Not all diseases need to be cured!Doctor reminds →

"Our goal is not to cure a disease, but to maintain the functional state of the elderly. It can support their home care and improve the quality of life of the elderly and their families."

Liu Xiaohong, director of the Department of Old Medical Department of Beijing Union Hospital, said in the live broadcast of "People's Famous Medicine" that elderly syndrome is a syndrome unique to the elderly and caused by multiple factors; aging, disease and environmental factors can reduce the function of the elderly. From disease prevention, acute disease treatment, chronic disease management, to functional maintenance, it is the work content of the elderly medical department.

1

Why does the old man always cough?

Related to the decline in muscle function

Cough is a manifestation of swallowing disorders. Most of them are related to aging, weakness, and poor coordination of oral pharyngeal muscle groups. The stroke -mounted disease factors can also cause swallowing difficulties.

Cough causing inhalation can cause inhalation pneumonia. Some elderly symptoms are not typical. If you often do not know low fever or confusion in consciousness, you need to seek medical treatment in time.

Prevention of muscle disease, maintaining pharyngeal muscle function is an effective prevention method. After the swallowing function is reduced, it is recommended to perform rehabilitation exercises under the guidance of a rehabilitation doctor.

Thickens can be used daily (such as the water tone of the rice soup), and the diet with uneven food structures (with both liquid and solids in the bowl, such as ghost dumplings), dregs (such as mung bean cakes), open open Or the medicines at the end of the research.

2

What should I do if the elderly are easy to fall?

Reform the aging environment

If the elderly have abnormal gait such as width, walking, and side bias, or unable to "connect" (with the other heels with one foot), the light touch is easy to lean back, or fall within one year. Both need to be seek medical treatment as soon as possible.

Liu Xiaohong emphasized that in addition to internal causes, about 70%of the elderly falling in environmental factors. It is recommended to renovate the aging environment of the house, such as preparing night lights, installing handrails in a slippery environment, not using small carpets, removing ground scattered wires, etc. The elderly have a high risk of falling in a new environment within one week, such as hospitalization, travel, etc., pay more attention.

Pets running, orthopedic hypotension, poor vision, sleeping drugs and other factors can easily cause falling. It is recommended to make a comprehensive assessment of the elderly, reorganize regular drugs, and drop unnecessary or possibly of drugs under the guidance of a doctor.

3

Is it normal to be constipated when you are old?

Don't be nervous if you don't do your stools

Elderly constipation is related to aging, slow gastrointestinal peristalsis, insufficient dietary fiber, insufficient drinking water. Liu Xiaohong said that the sense of thirst for the elderly is insufficient in drinking water in hot and dry environments, which can cause the colon to absorb water to increase water and dry stool.

The elderly should avoid abuse of laxatives. Taking irritating laxatives will destroy the intestinal bacterial barrier, sparse stools, and unspecified bowel movements. It may not be excluded 2 to 3 days after the laxative is discontinued. The elderly are worried about taking the laxative again and form a vicious circle.

"You don't have to worry if you do n’t have a stool for two days, and you do n’t have the stool." Liu Xiaohong reminded that compared with the decrease in the number of stools, the elderly more complaints are laborious and time-consuming. The anal function is not coordinated. You can adjust the bowel movement method. If you have a stool, you can put a foot stool to make your body in a semi -squat position, which is more conducive to defecation.

4

Which elderly people can choose elderly medical disciplines?

Those who are older, multi -disease coexistence, dysfunction

Liu Xiaohong said that at present, the hospital's specialized division is too detailed. For elderly patients who are elderly, weak, and lack of specific diseases, there are no suitable departments to be hospitalized. The elderly medical department takes into account the treatment of multiple specialty diseases, the treatment of the elderly syndrome, and functional maintenance, which has greatly reduced the repeated examination and multiple medication.

For the elderly, the elderly, the elderly, weakened, and the ability of daily life to decline, find out multiple reversal problems and solve the problem of comprehensive assessment of the elderly, which can help the elderly go home as soon as possible.

5

Is the old man's treatment longer the better?

No need to be hospitalized for a long time

The elderly maintain a variety of chronic diseases and stability, and avoid acute aggravation. The key is to maintain the internal ability (including physical strength and brain power), and have physical strength to go out of the community to do what you want to do. He has good cognitive function, not depression, vision and hearing can cooperate with daily life. Life activities.

Due to the more restricted diet in hospitalization, poor sleep after changing the environment, pipelines such as infusion pipes, ureteral tubes to limit bed activities, etc. Long -term hospitalization of the elderly will bring functional reduction, muscle reduction, and even falling. Among the elderly patients with acute diseases, about half of the discharge cannot be restored to the state before the onset. It is recommended that elderly patients are discharged from the hospital after the condition is stable, and regularly follow -up after discharge.

6

How does the old man prevent dementia?

It's good to visit the supermarket

Liu Xiaohong said that the incidence of dementia among the elderly over 65 years old is 4%to 6%, and the incidence of dementia of 90 -year -old people is nearly 50%.

"An elderly woman will have 6 friends." Liu Xiaohong reminded that the elderly, women, low education, and livelihood are the risk factors of dementia. It is recommended to make more friends communication, walk more, and do more puzzle activities. For example, visiting the supermarket is a good choice. Not only can you get up, but you also see multiple sensory stimuli such as color, shape items, memory prices, smelling fragrance, taste taste, etc., and increasing brain activity areas.

In addition, vascular dementia is related to diabetes, hypertension, hyperlipidemia, etc., and you need to do a good job of managing these chronic diseases.

7

Does the old man's hearing power have a great impact?

It is important to maintain internal ability

Many elderly people's eyes and hearing decreased, and they felt lost. Liu Xiaohong emphasized that hearing and vision are very important for maintaining the internal ability of the elderly.

The poor hearing of the elderly can cause social alienation and depression, and due to the lack of information stimulation, it is more likely to dementia; poor vision will affect independent lives and out -of -event activities.

Old flower eyes (old vision) can appear around 50 years old, which requires 2 to 3 years to test the light and protect the vision. It is recommended to detect vision every year. About 75%of the elderly have hearing loss and often can't hear it.

High -frequency sound, it is recommended that the speaker lowered the sound during communication, and the bytes are clear, letting the elderly see the mouth shape. It is recommended that the elderly go to the otolaryngology department for hearing test and wear bilateral hearing aids.

8

Who should the old man be sick?

Choose a solution that meets the wishes of the elderly

"For the elderly who have severe illness, limited survival period, old age, weakness, or disability, medical treatment that meets his wish is a good medical treatment." Liu Xiaohong said that the expectations of the affected party are different from the medical side. If the doctor will pay attention to the disease, the family members are worried that the elderly will be hungry to ask for nasal feeding tubes, and the old man hopes to take a bath and not pain, and return home.

In this regard, doctors need to inform the disease objectively, diagnosis and treatment plan, benefits and risks, burdens, etc., doctors and patients make decisions, and establish medical plans in advance at the stage where the cognitive function of dementia is still good , Designate a medical agent in order to choose a solution that meets the wishes of the elderly.

Family members often expressed their unwillingness to tell the elderly and worry that the elderly cannot accept it. In fact, it is not difficult for the elderly to find abnormalities from some details. Instead, they are in a stun because they are uncertain and unable to communicate with their families. In fact, the old man is stronger than expected, and you can make the correct decision to learn the truth.

Source: Health Times

Edit: Qin Xiaojian Shu Yunmao Ziyu Junhui

Review: The Health Promotion Division of the Shaanxi Provincial Health and Health Committee

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