Verifed Ace the Test
Body composition changes in older adult - ANSWER ✔✔decreased
water weight, increased fat
changes in brain older adult - ANSWER ✔✔weight decreases by 7%,
atrophy is normal
taste/smell changes older adult - ANSWER ✔✔taste buds reduced by
70%
cardiac function older adult - ANSWER ✔✔maximum heart rate
decreases to around 155, reduced cardiac output during stress
changes in kidney function older adult - ANSWER ✔✔renal perfusion
decreases by 50%
,changes in bone mineral content older adult - ANSWER
✔✔decreased by 10-30%
prostate gland older adult - ANSWER ✔✔increases by 100% in size
changes sexual function older adult - ANSWER ✔✔men: decreased
ability to get an erection, decreased ejaculatory flow
women: menopause, less lubrication, vaginal atrophy
the rule of fourths - ANSWER ✔✔4 things that cause disability in the
elderly: disease, disuse, misuse, and physiologic aging
effects of polypharmacy - ANSWER ✔✔drug interactions, increased
risk of falls, and cognitive impairment
decreasing medication complexity for older adults - ANSWER
✔✔Decreasing complexity of medication regimen will improve
adherence.
When selecting a regimen, choose a medication requiring fewer doses
per day.
Use combination tablets to reduce pill burden.
When adding a new medication, consider whether any other medication
could be
,discontinued, or the dose reduced
recommendations for vaccines older adults - ANSWER ✔✔shingles,
flu, pneumococcal, tdap q10 years, hepatitis A/B if at risk
prevention of polypharmacy - ANSWER ✔✔One way to reduce
polypharmacy is to try nonpharmacologic therapies first.
oDiet, exercise, stress management, and cognitive-behavioral therapy.
Be very clear of about drug use instructions and possible side effects.
screening for alcohol abuse in older adults - ANSWER ✔✔CAGE
tool:
cut down, annoyed when criticized, guilty about drinking, and eye-
opener
smoking cessation older adults - ANSWER ✔✔When smoking
cessation interventions are tailored to older adults, their rate of smoking
cessation equals that of a younger person.
Smoking cessation is most successful when pharmacotherapy is in
combination with
counseling
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, adverse effects smoking cessation drugs - ANSWER ✔✔The nicotine
patch may cause local skin irritation, gum may cause mouth
soreness or dyspepsia, nasal irritation may occur with nasal spray (or
oral
irritation if used as an inhaler).
Nicotine may also cause insomnia.
Bupropion may also cause insomnia and dry mouth.
Varenicline can cause nausea, and caution is needed with persons with
a
history of depression who are at risk of suicide
opioid use older adults - ANSWER ✔✔The longer the duration of
opioid use, the greater risk of developing an opioid use disorder.
Opioids should never be first-line treatment for chronic pain.
Emphasize to the patient that opioids should be taken only as prescribed
and with consistent
follow-up on the part of the clinician as to effectiveness
alcohol effects on older adults - ANSWER ✔✔-As the body ages,
there is a decrease in total volume of body water.