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Patient
Definition of Health
a multi-dimensional concept:
the World Health Organization defines it
as a state of complete physical, mental,
and social well-being, and not merely as
the absence of disease or infirmity
Healthy Aging
the
process of developing and
maintaining the functional ability that
enables well-being in older age
ADL’s vs IADL’s
VO2 max
Resting and maximum cardiac output
Sense of balance
Body water and sodium
Blood cell mass
Lean body mass
Glucose tolerance test
Immune Responses
Thermoregulation
Sympathetic Activity and Neurotransmitters
Disuse- Increases
Systolic Blood Pressure
Vestibular Sensitivity
Serum Total Cholesterol
Urinary Nitrogen and Creatinine
Bone Calcium Loss
Baseline- Evaluation for a Senior
Should include:
Evaluation of mental function
Evaluation of socioeconomic health
Nutritional status
Risks to health including fall risk, drug history, screened
for senior related disorders
Various testing
General Strategy Examining
Seniors
Consider
Most common conditions
Atypical presentations
Symptoms from drug interactions
Screen for cancer “if red flags noted”
Aging
Selective
Instrinsic and Extrinsic factors
Discontinous
Occasionally deleterious
Often Treatable
General Characteristics of Disease
in Eldery
Chronic vs Acute
Debilitating
Altered Response to treatment
Increased danger of medically induced morbidity an/or
mortality
Symptoms
Subtle
Vague
Atypical
Unreported
Diseases of Elderly