2013년 11월 26일 화요일

About 'care of the elderly'|End of Life Care for the Elderly







About 'care of the elderly'|End of Life Care for the Elderly








The               elderly               population               is               considered               to               include               any               adult               who               is               over               the               age               of               65.

Due               to               increased               medical               advancements               and               better               overall               healthcare,               life               expectancy               is               increasing               all               of               the               time.

It               is               important               for               us               to               know               and               understand               the               changes               that               take               place               when               a               person               ages,               and               know               how               to               properly               care               for               these               elderly               people               in               the               event               of               an               emergency.

There               is               no               specific               age               when               a               person               will               experience               specific               changes               in               their               body               or               health.

A               person               can               be               older               because               of               years,               but               have               a               "young"               healthy               heart.

This               same               person               may               have               an               "old"               liver               or               kidneys.

The               rate               of               body               change               is               unique               from               person               to               person;               however,               in               general,               a               person's               body               function               begins               to               decline               as               early               as               in               their               30s.

Lungs               do               not               work               as               efficiently               as               they               did               when               a               person               was               younger,               so,               the               person               is               at               a               higher               risk               of               developing               lung               diseases               and               illnesses.

The               heart               pumps               less               blood               when               it               beats               as               a               person               ages,               so               the               heart               rate               naturally               decreases               with               age.

Reflex               responses               slow               with               age               too,               causing               a               person               to               react               slower.

Memory,               hearing,               and               vision               are               also               things               that               decline               as               we               age.

These               are               all               things               that               need               to               be               taken               into               consideration               when               we               are               attempting               to               help               an               elderly               person               during               an               emergency.
               When               dealing               with               an               elderly               person,               it               is               very               important               that               you               remain               as               calm               as               possible.

If               you               are               calm               about               the               situation,               chances               are,               the               elderly               person               will               be               able               to               remain               calmer               too.

Conversely,               if               you               are               not               calm,               the               elderly               person               will               probably               not               be               able               to               calm               down.

Remaining               calm               keeps               the               blood               pressure               down,               and               can               help               lessen               the               severity               of               an               emergency.
               Communicating               properly               is               also               important               when               dealing               with               the               elderly.

Remember,               they               may               not               be               able               to               understand               what               you               are               trying               to               say,               they               may               be               confused               as               to               what               is               going               on,               they               may               have               difficulty               seeing,               and               they               may               not               be               able               to               hear               very               well.

When               you               communicate               with               the               elderly,               be               sure               to               do               so               in               a               calm,               clear               voice.

Look               them               directly               in               the               eyes,               if               possible.

Explain               what               you               are               going               to               do               before               you               do               it               to               avoid               startling               them.

If               they               repeatedly               ask               what               is               going               on,               repeatedly               answer               them               in               a               patient               and               caring               manner.

Try               to               learn               their               name,               if               you               do               not               know               it,               and               use               their               name               when               you               are               speaking               to               them.

If               the               person               normally               wears               glasses               and               does               not               have               them               on,               try               to               find               them               and               help               put               them               on.

This               way,               the               person               can               see               you               better               and               may               be               less               confused               as               a               result.

The               same               applies               to               a               hearing               aid.

If               the               elderly               person               wears               a               hearing               aid               and               does               not               have               it               in,               it               could               be               helpful               to               find               it               for               them.

Gather               as               much               information               about               the               person               and               the               situation               as               you               can               from               the               people               around               you.

This               can               help               you               care               for               the               elderly               person               better.

Knowing               what               happened,               if               the               person               normally               wears               glasses               and/or               hearing               aids,               what               kind               of               medications               they               are               taking,               and               their               normal               state               of               mind               can               all               prove               useful               in               helping               the               elderly               person               in               an               emergency               situation.
               It               is               important               to               understand               that               many               times,               an               elderly               person               who               lives               at               home               is               afraid               of               having               to               go               to               a               nursing               home.

This               person               fears               losing               their               independence               and               as               a               result,               will               often               try               to               minimize               an               emergency               situation               by               saying               things               like,               "Oh,               it's               nothing",               or               "I'm               fine,               just               give               me               a               minute."               Other               times,               an               elderly               person               just               may               not               recognize               that               what               they               are               experiencing               is               an               emergency               situation.
               The               leading               cause               of               death               to               people               over               the               age               of               65,               according               to               the               American               Red               Cross,               is               falls.

Due               to               decreased               reflexes,               impaired               vision               and               hearing,               medical               conditions,               such               as               arthritis,               and               loss               of               balance,               the               elderly               are               at               a               higher               risk               of               falling.

Falls               can               result               in               bones               being               broken               due               to               weakened               and               brittle               bones               that               simply               accompany               older               age.

Falls               require               medical               assistance               to               check               for               any               broken               bones.

It               is               important               that               you               keep               the               elderly               person               lying               down               if               they               have               fallen,               until               an               ambulance               arrives               to               help.

The               ambulance               crew               is               trained               in               the               proper               ways               to               move               a               person               to               minimize               pain,               and               reduce               the               chance               of               hurting               them               further.
               Head               injuries               are               another               risk               that               is               greater               in               the               elderly.

As               we               age,               brain               size               decreases.

This               causes               more               space               in               the               head               between               the               brain               and               the               skull.

The               brain               can               move               around               more               easily,               which               in               turn,               increases               the               risk               of               brain               injury.

There               are               times               when               an               elderly               person               does               not               show               any               sign               of               a               head               injury               until               a               few               days               after               the               injury               has               occurred.

