH decreases

6.4. decrease volume of pituitary gland

6.5. insufficient release of insulin

6.6. reduced tissue sensitivity to circulating insulin

6.7. common disease processes

6.7.1. Diabetes Mellitus screening, monitoring, and good control of disease is very crucial s/s: polyuria, polydipsia, polyphagia

6.7.2. hypothydroidism s/s: everything slows down

6.7.3. hyperthyrodism s/s: everything speeds up

7. Cardiovascular

7.1. thicker and rigid heart valves

7.2. dilated aorta

7.2.1. slight ventricular hypertrophy

7.2.2. thickening of left ventricular wall

7.3. less efficient myocardial muscle

7.3.1. decreased contractile strength

7.3.2. when demands are increased, CO decreased

7.4. reduced elasticity and calcification of vessels

7.4.1. decreased compliance

7.5. less sensitive to baroreceptor regulation of Blood pressure

7.6. strong arterial pulses, diminished peripheral pulses

7.6.1. cool extremities

7.7. Common disease processes

7.7.1. Hypertension BP of 140/90 on 3 separate occasions s/s: headache, impaired memory, disorientation, confusion, tremors

7.7.2. Congestive Heart failure complication of arteriosclerosis s/s: SOB, dyspnea on exertion, confusion, insomnia, orthopnea, wheezing, edema, weight gain

7.7.3. Coronary artery disease ischemic heart disease

7.7.4. Hyperlipidemia elevated total cholesterol

7.7.5. Arrythmias irregular heart beat s/s: weakness, fatigue, palpitations, confusion, dizziness, hypotension, bradycardia

8. Respiratory

8.1. Decreased respiratory muscle strength

8.2. stiffer chest wall

8.2.1. reduced compliance

8.3. reduced cough reflex

8.4. reduction in lung size and weight

8.5. decreased elastic recoil

8.6. less elastic alveoli

8.7. reduction in vital capacity

8.8. increased residual volume

8.9. drier mucous membranes

8.10. decreased response to hypercapnia and hypoxia

8.11. Common disease processes

8.11.1. COPD group of diseases Asthma Chronic bronchitis Emphysema

8.11.2. Lung cancer s/s: dyspnea, coughing, chest pain, fatigue, anorexia, wheezing, resp. infections

8.11.3. Lung abcess s/s: anorexia, weight loss, elevated temp, chronic cough

8.11.4. smoking common risk

8.11.5. Pulmonary Emboli blood clot in pulmonary system s/s: confusion, SOB, elevated temp

9. Nervous system and Cognition

9.1. loss of nerve cell mass

9.1.1. atrophy of brain and spinal carod

9.1.2. decrease in weight of brain

9.2. decreased number of dendrites

9.3. demyelinization

9.3.1. slower nerve conduction

9.3.2. slower reaction times

9.3.3. weaker reflexes

9.4. plaques, tangles, atrophy of brain

9.5. accumulation of free radicals

9.6. decrease in cerebral blood flow

9.7. fatty deposits accumulate in blood vessels

9.8. decline in ability to compensate

9.9. slowing in central processing

9.10. decrease in number and sensitivity of sensory receptors, dermatomes, and neurons

9.10.1. tactile sensation dulls

9.11. decline in function of cranial nerves

9.11.1. affects taste and smell

9.12. common disease processes

9.12.1. parkinsons disease s/s: rigidity, bradykinesia, tremors, shuffling gait

9.12.2. TIAs mini-strokes that last minute to hours

9.12.3. CVAs paralysis, trouble waling, trouble talking

10. Sensory

10.1. Vision

10.1.1. reduced elasticity and stiffening of the muscle fibers of the lens presbyopia decreased ability to focus

10.1.2. reduction in pupil size

10.1.3. opacification of the lens and vitreous decline in visual acuity

10.1.4. loss of photoreceptor cells in the retina decrease in light perception threshold longer time to adapt to dark and light difficult with vision at night

10.1.5. increased sensitivity to glare

10.1.6. distortion in depth perception

10.1.7. reduced peripheral vision

10.2. hearing

10.2.1. sensorineural hearing loss

10.2.2. impacted cerumen

10.3. common disease processes

10.3.1. cataracts blurry vision

10.3.2. glaucoma slow vision loss

10.3.3. presbycusis decrease ability to hear high pitched sounds

11. Reproductive

11.1. Male

11.1.1. thinner epthlium of seminal vesicles

11.1.2. decreased ability to retain fluids

11.1.3. increased fibrosis, epithelium thinning, thickening of the basement membrane, and narrowing of lumen of seminiferous tubules

11.1.4. atrophy of testes

11.1.5. less live sperm

11.1.6. harder time to achieve an erection

11.1.7. enlargement of prostate

11.1.8. common disease processes erectile dysfunction impotenence Benign prostatic hyperplasia s/s: dribbling, increased frequency, increased urge, reduced kidney function, nocturia prostate cancer usually asympotomatic

11.2. Female

11.2.1. hormonal changes vulva atrophies flattening of labia loss of subcutaneous fat and hair

11.2.2. vaginal epithelium thins

11.2.3. cervix, uterus, and fallopian tubes atrophy

11.2.4. shortening and narrowing of vaginal canal

11.2.5. less lubrication of vagina

11.2.6. more alkaline vaginal pH

11.2.7. decrease in size of uterus and ovaries

11.2.8. breasts sag and less firm

11.2.9. cervix becomes smaller

11.2.10. common disease processes infections of the vulva senile vulvitis more fragile and more susceptible s/s of infections: smelly odor, fever, discharge atrophic vaginitis occurs in postmenupasual can lead to discomfort in sexual activity cancer of cervix and endometrium postmenopasual bleeding cancer of ovaries leading cause of death from gynecologic maligancies s/s: pain in abdomen, changes in bowel habits, weight loss dyspareunia painful intercourse breast cancer encourage regular breast exams s/s: discomfort, lump in breast, discharge from nipple