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Older Adult Client (Nervous System (declining nervous system function may…

- - - - Health Promotion: regular examinations, pap-smear, breast self exams
  - - - Health promotion: regular examinations, routine prostate-specific antigens, testicular self exams
- - - - symptoms include fatigue, weakness, and lethargy, depression and disinterest in activities, anorexia, weight gain and puffy face, impaired hearing, periorbital or peripheral edema, constipation, cold intolerance, myalgia, paresthesia, and ataxia, dry skin and coarse hair
  - - - type 2 diabetes affects 20% of the older population, high prevalence among African Americans and people who are 65 to 74 years of age.
      - obesity and inactivity contribute to the high prevalence of diabetes mellitus.
      - screening with the use of fasting blood sugar is recommended every 3 years for persons over 45 years of age.
      - some indications of diabetes in older adults include orthostatic hypo-tension, periodontal disease, stroke, gastric hypoto-ny, impotence, neuropathy, confusion, glaucoma, Dupuytren contracture, and infection
      - patient education: teaching plan with nutrition, activity and exercise, medications, monitoring, hypoglycemia & hyperglycemia, symptoms, prevention of complications
      - regular exercise is important for older diabetic patients and pro-vides multiple health benefits, including improved glucose tolerance, increased muscle strength, decreased body fat, improved maximal oxygen con-sumption, and improved lipid profile.
      - rather than classic symptoms of hypoglycemia one would anticipate in younger adults, older individuals may experience confusion, abnormal behavior, altered sleep patterns, nocturnal headache, slurred speech