This               is               why               you               should               always               suspect               a               head               injury               if               an               elderly               person               has               any               unexplained               behavioral               changes,               especially               if               they               have               recently               had               a               fall               or               blow               to               the               head.
               Although               confusion               often               accompanies               some               diseases               that               are               known               to               affect               the               elderly,               such               as               Alzheimer's,               confusion               in               the               elderly               may               signal               a               medical               emergency.

For               example,               an               elderly               person               who               has               pneumonia               may               not               have               a               fever,               chest               pain,               or               be               coughing,               but               this               person               may               be               very               confused               because               they               are               not               getting               enough               oxygen               to               their               brain.

You               should               never               assume               that               confusion               is               just               a               normal               part               of               aging,               often               times,               there               is               an               underlying               condition               that               is               causing               the               confusion.
               An               elderly               person               is               more               susceptible               to               extremes               temperatures.

The               person               may               not               be               able               to               feel               the               extreme               temperatures               because               their               body               can               not               regulate               temperature               effectively.

This               can               cause               the               body               temperature               to               rise               or               fall               very               quickly               and               to               dangerous               levels.

An               elderly               person's               body               retains               heat               because               the               ability               to               sweat               is               decreased               and               the               circulatory               system               cannot               adjust               to               heat               properly.

If               you               see               any               signs               of               a               heat               related               illness               in               an               elderly               person,               you               should               take               their               temperature.

If               their               temperature               is               above               normal,               call               9-1-1,               or               your               local               emergency               number               immediately.

Slowly               cool               the               person               off               with               a               lukewarm               sponge               bath.
               If               you               find               an               elderly               person               hot               to               the               touch,               unable               to               speak,               unconscious,               or               semiconscious,               call               9-1-1               or               your               local               emergency               number               immediately.

Put               the               person               in               a               cooler               location,               but               do               not               attempt               to               cool               them               quickly.

You               do               not               want               to               put               this               person               in               front               of               a               fan               or               air               conditioner,               and               you               do               not               want               to               cool               them               quickly               with               cool               water.

Doing               this               can               cause               an               elderly               person               to               become               chilled               and               suffer               from               hypothermia.
               Hypothermia               is               another               weather               related               illness               that               can               easily               affect               the               elderly.

If               an               older               person               has               hypothermia,               you               will               probably               notice               that               they               want               to               lie               down               often.

This               will               lower               their               body               temperature               even               more.

If               you               think               that               an               elderly               person               has               hypothermia,               even               a               mild               form               of               hypothermia,               first               feel               their               skin               to               see               if               it               is               cold.

Then,               take               their               temperature.

If               their               temperature               is               below               the               normal               98.6               degrees,               put               the               person               in               a               warm               room,               wrap               them               in               one               or               two               blankets,               give               them               warm,               decaffeinated               and               non-alcohol               drinks,               and               call               the               doctor               for               further               instructions.
               If               you               take               an               elderly               person's               temperature               and               it               is               below               95               degrees,               call               9-1-1               or               your               local               emergency               number               immediately.

A               temperature               this               low               in               an               elderly               person               is               life-threatening.

Do               not               apply               direct               heat               to               them,               such               as               a               heating               pad               or               electric               blanket               set               to               high               temperature,               or               a               hot               bath.

If               you               do               this,               the               blood               will               flow               toward               the               area               of               the               body               that               is               being               heated               and               will               take               blood               away               from               the               person's               vital               organs.
               In               conclusion,               when               caring               for               an               elderly               person               in               an               emergency               situation,               it               is               important               to               remember               that               it               is               normal               for               them               to               have               trouble               seeing,               hearing,               and               understanding.

You               need               to               handle               them               with               great               care               and               patience.

Speak               directly               to               them               in               a               clear               voice               to               explain               anything               you               are               going               to               do.

If               confusion               is               present,               it               can               be               a               sign               of               a               head               injury               or               severe               illness               and               should               be               treated               by               a               doctor               as               soon               as               possible.

If               you               are               dealing               with               a               temperature               related               illness,               remember,               a               temperature               that               is               above               normal               or               below               normal               can               signal               a               life-threatening               condition.

You               should               call               9-1-1               in               these               cases               or               in               any               case               where               you               are               unsure.

It               is               always               better               to               be               safe               and               call               9-1-1               than               to               be               sorry               that               you               didn't               later               on.






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    6. defiant-infidel.blogspot.com/   08/31/2008
      ... in order to make ends meet or the women who balance work schedules in order to take care of elderly parents. It is this same...
    7. drthompsonsbooks.typepad.com/my_weblog/   06/11/2013
      ...now offering good care. One of the reason we have few doctors interested in caring for dying, elderly people is that there ...
    8. onalifelessperfect.blogspot.com/   08/22/2011
      As most of you know, my... about how caring for an...not understand the unusual ... care. (another prayer... the long day and...the Director of the Memory Support...
    9. crazylifemedstudent.blogspot.com/   10/20/2012
      ...placement is "Care of the Elderly". Out of coincidence...He shook the doctors... each of them for taking care of him and...
    10. futureislam.wordpress.com/   05/31/2010
      ...respect and honour them. Care of the elderly in Islam is based on...which the Muslim society takes care of the elderly (i) Enjoining good treatment of...
    11. Care Of The Elderly - Blog Homepage Results

      Autonomous housing for the elderly.This study will explore the availability and quality of town centre located...over 65 and still active who don’t require care.
      ...at Health Service Consultants (HSC), we believe it takes a community to care for the elderly: Remember Hilary Clinton's, "It Takes a Village to Raise a Child"? Well, at Health...
      ... Elderly (O.O.I.E.) is...with protecting the rights of seniors living in long-term care. The Office is responsible...



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