GROUP-4-NCM-114 (1).pdf

  Additionally, beta cells The number of in the islets of Type 2 diabetes insulin receptors Langerhans become less results from decreases slightly sensitive...

  Additionally, beta cells The number of in the islets of Type 2 diabetes insulin receptors Langerhans become less results from decreases slightly sensitive to high abnormal insulin with age, resistance glucose levels, delaying secretion, or is believed to occur insulin production. In resistance to insulin some older adults, the action in target after insulin binds liver fails to inhibit tissues. with the receptor. glucose production.     Nervousness Heat Intolerance Weight loss, despite Sweating increase appetite Diarrhea Tremor Palpitations Integumentary Neurologic Cardiovascular Respiratory Warm, flushed Difficulty Tachycardia Dyspnea on skin. concentrating Full, bounding exertion and at Fine, soft hair Excitability or pulse rest nervousness Hypertension Genitourinary Musculoskeletal Eyes Potential Complications Gynecomastia Weakness Exophthalmos Myxedema in males Fatigue Inflammation of coma Muscle atrophy the conjunctivae, Thyroid storm cornea, or eye Angina muscles Heart failure   VIOLENCE CAREGIVER STRESS NEGATIVE VIEW OF AGING INTEGUMENTARY GENITOURINARY NEUROLOGIC MUSCULOSKELETAL  Radiologic examinations Computed tomography scan Blood tests Serum drug levels Serum electrolyte studies Venereal disease screening Photos of injuries Oral screening Adult Protective Services Social services Home care Discharge planner Family member or caregiver  Risk for injury related to physical harm and abuse The patient will: Prevent further injury to the Remain free from further abuse patient Evaluate the potential for harm and, if necessary, consult social work to follow up with the patient upon discharge to ensure the patient's safety. Monitor the patient for signs of neglect or abuse to prevent further injury. Discuss the abusive relationship with the patient to assist in the patient's recognition of the problem and its magnitude. Contact social services for financial and legal support and alternate living arrangements. Refer the patient to Adult Protective Services or other community agencies that deal with elder abuse to increase the patient's sense of safety.  AGE CHRONIC ILLNESSES MEDICATIONS CHRONIC PAIN EMOTIONAL FACTORS  Fear related to sexual performance The patient will: Promote a nonjudgmental Exhibit behaviors consistent environment. with reduced anxiety and Provide emotional support. fear. Encourage the patient to verbalize his/ her feelings about performance. Allowing the patient to verbalize his/her feelings, aids in identifying his concerns and helps to facilitate therapeutic dialogue. Offer to provide resources such as a counselor or other mental health professionals. Encourage the patient to focus on less threatening forms of intimacy to promote positive reinforcement. _ _ _ _