Age-Related Changes in Body Systems
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Questions and Answers

What is the first action to take when there is compromised circulation in a patient?

  • Check the patient's blood glucose levels
  • Provide oxygen as soon as possible (correct)
  • Monitor the respiratory rate closely
  • Administer diuretics immediately
  • Which symptom could indicate possible hypovolemia in older patients during a secondary assessment?

  • Marked BP changes and altered pulse rate (correct)
  • Rapid weight gain
  • Increased respiratory sounds
  • Consistent high blood pressure
  • What impact do diuretics have on glucose tolerance?

  • They have no effect on glucose tolerance
  • They cause decreased glucose tolerance (correct)
  • They improve glucose tolerance
  • They regulate glucose levels more effectively
  • What common issue is linked to noncompliance in medication management?

    <p>Administering medication improperly (B)</p> Signup and view all the answers

    What might influence pharmacokinetics in patients?

    <p>Diet, smoking, and alcohol consumption (D)</p> Signup and view all the answers

    What can a decrease in the number of pacemaker cells with age lead to?

    <p>Bradycardia (A)</p> Signup and view all the answers

    Which of the following factors contributes to systolic hypertension in older adults?

    <p>Atherosclerosis (D)</p> Signup and view all the answers

    What is a common symptom of Ménière disease that affects hearing?

    <p>Tinnitus (A)</p> Signup and view all the answers

    In aging individuals, what effect does the increase in ADH have on the body?

    <p>Electrolyte and fluid imbalances (B)</p> Signup and view all the answers

    What might ill-fitting dentures in older adults lead to?

    <p>Choking hazard (C)</p> Signup and view all the answers

    Which change in the musculoskeletal system is commonly observed with aging?

    <p>Thickened synovial fluids (C)</p> Signup and view all the answers

    What aspect of homeostatic regulation commonly declines with age?

    <p>Blood glucose regulatory system (C)</p> Signup and view all the answers

    What characteristic change may occur in the cardiovascular system of aging individuals?

    <p>Increased risk of failure of the SA node (A)</p> Signup and view all the answers

    Which of the following factors does NOT contribute to the higher risk of trauma in older adults?

    <p>Improved reflexes (A)</p> Signup and view all the answers

    What is likely to occur if an older adult has decreased respiratory function following trauma?

    <p>Unsuccessful recovery due to complications (D)</p> Signup and view all the answers

    Which condition is most likely to affect the outcomes of geriatric trauma in an older adult?

    <p>Cirrhosis (B)</p> Signup and view all the answers

    Which assessment is NOT a focus in ensuring home safety for older adults?

    <p>Dietary restrictions (B)</p> Signup and view all the answers

    In terms of falls among older adults, which type is categorized as an extrinsic cause?

    <p>Slippery floors (C)</p> Signup and view all the answers

    An increase in intracranial pressure is most likely to lead to what symptom in an older adult with head trauma?

    <p>Depressed state of consciousness (C)</p> Signup and view all the answers

    How do stiffened blood vessels contribute to trauma risks in older adults?

    <p>Limiting effectiveness of vasoconstriction (A)</p> Signup and view all the answers

    Which of the following is NOT a potential outcome of impaired renal activity in older adults after trauma?

    <p>Effective waste excretion (C)</p> Signup and view all the answers

    Which condition significantly complicates fluid replacement in burn patients?

    <p>Renal compromise (A)</p> Signup and view all the answers

    What physiological factor affects thermoregulation, especially in older adults?

    <p>Chronic disease (A)</p> Signup and view all the answers

    Which of the following factors contributes to a higher incidence of hyperthermia deaths in older adults?

    <p>Medications affecting thermoregulation (D)</p> Signup and view all the answers

    Which of the following is a common type of injury resulting from falls?

    <p>Orthopaedic injuries (C)</p> Signup and view all the answers

    What is essential to check before trauma assessment?

    <p>Mechanism of injury (A)</p> Signup and view all the answers

    Flashcards

    Arteriosclerosis and Hypertension

    Arteriosclerosis (hardening of arteries) contributes to high blood pressure (systolic hypertension).

    Cardiovascular Changes with Age

    Heart's electrical conduction system changes, pacemaker cells decrease, leading to bradycardia and atrial dysrhythmias.

    Neurological Changes with Age

    Mental decline affects regulating bodily functions like breathing, pulse, blood pressure, hunger, thirst, and body temperature.

    Ménière's Disease

    A hearing-related disorder, causing vertigo, hearing loss, tinnitus, and ear pressure, often onset in mid-life.

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    Digestive System Changes

    Poorly fitting dentures can lead to choking, heartburn, and abdominal pain.

