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Healthy Aging: Heart, Cardiovascular Risk, and Neurological Changes, Exams of Nursing

Welder Training and Testing InstituteNursing

A comprehensive overview of changes in the aging heart, cardiovascular risk factors, and neurological disorders in older adults. It covers topics such as hypertension, heart failure, atrial fibrillation, stroke, alzheimer's disease, lewy body dementia, and diabetes complications. The document also includes exercises and questions related to these topics, making it a valuable resource for students studying gerontology, health sciences, or related fields.

Typology: Exams

2023/2024

Available from 10/29/2024

JOEMECLINE
JOEMECLINE 🇺🇸

122 documents

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EBERSOLE & HESS HEALTHY AGING
CH 21-24 ASSIGNMENT
Changes in the aging heart
- lower reserves = harder to respond to/recuperate from increased demand
- valves thicker and stiffer
- mild systolic murmur expected
- diastolic murmur is a problem
- 25% of deaths are r/t cardiac dz, abt 600K annually
- 1/2 of these are MIs
cardiovascular risk factors
nonmodifiable:
- age
- sex
- family hx
modifiable:
- smoking
- overweight
- poor diet
- sedentary
treatable:
- DM
- HTN
- HLD
- insulin resistance/metabolic syndrome
pf3
pf4
pf5

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Download Healthy Aging: Heart, Cardiovascular Risk, and Neurological Changes and more Exams Nursing in PDF only on Docsity!

EBERSOLE & HESS HEALTHY AGING

CH 21-24 ASSIGNMENT

Changes in the aging heart

  • lower reserves = harder to respond to/recuperate from increased demand
  • valves thicker and stiffer
  • mild systolic murmur expected
  • diastolic murmur is a problem
  • 25% of deaths are r/t cardiac dz, abt 600K annually
  • 1/2 of these are MIs cardiovascular risk factors nonmodifiable:
  • age
  • sex
  • family hx modifiable:
  • smoking
  • overweight
  • poor diet
  • sedentary treatable:
  • DM
  • HTN
  • HLD
  • insulin resistance/metabolic syndrome

how many people in the USA have HTN 1 out of 3 most common demographic: AA living in the South people over 60yo of any race should have a BP lower than 150/ complications of uncontrolled HTN increased risk of CVA, HF, cardiomyopathies death microvascular complications worsened renal insufficiency/failure presentation of MI in older adult may be "silent" - no classic s/s s/s may be atypical:

  • fall
  • change in mental status
  • dyspnea, fatigue a-fib clinical presentation
  • rapid and/or irregular HR
  • pt may be able to feel palpitations
  • fatigue, SOB
  • dizzy/syncope causes of a-fib DM OSA thyroid

fluctuating cognition hallucinations sleep and movement disturbances (without evidence of reversible causes) what are executive functions? EF = "get stuff done" part of your brain

  • organize, prioritize
  • self-regulating
  • STM/working memory
  • regulate attention, effort, speed
  • sustain focus, shift attention
  • modulate emotions inc frustrations distinction between PD and LB in PD, the movement problems come before cognitive problems in LB the cognitive problems come before the movement problems s/s LB severe loss of ability to think (problem solving, language, numbers) fluctuating attention/alertness hallucinations - 80% disordered sleep - mostly stay in REM sleep autonomic dysregulation decrease risk of NGDs by:

normal BP LDL < A1C <7% ASA81 if you have heart dz risk optimal control of HF don't smoke helpful for anticipated loss of motor c PD tai chi and stuff DM complications in older adults dry eye, mouth confusion incontinence weight loss anorexia dehydration delirium nausea poor wound healing components of metabolic syndrome hyperglycemia increased waist size r/t adipose tissue HTN HLD metformin contraindicated in? renal insufficiency antidiabetic meds contraindicated in elderly the sulfonylureas glyburide and chlorpropamide not like anyone really uses the latter anymore anyway percentage of those over 65 c hypothyroid