Geriatrics 1


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Geriatrics 1

  1. 1. Introduction Demography Definition of elderly Old 65 yr Factors Declining death rate Declining birth rate
  2. 2. Gender distribution and marital status  Women live longer……..3.1…..85yr  Loss of spouse……social role decrease Living arrangements  70% have surviving children  Asian provide basic assistance  Nursing home……old home  Female more in old houses….75%  Asian region ADL & IADL Family roles & relationship  Retired male have no responsibility  Retired Female have still home issues  Grandparent role  Disabled male  Disabled female Economic status  Pension  Female have no such or less
  3. 3. Mortality Definition Life expectancy Birth and time closer to death 1900…49 yr 1974…71 yr 1995…72…female 6 yr longer
  4. 4. Mortality is the condition of being mortal, or susceptible to death; the opposite of immortality Mortality rate is a measure of the number of deaths (in general, or due to a specific cause) in some population, scaled to the size of that population, per unit time. Mortality rate is typically expressed in units of deaths per 1000 individuals per year
  5. 5. Causes of death Three most common causes CHD………31% Cancer ……20% Stroke
  6. 6. Morbidity Definition Katz ……dressing ,eating ,transfer , bathing Relationship between disease ,disability , death
  7. 7. Morbidity  Morbidity (from Latin morbidus: sick, unhealthy) refers to a diseased state, disability, or poor health due to any cause.  Comorbidity is the simultaneous presence of two medical conditions, such as a person with schizophrenia and substance abuse.  Morbidity rate, which refers to the number of individuals in poor health during a given time period (the prevalence rate) or the number who currently have that disease (the incidence rate), scaled to the size of the population.
  8. 8. Functional limitations  Decrease function with age  No problem in walking . Upstairs 10 step lift weight. Disease and disability  Hip fracture ….25 % high mortality rate Co-morbidity and function Utilization of service ADL
  9. 9. Communication , Values and Quality of life
  10. 10. Communication “The transmission of information or message between individuals” Learned , culturally based skill HOT…….communication is different for adult , children , women
  11. 11. EFFECTS OF PHYSIOLOGICAL CHANGES OF AGING ON COMMUNICATION  HEARING  3rd most common condition in elders after arthritis and hypertensive disease  Hearing aids , note pad , pause after key words , gesture .  SIGHT  Sensory changes  Colors blue & green  SPEECH  Decrease respiratory efficiency and laryngeal function with aging results in lower pitched voice and shortened controlled expiration rate with speech production.
  12. 12. FACIAL EXPREESION Anger , loss of fat in muscle of face SLEEP PATTERNS Changes in 4th decade Deep sleep lost in 6th decade Long time for sleep
  13. 13. Values Definition Property of objects, including physical objects as well as abstract objects (e.g. actions), representing their degree of importance. Autonomy Dignity , without bias Freedom of living Social and cultural beliefs
  14. 14. Issues affecting an elder ‘s quality of life The role of family  The normal changes with age  Available community source  Knowledge and skills  Communication skills Grief and loss  Natural emotional response  Loss of job , limb etc Symptoms of grief  Depression  Sleeping problem Phases of grief  Mood variation Fear of dying  Isolation ,pain ,dependence
  15. 15. Communication with terminally ill patient Maintaining hope Alleviating suffering Saying Good Bye
  16. 16. A disease  is an abnormal condition affecting the body of an organism. It is often construed to be a medical condition associated with specific symptoms and signs. It may be caused by external factors, such as infectious disease, or it may be caused by internal dysfunctions, such as autoimmune diseases. Illness  Illness and sickness are generally used as synonyms for disease. However, this term is occasionally used to refer specifically to the patient's personal experience of his or her disease. Disorder  In medicine, a disorder is a functional abnormality or disturbance.
  17. 17.  The crude death rate, the total number of deaths per year per 1000 people. As of July 2009 the crude death rate for the whole world is about 8.37 per 1000 per year according to the current CIA World Fact book.  The perinatal mortality rate, the sum of neonatal deaths and fetal deaths (stillbirths) per 1000 births.  The maternal mortality rate, the number of maternal deaths due to childbearing per 100,000 live births.  The infant mortality rate, the number of deaths of children less than 1 year old per 1000 live births.  The child mortality rate, the number of deaths of children less than 5 years old per 1000 live births.
  18. 18. Gerontology: The scientific study of the factors impacting the normal aging process and the effects of aging. Geriatrics: The branch of medicine concerned with the illnesses of old age and their care.
  19. 19. Life span: Maximum survival potential, the inherent natural life of the species; in humans 110-120 years. Life expectancy: The number of years of life expectation from year of birth, 75.8 years in U.S.women live 6.6 years longer than men.
  20. 20. Senescence: Last stages of adulthood through death. Categories of elderly a. Young elderly: ages 65-74 (60% of elderly population). b. Old elderly: ages 75-84. c. Old, old elderly or old & frail elderly: ages> 85.
  21. 21. Ageism: The discrimination and prejudice leveled against individuals on the basis of their age. Geriatrics: The branch of medicine concerned with the illnesses of old age and their care
  22. 22. Geriatric Physical Therapy is the branch of medicine that studies rehabilitation and physical therapy issues in elderly It aims to promote health and to prevent and treat diseases and disabilities in older adults