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Sarcopenia

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Submitted By MASSUS
Words 611
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References

Brian Mac, (2013) Nutrition: Sarcopenia (loss of muscle), the undiagnosed epidemic. Retrieved on March 17, 2013 from

http://www.brianmac.co.uk/articles/article036.htm

Burton, L. A., McMurdo, M. T., & Struthers, A. D. (2011). Mineralocorticoid antagonism: a

novel way to treat sarcopenia and physical impairment in older people?. Clinical Endocrinology, 75(6), 725-729.
Ignatavicius, D. D., & Workman, M. L. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th Ed.). St. Louis, Mo.: Saunders/Elsevier.
Meng-Yueh, C., Hsu-Ko, K., & Ying-Tai, W. (2010). Sarcopenia, Cardiopulmonary Fitness, and Physical Disability in Community- Dwelling Elderly People. Physical Therapy, 90(9), 1277-1287.
Scott, D., Blizzard, L., Fell, J., Giles, G., & Jones, G. (2010). Associations Between Dietary Nutrient Intake and Muscle Mass and

Strength in Community-Dwelling Older Adults: The Tasmanian Older Adult Cohort Study SCOTT ET AL. DIETARY

NUTRIENT INTAKE AND SARCOPENIA. Journal Of The American Geriatrics Society, 58(11), 2129-2134.
Silvestri, L. (2011). Saunders comprehensive review for the nclex-rn examination. (5th Ed.). St. Louis: Saunders/Elsevier.
Tabloski, P. (2010). Gerontological nursing (2nd Ed.). Upper Saddle River. NJ: Pearson Education, Incorporated.
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Physiology
Aging individuals with Sarcopenia would exhibit a gradual loss of muscle mass and function, will have frail physical structure, will be more prone to fall, fractures and immobility due to decrease in muscle mass. May have an unsteady gait, and problems getting out of sitting position

Pathology
As people age the loss of skeletal muscle fibers secondary to decreased numbers of motoneurons appears to be a major contributing influence, but other factors, including decreased physical activity, altered hormonal status, decreased total caloric and protein intake, inflammatory mediators, and factors can lead to altered protein synthesis causing loss of muscle mass which leads to Sarcopenia.

Anatomy
Sarcopenia is involuntary loss of skeletal muscle mass, strength and functionality that occurs with advance in age, it is mostly seen in physically inactive individuals, but can also occur in individuals who remain physically active throughout their lives.

Nursing Interventions
1. Encourage patient to participate in resistance training like weights, machines, bands, etc. a minimum of 3 times per week this is necessary for preserving and increasing muscle mass.
2. Teach patient to eat high quality proteins from a variety of sources like milk, and to avoid excessive animal protein like meat.
3. Teach patient to increase intake of fruits and vegetables.
4. Prevent falls by assisting and monitoring patients when ambulating, and getting out of bed, and chair.
5. Advise patient to get regular blood work on all major hormones after the age of 40 and discuss with a medical professional if Hormone replacement therapy (HRT) is indicated.
6. Provide food that is rich in Vitamin D like milk, fortified cereal, juice, cod liver oil and supplement.
7. Monitor laboratory results like hormone levels, potassium, magnesium, body fat etc.
8. Monitor cardiovascular and neuromuscular status
9. Monitor level of activity; perform range of motion to prevent atrophy of the joints.

SARCOPENIA
“Poverty of Flesh”

CONCEPT MAPPING

Pharmacology
* Vitamin D supplement
* Glutamine
* Myostatin
* Ace inhibitors
* Potassium, magnesium, and calcium to reverse metabolic acidosis
* Hormone replacement like testosterone, insulin growth factor etc.

Signs and symptoms
# Slow and unsteady gait
# Fractures of bones due to muscle loss
# Inability to participate in activities of daily living due to general weakness of the body
# Loss of stability which can lead to falls
# Decrease in ability to lift objects, ability to walk up stairs, walk distances and general movement of the extremities
# Decrease in muscle mass in association with advanced age
# Adipose infiltration of muscle, fat droplets in muscle fibers
# Decreased hormone levels (in particular, GH, IGF-1, MGF, and testosterone), (Brain Mac, 2013)

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