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Assessing the Older Adult

Terms

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Lentigo Senilis
relatively small darker spots of colour on the skin caused by melanosyte clumping; also called liver spots
Cheilitis
inflammation of the lip; also called angular stomatitis caused by some older adults having an increase in saliva
Xanthelasma
soft, yellow plaques on the lids at the inner canthus, which are sometimes associated with hypercholesterolemia
Pingueculae
yellowish nodules sclera of the eye
-thickened areas of the bulbar conjunctiva
- caused by prolonged exposure to sun, wind and dust
- may occur on either side of the pupil and cause no problems


Acrochordons
pedunculated (stalk-shaped mass), flesh coloured lesions of collagen and subcutaneous tissue that occur on the neck, back, axillary area, and eyelids; also called skin tags
Actinic Keratoses
normal aging growths, especially in fair-skinned people, that are considered precancerous; they appear as callulike red, yellow, or flesh-coloured plaques on exposed areas, such as the ears, cheeks, lips, nose, upper extremities, or a balding scalp
Arcus Senilis
a light-grey ring around the outer pupil caused by the deposition of lipids
Cataract
a condition in which the lens of the eye thickens and yellows, forming a dense area that reduces lens clarity and results in a loss of central vision
Cherry Angiomas
vascular lesions; nonsignificant red spots, seen usually on the trunk
Diverticula
outpouchings in the walls of the colon caused by continual overdistension of the bowel and straining to pass stool
Presbycusis
high-frequency hearing loss that occurs over time and is associated with aging
Presbyopia
decreased ability of the eye lens to change shape to accommodate for near vision
Pterygium
opacity of the bulbar conjunctiva that can grow over the cornea and block vision
Seborrheic Keratoses
benign, greasy, wartlike lesions that are yellow-brown in colour; they can appear anywhere on the body but are seen most frequently on the neck, chest, and back
Senile Purpura
a vascular lesion that can occur spontaneously or in response to minimal trauma in the very old client with fragile blood vessels

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