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Flashcards in Chapter 11 Deck (35):
1

What is Geriatrics?

Branch of medicine dealing with the aged and the problems of aging
Mature Adult

2

10 Chronic Conditions of people older than 65 years

Arthritis
Hypertension
Hearing Impairment
Heart Disease
Cataracts
Deformity or orthopedic impairment
Chronic sinusitis
Diabetes
Visual impairment
Varicose veins

3

Heart disease, cancer and strokes are the cause of

80% of deaths in persons over the age of 65. (need to know the number)

4

Heart disease, cancer, and stroke account for

7 out of every 10 deaths among people older than 65.

5

Most Common Health Complaints of The Elderly

Weight gain
Fatigue
Loss of bone mass
Joint stiffness
Loneliness

6

One of five people older than age 65 in a community will show signs of

Clinical depression

7

Patient with dementia or depression may not

Be able to understand or retain directions

8

Dealing with Patient with dementia or depression

Explain to the patient about the procedure
Repeat same instructions a number of times
Assist the patient in following the directions

9

What is an Integumentary System?

The skin and its derivatives (sweat & oil glands, hair & nails) make up a very complex set of organs that serves a number of functions

10

1st apparent sign of aging

Skin wrinkles
Skin on back of hands and forearms thin & fragile
Easily traumatized
Skin looks pale
Hair becomes thin & more brittle

11

Responsibility for pt with Integumentary System

Not damaged during positioning
Provide a pad on the table for the patient to lay on

12

Head & Neck Areas

Adaptation from light to dark areas is diminish (lose ability on dark)
Loss of ability to focus on nearby objects
Hearing loss is common (men)
Forward upper thoracic curvature – kyphosis
Sense of taste & smell decreases

13

Responsibility with pt of Head & Neck Areas

Assist patient to table
Speak loudly enough to be heard
Not all patients are hard of hearing
Use a table pad

14

What is the most frequent lung infection and a leading cause of death in the elderly?

Pneumonia

15

Pneumonia causes

Normal respiratory defense mechanism is reduced

16

Lung capacity diminishes

Become breathless & fatigue more easily

17

Dyspnea can result from

laying flat on radiographic table for long period of time

18

Most common cause of death worldwide

Cardiovascular System

19

What causes Cardiovascular System

Heart rate during exercise decreases with age (Short of breath & Tire easily)
Increase systolic BP (Risk for heart disease/stroke)
Decline in coronary blood flow (Complaints of feeling cold)

20

Postural or orthostatic hypotension

Assist patient to sitting position for several minutes before standing
Rapid position change can result in dizziness and can lead to the patient falling
A drop in systolic pressure of 20-30 mmHg

21

Gastrointestinal System

Esophageal and gastric motility declines
Dentures (Need to removed)
Loss of sphincter control

22

Musculoskeletal System

Bone mass is reduced resulting in weaker bones (women 4X)
Muscle strength decreases (Difficulty in maintaining positions for procedures. Use positioning sponges to facilitate position)

Intervertebral discs shrink / vertebrae collapse

23

Urinary System

Changes in bladder capacity

24

Enlarged prostate (benign prostatic hyperplasia)

Affect up to 70% of men older than 70 years

25

Prostate cancer

More than 80% of tumors are found in men older than 65 years

26

3rd most common cause of cancer deaths in men

Prostate cancer

27

Neurologic System

Process information and directions in a slower fashion
Allow patient more time to execute moves

28

Visual problems

May not see step stool to know where to place feet when placed at radiographic table
Assist patient

29

Skin is more susceptible to

bruising, tears, abrasions, and blisters (careful using tape)
Be careful of using adhesive tape

30

Pressure sores

Decubitus ulcers
Heels, ankles, elbow and lateral hips

31

Physical abuse/Violence

The use of physical force that result in bodily injury, physical pain or impairment

32

Sexual abuse

Nonconsensual sexual contact of any kind w/elder

33

Emotional or psychological abuse

Elderly is withdrawn or secretive ot hesitant to talk freely around caregiver
family member or caregiver isolate elder
Elder verbally reports mistreament

34

Neglect abuse

Poor hygiene
Medical conditions that go untreated
Malnutrition or dyhydration

35

Financial abuse

occur when anyone take or keep an elder property w/the intent to defraud