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the following are some of the changes that may occur with aging: 1) patients with chronic disease are more likely to experience falls and fractures, which can be either a complication of the disease itself or a result of aging. 2) older patients are more likely to experience vitamin deficiency, particularly if they have chronic disease, such as cardiovascular disease and diabetes. 3) older patients are more likely to develop pressure ulcers (bed sores) and to develop pneumonia and urinary tract infections. 4) older patients are more likely to develop cognitive impairment or dementia, as well as behavioral changes, such as dementia, depression, and/or anxiety. 5) with aging, the patient's strength decreases and, as a result, the patient's ability to perform activities of daily living and to be an active participant in self-management decreases. 6) with aging, the patient's ability to tolerate medications declines, resulting in a greater need for multiple medications and more adverse effects. 7) with aging, the ability of the patient to respond to treatment declines, resulting in a greater need for hospitalization and readmissions. 8) the total cost of health care increases for older patients, as they require more hospitalizations, medications, and other medical treatments. 9) as a result of worsening health, older patients are more likely to end up in nursing homes and other long-term care facilities, where the cost of their care is covered by medicaid, medicare, private payers, or the patient's family.

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