HLTH201 Lecture Notes - Lecture 9: Hip Fracture, Atrophic Vaginitis, Perineum
6 Sep 2018
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Frailty part 2 (second lec after second midterm) Review of frailty: vulnerability to stressors and this vulnerability results from age-related accumulation of impairments in multiple systems, different ways- fried, deficit accumulation, frailty scale etc, you can be protected against frailty if we demolish stressors. Especially if they are acutely ill (cardiac, infectious, metabolic, drug reaction). Example, an older person having a heart attack presents with delirium. Illness presentation frail seniors often present with geriatric syndromes. (cid:498)coming to rest inadvertently on the ground or a lower level, excluding seizures, What is a fall? syncope, sudden blow to the head, stroke: epidemiology of falls- about 1/3 of seniors fall once a year. Incontinence: defined as nay involuntary loss of urine, prevalence= community dwelling (woman 1/3 25-35% and older men 10-15%, hospitalized patients- 25-30, long term care 50% Bladder anatomy: detrusor muscle body of bladder, muscosa is the lining of the bladder. Internal sphincter involuntary: external sphincter voluntary, muscles of pelvic floor.
