RN' M'Ed Nursing Administration

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Illness and Aging
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Administration)
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Hidden in illness the Elderly

• Depression Hearing loss
• Incontinence Dementia
• Musculoskeletal stiffness Dental problems
• Falling Poor nutrition
• Alcoholism Sexual dysfunction
• Osteoporosis Osteoarthritis

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  ???????????? (vague) ?????????????????????????????
  ?

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• ?????????????????????????????????????????????????
  ????????????????? ?????????????????? nonspecific
  sign of illness

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Nonspecific Symptoms

• Confusion Apathy
• Self-neglect Anorexia
• Falling Dyspnea
• Incontinence Fatigue

Ham, 2006
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In the elderly, an abrupt change in functional
status is a vital sign of potential illness
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Typical Altered Presentations of specific
Illnesses in the elderly
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Depression without sadness Infections disease
without leukocytosis, fever, or
tachycardia Silent surgical abdomen Silent
malignancy (mass without symptoms) Myocardial
infarction without chest pain Nondyspnic
pulmonary edema Apathetic thyrotoxicois
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• ???? (?????????????????????????????? ??.)
• ??????????? ????? (ignorance)
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• Multiple causes for each syndrome
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• Urinary incontinence
• Falling interaction of multiple factors

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• Functional Status Losing , maintaining ,
  Recording

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• Age in and of itself is never a criterion for
  medical decision-making function is

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• Three essentials for a successful old age good
  exercise, good nutrition, and a sense of purpose

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Common Clinical problems Physiological

• Alteration in mobility
• Potential for injury from falls
• Alteration in skin integrity
• Altered nutritional status
• Sleep pattern disturbances
• Iatrogenesis

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