NR 601 Midterm study guide Chapter 1: Changes with Aging - Notes Fundamental Considerations - Recognize that presenting features of disease/illness may be different and having a greater awareness o f ... the impact of chronic illness on the patient. - Perspective is different than with younger adults. Physiological Changes with Aging - The clinician must be aware that all the systems interact an, in doing so, can increase the older person’s vulnerability to illness/disease. - During the clinical decision-making process, the clinician knowledgeable about physiological changes with aging will be less likely to undertreat a treatable condition. -Example- Use the diagnostic process to differentiate the more benign seborrheic keratosis from actinic keratosis. - Be informed; do not attribute a finding to the aging process alone. The elder may conclude there is no point in changing behavior, because the process is inevitable. - Three primary points: 1) There is a reduced physiological reserve of most body systems, particularly cardiac, respiratory, and renal. 2) There are reduced homeostatic mechanisms that fail to adjust regulatory systems such as temperature control and fluid and electrolyte balance. 3) There is impaired immunological function: infection risk is greater, and autoimmune diseases are more prevalent [Show More]
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