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Related Concept Videos

Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
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Peripheral Neuropathy in Older People Is Associated with Reduced Life Expectancy.

Frank H Lawler1, James W Mold2, Xiaolan Liao2

  • 1From the Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City (FHL, JWM); Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City (XL, DEB). franklawler@hotmail.com.

Journal of the American Board of Family Medicine : JABFM
|April 7, 2023
PubMed
Summary

Peripheral neuropathy (PN) is common in older adults and linked to premature mortality. Early detection and balance improvement may be crucial for better health outcomes in elderly patients.

Keywords:
AgedGeriatricsLife ExpectancyPeripheral Nervous System DiseasesPeripheral NeuropathiesPrimary Health CarePrognosis

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Area of Science:

  • Gerontology
  • Neurology
  • Epidemiology

Background:

  • Peripheral neuropathy (PN) is a condition affecting nerves outside the brain and spinal cord.
  • Age is a significant risk factor for developing PN.
  • The association between PN and mortality in older adults requires further investigation.

Purpose of the Study:

  • To determine if peripheral neuropathy (PN) is associated with premature mortality in older primary care patients.
  • To explore potential mechanisms linking PN and mortality.

Main Methods:

  • Analysis of data from a prospective cohort of older primary care patients.
  • Definition of PN based on bilateral lower extremity sensory deficits.
  • Mortality data collected from key contacts and internet sources.
  • Statistical models employed to assess the PN-mortality association.

Main Results:

  • Peripheral neuropathy (PN) was highly prevalent, affecting 54% of individuals aged 85 and older.
  • PN showed a strong association with earlier mortality, reducing mean survival time by over 3 years.
  • An indirect association between PN and mortality was observed through impaired balance.

Conclusions:

  • Peripheral neuropathy (PN) detectable by physical examination is common in older primary care patients and strongly predicts earlier mortality.
  • Impaired balance may be a contributing mechanism, though further research is needed.
  • Findings suggest potential benefits of early PN detection and interventions for balance improvement and fall prevention.