Friday, August 19, 2016

Part 1: AgeWell Club by Unilab.

Last August 17, 2016, I joined a talk by Unilab called AgeWell Club. Let's Enjoy Aging Together! 
First part of the whole session topic was Understanding Our Aging Parents by Dra. Cheridine Oro-Josef. 

*At the age of 30 - brain starts to shrink

*At the age of 60 - is the start of slowing down of cognitive. 

Talking to the elder person must not be in a hurry. Do not rush!

*Peripheral vision narrows down.
*Hearing becomes a problem. They tend to have difficulty and discriminates sounds. Talk to them in the eye in your most audible voice.
*60% decline in the taste buds.
*Heart loses its elasticity. As we age, blood pressure is higher. 
*30% decline in kidney function. 
*Loses skin, muscles and bones firmness and strength.


3 Ways of Defining Age:

A. Chronological - age measured by the number of years, by the calendar. 

B. Biological - age by the state of the human body

C. Psychological - age by the condition of the soul and as perceived by the individual person. 

LATER LIFE is a time of challenges and opportunities.

Biological Aging is universal, progressive, decrements, intrinsic and unavoidable. It is not a disease nor is it a condition that is correctable by medical surgical intervention but a series of complex changes that occurs in all living organisms. 

 Chart of Aging Filipinos throughout the years and the time that will goes by. 1995 to 2040



Can't believe there was a category when it comes to old ages. Young old are 60 to 69. Middle old are 70-79. Old Old are 80 and above. Redundant but true. LOL.

NORMAL AGEING

*Successful Ageing (aka optimal ageing), describe person who demonstrate minimal physiological decline from ageing alone. 

*Usual Ageing - refers to the common mode of ageing. 
- Associated with observed decline in renal, immune, visual and hearing function. 

We observed changes as time goes by.

Age-Related Changes

More awakenings/arousal = less sleep efficiency
*Less sleep in 24 hour period. 
*Reduced sleep latency during day - harder to stay awake.  

The ability to get restorative sleep gets worse with age, the need for sleep does not. (Espiritu JR. Clin Geriatr Med 2008;24:1-14

PAIN
Myths of Pain in Elderly

1. Normal part of Aging
2. Have higher pain tolerance
3. They complain a lot about pain

DEMENTIA - is an acquired, persistent disease of the brain manifested by multiple areas of intellectual (cognitive) impairments sufficient to disturb functional abilities.

DELIRIUM (DELIRYO)
- Disorganized thinking
- Hyper-somnolent/ Hyperactive
- Develops over short period of time and fluctuates over course of the day. 
Causes of DELIRIUM

- D rug Use
- E lectrolyte Imbalance
- L ack of drugs (withdrawal or pain)
- I nfection
- R educed sensory input
- I ntracranial events
- U rinary Incontinence/ fecal impaction
- M yocardial Infaction


DEPRESSION

- Anxiety
- Not Doing anything.

PRESSURE ULCERS
4 STAGES
Stage 1: Non-blanch-able erythema
Stage 2: Partial thickness involving epidermis
Stage 3: Full Thickness involving subcutaneous tissues
Stage 4: Full thickness to muscle or bone


2 Problems In Ageing
A. Young-Old Obesity
B. Old-Old Malnutrition

DRUGS WITH POTENTIALLY ANOREXIANT EFFECT IN ELDERLY 
- Amlodipine, Aspirin
- Cholestyramine, Ciprofloxacin, Conj. Esquine Estrogens
- Digoxin
- Enalapril
- Famotidine, Fentanine Transdermal, Fluotexine, Furosemide
- Hydralazine
- Levothyroxin
- Nifedipine, nizatidine
- Omeprazole
- Paroxetine, Phenytoin, Potassium replacement
- Quinidine
- Ranitidine, Respiridone
- Seratiline
- Theophylline
- VIT A

Non pharmacologic interventions and recommendations may reverse malnutrition in other adults:

  •  Minimize dietary restrictions
  • Optimize energy intake by; maximizing intake with high-energy foods at the best meal of the day 
  • Encourage to eat smaller meals more often 
  • Include patient's preferred foods and snacks
  • Let family members participate in meals
  • Provide oral care before meals. improve taste and stimulate appetite
  • Take supplement between meals






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