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Elderly people 👴🏼 (General appearance (CVS ❤️ (BP :arrow_up:…

- - - - Hypertension
  - - - Ventilation :arrow_down:
  - - - Nephron :arrow_down:
        
        GFR :arrow_down:
      - Size :arrow_down:
    - - Tone :arrow_down:
        
        Urinary incontinance
    - - Size :arrow_up:
        
        Urinary retention
  - - - Drug metabolized :arrow_down:
    - - Constipation💩
      - Gastric emptying time :arrow_up:
        
        GERD
  - - - DM type II
        
        Xerostomia
        
        Infection
    - - Osteoporosis
  - - - Body mass :arrow_down:
    - - Bone fracture
  - - - Efficacy :arrow_down:
        
        Dementia,hearing :arrow_down:,cataracts,papilla atrophy
      - Quantity :arrow_down:
- - - - ปรับตัวไม่ทัน
        
        ซึมเศร้า
      - เสียความภูมิใจ #
      - ปัญหาการเงิน
        
        หากิจกรรมที่ทำได้
  - - - สร้างกรุ๊ปไลน์ไว้ติดต่อ
      - ทำกิจกรรมกับเพื่อน
  - - - ศึกษาเกี่ยวกับเทคโนโลยี/ครอบครัวช่วยสอน
  - - - ดึงศักยภาพที่มีออกมา
      - ครอบครัวให้กำลังใจ
- - - - GDP :arrow_down:
  - - - NCDs :arrow_up:
        
        CVD
        
        HT,CAD etc.
        
        COPD
        
        DM type2
        
        MSD
        
        Cancer
        
        etc.
- - - - Remove before going to bed
      - Soak in warm water
        
        Clean mouth
        
        Non alcohol mouth rinse
        
        Soft toothbrush + non abrasive cleaner(not toothpaste)
    - - Twice a day
      - Accessory
        
        Dental floss/ Single tuff brush/interdental brush
      - No teeth
        
        Wet clean gause
  - - - Gingiva
        
        Gingival recession
        
        Root exposed + poorOH
        
        Root caries
        
        Periodontal disease
        
        Tooth mobility
        
        Tooth loss
        
        Uneven jaw bone
        
        Resistance to trauma :arrow_down:
      - Cementum
        
        Apex
        
        Thick
        
        Obstruct canal (hypercementosis)
        
        Calcified
        
        Cementicles in PDLs (Excementosis)
      - Alveolar bone
        
        Fatty in marrow :arrow_up:
        
        Bone loss
      - PDLs
        
        Vascularity :arrow_down:
        
        Width of space :arrow_down:
        
        Elastic fiber :arrow_up:
    - - Tongue
        
        Papilla atrophy
      - Lip
        
        Keratinization
      - Fibrosis
        
        Sensitivity :arrow_down:
      - Mast cells :arrow_up:
      - Elasticity :arrow_down:, Atrophic :arrow_up:
      - Ill fitting denture
        
        Stomatitis
        
        Desire to eat :arrow_down:
    - - Flow :arrow_down:
      - Acinar cell :arrow_down:
      - Polypharmacy
        
        Xerostomia
    - - Enamel
        
        Density :arrow_down:
        
        Brittle,dark
        
        Non-carious tooth surface loss
      - Dentin
        
        Calcification ⬆️
        
        Pain conduction ⬇️
        
        2nd dentin :arrow_up:
      - Pulp
        
        Cell death ⬆️
        
        Innervation and vascularity ⬇️
        
        Calcifaction
        
        Pulp stone
        
        Pulp chamber
        
        Smaller
    - - Clicking
      - Degeneration of ligament
        
        Limitation of jaw opening
      - Pain