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Related Issues:
Electrolyte imbalance, anemia, thrombocytopenia, neutropenia, renal failure, infection, dehydration
Why Labs are Important:
Normal Age-Related Changes:
Older adults are at increased risk with any of the following:
Conditions
Medication-Related Risk Factors
Behavioral Risk Factors
Chemotherapy-Related Risk Factors
Cancer Diagnosis
Surgery-Related Risk Factors
Assessment:
1. Screening Questions
2. Observations
3. Screening Tests and Measurements
4. Physical Assessment: Standard physical examination with focus on signs and symptoms of abnormalities
a. Dizziness
b. Muscle cramps
c. Bone pain
d. Palpitations
e. Numbness/tingling
f. Excessive thirst
g. Frequent urination
Nursing Intervention:
Levey, A.S., Stevens, LA., Schmid, C.H., Zhang, Y.l. Castro A.F., Feldman H. I., Kusek,J.W., Eggers, P., Vanlente, F.,Greene, T., Coresh, J.; CKD-EPI (Chronic Kidnet DIsease Epidemiology Collaboration). (2009). A New Equation to Estimate Glomerular Filtration Rate. Annals of Internal Medicine 150(9), 604-612.
Mahlknecht, U., & Kaiser, S. (2010). Age-related changes in peripheral blood counts in humans. Experimental and Therapeutic Medicine, 1(6), 1019-1025.
Rapkin, B.D. & Schwartz, C.E. (2004). Toward a theoretical model of quality-of-life appraisal: Implications of findings from studies of response shift. Health and Quality of Life Outcomes 2(14).
Schwartz, C.E. & Rapkin, B.D. (2004) Reconsidering the psychometrics of quality of life assessment in light of response shift ahd appraisal. Health and Quality of Life Outcomes 2(16).
Swedko, P.J., Clark, H.D., Paramsothy, K., Akbari, A. (2003). Serum Creatinine Is an Inadequate Screening Test for Renal Failure in Elderly Patients. Archives of Internal Medicine 163(3), 356-360.
Wittink, H., Rogers, W., Sukiennik, A. & Carr, D.B. (2003). Physical Functioning: Self-Report and Performance Measures Are Related but Distinct. Spine 28(20), 2407-2412.