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OBRA
Omnibus budget roconcillation Act
Law in nursing homes that deals with specific resident rights regarding privacy, medical care choices and dignity
Medicare/ Medicaid
medicare: for adults 65 and older, regardless of income, and for people with long tern disabilities
Medicaid: low income adults, and people with disabilities
Which memeber of care team diagnosis disease and prescribes treatment
Physician
Speech language pathologist
Deals with patients who have trouble swallowing or talking
Integumentary system aging process
production of skin cells decrease
Oil and sweat glands become less active
Circulation to skin decreases
Hair loses color and falls out
Skin becomes dry and less elastic
Nails come thin and brittle
Dark yellow spots appear on skin
To help as a healthcare professional you can use mild soaps and lotion, limit showers, shampoo as needed, and proper diet and exercise.
Musculoskeletal aging process
muscle lose tone, volume and strength
Bones break more easily
Joints become stiff and less flexible
Decrease in height
Less moblilty
Weakness
Slower movements
As a healthcare professional you can encourage them to exercise , eat protein and calcium, and provide a safe environment
Respiratory aging process
breathing muscles become weak
Rib cage come rigid
Alveoli Become thinner and less elastic
Difficulty breathing
More rapid breathing
More susceptible to colds and pneumonia
As a a healthcare professional you can encourage the patient to rest more during activities, keep the head of bed elevated , avoid polluted air
Circulatory system aging process
heart cant beat forcibly
Blood vessels are less elastic
Blood flow to brain and organs decrease
Pt can fee dizziness, weak, numbness and Tachycardia
As a healthcare professional you can avoid overexertion, rest short intervals, moderate exercise, diet in low sodium and fat
Nervous system aging process
decrease in blood flow to the brain
Sense of smell, taste, and vision decrease
Can result in short term memory loss
Difficulty reading small print
Decrease night vision
Food may seem less tasteless
As and healthcare professional you can give them time to think, provide proper eyecare and give attractive food for appetite
Digestive system aging process
fewer digestive justices and enzymes and saliva
Muscle action decrease slowing persistalis
Teeth are lost
Liver function decrease
Pt may experience difficulty swallowing
Difficulty chewing
Indigestion
As an healthcare professional to help you can give good oral hygiene, repair bad teeth, eat more high fiber food and high protein
Urinary system aging process
Kidneys decrease in size and are less efficieny
Bladder retains urine becasue it does not empty completely
It can result in nocturia
Bladder infections
Incontinece
As an healthcare professional to help you can encourage fluid intake, regular trips to the bathroom, bladder training
Reproductive system aging process
decease of estrogen and progesterone
Breast sag and fat is redistributed
Decrease teresterne in men
Result is in more vaginal infection
Sexual desires may or may not decline
As an healthcare professional you can respect privacy of old marry couples, good hygiene, and treat vaginal infectionals
Endocrine system aging process
increase in some hormones such as TSH
Decrease in other hormones such as thyroxin, estrogen, and testerone
Result in immune system less effective
Basic metabolic rate decrease
As an healthcare worker you can encourage proper exercise, balanced diet, healthy lifestyle