Module 3 growth and development adults Flashcards
pregnancy wt gain fetus
6-8lbs
preg wt gain fluid volume
2-3lbs
preg wt gain blood volume
3-4lbs
preg wt gain breast enlargement
1-2lbs
preg wt gain uterine enlargement
2 lbs
preg wt gain amniotic fluid
2lbs
preg wt gain maternal fat and protein stores
4-6lbs
older adults stature and wt
stature declines after 50 - thinning intervertebral discs -kyphosis, compression loss of body weight -inc. in body fat - dec. in skeletal muscle Organs lose wt and size
wt gain/loss hx
undesired weight change
- anorexia
- vomiting/diarrhea
- difficulty swallowing
- excessive thirst
- freq. urination
- changes in lifestyle, activity, or stress
wt gain/loss hx meds
chemo diuretics insulin antidepressants diet pills laxatives steroids oral contraceptives
wt hx body proportion changes
coarsening of facial features enlarging hands or feet moon faces change in fat distribution meds
questions about wt
when did it begin?
were you heavy as an infant or child?
how much did you weigh at life milestones?
wt and older adults
chronic illnesses meal prep: assistance preparing meals, diff. feeding problems chewing or swallowing dentures ability to follow diet digestive prob socialization with meals: someone to help usual wt and ht activity and exercise alcohol recreational drugs
wt family hx
obesity short or tall precocious or delayed puberty genetic or metabolic disorder - CF - dwarfism - anorexia - thyroid disease - diabetes - metabolic disease
wt and pregnancy
wt gain in previous preg BMI dietary intake age of menarche date of last menstrual period wt gain pattern eating disorders hx pica N/V
Preg BMI and wt gain
underwt: <18.5 total gain: 28-40
nml wt: 18.5-24.9 total gain: 25-35
overwt: 25-29.9 total gain: 15-25
obese: >30 total gain: 11-20
acromegaly
most common cause
- benign pituitary adenoma or other tumor
- excess growth hormone leads to slow skeletal growth and soft tissue enlargement.
Most common in middle aged adults
acromegaly subjective data
slow progressive change in facial feature inc. shoe and ring size oily and sweaty skin excessing snoring or sleep apnea dec. exercise tolerance pain in joint and hands NO change in ht
acromegaly objective data
face and skull - frontal skull bossing - inc. cranial ridges - mandibular overgrowth: maxillary widening of teeth - malocclusion (overbite) skin thickening of face, hands, and feet joint enlargement, swelling, and pain cardiac ventricular enlargement and dec. exercise tolerance
cushing syndrome
prolonged and excessively high exposure to glucocorticoids
Other causes:
- adrenal gland causing excessive cortisol
- pituitary tumor -> inc. adrenocorticotropic hormone
Other conditions caused by excess cortisol
diabetes
HTN
depression
menstrual irregularities
cushing syndrome subjective data
wt gain, inc. appetite depression, irritability dec. libido dec. concentration, impaired short term memory easy bruising menstrual abnormalities
cushing syndrome objective data
obesity, buffalo hump, fat pad moon facies proximal muscle weakness hirsutism or female balding peripheral edema thick skin, reddish-purple striae, poor skin healing - hyperpigmentation
