endocrine and immune disorder; ethics, decision-making
and mistreatment; respiratory disorders : maturing family
final exam
the immune system
1. the thymus may be only 15% of the size in late life than it was in mid-life
2. B cells secrete antibodies and, in aging, this function decreases,
resulting in reduced ability to produce antibodies leading to a
decreased ability to develop adequate immunity
3. decrease in innate immunity and more common autoimmune response
4. referred to as immunosensescence
5. aging immune system and autoimmune
endocrine system
1. complex interrelationships, changes attributed to normal aging, and
number of concurrent chronic conditions make it impossible to
specifically attribute any endocrine disease to aging
2. its presence may only become known during routine screening,
laboratory examination, or the evaluation of another problem
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,4/12/26, 1:44 PM endocrine and immune disorder; ethics, decision-making and mistreatment; respiratory disorders : maturing family final exam Flash…
signs of end-organ damage in diabetes
1. Decreased visual acuity
2. Paresthesia
3. Neuropathy
4. Heart disease
5. Stroke
6. Periodontal disease
hyperthyroidism
1. It is most often caused by the autoimmune disorder
Grave's disease with multinodular or uninodular
goiter ( swelling) swelling
2. Can also result from ingestion of iodine or iodine-
containing substances
3. Manifestations are often atypical and it may not be diagnosed
until the person has unexplained atrial fibrillation, heart failure, or even
confusion
4. The person is likely to have depression, weight
loss, and dyspnea ( sweating, increased heart rate,
decreased bp)
5. used blood work to help determine
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, 4/12/26, 1:44 PM endocrine and immune disorder; ethics, decision-making and mistreatment; respiratory disorders : maturing family final exam Flash…
functional disability associated with diabetes
1. Mobility impairment
2. Falls
3. Incontinence
4. Cognitive impairments
5. Muscle weakness
6. Fatigue
7. Weight loss
thyroid disease
1. do cardiac assesments
2. may be a fall risk
3. education on monitoring blood levels and medications
4. psycological: work with/ maintain changes in body: decreasing
weight or increasing
5. THE NURSE CARING FO R FRAIL ELDERS CAN BE ATTENTIVE TO THE
POSSIBILITY THAT THE PERSON WHO IS DIAGNOSED W ITH
ANXIETY,DEMENTIA, OR DEPRESSION MAY HAVE A THYRO ID
DISTURBANCE
6. ALL PERSO NS HAVING A DEPRESSIVE DISORDER MUST BE
CHECKED FOR HYPOTHYRO IDISM
7. THE NURSE WORKS WITH THE PERSON AND SIGNIFICANT OTHERS IN THE
CORRECT SELF-ADMINISTRATION OF MEDICATIONS AND APPROPRIATE
TIMING OF MONITORING BLOOD LEVELS AND SIGNS AND SYMPTOMS
INDICATING EXACERBATION
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