Age-Related Factors Influencing Geriatric Care
- Frequent absence of social and financial support
- Example: deceased spouse, inadequate income from pension
- Presence of significant concurring illness
- Example: dementia, chronic obstructive pulmonary disease, congestive heart failure, depression, diabetes
- Altered pain perception
- Example: increased incidence of referred pain
- Impaired homeostatic mechanisms
- Example: increased problems with dehydration, incontinence, impaired defecation, altered immune status
- Impaired mobility
- Example: dependent on walkers, need for bed transferring, use of transportation, may have Parkinsonism, degenerative joint disease
- Increased frequency of adverse reaction to drugs
- Impaired equilibrium, resulting in falls
Older Adult
Diet
- Encouraged a diet low in fat, high in fiber, iron, vitamin C, thiamine, with adequate sources of calcium
- If confined to bed rest, the elderly need fluid intakes as high as 3-4 liters a day to prevent kidney stones, providing they have no fluid restrictions
- Since the older adult often has impaired renal function, protein intake should be evaluated
Nursing Implications
- Income is usually fixed; may have less money to spend on food
- Food shopping and transportation may be a problem due to physical disability
- Alteration in taste and reduced digestive function occurs
- Often need to wear dentures
- Logical sequence of eating food is biting, chewing and swallowing. New denture wearers should be encouraged to reverse this order – swallow a liquid diet first, then chew soft foods, and last, bite regular foods
- The older adult may intentionally restrict fluids because of nocturia or stress incontinence
- Constipation is a chronic problem secondary to decreased peristalsis, encourage fluids and high fiber diet
- Loneliness and depression are often associated with poor appetite
- Usually it takes more time for an older person to eat and early satiety is reached
- Encourage frequent small feedings, rather than 3 meals; providing fluid supplements is beneficial
HOW I GOT CURED OF HERPES VIRUS.
ReplyDeleteHello everyone out there, i am here to give my testimony about a herbalist called dr imoloa. i was infected with herpes simplex virus 2 in 2013, i went to many hospitals for cure but there was no solution, so i was thinking on how i can get a solution out so that my body can be okay. one day i was in the pool side browsing and thinking of where i can get a solution. i go through many website were i saw so many testimonies about dr imoloa on how he cured them. i did not believe but i decided to give him a try, i contacted him and he prepared the herpes for me which i received through DHL courier service. i took it for two weeks after then he instructed me to go for check up, after the test i was confirmed herpes negative. am so free and happy. so, if you have problem or you are infected with any disease kindly contact him on email drimolaherbalmademedicine@gmail.com. or / whatssapp --+2347081986098.
This testimony serve as an expression of my gratitude. he also have
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