Older Adult Concept Map

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Older Adult Concept Map by Mind Map: Older Adult Concept Map

1. Reproductive System

1.1. Female

1.1.1. Physiologic Changes Vaginal Epithelium thins Atrophy of Sex Organs Cervix Fallopian Tubes Uterus Vaginal Changes More alkaline Shortening of canal Less lubrication Breasts Sag and Less Firm

1.1.2. Pathologic Changes Senile vulvitis Hypertrophy or Atrophy Tumor of the Vulva Fourth most common gynecological malignancy Atrophic Vaginitis Postmenopausal Women Vaginal fragility Cancer Vaginal Cervical Endometrium Ovarian Breast

1.2. Male

1.2.1. Physiologic Changes Seminal vesicles thin Muscle tissue replaced with connective tissue Decreased ability to retain fluids Atrophy Testes Enlargement of prostate gland

1.2.2. Pathologic Changes Erectile Dysfunction Decreased circulation Most men over 70 Benign Prostatic Hyperplasia Men can be reluctant about receiving treatment Most men have some form Cancer Prostate Testicular Scrotal

2. Respiratory System

2.1. Physiologic Changes

2.1.1. Decreased Cough Reflex Important in removal of secretions Promoting Productive Cough Hard Candy Breathing Exercises Expectorants Humidifier use Oral Hygiene

2.1.2. Decreased Lung Size Air capacity lowered Decreased gas exchange

2.1.3. Decrease in alveoli elasticity

2.1.4. Decreased vital capacity

2.2. Pathologic Changes

2.2.1. COPD Asthma High rates of mortality Education essential High risk of cardiac issues Bronchitis Management Emphysema Usually related to smoking Slow development of symptoms Lung Cancer Incidence increases over age 65 More men than women Treatment

2.2.2. Oxygen Administration Monitor blood gases Oxygen use safety Highly flammable

3. Gastrointestinal System

3.1. Physiologic Changes

3.1.1. Decreased Taste Sensation Atrophy of tongue and taste buds

3.1.2. Decreased Stomach Elasticity Less food intake at one time

3.1.3. Decrease in Pancreas Function Decrease in fat absorption

3.1.4. Decreased Peristalsis Constipation

3.1.5. Increased need for adequate nutrition Vitamin requirements increase B-complex Vitamin E Vitamin C Selenium Folic Acid Cancer prevention Nutrient absorption decreases

3.1.6. Decreased Digestive Enzyme Activity Malnutrition Constipation

3.2. Pathologic Changes

3.2.1. Peptic Ulcers H. Pylori High gastric acidity

3.2.2. Esophageal Cancer Barrett's Esophagus GERD

3.2.3. Xeriostomia

4. Immune System

4.1. Age Related Changes

4.1.1. Decreased Strength of Immune System T-Cell function decline Reduced response to foreign antigens Decrease in cell-mediated and humoral immunity Thymus Gland Decline Reduced Antibody Response

4.1.2. Increased risk for infection Chronic Conditions Hospital acquired infections

4.1.3. Reduced thickness of skin

4.1.4. Diet Vitamin Requirements increase Vitamin A, E, C B Complex Folic Acid Selenium Zinc Iron Nutrients have large effect on immune function Protein

4.1.5. Exercise Low impact Enhance immune function

4.2. Pathologic Changes

4.2.1. Cancer

5. Endocrine System

5.1. Physiological Changes

5.1.1. Atrophy of Thyroid Gland

5.1.2. Diminished Adrenal Function Low epinephrine and epinephrine levels

5.1.3. Low ACTH levels Poor hydration

5.1.4. Insulin Low levels of insulin release Tissue insensitivity to circulating insulin

5.2. Pathologic Changes

5.2.1. Diabetes Mellitus Glucose Intolerance May be asymptomatic Tissue insensitivity to insulin Seventh leading cause of death in older adult Screening Test more than once Care and Management Self care crucial to positive outcome Education on self management vital to patient success Nutrition and Exercise Complications Peripheral Vascular Disease Diabetic retinopathy Coronary Artery Disease Urinary Tract infections Cognitive Impairment

5.2.2. Hypothyroidism Aging thyroid gland Signs and Symptoms Lethargy Excessive Sleep Weight Gain

5.2.3. Hyperthyroidism Less prevalent in older adults Too much thyroid hormone excreted Signs and symptoms Tremors Jitteriness Weight Loss

6. Cardiovascular System

6.1. Physiological Changes

6.1.1. Less Efficient Myocardial Muscle Decrease contractile strength Decreased Cardiac Output

6.1.2. Cardiac Output Demands Increase Increased need for exercise Increased need for adequate nutrition

6.1.3. Stiffening of Valves "Wear and Tear"

6.1.4. Slower Cardiac Nervous Response

6.2. Pathologic Changes

6.2.1. Stroke Atherosclerosis Buildup of plaque around arteries Arteriosclerosis Hypertension Alteration of lifestyle Systolic over 140 Diastolic over 90 Stress, anxiety

6.2.2. Increased Risk of Diabetes Weakened pancreas Insulin insensitivity

6.2.3. Pulmonary Emboli Increase cholesterol and clotting factors in blood

6.2.4. Hyperlipidemia Family history Evaluate triglycerides, lipids, lipoproteins

6.2.5. Congestive Heart Failure Leading cause of hospitalization in older adults Complication of atherosclerosis CAD

6.2.6. At Risk Behaviors Smoking Increases risk of cardiovascular event significantly Alcohol Use Can be beneficial in small doses

6.2.7. Heart Disease Education is critical Prevalence increases with age Men and women exhibit difference signs

7. Urinary System

7.1. Physiologic Changes

7.1.1. Thickening of Bladder Hypertrophy Decreases ability to expand Less storage space Nocturia

7.1.2. Increase in urinary frequency

7.1.3. Weak bladder muscles

7.1.4. Urinary Retention

7.1.5. Decreased Kidney filtration Cannot process drugs Adverse drug reactions High blood urea nitrogen levels

7.1.6. Decreased tubular function

7.2. Pathologic Changes

7.2.1. Urinary Incontinence Embarrassing and problem some Age related changes impact prevalence Types Stress Overflow Urgency Function Neurogenic Mixed Cognition Identify cause and treat accordingly

7.2.2. Cancer Bladder Blood in urine Painless

7.2.3. Renal Calculi Calcium buildup in kidneys Decreased kidney filtration Potential infection Decreased absorption of vitamins and minerals

7.2.4. Glomerulonephritis Acute Sudden onset Infection based Chronic Repeated over time

8. Nervous System

8.1. Sensory

8.2. Cognition

8.2.1. Pathologic Changes Dementia Progressive Irreversible Impaired cognitive function Alzheimer's Disease Common form of dementia Brain Changes Causes