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PHARMACOLOGIC ASPECTS OF AGING
What is Pharmacology? ,[object Object],[object Object],[object Object]
How Does it Affect the Older People ,[object Object],[object Object],[object Object],[object Object],[object Object]
Medications Given to Elders, if not Monitored Properly can ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples ,[object Object],[object Object],[object Object],[object Object]
Altered Pharmacokinetics ,[object Object]
 
[object Object]
Nursing Implications ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
Teaching Self Administration of Medication ,[object Object],[object Object],[object Object],[object Object],[object Object]
Steps ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
GERIATRIC SYNDROMES: MULTIPLE PROBLEMS WITH MULTIPLE ETIOLOGIC FACTORS
What are these Syndromes? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Impaired Mobility ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
Dizziness ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Causes of Dizziness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where are Proprioceptors Found? ,[object Object],[object Object],[object Object]
Falls and Falling ,[object Object],[object Object]
Risk Factors that contribute to Falling ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Forms of Restraints Used in Institutionalized Elderly People ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rehabilitative strategies to prevent Fall ,[object Object],[object Object],[object Object]
Environmental Strategies to Prevent Falling ,[object Object],[object Object],[object Object],[object Object]
Urinary Incontinence ,[object Object],[object Object],[object Object]
[object Object]
Types of UI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transient ,[object Object],[object Object]
Attributed Transient UI Causes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Attributed Transient Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Urge Incontinence ,[object Object],[object Object],[object Object],[object Object]
Stress Urinary Incontinence (SUI) ,[object Object],[object Object]
Overflow Incontinence ,[object Object],[object Object],[object Object]
Functional Incontinence ,[object Object],[object Object]
Mixed Incontinence ,[object Object]
Strategies for Continence Promotion and Management of UI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Common Drug Causes of Incontinence   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Behavioral Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other Measures & Support ,[object Object],[object Object],[object Object],[object Object],[object Object]
AIDS in Older Adults ,[object Object],[object Object]
Mode of Transmission ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Common AIDS-indicator diseases in older people are ,[object Object],[object Object],[object Object],[object Object]
 
Pneumocystis carinii pneumonia
Wasting Syndrome
 
END Thank you!!
 
 
 

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Pharmacologic aspects of aging

Editor's Notes

  1. Toxicology - the study of the adverse effects of chemicals on living organisms
  2. polypharmacy: the administration of multiple medications at the same time; common in older persons with several chronic illnesses
  3. Phenytoin acts as anticonvulsant for epilepsy Phenothiazines Any of a group of drugs derived from this compound and used as tranquilizers in the treatment of psychiatric disorders, such as schizophrenia
  4. The actions of the drug on the body are termed pharmacodynamic
  5. Perfusion – delivery of nutrients through arterial blood to capillary
  6. With advanced age, body weight, total body water, lean body mass, and plasma albumin (protein) all decrease, while body fat increases. Consequently, agents that are highly protein-bound have fewer binding sites and higher pharmacologic activity, whereas fat-soluble agents have more binding sites, and therefore enhanced storage and delayed elimination.
  7. Diabetic neuropathy - neuropathic disorders that are associated with diabetes mellitus; complication of diabetes causing damage to the nerves Osteoarthritis  is a type of arthritis that is caused by the breakdown and eventual loss of the cartilage of one or more joints. Parkinson's disease  (PD) belongs to a group of conditions called motor system disorders, which are the result of the loss of dopamine-producing brain cells
  8. Passive exercise:  This type is for people who cannot actively participate in exercise. No effort is required from them. The therapist moves their limbs
  9. Proprioceptors are specialized sensory receptors on nerve endings found in muscles, tendons, joints, and the inner ear. These receptors relay information about motion or position and make us aware of our own body position and movement in space. Proprioceptors detect subtle changes in movement, position, tension, and force, within the body.
  10. Impulsive behavior - action initiated without due consideration or thought as to the costs, results, or consequences
  11. Polyuria - excessive or abnormally large production and/or passage of urine
  12. fecal impaction  is a solid, immobile bulk of human feces that can develop in the rectum as a result of chronic constipation
  13. Anticholinergics are a class of medications that inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells Alpha -blockers are useful in the treatment of primary hypertension calcium channel blockers  (CCBs) are a class of drugs and natural substances that disrupt the calcium (Ca2+) conduction of calcium channels
  14. An  indwelling urinary catheter  is one that is left in place in the bladder.
  15. Pneumocystis carinii pneumonia - caused by the yeast-like fungus found in the lungs of people Kaposis Sarcoma – tumor in skin Wasting syndrome – Cachexia loss of body mass that cannot be reversed nutritionally: even if the affected patient eats more HIV encephalopathy - AIDS dementia complex - infection and latter impairment of the neural cells by HIV