Older Adult- Physical Flashcards
What are the 3 stages of ageing?
- Senescence
- Primary ageing
- Secondary ageing
What is senescence?
Biological process of decline that occurs during ageing (normal ageing)
What is primary ageing?
Maturational process concerned inevitable with ageing (skin drying, hair thinning)
What is secondary ageing?
Effects of environmental or disease process on human body (cancer, hypertension)
What are physical changes that occur in ageing?
- Weight
- Height
- Respiration
- Appearance (skin elasticity and moisture)
- Cardiac changes
- Sensory (visual, auditory, gustatory, olfactory)
- Immune system
- Frailty (weakened)
What are common conditions that occur in ageing?
- Arteriosclerosis: arterial wall less elastic
- Atherosclerosis: build up fatty deposit in arteries
- Rheumatoid Arthritis
- Osteoarthritis: wear and tear, degenerative
- Type 2 diabetes: insulin resistance
Describe physiological changes that occur in older adults?
- Progression of physiological changes follows changes from middle adulthood
- Osteopenia (loss bone density)
- Sarcopenia (loss skeletal muscle mass)
- Some decline normal
- Significant decline indicates clinical problem
Describe changes in strength that occur in older adults?
- Gradual decline (50-70 years)
- Sharper decline (70+ years)
- 50% loss of strength attributed to physiological ageing due to inactivity or other health concerns
Describe motor performance in older adults
- Primary ageing= expected decline
- Secondary ageing= rate of decline doubles
- Task requirements strength, skills, speed, accuracy
Describe changes for gait and balance in older adults
- Decreased stride length (distance per step)
- Reductions in toe floor clearance
- Decreased gait velocity (speed)
- Increased out toeing (trying to balance with toes)
- Wider step (increasing base of support and stability)
What are some problems that older adults have with gait and balance
- Falls due to: shuffling gait pattern, shorter stride length, longer stance
- Fear of falling: compound problems, slower more cautious gait, more shuffling, less foot clearance, increased medical conditions