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presented by Jennifer Bottomley, PT, MS, PhD
Financial: Jennifer Bottomley receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Non-Financial: Jennifer Bottomley has no competing non-financial interests or relationships with regard to the content presented in this course.
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
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Jennifer Bottomley, PT, MS, PhD
Jennifer M. Bottomley, PT, MS, PhD, embodies the characteristics of leadership, having worked on committees and task forces and behind the scenes to advance the goals and vision of the profession of physical therapy for 40 years. Bottomley is an independent geriatric rehabilitation program consultant, advisor, and educator. Previously, she held clinical roles at Sunspectrum…
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1. Neurosensory System
The neurosensory system in the older adult goes through predictable changes, which have functional implications for the older adult. Clinicians in all settings need to appreciate these changes, both in the central and peripheral nervous system, and how the syndrome of frailty can occur in the presence of decreased activity level and nutritional compromise.
2. Cardiopulmonary & Cardiovascular Systems
The cardiopulmonary system in the older adult goes anatomic and physiologic. There are changes that are important for the treating clinician to understand when assessing and treating this population, like when to look at the detrimental effects of inactivity and the potential presence of frailty. Understanding how to evaluate and test the cardiopulmonary system is essential for interpreting baseline status, as well as response to activity, whether during functional activities or with exercise. This understanding can give perspective on whether the patient you are treating is deconditioned, or whether there are red flags that require further testing by a physician.
3. Neuroendocrine System
The neuroendocrine system plays an important role in the maintenance of homeostasis across multiple systems, and its decline in function related to aging and the disease process directly impacts the syndrome of frailty. Likewise, immune system compromise and the resulting inability to fight infection due to the aging process and presence of disease can lead to frailty. Consequently, understanding the physiologic and pathophysiologic processes of neuroendocrine and immune system function is of great importance for the treating clinician.
4. Cognitive Changes
Cognitive changes in the older adult have particular relevance to the treating clinician, and understanding the potential etiology of these changes, whether from sleep changes, memory changes, or intellectual impairment, is important for providing comprehensive care to this population. Understanding the important questions to ask the older adult about sleep, as well as the tools to screen for memory and cognitive impairment, allows the clinician to know when to refer for a more comprehensive work up.
5. Metabolic Changes
This chapter will take a look at the way metabolism changes with the increase in age. Specifically we'll look at fall risk and becoming more comfortable to screen yourself and patients. This will include an in-depth questioning with a patient so we can get an idea of the types of questions we need to ask.
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