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Check This Out Be ready to satisfy the starting to be call for for nurses with the data and abilities to supply caliber care to older adults. Mary Ann Anderson’s easy-to-understand writing and confident outlook proceed to liven up each web page of this renowned source!

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Current minority populations are projected to represent 25% of the elderly population in 2030. 2. The fastest-growing segment of the population in this country is people who are older than 85 years of age. Projections indicate that the size of this age group will double between 2000 and 2040. At present, there are more people having their 85th birthday every day in this country than babies being born. THE IMPACT OF AGING ON NURSING The great increase in the number of older people means that nursing practice must be different from what it has been in the past.

Bladder • Loss of muscle tone and incomplete emptying may occur. • Capacity decreases. Micturition • In men, increased frequency due to enlargement of the prostate is possible. • In women, increased frequency may be caused by relaxation of the perineal muscle. Female Reproduction • The vulva may atrophy. • Pubic hair may fall out. • Vaginal secretions diminish, and vaginal walls thin and become less elastic. Male Reproduction • Testes decrease in size. • Prostate may enlarge. 02Anderson(F)-02 12/7/06 10:02 AM Page 27 Functional Changes Despite decreased renal blood flow and the loss of kidney mass, the genitourinary system continues to function normally in the absence of disease.

Weakening of the sphincter muscles leads to incompetent emptying of the bowel. Functional Changes The slowing of peristalsis and the loss of smooth muscle tone delay gastric emptying so that a feeling of “fullness” is present after eating only small amounts of food. In addition, delayed gastric 26 FOUNDATIONS OF CARE FOR THE OLDER ADULT emptying time and reduced gastric acid secretions may lead to indigestion, discomfort, and reduced appetite. Frequent small meals, rather than three large ones, may be better tolerated.

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