Podcast
Questions and Answers
What is the effect of decreased insulin receptors in beta cells?
What is the effect of decreased insulin receptors in beta cells?
- Enhanced insulin sensitivity
- Delayed insulin production (correct)
- Improved glucose regulation
- Increased insulin production
What happens to the liver in some older adults with Type 2 diabetes?
What happens to the liver in some older adults with Type 2 diabetes?
- It fails to inhibit glucose production (correct)
- It becomes more sensitive to insulin
- It becomes more resistant to insulin
- It increases insulin production
What is a symptom of Type 2 diabetes?
What is a symptom of Type 2 diabetes?
- Weight gain
- Decreased appetite
- No change in appetite
- Weight loss despite increased appetite (correct)
What is an effect of insulin resistance in target tissues?
What is an effect of insulin resistance in target tissues?
What is a cardiovascular symptom of Type 2 diabetes?
What is a cardiovascular symptom of Type 2 diabetes?
What is a neurologic symptom of Type 2 diabetes?
What is a neurologic symptom of Type 2 diabetes?
What is a potential complication of thyroid disorders?
What is a potential complication of thyroid disorders?
Which of the following is a potential consequence of neglect or abuse?
Which of the following is a potential consequence of neglect or abuse?
What is a radiologic examination that may be used to diagnose thyroid disorders?
What is a radiologic examination that may be used to diagnose thyroid disorders?
What is a goal of the care plan for a patient who is a victim of abuse?
What is a goal of the care plan for a patient who is a victim of abuse?
What is a potential effect of thyroid disorders on the musculoskeletal system?
What is a potential effect of thyroid disorders on the musculoskeletal system?
What is a potential effect of thyroid disorders on the eyes?
What is a potential effect of thyroid disorders on the eyes?
What is a potential complication of thyroid disorders in males?
What is a potential complication of thyroid disorders in males?
What is a social service that may be involved in the care of a patient who is a victim of abuse?
What is a social service that may be involved in the care of a patient who is a victim of abuse?
What is the primary purpose of referring the patient to Adult Protective Services?
What is the primary purpose of referring the patient to Adult Protective Services?
How can a nonjudgmental environment be promoted?
How can a nonjudgmental environment be promoted?
What is the benefit of allowing the patient to verbalize their feelings?
What is the benefit of allowing the patient to verbalize their feelings?
What is a suggested alternative to focusing on sexual performance?
What is a suggested alternative to focusing on sexual performance?
What is a potential resource that can be offered to the patient?
What is a potential resource that can be offered to the patient?
What is the patient expected to exhibit in a nonjudgmental environment?
What is the patient expected to exhibit in a nonjudgmental environment?
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Study Notes
Type 2 Diabetes
- Results from abnormal insulin secretion, or resistance to insulin action in target tissues
- Number of insulin receptors in the islets of Langerhans decreases slightly with age, leading to reduced sensitivity to high glucose levels and delayed insulin production
- In some older adults, the liver fails to inhibit glucose production after insulin binds to the receptor
Symptoms of Hyperthyroidism
- Integumentary: warm, flushed skin, fine, soft hair
- Neurologic: difficulty concentrating, excitability or nervousness, tremor, difficulty sleeping
- Cardiovascular: tachycardia, full, bounding pulse, hypertension
- Respiratory: dyspnea on exertion and at rest
- Genitourinary: gynecomastia in males, weakness, fatigue, muscle atrophy
- Eyes: exophthalmos, inflammation of the conjunctivae, cornea, or eye muscles
- Potential complications: myxedema coma, thyroid storm, angina, heart failure
Elder Abuse
- Risk factors: caregiver stress, negative view of aging
- Interventions:
- Evaluate potential for harm and consult social work if necessary
- Monitor patient for signs of neglect or abuse
- Discuss abusive relationship with patient to assist in recognition of the problem
- Contact social services for financial and legal support and alternate living arrangements
- Refer patient to Adult Protective Services or other community agencies that deal with elder abuse
Age-related Chronic Illnesses and Medications
- Chronic pain and emotional factors may contribute to fear related to sexual performance
- Interventions:
- Promote a nonjudgmental environment with reduced anxiety and fear
- Encourage patient to verbalize feelings about performance
- Offer resources such as a counselor or other mental health professionals
- Encourage patient to focus on less threatening forms of intimacy to promote positive reinforcement
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