Circulatory - ANSWER Decreased cardiac output. Enzyme action on heart, heat rate and
ability of heart to return to normal after. illness
Respiratory - ANSWER Lungs become restricted by rib cage; rib cage size increases; lung
tissue becomes more rigid; decrease in respiratory strength; low lung expands less, upper
lung more.
Musculoskeletal - ANSWER Decreased muscle fibers and tissue, muscle strength; in-
creased waste products in muscle (lactic acid, carbon dioxide); muscle cells accumulate fat
and collagen; bones become porous and lose bone mass; calcium leaves the bone.
Digestive - ANSWER Teeth loosen and gums recess; loss of taste buds. Decrease in: en-
zyme actions, hydrochloric acid (HCL), peristalsis, ability to tolerate fat, gag reflex and
sphincter control.
Endocrine - ANSWER Decrease in cells, size of glands, gland secretions, ability to adapt to
stress because of decreased adrenaline, decreased thyroid secretions.
Urinary - ANSWER Decrease in size of kidneys, functional cells, vascular circulation to kid-
neys, urine produced and eliminated, filtering functions of kidneys, decreased tone of uri-
nary muscles and ability to control flow of urine.
Reproductive - Women - ANSWER Decrease in size of ovaries, uterus, amount of hormo-
nal secretions.
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, Reproductive - Males - ANSWER Prostrate enlarges, decrease size of testes.
Neurological - ANSWER Decrease in brain weight, neural cells, psychomotor reaction
time, blood flow to the brain and in all sensory perceptions; memory loss; plaques form in
brain tissue.
Conservator - ANSWER Legal authority and duty to protect assets of a "Protected Person"
(a minor or incompetent). Appointed by court. Can only make decisions about property.
DNR - ANSWER Order by a physician, with respect to specific patient, re: cardiac arrest or
respiratory arrest.
Durable Power of Attorney - ANSWER Becomes effective when principle becomes incom-
petent to act for himself. Cannot make medical decisions unless specifically stated.
Guardian - ANSWER Legal responsibility and authority to make decisions for an incompe-
tent or a minor. Appointed by court. Specifically states authority.
Living Will - ANSWER Concerning life of person executing will, in which individual pro-
vides guidance for circumstances under which they wish to refuse, or discontinue the use of,
life-support measures administered should they become incompetent.
Last Will & Testament - ANSWER Subject matter is the disposition of property or custody
of minor children.
Power of Attorney - ANSWER Written agreement under which the principal authorizes
the agent to act on his or her behalf. Need not be an attorney. An ordinary power of attor-
ney automatically terminates if the principle becomes incompetent.
Hiring Records - ANSWER Keep 1 year. Keep EEO info separate.
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