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7 Cards in this Set
- Front
- Back
Changes in the elderly – sexual changes
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-Sexual interest does not decrease.
-Intelligence does not decrease. Men: -Slower erection/ejaculation -Longer refractory period. Women: -Vaginal shortening, thinning, and dryness |
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Changes in the elderly – sleep patterns
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Decreased REM and slow-wave sleep, with increased latency and awakenings.
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Other changes in the elderly
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-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. |
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Grief
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Grief:
-Normal bereavement, characterized by shock, denial, guilt, and somatic symptoms. -May last up to one year. -Can be associated with illusions. |
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Pathologic grief
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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. |
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Sexual dysfunction
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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) |
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Differential diagnosis for sexual dysfunction
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DD for sexual dysfunction includes:
-Drugs – e.g., antihypertensives, neuroleptics, SSRIs, ethanol -Diseases – e.g., depression, diabetes -Psychological causes – e.g., performance anxiety |