Yellow Week 1 Geriatrics

Hey, everyone, Welcome to Yellow Mod Week one for geriatrics.

I Miss Jane, and we're gonna be talking about the

process of aging, the different generations and disorders that come

along with the aging process.

So what is geriatrics?

Geriatrics is the study of old age or the aging

process. Gerontology.

Logy is the study of that and a giri attrition.

The Trish in a Russian is the physician who diagnosis

treats all of our, um, disorders as we age.

Ageism is a prejudice toward, um, getting old or, um,

the process of getting old.

It's like saying, because I have a lot of gray

hair, I'm old or because I am forgetful.

I have Alzheimer's.

A couple of examples.

Um Cem fax for geriatrics.

Older, older women outnumber men 23 million to 17 million.

40% of women are widowed.

Women who reached the age of 65 have an average

life expectancy of an additional 20 years as where men

17 or just a little over the elder population will

reach 55 million by this year.

Most elderly people have at least one, if not multiple,

conditions. As we age, we just get more and more

Yeah, um there are different generations and they kind of

break them down into titles like We have the Silent

Generation that is our oldest generation people who are born

in 1925 to 1925.

Then we have our baby boomers born 1946 to 64

generation X 65 to 79.

Um, and then a lot of you would fall in

the next two categories the Millennials on 19 eighties to

2000, and then are silent, which is 1 2002.

Now moving on to the effects of aging.

How does aging effect us All body systems show signs

of change.

As we get older on, we're gonna go over different,

um, different types of effects of aging.

First, we have Integra momentary.

Our skin changes.

We get ring klier, we get spots are skin thins.

Our hair changes color.

Um, uh, again wrinkles.

Um, then we can also are more susceptible to different

types of disorders.

Most are very common.

One is shingles.

Shingles is a virus.

Um, as we get older patients or people are more

likely toe get shingles just because their immune system gets

lower. As we get older.

Uh, symptoms can include fatigue, burning, itching, usually like if

you touch your skin, you you'll notice this tingly sensation

a zit develops, and then we also have the Cuban

ulcer. So as we age, we tend to not be

as active.

So we're not up and about as much eso we

can develop to Cuba ulcers or also known as bedsores.

So we're laying in bed more.

We're sitting in our recliners more.

Our skin can actually break down and form sores.

Um, immune system are immune system.

Like I said, a ZX we get older, our immune

system is more weakened s so we can catch colds.

Viruses. We can catch things more easily.

Our special senses are besides our hair, hair, skin nails,

our sense of touch our sense of smell are hearing

our vision starts to deteriorate on.

We can develop more, um, mawr disorders with all of

those senses.

For example, we have vision issues presbyopia.

As we get older, any time after the age of

45 it gets harder to see things up close.

We have more difficulty reading.

We tend to find ourselves holding things farther and farther.

Um, if you're, you know, 45 50 years old.

You might notice that if your child gets right up

in your face, you kind of have to back up

going to refocus.

You can't.

Um um it's blurry as it gets closer than we

have Glaucoma.

Glaucoma can be a secondary condition from, like diabetes or

macular generation.

Also, things that happened as we get older and cataracts.

Cataracts is a vision change that everyone is going to

experience at some time in their life.

You're born with cataracts, and then it's just whether that

cataract is going to develop.

Typically, it'll start developing, you know, 65 or later.

Occasionally, people's never develop.

Um, surgery can take care of that.

And then President uses the loss of hearing a ZX.

We get older, you know, we find older people in

the stores are grand parents.

You have to talk louder for them to be able

to hear you.

Um, urinary system are bladder.

Sorry. I gotta get my notes out here.

Um, between a tzar leah's twenties, the number of new

friends start to decrease.

Um, in our kidneys.

Um, later in life are glam Mueller.

Filtration decreases.

Kidneys become less efficient.

Um, and then we can or have more difficulties holding

our are your in holding our bladder?

Reproductive males and females become less fertile.

Um, the sex drives are diminished.

Males have a harder time achieving a kn e d.

Um, females, um, you can actually have atrophy or wasting

away of the muscles of the tissue.

Um, like your breast tissue.

Things just start to decrease our skeletal system.

Um, changes in our bones.

As we age, our bones become more brittle again, maybe

partly due to our immune system.

We don't have as much calcium.

We don't have as much vitamin D.

Our bones become more brittle.

And there are a couple of disorders.

They're like osteoporosis.

Um, would be a one good disorder.

Respiratory system.

Um, changes ba can be can begin around the age

of 30.

Um, like when you're exercising, you just don't have the

stamina when you're 30 as you did when you were

15 you know, you go out running, you can't run

that mile as easy or as quick as you could

when you were younger.

Um, your ribs become less flexible.

Lungs less elastic.

Um, let's see more on respiratory just giving you some

diseases. Diseases here, like COPD.

We've learned about that in other mods.

Just difficulty breathing.

