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Case study. Mrs. K, 78 years old , who lived alone and independently. Diagnosed with arthritis and osteoporosis, she fell and broke her hip. Following surgery, rehabilitation was only partially successful hen she was discharged due to lack of insurance and sent home.After second fall , she entere
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1. The Theories of Aging
2. Case study Mrs. K, 78 years old , who lived alone and independently. Diagnosed with arthritis and osteoporosis, she fell and broke her hip. Following surgery, rehabilitation was only partially successful hen she was discharged due to lack of insurance and sent home.
After second fall , she entered a nursing home and become depressed. Antidepressant drug made her dizzy.
She fell again, breaking her other hip. She was unable to participate in rehabilitation due to confusion and medical complications, and she become bedridden.
3. The basis of geriatric rehabilitation is to assist the disabled aged in recovering lost physical, psychological, or social skills so that they may become more independent, live in personally satisfying environments, and maintain meaningful social interactions.
4. Variation in life span is far greater among species than within species
5. There are more than 300 theories to explain the aging phenomenon.
6. Neuroendocrine and Hormonal theory Dr/ Donner Denckla Endocrine Changes
Hormonal Decline
Physiological Manifestation
Hypothyroidism = Aging
Depressed immune system
Wrinkling in skin
Slow metabolic rate
Fatal without thyroxin
7. Neuroendocrine and Hormonal theory Dr/ Donner Denckla Decrease growth hormone
Decrease estrogen and progestron
Decrease functional capacity
8. Immunological TheoryWalford Categorized as a developmental-genetic theory
Decline in the functional capacity of immune system due to genes
In form of T-cell functional decline
Lead to a reduced resistance to infectious diseases
9. Free Radical theoryHarman The most popular one
Categorized as a developmental-genetic theory
Free radicals are highly charged ions whose outer orbits contain an unpaired electron
Damage cell membranes, lysosomes, mitochondria, and nuclear membranes by lipid preoxidation
10. Free Radical theoryHarman Cross-linking of biomolecules result from free radical chain reactions
Decline in cellular integrity, enzyme activities, error prone nucleic acid metabolism, damaged membrane functions and accumulation of aging pigment
Superoxide dismutase enzyme
11. Free Radical theoryHarman Damage accumulates in Important biological structures
This accumulation of damage lead to functional impact and death
Age pigment (lipofuscin) located also in nerves
cut off oxygen and nutrient to surrounding area lead to further degeneration and death