NSE 12A/B Lecture Notes - Lecture 3: Osteoarthritis, Prostate, Cardiovascular Disease
27 Mar 2017
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Nursing assessment must take account of 5 key points: Interrelation b/w physical and psychological aspects of aging: effects of disease and disability on functional status, decreased efficiency of homeostatic mechanism, lack of standards for health and illness norms, altered manifestation of and responses to specific disease. Physiological changes: make older adults more vulnerable to common clinical conditions/diseases, general survey. Quick head-to-toe scan, document in concise description. Looks for common aging signs (wrinkles, grey hair, loss of body mass in extremities, increase. Spots and lesions (cid:894)s(cid:373)ooth (cid:271)row(cid:374) irregularly shaped spots (cid:862)age spots(cid:863) (cid:862)se(cid:374)ile le(cid:374)tigo(cid:863)) Small red or brown cherry angiomas on trunk. Loss of subcutaneous fat/skin elasticity vocal changes visual acuity (decrease in pupil size, development of opacities of lens, loss of lens elasticity) Prebycusis (decrease in ability to hear high-pitched sounds and sibilant consonants) colour vision auditory changes taste bud atrophy: thorax/lungs. Calcification of costal cartilage causes decreased mobility of ribs. Decreased contractile strength of myocardium = decreased cardiac output.
