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Health concerns with aging

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Mrs. Ziraldo suffers from cataracts which impacts her vision and potentially her caregiving abilities.

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Diagnosed 8 years ago

Coughing

Uses inhaler medications

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Mr. Ziraldo eats very little because he dislikes the food in the long-term care facility.

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Sexual education is rare in the elderly population which can lead to unsafe sex.

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Smoked 2 packs a day for 60 years

8 years ago, he reduced to 4 cigarettes a day

Smokes in social events (playing cards with his friends)

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His appetite increases when his daughter Connie brings him home-cooked meals.

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Trelegy Ellipta

Ventolin

Pravastatin

Struggle with taking the medication because of bad taste

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Reduced physical ability

Says he cannot play bocce or move around anymore

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Cataracts affect not just her vision but her overall quality of life and her ability to fulfill her perceived role as a caregiver.

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Symptoms are worse on cold days or during smoggy conditions.

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No privacy

No resources

No education

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Caterina feels guilty for not being able to take care of her husband as much as she would like due to her vision problems.

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The cataracts increase Caterina’s reliance on both the long-term care facility and her daughter, contributing to her emotional stress.

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When Mr. Ziraldo spends time with his friends, he's more likely to smoke.

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Women can have urinary incontinence

Erectile dysfunction in men

Lower libido and higher fatigue

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Mr. Ziraldo has lost a lot of weight. This worries his wife

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Poor nutrition and weight loss contribute to his overall weakness and fatigue.

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This can reduce the couple's quality of life. They still desire intimacy but find it impossible to do so because of aging and their health status.

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Nicotine replacement therapy: patches, lozenges

Behavioural therapy: counseling

Non-nicotine medication: Varenicline, bupropion

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Education on safe sex

Positions that help breathing

Emptying the bladder before

Taking medication before

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Mr. Ziraldo said he was interested in smoking cessation and ready to learn about his options

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Reluctance to discuss emotions due to culture

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Reluctance to discuss emotions due to culture

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Mr. Ziraldo hesitates to express his emotional struggles. This could be tied to cultural beliefs about masculinity and pride. He does not want to burden his family with his feelings.

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he used to work on a construction site

doesn't use protective gears

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The family has strong bonds.Connie’s visits make Mr. Ziraldo feel better.

This close connection with family motivates him to take better care of himself.

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As seen in the hospital setting, older people are most likely to get better if they have their family's support. For the Ziraldo, their daughter Connie's visits helps brighten their mood and make them feel much better. (Mr. Ziraldo is most likely to eat when she brings food)

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motivates him to stop smoking

always by his side

takes care of him as much as she can

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Mrs. Ziraldo has trouble holding her pee. This is a common issue as people get older. This is frustrating for her.

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May impact Mrs. Ziraldo’s abilities as a caregiver.

Can make her feel embarrassed and anxious.

Can lead to isolation.

Can affect her sexual life.

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We learned that even older people desire intimacy but by disregarding that we give rise to unsafe sex practice that could be fatal in that population.

We also learned that your environment really impacts your health. (work and friends)

Family bonds are really important when it comes to motivation, mental health and physical health.

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Epigenetic:

We learned in the pathophysiology class that environment also impacts your health not just your genetics.

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Aging:

Environmental factors (like smoking) can damage the vasculature which causes wrinkles on the skin.

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Link to person and environment are integral

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Link to person and environment are integral