Demography of geriatric population

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• Demography of geriatric population
• Characteristic of the elderly
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Health
Definition by WHO state of complete
physical, mental and social well being
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Characteristics of elderly patient
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Characteristics of Aging Patients

• Physiologic functions diminished
• Accumulation of lifes stresses, diseases, and
  environmental hazards
• Classic signs and symptoms of disease
  possibly absent, delayed, or altered

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Characteristics of Aging Patients

• Physical disease may present as psychiatric
  syndrome
• Psychiatric illness may present as a medical
  complaint
• Multiple medical, psychiatric, and social
  problems in the same patient
• Drug effects more pronounced and adverse
  reactions more common

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• ????????? 60-75 ??
• ???????? 75-85 ??
• ???????? gt 85 ??

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• ???????????????? totally independence
• ????????????? partially dependence
• ????????????? totally dependence
• ???????? bed ridden

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• ?????/???/??????/frail elderly

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What s so special about the old ?

• 1. Prevalent of diseases
• 2. Special features of illness in the elderly
• 3. Assessment of the elderly patient
• 4. Developing a plan of care

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CARE PLAN

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• Health maintenance
• Health promotion
• Disease prevention
• Early detection of diseases and functional decline

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• well elderly

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Matrix of domains determining health and
wellbeing in old age.
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CARE PLAN

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• Disease controlled
• Health maintenance
• Health promotion
• Disease prevention
• Early detection of other diseases and functional
  decline

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CARE PLAN

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• frail elderly

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• Symptoms controlled
• Health maintenance
• Disease prevention
• Early detection of other diseases and ?functional
  decline
• DO NO HARM

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Matrix of domains determining health and
wellbeing in old age.
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• - Secondary
• - Tertiary
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???????????? CARE PLAN

• ??????? (????????????????????)
• ??????? functional status
• Systemic review
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• ???????????????????????? Activity of Daily
  Livings - ADLs

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?????????? functional status ??????????
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?????????? functional status ??????????
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???????? systemic review
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???????? systemic review
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Thank you