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    Endocrine Changes in Seniors

    Elevated antidiuretic hormone (ADH) levels can lead to fluid and electrolyte imbalances (like edema). Menopause decreases hormone levels.

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    Homeostasis and Aging

    The body's ability to maintain internal balance (homeostasis) decreases with age, affecting things like thirst, temperature, and blood sugar regulation.

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    Musculoskeletal Changes with Age

    Bone density decreases (brittle bones), joints become stiff, cartilage wears down, and muscle mass and strength diminish.

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    Circulatory Crisis in Elderly

    Reduced reserves leading to lower heart rate, difficult-to-find radial pulse, and irregular heart rhythms.

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    Postural BP Changes in Elderly

    Blood pressure changes significantly with posture, potentially indicating hypovolemia (low blood volume) or overmedication.

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    Tachypnea Symptoms

    Rapid breathing (tachypnea) can point to a potential acute illness, requiring immediate assessment of the respiratory system.

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    Medication Noncompliance

    Failing to follow medication instructions, including not filling prescriptions, incorrect dosage, and taking wrong types of medication.

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    Pharmacokinetic Factors Influence

    Factors such as diet, smoking, alcohol use, and concurrent medications can have effects on how medicine is processed by the body.

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    Chest Injury Risk Factors

    Older adults are at higher risk for severe chest injuries due to age-related changes in the rib cage making them more brittle and stiff, which limits chest wall movement.

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    Abdominal Trauma Impact

    Abdominal trauma in older adults often leads to liver injury due to age-related changes in the liver's structure and function.

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    Burns: Increased Risk

    Burns pose a significant risk for older adults due to factors like pre-existing medical conditions, weakened immune systems, and complications with fluid replacement.

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    Thermoregulation Challenges

    Older adults struggle with temperature regulation due to slower internal processes, reduced circulation, and decreased sweat production.

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    Trauma Assessment: Medications

    When assessing an older trauma patient, it's crucial to identify their regular medications, especially those that may affect treatment like beta blockers, antihypertensives, and diabetes medications.

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    Geriatric Trauma Risk Factors

    Older adults have slower reflexes, vision/hearing issues, balance problems, and reduced agility, increasing their risk of trauma.

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    Trauma Outcomes in Elderly

    Older adults often have less favorable trauma outcomes due to their compromised homeostatic mechanisms, aging-related body system changes, and pre-existing health conditions.

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    Successful Trauma Recovery (Elderly)

    Adequate blood compensation during trauma, indicated by increased pulse, respiration, and vasoconstriction, is critical for a successful outcome in elderly patients.

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    Unsuccessful Trauma Recovery (Elderly)

    Unsuccessful recovery is likely if the elderly patients experience decreased respiratory function, impaired kidney activity, and ineffective vasoconstriction.

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    Falls in the Elderly: Types

    Falls in the elderly are categorized as either extrinsic (external factors) or intrinsic (internal factors), with pre-existing gait problems and cognitive impairment increasing fall risk.

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    Home Safety Assessment (EMS)

    Emergency Medical Services (EMS) should assess the home for safety factors for older adults, such as clear pathways, handrails, and removal of loose rugs.

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    Motor Vehicle Crashes (Elderly)

    Older adults are at a greater risk of fatal injuries in motor vehicle crashes due to vision impairments, poor judgment, and underlying medical conditions.

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    Conditions Influencing Trauma Outcomes

    Conditions like cirrhosis, congenital coagulopathies, COPD, ischemic heart disease, and diabetes mellitus can influence the outcome of trauma in older adults.

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    Study Notes

    Cardiovascular System Changes

    • Arteriosclerosis contributes to systolic hypertension, alongside diabetes and atherosclerosis. Renal compromise is also a factor.
    • The heart's electrical conduction system changes over time. The number of pacemaker cells decreases with age potentially leading to bradycardia. SA node failure can cause atrial dysrhythmias.

    Nervous System Changes

    • Mental function decline affects the regulation of respiratory rate and depth, pulse rate, blood pressure, hunger, thirst, and temperature.

    Sensory Changes

    • Ménière's disease, a hearing-related impairment, often begins in middle age with symptom cycles lasting months. Vertigo, hearing loss, and tinnitus, along with pressure in the ear, are common symptoms.

    Digestive System Changes

    • Poorly fitting dentures can increase the risk of choking, heartburn, and abdominal pain.

    Endocrine System Changes

    • Antidiuretic hormone (ADH) levels rise with age, causing electrolyte and fluid imbalances that can manifest as edema. Menopause is associated with a decrease in hormone secretion.

