1.Over 90% of patients in long term care are older than
65
2. The young old
65-74
3. the middle old
75-84
4.The old old
85-99
5.the elite old
100 or older
6.the fastest growing subgroup??
is the old old, sometimes referred to as the advanced older adult population
7.physical exam
yearly
8.Breast cancer
- self exam every month
- woman >50 mammogram Q2yrs.
9.Cervical Cancer
- Pelvic exam with PAP Q3yrs
10.Prostate (50 and older)
- PSA test Q year, digital exam Q year
11.testicular cancer
Self exam every month
12.Colorectal cancer (men and women)
- fecal occult blood test Q year
- sigmoidoscopy Q3-5 years
- colonoscopy Q 3-5 years
13.Skin Cancer
- clinical exam yearly
14.oral cancer
, - yearly with dental checkup
15.Oral cancer
Cancerous growths on the lips, tongue or elsewhere in the mouth.
Sores do not heal and will metastasize if not removed
16.Bone density
- every 2 years
17.Vision
- every year
18.
Immunnizations
- tetanus diptheria (every 10 years)
- FLU (every year)
- Pneumococcal PPV those who receive 1 dose before age 65 should receive another dose at age
65 or later if at least 5 years have elapsed
- zoster vaccine
19.
Genetic Theory
- holds that life span depends to a great extent on genetic factors
- genes within the organism control "genetic clock"
- genes determine metabolic rate and cell division
- wear and tear theory
20.
Immunity Theory
- focuses on the function of the immune system (composed of the bone marrow, thymus, spleen,
and lymph nodes
- decrease in thymus gland
- decrease in T cells
- nutrition plays an important role so there is a focus in vitamin supplements
- increase in autoimmunity, infection, cancer
21.
Cross linkage theory
- is a chemical reaction that produces damage to DNA and cell death
- as one ages cross links accumulates, leading to essential molecules in the cell binding together
and interfering with normal cell function
22.