What are considerations when assessing an elder adults abdomen?
1. Reduced stomach acid (HCL acid secretion is reduced). This acid protects against ingested organisms.
2. Reduced saliva production (Xerostomia) which could cause some swallowing problems (dysphagia).
3. Gastric motility is reduced.
4. Peristalsis is reduced that could be related to inactivity.
5. Problems with chewing because of changes in dentition such as periodontal disease leading to loss of teeth.
6. Decreased appetite leading to weight loss. Also, consider economic status and transportation issues.
7. Liver decreases in size.
8. Liver function declines and this makes it hard for them to metabolize medications.
9. Renal function is diminished and they can't eliminate medications as well.
10. No sensation of thirst and this could lead to dehydration, UTI and even constipation. Causes of constipation are inactivity, decreased fiber intake, medications, laxative abuse, and decreased fluid intake.
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