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L6 Health promo in Aging population 2 :older_man::skin-tone-2: (:nine: M/CâĶ
L6 Health promo in
Aging population
2 :older_man::skin-tone-2:
Goals āļāļēāļĢāļāļđāđāļĨ
āļāļđāđāļŠāļđāļāļāļēāļĒāļļ
āđāļāļ·āđāļ
āļāļ
āļāļ§āļēāļĄāļŠāļļāļāļ āļēāļāļāļĩ
āļāđāļāļāļ
āđāļĢāļ (āļāļēāļĒ/āđāļ) āđāļāļĢāļ°āļĒāļ°āđāļĢāļ
āļĢāļąāļāļĐāļē
āļāļđāļāļāļąāļāđāļ§āļĨāļē
āļāļ·āđāļāļāļđ
āļŠāļ āļēāļāļāļĒāđāļēāļāđāļŦāļĄāļēāļ°āļŠāļĄ
can mostly
rely
on her/himself with
good quality of life
(even with chronic ds)
End of life care (leaving with dignity)
Changes
:lower_left_crayon:
Physical changes of body
:arrow_down: basal metabolic rate
:arrow_down: proportion of body water
:arrow_up: proportion of body
fat
:arrow_down: total body mass
Body, PathoBody, Social & Environment
"
RAMPS
"
R: Reduced body reserved (āļāļļāļāļŠāļģāļĢāļāļāļĨāļāļĨāļ)
A: Atypical presentation (āļĄāļēāļāđāļ§āļĒāļāļēāļāļēāļĢāđāļāļĨāļāđ)
M: Multiple pathology (āđāļĢāļāđāļĒāļ°)
P: Polypharmacy (āļĒāļēāđāļĒāļāļ°)
S: Social adversity (āļŠāļąāļāļāļĄāļāļāļāļąāļ)
:nine: M/C health conditions in Older adults
Forgetfulness & Confusion
Vision problems
Imbalance & Falls
Nutritional problems
Hearing loss
Dizziness
Sleep disorders
Urinary incontinence
Osteoporosis
Symptoms āļāļĩāđāđāļĄāđāđāļāđāļāļāļāļāļāļāđāļĢāļāļāļĢāļē
Instability (Fall)
Immobility (āđāļŠāļĩāļĒāļ.āļŠāļēāļĄāļĢāļĢāļāđāļāļāļēāļĢāđāļāļīāļ)
Intellectual impairment
Incontinence
Inanition (āđāļāļ·āđāļāļāļēāļŦāļēāļĢ)
Iatrogenesis (āđāļāļīāļ complication āļāđāļēāļĒ)
Preventive health care in Elderly
Role of prevention = to Delay onset of age-related decompensatory problems of body func
Including
1°
prevention
minimize RFs & Subsequent incidence of ds
2°
prevention
Screening or Early detection of Asymptomatic or Early disease
3°
prevention
Avoid later complications
Primary/1°
prevention
Health habits
Inadequate nutrition
Addiction to smoking & alc
Lack of exercise
Inadequate sleep
Predisposing factor
for Coronary heart ds :<3:
Modifiable
smoking, obesity
HT, DM, DLP, hypercholesterolemia, etc
Non-modifiable
Age, Sex, Genetic factors, etc
Immunization
:syringe:
Influenza
Pneumococcal
Tetanus
**āļāļĒāđāļēāļŦāļāļĨāđāļĄ āļŦāļĢāļ·āļ āđāļāđāļāļŦāļ§āļąāļ âŊ Pneumonia āļŦāļĢāļ·āļ āļāļīāļbacāļāļąāļāļāđāļāļ
Osteoporosis prevention
:skull_and_crossbones:
Ca & Vit D supplementatin
Hip protector devices
Injury prevention
Burns accidents & Falls should be prevented
