Copy of Changes of the Older Adult

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Copy of Changes of the Older Adult by Mind Map: Copy of Changes of the Older Adult

1. Nutrition and Hydration

1.1. Reduced need for calories

1.1.1. Less lean body mass

1.1.2. Decline in BMR

1.1.3. Activity level declines

1.2. Intercellular fluid lost causes decreased total body fluid

1.3. 1,500 mLs of fluid a day minimum

1.4. Change in nutrient absorption

2. Rest and Sleep

2.1. Phase advance

2.2. More time in stages I and II

2.3. Less sound sleep

2.4. Delay in onset of sleep

2.5. Possible sleep disturbances

2.5.1. Insomnia, nocturnal myoclonus, restless leg syndrome, sleep apnea, GERD, dementia, musculoskeletal disorders

2.6. Restless leg syndrome

2.6.1. Neurological condition of urge to move legs Causes: anemia, uremia, Parkinson’s, rheumatoid arthritis, diabetes

3. Sexuality

3.1. Andropause

3.1.1. Does not happen to all men

3.1.2. Breast enlargement

3.1.3. Osteopenia

3.1.4. Osteoporosis

3.1.5. Shrinkage of testes

3.2. Dyspareunia

3.2.1. Result of less lubrication in women

3.3. Erectile dysfunction

3.3.1. Common but not normal

3.4. Menopause

4. Respiratory

4.1. Problems develop easily and are hard to handle

4.2. Changes in upper airway paths, nose, and trachea

4.3. Reduced cough

4.4. Lungs

4.4.1. Reduced in size

4.4.2. Reduced in weight

4.5. Decrease elastic recoil

4.6. Alveoli less elastic

4.7. Vital capacity reduced

4.8. Residual volume increased

4.9. Loose or brittle teeth can be aspired

4.10. COPD

4.10.1. Group of diseases including asthma, chronic bronchitis, emphysema, lung cancer, and lung abscess Higher risk in women and smokers

5. Circulatory

5.1. Heart valves

5.1.1. Thicker

5.1.2. Rigid

5.2. Aorta dilated

5.2.1. Slight ventricular hypertrophy

5.2.2. Left ventricular wall thickened

5.3. Myocardial muscle less efficient

5.3.1. Decreased strength

5.3.2. Decreased CO when demand increases

5.4. Calcification

5.4.1. Reduced elasticity

5.5. Less sensitive to baroreceptor regulation

5.5.1. Blood pressure

5.6. Congestive Heart Failure

5.6.1. Complication of heart disease

5.6.2. Coronary artery disease is responsible for most cases

5.6.3. SOB, confusion, dyspnea, weight gain, edema

6. Urinary Elimination

6.1. Hypertrophy and thickening of bladder muscles

6.1.1. Decreased ability to to expand

6.1.2. Reduced storage capacity Daytime urinary frequency and nocturia

6.2. Changes in cortical control of of micturition

6.2.1. Nocturia

6.3. Inefficient neurological control

6.3.1. Retention of large volumes of urine Females: fecal impaction Males: prostatic hypertrophy

6.4. Kidney filtration ability decreased

6.4.1. Affects drug elimination and could cause adverse effects or toxicity

6.5. Reduced renal function

6.5.1. High BUN and creatinine

6.6. Decreased tubular function

6.6.1. Concentration of urine changes

6.7. Increase renal threshold for glucose

6.8. Incontinence

6.8.1. Not normal aging

7. Reproductive

7.1. Women

7.1.1. Hormonal changes

7.1.2. Vaginal epithelium thins

7.1.3. Atrophy of cervix, uterus, and Fallopian tubes

7.1.4. Vaginal canal changes

7.1.5. Uterus and ovaries decrease in size

7.1.6. Breasts sag

7.1.7. Fallopian tubes become shorter and straighter

7.1.8. Cancers of the Ovaries Leading cause of death from gynecological malignancies S/s: bleeding, masses, ascites

7.2. Men

7.2.1. Seminal vesicles Thinner epithelium

7.2.2. Muscle tissues becomes connective tissue

7.2.3. Decreased capacity to retain fluids

7.2.4. Seminiferous tubule changes Increased fibrosis, epithelium thinning, thickening of the basement membrane, and narrowing of the lumen

