Older adults age-related changes - ✔✔-increase in body fat, less % body water
-brain weight decreases, atrophy
-reduced stage 3 + 4 sleep, frequent awakenings
-reduced vision, reduced intensity
-reduced hearing equity esp. high frequencies
-reduced max HR- predisposed to HF during sepsis/pneumonia/surgery
-decreased renal perfusion
-diminished bone mineral content
-prostate gland size increases
-reduced intensity + persistence of erections, decreased ejaculate/flow
-menopause, reduced lubrication, vaginal atrophy
Older adults- categories of aging - ✔✔
Immunizations - ✔✔-influenza: 1 dose annually
-TDAP: one dose then booster q10years
-Shingrex: 2 doses 2-5 months apart
-pneumococcal: 1 dose PPSV23, 1 dose PSV 13 in high risk pts
-Hep A/Hep B if at risk
Health promotion - ✔✔-smoking cessation: behavioral approaches and pharmacotherapy
-screen for alcohol use/abuse (meds that interact w/ alcohol: abx, antidepressants,
barbiturates, benzos, h2ra, muscle relaxors, NSAIDs, opioids, warfarin)
-avoid opioids
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