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However, elderly patients with severe trauma often do not meet the standard TTA criteria due to normal age-related changes and reduced physiologic capacities. For example, older adults have a less profound tachycardic response to hemorrhage , pain , or anxiety following trauma.
Physical health issues (e.g. heart failure, osteoarthritis) Mental health issues (e.g. depression, vascular dementia) Functional issues (e.g. unable to shower herself, or do shopping) Social issues (e.g. lives alone, only child lives 200 miles away) Environmental issues (e.g. many rugs in the house [trip risk], only heating is coal fire)
Falls in older adults are a significant cause of morbidity and mortality and are a major class of preventable injuries.Falling is one of the most common accidents that cause a loss in the quality of life for older adults, and is usually precipitated by a loss of balance and weakness in the legs.
One of the main causes of NC is the onset of LSS in elderly patients. Relative to their respective age groups, 16% of individuals aged less than 40 experience LSS whilst 38.8% of individuals aged over 60 experience LSS. [40] [41] Between the ages of 60 and 69, the prevalence of LSS relative to this population group is 47.2%. [40]
Frail elderly patients (score of 4 or 5) have even worse outcomes, with the risk of being discharged to a nursing home rising to twenty times the rate for non-frail elderly people. Another tool that has been used to predict frailty outcome post-surgery is the Modifies Frailty Index, or mFI-5. This scale consists of 5 key co-morbidities: [62]
Groups who are at particular risk can be identified, and modifications to the physical and psychosocial environment can be made. [24] Approaches to prevention in workplace settings include matching the person's physical abilities to the tasks, increasing the person's capabilities, changing how tasks are performed, or changing the tasks. [ 25 ]
Type 3 patients are most likely to have symptoms of scoliosis with little to no respiratory issues. Unlike types 0, 1, and 2, those with type 3 do not have to worry about comprehension and learning. Lastly, SMA type 4 is diagnosed to elderly individuals, and is the most uncommon version of SMA next to type 0.
Senile osteoporosis has been recently recognized as a geriatric syndrome with a particular pathophysiology. There are different classification of osteoporosis: primary, in which bone loss is a result of aging and secondary, in which bone loss occurs from various clinical and lifestyle factors. [1]