Aging and Challenges Accompanying Aging Process

Running head: AGING
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Title: Aging and Challenges Accompanying Aging Process

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According to Morrison and Newell (2012), the characteristic feature of the onset of
aging is the decline in behavioural and physiological capacity and functions. This decline can
be seen in various levels of the body biological systems such as cardiovascular processes,
respiratory functioning, the activity of the central nervous system and functioning of the
skeletal muscles. This leads to decrease in one’s behavioural capacity to carry out their daily
activities and other simple tasks like declined ability to walk and loss of body balance.
Thompson (2009) claims that it could be challenging to understand the potential reasons for
the decline in body functioning though Deco and Jirsa (2012) argue that their exists different
variables that can explain how aging affects an individual’s physiological function. Among
these variables are socioeconomic, biological, nutritional, behavioural, lifestyle and career
choices, which are thought to affect the aging process and one’s physiological body activity.
Deco and Jirsa (2011) carried out a research on the functional deficits during aging so as to
understand the variability and complexity in the physiological systems as one ages. The
discovered that aging leads to deficit in physiological function due to the physiological
systems progressively losing their complexity. From our case study, Mr. Willie Jungala, who
is 71 years old, fall and was admitted due to soft tissue injuries at the right hip. This study
would describe the assessments of Mr. Jungala, what could have caused his fall and the
impact of the fall of his psychological health.
Alcohol withdrawal risk assessment
According to Maldonado et al. (2014) alcohol is among the most abused substances in
the world with a lifetime prevalence of alcohol abuse being 17.8 percent and dependence of
12.5 percent. Alcohol use disorder is thought to lead to hospitalization of between 20 to 42
percent of patients. Alcohol withdrawal syndrome (AWS) presents itself in the form of
hallucination, delirium tremens and seizures. Delirium tremens is the most severe form of
AWS and if untreated causes 15 percent of alcohol can use disorder cases. Campos. Roca,

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Gude and Gonzalez-Quintela (2011) claim that alcohol intake affects one’s cognitive and
emotional functioning and also their learning ability. Chronic consumption of alcohol could
lead to alcohol related brain damage which affects the structure and functioning of the brain
(Zahr, Kaufman and Harper, 2011). According to Jungala’s description, he could drink twice
or thrice in a week. This could mean that this was a habit to him. Research indicate that
withdrawal as a result of alcohol intake worsens the consequences and severity of the next
episode of withdrawal. The most widely used tool for diagnosing AWS according to Sankoff,
Taub and Mintzer (2013) is the Clinical Institute Withdrawal Assessment (CIWA) which
involving observing the patient and using their report. This tool was validated for mild to
moderate withdrawal and can be used for a selected group of patients. According to Sankoff
et al. (2013), this tool being used to determine the severity of withdrawal syndrome, it does
not predict if one is at a risk of withdrawal and cannot be used for patients experiencing
seizures. When used on Mr. Willie, it could tell the extent of his withdrawal then conclusion
could be made if the drunkenness contributed to his fall.
Cognitive assessment
According to Pelletier, Nalpas, Alarcon and Perney (2016) chronic consumption of
alcohol has been linked with various psychological and medical issues. These complication
could include cognitive dysfunction, which is the most prevalent and ranges from mild
impairment to irreversible effects (Zorumski and Mennerick, 2014). Most of the cognitive
function impaired among alcoholics include visuospatial abilities (Green et al. 2010),
executive functions, one’s working and episodic memory (Le Berre et al. 2010). Other effects
of alcohol consumption includes issues with ability to solve problems, psychomotor
processing, inability to maintain one’s control, confusion (during time of intoxication) and
low level of attention. There are several tests that could be carried out to determine the
cognitive effect of alcohol on an individual though Ismail, Rajji and Shulman (2010) claim

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they are lengthy. The most recent test is the Bearni (Ritz et al. 2015). However the Montreak
cognitive assessment (MoCA) according to Alcarcon, Nalpas, Pelletier and Perney (2015) is
the most used and convenient tool used for screening cognitive impairment among alcohol
users. Frontal assessment battery (FAB) is another test used in screening issues with
executive function. This tool has proven useful in neurocognitive assessment as it has been
used over years (Bates, Buckman and Nguyen, 2013). Carrying out on of these tests on Willie
would tell the status of his cognitive system though his assessment data shows that he has no
problems with his cognitive functioning.
Falls assessment
The National Institute for Health and Care Excellence (2013) claims that fall is a
leading cause of mortality and disability due to injuries for the elderly aged 65 years and
above. In the UK more than 400 000 people attend the hospitals as a result of fall accidents
and more than 14 000 die annually. The older people aged above 65 are associated with an
increased risk of falls, with the risk being 37 percent for those between 65 and 75 years and
37 percent per year for those aged 78 and above. Kwan and Straus (2014) falling has various
consequences on the elderly, accompanied with different health care effects. About 20
percent of older people who experience fractured due to fall die within their first year and in
case they survive, their previous level of functioning does not return. Clinical examinations
include interviewing the patient or the caregiver on the occasion of falling. Dizziness and
palpitation are risk factors to fall. The nurses also assess one’s medical history, their
cognitive health and possibility of the patient having diseases such as Parkinson disease and
other chronic infections. Some tools used for assessing risk of falling are Tinetti Gait and
balance assessment tool, timed up and go test and the Berg balance scale (Muir et al. 2010).
Mr. Jungala was suffering from hypertension, type 2 diabetes and unstable Angina which