The Japanese Journal of Clinical Dialysis Vol.28 No.1(1)

Theme Problems Involved with Dialysis Therapy in the Elderly Medicine
Title Aging and physiological changes
Publish Date 2012/01
Author Takami Miki Geriatric Medicine and Neurology, Osaka City University Hospital
[ Summary ] Functional deteriorations in the elderly are often observed in various systems such as circulatory, respiratory, endocrine, kidneys, bones and muscles, and nervous. Clinically, increases in systolic pressure, and decreases in diastolic pressure commonly observed in elderly patients. Declines in autonomic nervous system functioning may lead to reduced circulation to the brain, resulting in falls after meals or urination. Declines in renal functions are often seen in the early phases of aging. Some functions are rapidly lost due to aging. The speed of age related deterioration of physical and/or psychological conditions due to aging is specific for individual organs. However, the speed differs from individual to individual. The elderly usually have both organ related dysfunctions and psychological/economic problems. Age related dysfunctions intensify these problems, and these problems in turn accelerate the speed of organ aging in an inter-related cycle. To ameliorate age related conditions, cooperative efforts between doctors in various fields such as psychologists, and paramedics should be implemented.
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