Normal Aging Vs. Illness Flashcards

1
Q

What is the main impact of aging?

A

Can impact function and ultimately placement

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2
Q

How is physiologic rhythm affected by aging?

A

Reduction in circadian amplitude of body temp, plasma cortisol, and sleep.

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3
Q

Discuss the pulsaltile secretion changes.

A
  1. Gonadotropins
  2. Growth hormone
  3. Thyrotropin
  4. Melatonin
  5. ACTH
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4
Q

Describe the Autonomic Nervous System of the elderly

A
  1. Increased basal and stimulated NE
  2. Preserved alpha-adrenergic receptor
  3. Decreased beta-adrenergic receptor
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5
Q

How long does an average 65 year old have to live? 85 year old?

A

18 years; 6 years

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6
Q

How do you communicate with the elderly?

A
  1. Address using last name
  2. Face person at eye level
  3. Speak clearly in low tones
  4. Do not shout
  5. Maintain unhurried pace.
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7
Q

Describe the ‘Get up and Go test’

A
  1. Sitting balance
  2. Arise from chair
  3. Standing balance
  4. Gait
  5. Turning Balance
  6. Sit down in chair
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8
Q

How does the anatomy of the eye decline?

A
  1. Atrophy of periorbital tissue
  2. Eyelids more relaxed
  3. Ectropion and entropion
  4. Conjunctiva yellows
  5. Corneal sensitivity to touch declines by 50%
  6. Iris becomes more rigid
  7. Lens yellos
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9
Q

How does the physiology of the eye decline?

A
  1. Lacrimal gland function decreases
  2. Decrease in tear production
  3. Decrease in goblet cell production
  4. Retina becomes thinner
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10
Q

Discuss ‘Watery Eye’

A

Despite decreased tear production, periorbital tissue atrophy leads to displacement of the lacrimal punctum.

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11
Q

How does the humorous environment of the eye change?

A

Both aqueous and vitreous humor production decrease

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12
Q

Discuss Presbyopia

A

The distance needed to focus near objects increases due to decreased lens elasticity and atrophy of ciliary muscle.

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13
Q

Discuss the aging Eye’s ability to react to light.

A

Adapts more slowly to light because pupil is rigid and lens is more opaque.

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14
Q

What are the changes to the external ear?

A
  1. Atrophy and thinning of external auditory canal
  2. Dry cerumen
  3. Thicker and duller tympanic membrane
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15
Q

Describe aging of inner ear ossicles.

A

Degenerative changes in all ossicular joints but sound transmission is preserved

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16
Q

What are the changes to the inner ear?

A
  1. Loss of hair cells in Organ of Corti
  2. Loss of cochler neurons
  3. Stiffening of Basilar membrane
17
Q

Describe CNS changes.

A
  1. Decrease number of neurons
  2. Decrease weight of brain
  3. Impaired memory