7.2.5. Atrophy of testes Slower central processing

7.2.6. Enlargement of prostate gland

8. Gastrointestinal

8.1. Atrophy of tongue

8.1.1. Affects taste buds and taste sensation

8.2. Saliva production decreased

8.2.1. Difficulty swallowing

8.3. Presbyesophogus

8.3.1. Weaker esophageal contractions

8.4. Esophageal and stomach motility decreases

8.4.1. Risk for aspiration and indigestion

8.5. Decrease elasticity of stomach

8.6. High pH in stomach

8.6.1. Decline in Hydrochloric acid and pepsin

8.7. Fewer cells on absorbing surface of intestinal wall

8.8. Sensory perception decreases

8.8.1. Constipation or incomplete elimination

8.9. Decreased bile salt synthesis

8.9.1. Increased gallstone development

8.10. Pancreatic changes

8.10.1. Digestion of fats is affected

8.11. Slower peristalsis

8.11.1. Increase risk of constipation

8.12. Dysphasia

8.12.1. Difficulty swallowing Causes: GERD, stroke, and structural disorders

8.12.2. Incidence increases with age

9. Musculoskeletal

9.1. Decline in size and number of muscle fibers

9.1.1. Decrease strength and endurance

9.2. Reduction in muscle mass

9.3. Connective tissue changes

9.3.1. Reduced flexibility

9.4. Sarcopenia

9.4.1. Age-related reduction of muscle mass or function resulting from a reduction in protein synthesis and an increase in muscle protein degeneration

10. Neurological

10.1. Loss of nerve cell mass

10.1.1. Brain weight decreases

10.1.2. Brain and spinal cord atrophy

10.2. Number of dendrites decreases

10.3. Demyelination

10.3.1. Slower nerve conduction

10.3.2. Weaker reflexes

10.4. Number and sensitivity of sensory receptors, dermatomes, and neurons decrease

10.4.1. Dulling of tactile sensation

10.5. Decline in function of cranial nerves

10.5.1. Affects taste and smell

10.6. Brain changes

10.6.1. Plaques

10.6.2. Tangles

10.6.3. Atrophy

10.7. Accumulation of free radicals

10.8. Parkinson’s Disease

10.8.1. Affects ability of the central nervous system (CNS) to control body movements

10.8.2. Dopamine

10.8.3. S/S: tremors, face mask, shuffling gait

11. Endocrine

11.1. Thyroid gland atrophy

11.2. Diminished adrenal function

11.3. ACTH secretion decrease

11.4. Pituitary gland volume decreases

11.5. Insufficient insulin

11.5.1. Reduced tissue sensitivity to insulin

11.6. Diabetes Mellitus

11.6.1. “A chronic condition that affects the way your body metabolizes glucose”

11.6.2. S/S: increased thirst, frequent urination, unintended weight loss, fatigue, blurred vision

11.6.3. Need an increased amount of protein in diet to control glucose

11.6.4. Kidney damage common complication

11.6.5. Neuropathy common

12. Integumentary

12.1. Dermis changes

12.1.1. Reduced thickness

12.1.2. Reduced vascularity

12.2. Degeneration of elastic fibers

12.3. Reduction of epidermal turnover

12.4. Increased coarseness of collagen

12.5. Skin becomes more fragile

12.6. Reduction of melanocytes

12.7. Decline in hair and nail growth

12.8. Skin cancer

12.8.1. Basal cell carcinoma Most common but rarely metastasized

12.8.2. Squamous cell carcinoma Contributions: sun exposure and factors that facilitate growth

12.8.3. Melanoma More easily metastasized