Thermoregulation Heat in older people
Bismillahirahmanirahim , when become older the human body will start to lose of all their humanity control ,one of the function will be detotriate is temperature control .
Bismillahirahmanirahim , when become older the human body will start to lose of all their humanity control ,one of the function will be detotriate is temperature control .
INTRODUCTION
•
Humans are homoeothermic.
•
Only during prolonged heavy exercise ,illness,
or extremes condition of heat and cold do body deviate outside the normal range
of 36.1 to 37.8 c.
•
The transfer of body heat is done by conduction,
convection, radiation, evaporation.
CONTROL OF HEAT EXCHANGE
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Done by hypothalamus.
•
Sensory receptors called thermo receptor, detect
changes in your body temperature and relay this information to hypothalamus.
•
Hypothalamus has a predetermined temperature or
set point, that it tries to maintain.
PHYSIOLOGICAL FACTORS
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Skin receptors and circulatory response.
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Reduced autonomic nervous system function.
•
Medications.
•
Post surgical considerations.
•
Other physiological factors like ingestion of
food, alcohol, muscle atrophy.
HYPERTHERMIA
•
Internal core temperature exceed the normal
range.
•
Caused by infection, brain lesions, environmental
conditions, or heavy exercises.
•
In older adults, the fever response is often
diminished or absent.
HOW TO AVOID HYPERTHERMIA
•
Wear loose-fitting, light clothing during
periods of high heat and humidity.
•
Take cool baths or showers during periods of
high heat and humidity.
•
Drink adequate amount of fluids, even when not
thirsty.
•
Use air conditioning or fans to cool and
circulate the air.
•
Avoid excessive exercise during peak temperature
of the day, especially when humidity is high.
•
Avoid working in direct sunlight on hot days.
HYPOTHERMIA
•
Hypothermia is a core body temperature < 35°
C. Symptoms progress from shivering to lethargy to confusion, coma, and death.
•
Risk factors for hypothermia in the elderly include
reduced physical activity, immobility, dementia, under nutrition, many other
common disorders, and many commonly used drugs.
•
Elderly patients may not recognize that they are
cold and may not shiver. Symptoms may be nonspecific, and the diagnosis is
easily missed.
•
Environmental factors that increase loss of body
heat include being exposed to cold ambient temperatures or wind chill, lying on
a cold surface, being wet, and wearing thin or porous clothing.
•
Many age-related physiologic changes, including
a diminished perception of cold, predispose elderly people to hypothermia.
•
Decreased responsiveness to endogenous catecholamine
reduces the vasoconstrictor and shivering responses to cold.
•
A decrease in lean body mass reduces the
efficiency of shivering for producing heat.
•
Reduced physical activity and caloric intake
lower the metabolic rate, decreasing endogenous heat production.
•
Other common risk factors in the elderly include
certain drugs (e.g., alcohol, antidepressants, barbiturates, benzodiazepines,
opioids, phenothiazines, reserpine) and disorders that decrease heat
production, increase heat loss, impair thermoregulation, or reduce physical
activity.
HOW TO AVOID HYPOTHERMIA
•
Wear several layers of loose-fitting clothing
and a hat.
•
Stay dry.
•
Maintain an adequate, balanced diet.
•
Drink ,adequate amount of fluids but limit
alcohol.
•
Humans are homoeothermic.
•
Only during prolonged heavy exercise ,illness,
or extremes condition of heat and cold do body deviate outside the normal range
of 36.1 to 37.8 c.
•
The transfer of body heat is done by conduction,
convection, radiation, evaporation.
CLINICAL CONSIDERATIONS
•
The safe and effective use of exercise, heat,
cold, or hydrotherapy require throughout assessment of individual’s condition,
medical history, and ability to withstand thermal or cryogenic stress.
•
Vitals signs should be monitored along with skin
temperature, sensation, color, sweat rate, and rate of perceived exertion.
The conclusion is Heat-related changes can become serious if preventative steps are not taken. It is important to realize that older people are at particular risk of hyperthermia. Many people die of heat stroke each year; most are over 50 years of age. With good, sound judgment and knowledge of preventive measures the summer can remain safe and enjoyable for everyone. wallahuaklam.
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