Teach stress reduction techniques. Increased systolic and diastolic BP May be isolated systolic hypertension Blood vessels lose elasticity Check blood pressure in both arms. No pillows under the knees. Teach upper extremity and trunk strengthening exercises. Monitor for mechanical and respiratory complications of surgery and prolonged bed rest.
Respirations are often hard to see because of decreased chest expansion.
Thinning of skin layers Decrease in gland activity Loss of subcutaneous fat Suggest fewer baths and the use of unscented soaps. Encourage and provide fresh fluids. Injuries slow to heal Diminished capillary flow May be nutritionally compromised Monitor for tearing, bruising and pressure ulcers. Protect from trauma. Inspect the skin frequently.