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Understand health care issues in hospitals related to elderly care, nutritional assessment challenges, benefits of regular exercise, management of stress, fall prevention, and safe drug use. Learn how to address common health concerns in aging adults.
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Common Health Issues and Concerns • Nutrition • Mobility • Stress and loss • Safety • Drug use and misuse • Mental health/behavioral health • Elder neglect and abuse
HEALTH CARE ISSUES IN HOSPITALS • The Fulmer SPICES framework Sleep disorders Problems with eating or feeding Incontinence Confusion Evidence of falls Skin breakdown
NUTRITIONAL ASSESSMENT • What factors cause inadequate nutrition intake with the aging populations?
Nutrition • Causes of older adult malnutrition: • Inflation, reduced income, and lack of transportation • Inappropriate or unbalanced foods • Trouble carrying heavy bags or packages • Loneliness • Diminished sense of taste and smell • Tooth loss and poorly fitting dentures
Benefits of Regular Exercise • Decreased risk for falls • Increased mobility • Increased sleep • Reduced or maintained weight • Improved well-being and self-esteem • Fewer depression symptoms • Improved longevity • Reduced risk for DM and CAD
Frequent Sources of Stress • Rapid environmental changes • Changes in lifestyle • Acute or chronic illness • Loss of significant others • Financial hardships • Relocation stress syndrome
Fall Prevention and Safety • Home modification • Exercise • Tai chi
Driving Safety • Motor vehicle accidents are the most common cause of injury-related death in the young-old population, those between 65 and 74 years of age. • Adult driver safety: • Attend driving refresher classes. • Avoid high-risk driving conditions. • Be aware of prescription side effects.
Drug Use and Misuse • Polypharmacy • May not be able to tolerate standard dosage of drugs • Physiologic changes from aging can affect absorption, distribution, metabolism, and excretion of drugs from the body • “Start low and go slow” policy • Self administration of drugs