    Homeostatic and Other Changes

    • Homeostatic capabilities decrease with age impacting the thirst mechanism, temperature regulation, and blood glucose control.

    Musculoskeletal System Changes

    • Bone mass decreases in both men and women, leading to brittle, easily broken bones. Joints, tendons, ligaments, synovial fluids and cartilage experience changes over time. Height and posture can also change, with arthritic joint increase and muscle mass/strength decreases. Prolonged immobility can lead to muscle atrophy.

    Primary Assessment

    • Use GEMS (Geriatric, Environmental, Medical, Social) to aid overall impression.
    • Importance of assessing airway and breathing, with attention paid to preventing airway blockage and anatomic changes that reduce effective breathing. Oxygen administration should be considered.
    • Circulation assessment is critical, considering the limited reserves in circulatory collapse (lower heart rate, difficulty finding a radial pulse, or irregular rhythm). Use oxygen.
    • Secondary assessment includes observing respiratory pattern, where tachypnea can signal acute illness. Note lung sounds, check for jugular venous distension (JVD), and evaluate for the presence of dentures.
    • Marked blood pressure changes and pulse can indicate hypovolemia or overmedication. Normal blood pressure tends to be higher in older adults.

    Polypharmacy and Medication Noncompliance

    • Noncompliance with medication can involve failure to fill prescriptions, administering medication incorrectly, and taking inappropriate medication.

    Pharmacokinetics

    • Diuretics and antihypertensives can cause hypotension and orthostatic changes from reduced cardiac output; decreased total body water. Glucose tolerance may decrease, potentially resulting in hyperglycemia.
    • Pharmacokinetics (absorption, distribution, metabolism, excretion) can be altered by diet, smoking, alcohol use, and co-medications. Treatment dosages should often be altered. Toxicity is a risk and includes psychiatric symptoms and cognitive impairment.

    Geriatric Trauma Emergencies

    • Factors like slower reflexes, decreased agility, visual/hearing deficits, and equilibrium disorders increase the risk of trauma in older adults.
    • Less favorable trauma outcomes are often linked to altered homeostatic mechanisms and preexisting conditions. Successful treatment requires adequate compensation of trauma-related blood loss (increased pulse and respirations and vasoconstriction).
    • Unsuccessful outcomes are likely if there is decreased respiratory function, impaired renal activity, ineffective vasoconstriction, stiff blood vessels, fragile tissue, and demineralized bones. Falls can be divided into extrinsic (accidental) and intrinsic (intra-individual) causes. Pre-existing gait and cognitive conditions increase the risk of falls.
    • Evaluate home safety to prevent falls with a focus on pathways both within and outside the home (clear pathways, handrails, no loose rugs or obstructions, and wheelchair ramps).
    • Motor vehicle crashes frequently result in worse outcomes for older adults due to increased risk of fatal injuries from vision impairment and judgment errors. Preexisting medical conditions can exacerbate these risks.
    • Conditions like cirrhosis, congenital coagulopathy, COPD, ischemic heart disease and diabetes can influence trauma outcomes.

    Pathophysiology

    • Head trauma is associated with increased cerebral blood vessel fragility and enlarged subdural spaces, frequently resulting in hematomas that develop over time. Increased intracranial pressure negatively impacts consciousness, resulting in drowsiness.
    • Spinal cord injury may arise from degenerative spinal changes causing arthritic spurs, narrowing vertebral canal, and neck movement.
    • Chest trauma can worsen due to rib brittleness and chest wall stiffness, whereas abdominal trauma frequently results in liver injury.
    • Burns carry significant risk of morbidity and mortality given weakened defense mechanisms and complicated fluid replacement due to renal compromise. Monitor hydration status.
    • Internal temperature regulation slows with age, with delayed recognition of temperature fluctuations. Heat gain/loss can be slowed from atherosclerotic vessels, slowed circulation, and decreased sweat production. Hypothermia and hyperthermia are risks for older adults who have impaired thermoregulation due to chronic conditions, medications and alcohol use.

    Assessment and Management of Trauma

    • Assess injury mechanism and pre-existing medical conditions to inform treatment.
    • Initial management prioritizes ABCDEs (Airway, Breathing, Circulation, Disability, Exposure).
    • Obtain a list of regular medications, particularly those that might impact treatment (beta-blockers, antihypertensives, diabetes medications).

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    Description

    This quiz covers the various changes occurring in the cardiovascular, nervous, sensory, digestive, and endocrine systems as a person ages. Participants will explore topics such as hypertension, mental decline, hearing impairments, and digestive issues related to aging. Understand how these changes impact overall health and well-being.

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