Chapter 14 LECTURE 12 PART III Flashcards
Advanced Old Age and Geriatrics
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-Access to what is a malnutrition factor?
food
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-A decline in what three things is a malnutrition factor?
- GI absorption
- GI metabolism
- GI elimination
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-Deterioration of ____
-What two things does this include?
-senses
-taste and smell
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-High frequency of ___ ___ is a malnutrition factor
dentition problems
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-What kind of preferences can be a malnutrition factor?
cultural food preferences
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-____ environment, such as ____
-What may happen?
-living; institutions
-sometimes they may not eat because they don’t like the food they are given
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-____ resulting from disease
-What does this mean?
-anorexia
-they lose their appetite as a result of disease
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-What is one thing to remember about anorexia?
If it doesn’t say “anorexia nervosa”, it means loss of appetite
NUTRITIONAL-METABOLIC PATTERN: Malnutrition Factors
-What can medications do?
Suppress appetite and mood
NUTRITIONAL-METABOLIC PATTERN: Nutritional assistance
-This is ____ supported
federally
NUTRITIONAL-METABOLIC PATTERN: Nutritional Assistance
-What are 4 types of nutritional asisstance?
- Food stamps (SNAP)
- Older adult nutritional programs
- Meals-on-wheels
- Congregate meals
HEALTH SCREENINGS
-What are 12 health screenings that older adults should get?
- Dental and eye checkups
- Weight
- Blood Pressure
- Thyroid
- Blood glucose & lipid levels
- Mammograms
- DEXA scans
- Prostate cancer screening
- Colorectal cancer screening
- Vaccinations
- Depression
- Alcoholism
HEALTH SCREENINGS
-What two things should be checked at every doctor visit?
Weight and blood pressure
HEALTH SCREENINGS
-In terms of weight, what should be checked?
Increased waist circumference
HEALTH SCREENINGS
-Of the health screenings, what two things are precursors to metabolic syndrome?
Increased blood glucose and lipid levels
HEALTH SCREENINGS
-Mammograms are done up until what age?
-Unless what?
-74
-there are abnormalities, such as new lumps that develop
HEALTH SCREENINGS
-What are DEXA scans used for?
To scan for osteoporosis, but ONLY if you have a reason to get this scan
HEALTH SCREENINGS
-When should older adults do prostate cancer screenings
Only if they are at risk
HEALTH SCREENINGS
-When does colorectal cancer screening start?
Age 45
PHYSICAL EXERCISE
-What is an old adage?
“Use it or lose it”
PHYSICAL EXERCISE
-What are three actitivies that are appropriate for them?
- Walking
- Jogging
- Swimming
PHYSICAL EXERCISE
-What will regular exercise promote?
mental and physical health
PHYSICAL ACTIVITY
-What can exercise slow?
-What can exercise increase?
-the aging process
-life expectancy
PHYSICAL ACTIVITY
-What will decrease as you age?
-What does this mean?
-regular metabolic rate
-calories need to decrease
PHYSICAL ACTIVITY
-What does regular aerobic activity increase?
calorie expenditure
PHYSICAL ACTIVITY
-What can reduce loss of muscle mass?
-It is also good to combat what?
-Strength training
-osteoporosis
PHYSICAL ACTIVITY
-Physical activity has a protective effect on what?
Cognitive function
SEXUALITY
-Specific changes in ___ ___ occur
-sexual responses
SEXUALITY
-Older adults continue to have what
sexual feelings
SEXUALITY
-What is becoming more popular?
-What does this mean?
-aging without protest
-accepting the changes with aging
SEXUALITY
-What still remains a concern for older adults
STIs
SEXUAL RESPONSES IN THE AGING WOMAN
-Menopause, or climacteric, in women decreases sexual response (T/F)
False; menopause, or climacteric, in women DOES NOT decrease sexual response
SEXUAL RESPONSES IN THE AGING WOMAN
-Women may experience what 3 things?
- Dryness in the vaginal mucosa
- Hot flashes
- Other assorted hormone-related body changes
SEXUAL RESPONSES IN THE AGING MAN
-Testosterone production (increases/decreases) between the ages of ___ and ___, but it is (stable/unstable) thereafter
-decrease
-40 and 60
-stable
SEXUAL RESPONSES IN THE AGING MAN
-Decreased testosterone production causes a decrease in what two things?
- size and firmess of the penis
- Reduced production, motility, and lifespan of sperm
SEXUAL RESPONSES IN THE AGING MAN
-Many men remain fertile into their ___s
80s
FACTORS THAT INFLUENCE SEXUALITY
-What are 6 things that can impact attitude/interests in regards to sexuality?
- Previous life experiences
- Body-image perception
- Mental function
- Self-expectations & image promotion
- Sexual contact/isolation
- Environment/privacy
FACTORS THAT INFLUENCE SEXUALITY
-What are 5 things that can impact sexual health?
- Incontinence, urinary/fecal devices
- Reduction in mobility
- Impotence and menopause
- Chronic or terminal illness
- Medications & their side effects
THE IMPACT OF ILLNESS ON SEXUALITY
-Cancer of the ____ is a risk
prostate
THE IMPACT OF ILLNESS ON SEXUALITY: Heart Attack
-After a heart attack, they are given information about what?
-What are they rarely educated about?
-dietary changes
-when to resume sexual activity
THE IMPACT OF ILLNESS ON SEXUALITY
-What can hypertension medications cause?
erectile dysfunction
THE IMPACT OF ILLNESS ON SEXUALITY
-What can also impact sexuality?
hospitalization
PSYCHOLOGICAL CHANGES
-A negative self-image may affect his or her ability to what?
function
PSYCHOLOGICAL CHANGES
-The aging process is a ____ one that provides time for what?
-gradual
-coping and adaptation to physical changes
PSYCHOLOGICAL CHANGES
-What requires adaptation and acceptance?
Role adjustments