NUR 424 Lecture Notes - Lecture 15: Gastroparesis, Gerontological Nursing, Vascular Resistance
Document Summary
Chapter 11: health care of the older adult. Overview of aging: aging: process of time-related changes. Demographics of aging: % of americans 65 yrs. tripled in 100 years, (cid:313)life expectancy, women > men (white women have the longest lifespan) Age-related changes: functional decline, changes in appearance, (cid:315) ability to maintain homeostasis, decline in organ function, (cid:313) vulnerability to disease & stress. Integumentary system changes with aging: atrophy of all skin layers = (cid:315) insulation, (cid:313) risk of skin injury & infection, (cid:315) perspiration from (cid:315) number & activity of sweat glands = potential for hyperthermia. Nursing management: (cid:315) subcutaneous fat, interstitial fluid, muscle tone, glandular activity, sensory receptors. Capillary fragility. (cid:315) secretion of natural oils = (cid:313) risk of skin injury from trauma, sun exposure, temperature extremes. Changes in the genitourinary system with aging: female: relaxed perineal muscles, detrusor instability, urethral dysfunction = urge incontinence, stress urinary incontinence, male: bph = urinary frequency, urgency, hesitancy, incomplete bladder emptying.
