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Common Health Issues and Concerns. Nutrition Mobility Stress and loss Safety Drug use and misuse Mental health/behavioral health Elder neglect and abuse. HEALTH CARE ISSUES IN HOSPITALS. The Fulmer SPICES framework Sleep disorders Problems with eating or feeding Incontinence
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Common Health Issues and Concerns • Nutrition • Mobility • Stress and loss • Safety • Drug use and misuse • Mental health/behavioral health • Elder neglect and abuse
HEALTH CARE ISSUES IN HOSPITALS • The Fulmer SPICES framework Sleep disorders Problems with eating or feeding Incontinence Confusion Evidence of falls Skin breakdown
NUTRITIONAL ASSESSMENT • What factors cause inadequate nutrition intake with the aging populations?
Nutrition • Causes of older adult malnutrition: • Inflation, reduced income, and lack of transportation • Inappropriate or unbalanced foods • Trouble carrying heavy bags or packages • Loneliness • Diminished sense of taste and smell • Tooth loss and poorly fitting dentures
Benefits of Regular Exercise • Decreased risk for falls • Increased mobility • Increased sleep • Reduced or maintained weight • Improved well-being and self-esteem • Fewer depression symptoms • Improved longevity • Reduced risk for DM and CAD
Frequent Sources of Stress • Rapid environmental changes • Changes in lifestyle • Acute or chronic illness • Loss of significant others • Financial hardships • Relocation stress syndrome
Fall Prevention and Safety • Home modification • Exercise • Tai chi
Driving Safety • Motor vehicle accidents are the most common cause of injury-related death in the young-old population, those between 65 and 74 years of age. • Adult driver safety: • Attend driving refresher classes. • Avoid high-risk driving conditions. • Be aware of prescription side effects.
Drug Use and Misuse • Polypharmacy • May not be able to tolerate standard dosage of drugs • Physiologic changes from aging can affect absorption, distribution, metabolism, and excretion of drugs from the body • “Start low and go slow” policy • Self administration of drugs