Um, can cause coughing, wheezing, um, shortness of breath, our

nervous system.

So as we age, the brain weighs twice as much

as it did our at this age, the age of

30 their brain will weigh as twice as much as

it will when we're 70.

Um, motor skills, intellectual function, short term memory starts to

decline. Long term memory and language skills decline, but it's

not as rapid as short term memory.

Um, as our nervous system declines, you may find that

people have trouble making decisions.

Um, that they just can't do the thought process, um,

or their memories.

Just not there.

They can also experience delirium.

Um, this is a symptoms which include inability to focus

their attention.

Confusion. Um, they're just not as aware of time, person,

place. That's one thing that when we're in the medical

field, we always assess the person the place the time

make sure that their cognitive and that we know this

if they're not, we need to have a family member

along with, um also, dementia is not normal part of

aging, but does increase as we age or increase as

we age.

Some causes can be other diseases like Parkinson's.

Um, strokes, um, multiple sclerosis.

Diabetes. It'll be secondary to another disease, and then we

have Alzheimer's.

A lot of people think Alzheimer's and dementia are the

same. In fact, they're not all Simon.

Alzheimer's is a form of dementia, and it accounts for

70% of dementia patients.

Brain experiences, atrophy, atrophy, wasting away.

Um, and you can like if you do an Emory,

you can see plaque buildup in certain parts of the

brain effects moving on two.

We're gonna move up to the cardiovascular system.

Sorry. Cardiovascular system.

Coronary artery.

At this closest will more likely be present app in

some form or another.

Sorry. Have to use my notes.

I can't read those small letters on the power point

there. Um, plaque.

Arthur sclerotic plaque narrows the arteries can trigger thrombosis.

Thrombosis is like breaking off of that plaque and can

clog someplace else.

Um, what can cause heart attacks strokes?

Um, that veins and vein valves become weaker, causing blood

to black backflow or reflex.

Um, cotton.

Cardiovascular disorders.

Could be aneurysms.

Hyper or Hypo Tension, Um, and then moving on to

disorder. So most a lot of disorders are things that

we can physically see.

Mobility, instability, incontinence impaired.

A kn elected memory, Imo immobility Patients have, as we

get older, just have harder times getting up getting around,

Um, which in turn can cause the decrease in activity.

Um, for our patients, um, signs of immobility can be,

but are not limited to anxiety, restlessness, irritability, boredom, regression,

social isolation, depression, weakness and atrophy.

Wasting away instability that we're not ableto balance as well

as we could.

On this is one of the first first symptoms that

the elderly will experience as they get older.

Um, incontinent some as we talked about earlier.

We have a harder time controlling our bladder and which

can cause incontinence.

And there are different types urge like you can't fight

it. You have to go, um, um, in the urinate

before they get to the toilet.

Stress caused by weak bladder muscles.

Um, you can experience this coughing, sneezing, um, and this,

you know, can be one of their earlier signs of

change. Overflow.

It's one of the rare ones occurs when one's bladder

never completely is emptied.

Um, they don't have the nervous system.

They don't have those centuries to tell them.

Hey, not done going yet.

You need to keep going a little bit more or

mixed can be a combination of the stress or the

urge. And then also fecal incontinence.

Not as common.

Only one third of the other elderly will experience this.

Um, typically, it's caused by it for for a reason.

Secondary to something like over use of laxatives, which it

is not a super common anymore.

Or other diseases like dementia, multiple sclerosis, um, or diabetes.

Um, benefits.

Did you know there's benefits to aging, um, benefits to

aging? You know, you've lived a long life.

You've experienced a lot just the knowledge that you've gained.

Um, you can enjoy your family more as we get

older. We get the chance to retire at some point

so you can enjoy more outdoor activities while you can.

Grandkids, um, you can, you know, get to experience more

things. Um, because you have that freedom.

Um, death and dying.

Death isn't it is inedible.

Inevitable. Um, you can prepare, um, for the in different

ways. And one thing that our lab is on is

advanced. Directives, which is a written statement of the person's

wishes regarding medical treatment.

Will include a living will and can be made to

ensure those wishes are carried out.

Should the person be unable to communicate themselves.

So, um, this the advanced directives?

Um, some of them.

It depends on where, What hospital?

You get it from our facility.

Um, it can ask different questions, Like more specific questions.

Like, Do you want to have a feeding tube?

Do you want to have a d N r.

Do not resuscitate.

Do you want to be on life support?

How long would you want to be a life support?

At what stage would you want your family to say?

Okay, this is it.

It just helps give that person who has to make

the decision a better idea of what you want and

then durable power of attorney.

Somebody who can make those decisions for you.

That's the person, not what you want.

That's the person you want.

And then a living will.

Those are the specific set of instructions.

So, um, read along in your power or your mod

book. If you have any more questions or feel free

to reach out, you guys have a great day

Yellow Week 1 Geriatrics

Audio TranscriptAuto-generated