The Twilight Years

Description

Mind Map on The Twilight Years, created by mahmoud eladl on 21/10/2016.
mahmoud eladl
Mind Map by mahmoud eladl, updated more than 1 year ago
mahmoud eladl
Created by mahmoud eladl about 8 years ago
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Resource summary

The Twilight Years
  1. Demographics
    1. Ahmed,75, retired school teacher,mariam,65,midwife,2 daughters
    2. physiological changes
      1. skin
        1. Decrease in keratinocytes
        2. Musculoskeletal
          1. decreased fiber size
          2. Respiratory
            1. Alveoli fewer in number
            2. cardiovascular
              1. cardiac output decrease
            3. geriatrics
              1. Caring for Older Adults ( 65 and above )
              2. Role of elderly in society
                1. Teaching behavior / sharing experience
                2. Active aging
                  1. is the process of optimizing opportunities for health, participation and security in order to enhance quality of life as people age
                  2. Aging vs. ageism
                    1. Aging
                      1. biological changes that occur over time in an individual that are associated with a decline in function and increase risk of death
                        1. types ; primary secondary
                      2. Agesim
                        1. is a form of discrimination and prejudice
                          1. types: positive negative
                      3. Societal views about aging
                        1. Some people said they are important and other said they are useless
                        2. challenges faced by elderly
                          1. Physiological/ Psychological Social/ Emotional /Financial
                            1. Retirement /Ageism Social Isolation
                            2. Myocardial infarction
                              1. usually caused by a blood clot, which stops the blood flowing to a part of your heart muscle
                                1. how heart cells replaced by scar tissue
                                2. stable angina
                                  1. feel it at physical activity and relieved
                                  2. unstable angina
                                    1. feel it at rest and relieved
                                  3. biological basis of aging (mutation)
                                    1. Cellular Senescence
                                      1. Telomere Shortening
                                        1. Genomic Damage
                                          1. Senescent Cells and Cancer
                                          2. Fat distribution of fat in males and females
                                            1. women store more fat in the gluteal-femoral region
                                              1. men store more fat in the visceral (abdominal) depot
                                              2. Normal body weight, obesity, BMI
                                                1. Body mass index (BMI) is measure of body fat based on height and weight
                                                2. fed vs fasting state (major metabolic pathways, role of liver)
                                                  1. fed state
                                                    1. fasting state
                                                    2. Health risks in the aged
                                                      1. Arthritis
                                                        1. Heart disease
                                                          1. Diabetes
                                                          2. Nutritional needs
                                                            1. Iron: male (same) female (decreases)
                                                              1. Protein: male (decreases) female (increases)
                                                                1. Calcium must meet the satisfied levels
                                                                2. Problems of prescribing in elderly
                                                                  1. multiple medication use
                                                                    1. Drug-drug interactions
                                                                      1. use medicinal herbs and other dietary supplements and may not tell their health care providers
                                                                      2. Pharmacological changes in elderly
                                                                        1. elderly persons tend to be on multiple medications due to
                                                                          1. Age-related health problems
                                                                            1. Many physiological changes in drug pharmacokinetics and pharmacodynamics
                                                                          2. risk factors of falling
                                                                            1. Inflammation of joints
                                                                              1. Hypotension
                                                                                1. Auditory and visual problems
                                                                                  1. Tremor
                                                                                    1. Equilibrium
                                                                                    2. Adverse drug events in elderly
                                                                                      1. an injury resulting from the use of a drug
                                                                                        1. adverse drug reactions and overdoses
                                                                                          1. dose reductions and discontinuations of drug therapy
                                                                                        2. Functional assessment screening
                                                                                          1. assess the functional, cognitive and affective status of older patients
                                                                                          2. Rehab
                                                                                            1. the reduction of functional deficits without necessarily reversing the underlying biology of the disease
                                                                                              1. Disorders requiring rehabilitation
                                                                                                1. hip fracture
                                                                                                  1. limb amputation
                                                                                                    1. Alzheimer's disease
                                                                                                  2. Psychological problems
                                                                                                    1. Depression
                                                                                                      1. Suicide
                                                                                                        1. Insomnia
                                                                                                          1. Dementia
                                                                                                          2. Healing and repair
                                                                                                            1. Wound healing slows with age
                                                                                                              1. Factors that cause decreased tissue repair
                                                                                                                1. Loss of elasticity
                                                                                                                  1. Decline in collagen content
                                                                                                                2. Services in UAE
                                                                                                                  1. Rochester wellness
                                                                                                                    1. Physiotherapy, Occupational Therapy, Hydrotherapy and Speech Therapy
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