Normal Aging Vs. Illness Flashcards
What is the main impact of aging?
Can impact function and ultimately placement
How is physiologic rhythm affected by aging?
Reduction in circadian amplitude of body temp, plasma cortisol, and sleep.
Discuss the pulsaltile secretion changes.
- Gonadotropins
- Growth hormone
- Thyrotropin
- Melatonin
- ACTH
Describe the Autonomic Nervous System of the elderly
- Increased basal and stimulated NE
- Preserved alpha-adrenergic receptor
- Decreased beta-adrenergic receptor
How long does an average 65 year old have to live? 85 year old?
18 years; 6 years
How do you communicate with the elderly?
- Address using last name
- Face person at eye level
- Speak clearly in low tones
- Do not shout
- Maintain unhurried pace.
Describe the ‘Get up and Go test’
- Sitting balance
- Arise from chair
- Standing balance
- Gait
- Turning Balance
- Sit down in chair
How does the anatomy of the eye decline?
- Atrophy of periorbital tissue
- Eyelids more relaxed
- Ectropion and entropion
- Conjunctiva yellows
- Corneal sensitivity to touch declines by 50%
- Iris becomes more rigid
- Lens yellos
How does the physiology of the eye decline?
- Lacrimal gland function decreases
- Decrease in tear production
- Decrease in goblet cell production
- Retina becomes thinner
Discuss ‘Watery Eye’
Despite decreased tear production, periorbital tissue atrophy leads to displacement of the lacrimal punctum.
How does the humorous environment of the eye change?
Both aqueous and vitreous humor production decrease
Discuss Presbyopia
The distance needed to focus near objects increases due to decreased lens elasticity and atrophy of ciliary muscle.
Discuss the aging Eye’s ability to react to light.
Adapts more slowly to light because pupil is rigid and lens is more opaque.
What are the changes to the external ear?
- Atrophy and thinning of external auditory canal
- Dry cerumen
- Thicker and duller tympanic membrane
Describe aging of inner ear ossicles.
Degenerative changes in all ossicular joints but sound transmission is preserved