Remove obstacles + keep the floor dry + bright lighting + railing/holding bars in bathrooms + low lvl switch + easy&safe access to water
Flat shoes
Secondary/2°
prevention
Screening
help in Early detection of modifiable RFs & their adequate Mx
U/D: hyper/hypotension, DM
Dental problems
Drug ADRs
CA
Infections
Nutritional def. states
Eyes/Ears
:stars: Early detect&Rx - important step
Tertiary/3°
prevention
Deals with
Rehabilitation
&
Caregiver
support
Rehabilitation
= problem solving process focused on pt functional abilities
Interventions
in rehabilitation
Hard
interventions
Drugs, Physiotherapy, Occupational therapy, Aids&Adaptation, Speech&Language therapist
Soft
interventions
Advice, Education, Counseling, Encouragement, Listening
Supporting the
caregiver
Social attitude
Physicians support
Organization of "Day care centers"
Hospitalization in c/o chronic illness
Counseling the caregiver
Rehab team = physician, physiotherapist(PT), OT, speech&language therapist, psychiatrist, dietitian, nurse, social worker
:sunflower:
Core work system
Prevention-Detection-Response(Correct)
Promotion & Prevention of health
Ottawa Charter for Health promotion (WHO, 1986)
Alma Ata Declaration (WHO, 1978)
ASEAN Post 2015 Health Development Agenda
Cluster 1 - Promoting healthy lifestyles
:frog:
Promoting healthy & active ageing
Cluster 2 - Health system response to all hazards & emerging threats
Cluster 3 - Access to care
Cluster 4 - Food Safety
āđāļāļāļĒāļļāļāļāļĻāļēāļŠāļāļĢāđāļāļēāļāļī
āļĢāļ°āļĒāļ° 20 āļāļĩ āļāļĢāļ°āļāļĢāļ§āļāļŠāļēāļāļēāļĢāļāļŠāļļāļāđ
āļāđāļāļāļđāđāđāļŦāđāļāļĢāļīāļāļēāļĢāļŦāļĨāļąāļ
āļāļĢāļ°āļāļēāļāļāļāļĩāđāļŠāļļāļāļ āļēāļāļāļĩāļāđāļāļāļĄāļĩ
āļāļēāļĒāļļāļāļēāļāđāļāļĨāļĩāđāļĒ
__
āļāļēāļĒāļļāļāļēāļāđāļāļĨāļĩāđāļĒ
āđāļĢāļāđāļāļīāļ
āđāļĄāđāļāđāļāļĒāļāļ§āđāļē 80 āļāļĩ
āļāļēāļĒāļļāļāļēāļāđāļāļĨāļĩāđāļĒāļāļāļ
āļāļēāļĢāļĄāļĩāļŠāļļāļāļ āļēāļāļāļĩāđāļĄāļ·āđāļāđāļĢāļāđāļāļīāļ
āđāļĄāđāļāđāļāļĒāļāļ§āđāļē 72 āļāļĩ
āļāđāļēāļāļīāļĒāļĄ āļāļĢāļ°āļāļĢāļ§āļāļŠāļēāļāļēāļĢāļāļŠāļļāļ (
MOPH
): Mastery, Originality, People (centered approach), Humility
Valued Based Health Care
āđāļāļāļĩ 2560 Goal āļāļēāļĢāļāļāļīāļĢāļđāļāļāđāļēāļāļŠāļēāļāļēāļĢāļāļŠāļļāļ āļĢāļ°āļĒāļ° 18 āđāļāļ·āļāļ āđāļāđāļĒāļļāļāļāļĻāļēāļŠāļāļĢāđāļāļąāļāļāļēāļāļ§āļēāļĄāđāļāđāļāđāļĨāļīāļĻāđāļ
4 āļāđāļēāļ
āļāļēāļĢāļŠāđāļāđāļŠāļĢāļīāļĄāļŠāļļāļāļ āļēāļāđāļĨāļ°āļāļēāļĢāļāđāļāļāļāļąāļāđāļĢāļ (P&P Excellence)
āļĢāļ°āļāļāļāļĢāļīāļāļēāļĢ (Service Excellence)
āļāļēāļĢāļāļąāļāļāļēāļāļ (People Excellence)
āļĢāļ°āļāļāļāļĢāļīāļŦāļēāļĢāļāļąāļāļāļēāļĢ (Governance Excellence)