T2: Sensation (CH. 25) Flashcards
Sensory function is often __
taken for granted
Intact senses facilitate accurate __ of the environment
perception
Sensory function is essential to __
communication
Whole vision is blurry
cataracts
Sensory deficits compound problems that threaten what 3 things?
health, well-being, and independence
Aging vision changes:
- Reduced __ and __ of the muscle fibers of the lens
- Reduced __ size
- __ of the lens and vitreous
elasticity; stiffening
pupil
opacification
Visual acuity __
declines
Decreased ability to focus (___)
presbyopia
There is a loss of photoreceptor cells in the __
retina
__ perception threshold decreases
Light
Dark and light __ takes longer
adaptation
Difficulty with vision at __
night
Increased sensitivity to __
glare
Distortion in __ perception
depth
__ vision reduced
Peripheral
Facial expressions and gestures may be missed or ___
misinterpreted
There is a limitation of lip reading and written __
communication
Sensorineural hearing loss (__)
presbycusis
Effects of hearing could include self-conscious of limitation and avoid __
interactions
Number of functioning __ __ decreased
taste buds
__ and __ flavors sensation decreased.
Sweet and salty
__ not sensed as easily in late life
Pressure
Decreased __ sensation
tactile
Difficulty discriminating between __
temperatures
Some __ function loss
olfactory
What 4 things promote vision?
- Routine examinations by ophthalmologist
- Early detection and treatment of problems
- Considerations of financial ability to receive treatment
- Prompt evaluation of symptoms that may indicate a visual problem
What mineral? Promotes normal visual capacity and adaptation to dark; supplementation can reduce visual loss in macular degeneration; deficiency can facilitate cataract development.
zinc
May aid in preventing cataracts; supplementation with vitamin E can reduce visual loss in macular degeneration
selenium
Promotes normal vision; supplementation may improve vision in persons with cataracts
Vitamin C
Maintains healthy rods and cones in retina
Vitamin A
May aid in preventing cataracts; supplementation in large doses can prevent macular degeneration
Vitamin E
Aids in preventing cataracts
Riboflavin
May prevent degenerative changes in eye
Ginkgo Biloba
Improves night vision and adaptation to dark; promotes visual acuity; improves capillary integrity to reduce hemorrhage risk in diabetic retinopathy.
Flavonoid
T/F: Arteriosclerosis, hypertension, diabetes, and nutritional deficiencies can threaten an older adult’s vision
true
Avoid __ to promote hearing.
q-tips
Assessment for impacted __ in the ears.
cerumen
Clouding of the lens or its capsule and loss of transparency
cataracts
Leading cause of low vision in older adults
cataracts
Risk factors for cataracts:
ultraviolet B exposure, DM, cigarette smoking, high alcohol consumption, eye injury
Signs & Symptoms: distorted vision, night vision decreased, objects appear blurred, improvement in ability to see small print
Cataracts
Treatment of cataracts:
surgery
Damage to the optic nerve from an above normal intraocular pressure (IOP)
glaucoma
Second leading cause of blindness in older adults
glaucoma
Glaucoma: Incidence-12% of all blindness in United States, increases in prevalence over __ years old
40
Causes of ___-could be associated w/increased size of lens, iritis, allergy, endocrine imbalance, emotional instability, medications & family history.
glaucoma
Diagnosis for Glaucoma
measures intraocular pressure (normal 20mmHG)
Treatment/management-Carbonic anhydrase inhibitors, mannitol, urea, and glycerin, iridectomy
glaucoma
Closed or narrow angle Glaucoma
acute
Open angle Glaucoma
chronic
Most common form of glaucoma
chronic
Vision loss due to glaucoma can/cannot be restored?
can’t
T/F: Patient compliance with treatment for glaucoma can be challenging for the older adult population
True
Most common cause of blindness in adults over the age of 65?
Macular Degeneration
Damage or breakdown of the macula leading to loss of central vision
Macular Degeneration
Which type of visual problem is associated with macular degeneration?
Loss of central vision
Forward displacement of the retina
detached retina
Inflammation of the cornea accompanied by a loss of substance is the cause
Corneal ulcer
Predisposition factors=febrile states, dietary deficiencies, irritation, CVA
what disease?
corneal ulcer
Signs & Symptoms: bloodshot eye, increased lacrimation, pain, photophobia
corneal ulcer
Incidence/prevalence for hearing deficits-greater in __, bc of occupations
men
Caused by an abnormal growth of bone in the ears, which causes hearing loss.
Otosclerosis
Clean the hearing aid at least __. Do not use __ to clean it because can dry it out.
weekly
alcohol
When changing the battery, ___ the aid first.
turn off
Keep several new batteries available. Typically, a battery will last about __ hours
80