Normal Aging And Physical Assesment

Front 1

Common vision changes

Back 1

1.Dry eyes

2. Cornea loses transparency: cloudy vision

3. Collagen fiber thickens

4. Lens loses elasticity

5. Vitreous humorous loses transparency: cloudy vision

6. Aqueous humor declines: anterior chamber behind cornea

7. Presbyopia: inability to focus on nearby objects

8. Increased glare

9. Contrast sensitivity declines

10. Narrowing visual field

11. Impaired visual attention

12. Decline in rods: low light decreases

Front 2

Presbycusis

Back 2

Sensoral hearing loss or high frequency hearing loss gradual change

Front 3

Ctosoclerosis

Back 3

Progressive hearing loss due to motility of stapes

Front 4

Physical changes to auricle

Back 4

1.Cerum glands shrink: dry ear wax

2. External ear canal narrows: decreases conductive hearing

3. Tympanic membrane stiffens: decrease vibrations

4. Skin thins: tears easily

5. Ear hair lengthen and becomes denser: causes loss of hearing due to low vibration

6. Decreases elasticity and blood flow: vibration in inner travels less

7. Vestibular changes affect balance/dizziness

Front 5

Nursing implication of hearing loss

Back 5

Make sure you speak to facing them.

Safety walking on streets.

Social withdrawal b/c can not hear conversation.

Front 6

Cataracts

Back 6

Hazy vision can be surgically repaired

Front 7

Glaucoma

Back 7

Vision narrowing common meds to help is Timolol, latanoperst

Front 8

Diabetic retiropathy

Back 8

Leading cause of blindness in older adults. Screening is by dilated eye exam. Glucose molecular gets caught in blood vessel of eye.

Front 9

Retinal detachment

Back 9

Loss of vision. Treated with injecting air bubble into eye.

Front 10

Macular degeneration

Back 10

Lost of central vision caus d from smoking, diabetes, high b/p, preventing screening

Front 11

Cornea ulcer

Back 11

R/T decreases tearing dryness, painful

Front 12

Hyposmia/ anosmia

Back 12

Loss of smell due to loss of neurons, weaken pathways to the brain, emailing is greatest contributor, result is stop eating as much

Front 13

Hypogenusia/ageusia

Back 13

Decrease in taste buds, candidiasis infection: fungal infection White plaque,

Effects are can not taste bad food or meds, decrease in taste where everything taste like sand or bland

Front 14

Proprioception

Back 14

Sensorimotor body sensitivity and perception to touch, pressure, temperature, pain, position.

W/aging there is a decline in lower limb sensory.

Front 15

Mechanoreceptors

Back 15

Pressure receptors in the skin decrease and change

Decline in sensory motor neurons, increase in pain response,

RN need to be aware of touch

Front 16

Integumentary for older adults

Back 16

Skin thins,

Loss of blood flow: delayed healing

Loss of subcutaneous tissue fat

Loss of hair

Nails thickens and can yellow and reduce in growth.

Front 17

Musculosketal of aging adult

Back 17

1. Loss of bone and lean body mass: boney prominent cause bed sores

2. Bone remodeling takes longer rate to mineralization decreases

3. Cartilage becomes more brittle: reduced remodeling and reduction in collagen flexibility

4. Decreases flexible and ROM

Front 18

Primary health promotion

Back 18

Education on older adult normal aging

Front 19

Secondary health promotion

Back 19

Health screenings

Develop intervention for deficits

Front 20

Tertiary health promotion for aging adult

Back 20

Identify poor coping responses to loss of sensory

Create a safety secure environment

Help successful aging, maximize things that improve the process, reduce impact of environment.