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211: Geriatric Considerations

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Question
Answer
show rate, effect  
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show chronological  
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show genetic makeup., lifestyle, health status, cardiovascular fitness  
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how does aging affect size of brain   show
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show decrease weight  
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show nuerons  
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how does aging affect neurotransmitters   show
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neurotransmitter examples   show
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ACh function   show
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decreased speed of conduction of neurotransmitter results in what?   show
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show tremors 'Parkinson like syndrome'  
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how does aging affect NM system?   show
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show the standard for defining exercise ability/efficiency (aerobic capacity)  
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show decrease, decreases with deconditioning  
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show does not change with age - unless a Hx of pneumonia or asthma  
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how does age affect resting HR   show
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how much does resting HR decrease per decade   show
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why does BP increase with age   show
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show thickening (fat accumulation)  
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show decreased resilience of vessel walls (hardening)  
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HR max formula for elderly   show
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show age related: time/age related but are not necessarily caused by aging processes age dependent: related to normal aging, almost everyone will experience  
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show CAD/ischemic heart disease - Common but not 'normal' change with age  
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what is most common cause of CAD   show
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show decrease blood flow --> angina -->MI --> tissue death  
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show decrease  
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show increase  
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show increase  
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show increase  
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aging causes delayed response of ____   show
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show pacemaker  
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how does age affect residual volume   show
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show decrease = decrease o2 sats and increased risk of pneumonia  
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show max you can breathe out  
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show decrease elasticity  
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show decreased activity  
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show 30-50%  
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show decrease  
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how much does the work of respiratory muscles increase with aging?   show
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tidal volume   show
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max ventilatory capacity   show
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show basic protein which increases tensile strength  
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show increase diameter, increase cross linkages (tighter and less flexibility), increase strength of collagen fibers  
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show allow for return to original length following stretch  
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how does aging affect elastin   show
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ground substance (glycoproteins)   show
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show decrease (can also decrease from dehydration), if hydration decreases then more wrinkling  
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show •increase cross - linkages of collagen lead to in tensile strength decreased elasticity in skin, arteries and bronchial tree •decrease fluid in tissues •Net result = rigidity, tendency for adhesions  
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show gentle stretches, massage works well in the elderly  
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how does aging affect the epidermis   show
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show liverspots  
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how to prevent bruising in elderly   show
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how does age affect the dermis   show
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show Gait belts, transfers, structural damage at shoulders, taping, wrapping, splinting, orthotics  
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how does aging affect temperature regulation?   show
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show cooling, Do not exercise them in a warm/hot room - need a cool room/ not cold either  
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factors that can affect temperature regulation   show
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show type 2 (more in the LE than UE  
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show reduction in the number of mm fibers per motor unit, decreased speed of contraction  
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show decrease Muscle mass, endurance, strength, speed of contraction, tissue compliance  
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show •Bladder/bowel incontinence and retention, Bed sore •Emotional trauma, Electrolyte imbalance •Deconditioning, Depression, Demineralize bone •ROM - contractures, Renal dysfunction • Energy depletion •Sleep disorders, Sensory deprivation •Trouble  
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