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7 Cards in this Set

  • Front
  • Back
Changes in the elderly – sexual changes
-Sexual interest does not decrease.
-Intelligence does not decrease.

Men:
-Slower erection/ejaculation
-Longer refractory period.

Women:
-Vaginal shortening, thinning, and dryness
Changes in the elderly – sleep patterns
Decreased REM and slow-wave sleep, with increased latency and awakenings.
Other changes in the elderly
-Increased Suicide rate: men 65=74 have highest suicide rate in US

-Diminished vision, hearing, immune response, bladder control.

-Decreased renal/pulmonary/GI function.

-Decreased muscle mass, increased fat.
Grief
Grief:

-Normal bereavement, characterized by shock, denial, guilt, and somatic symptoms.

-May last up to one year.

-Can be associated with illusions.
Pathologic grief
Pathologic grief includes excessively intense grief; prolonged grief; or grief that is delayed, inhibited, or denied.

May be associated with depressive symptoms, delusions, and hallucinations.
Sexual dysfunction
Sexual dysfunction includes:
-sexual desire disorders (hypoactive sexual desire or sexual aversion);
-sexual arousal disorders (erectile dysfunction)
-orgasmic disorders (anorgasmia, premature ejaculation)
-sexual pain disorders (dyspareunia, vaginismus)
Differential diagnosis for sexual dysfunction
DD for sexual dysfunction includes:

-Drugs – e.g., antihypertensives, neuroleptics, SSRIs, ethanol

-Diseases – e.g., depression, diabetes

-Psychological causes – e.g., performance anxiety