eldercare

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eldercare

(ĕl′dər-kâr′)
n.
Social and medical programs and facilities intended for the care and maintenance of the aged.

eldercare

Providing health care and assistance with activities of daily living for older adults, either at home or in care facilities. Family members usually provide most of the needed assistance, although friends, professional agencies, or volunteers often participate.

Patient care

Although all patients benefit from respectful, dignified, and professional care, and generalizations about older patients’ needs may not apply to every patient, some special needs of some older patients are addressed here. Sensory problems (self-reported) are fairly prevalent in older adults. For example hearing impairments are present in about a third of 65 to 74 year olds and half those 75 and older, and vision problems are present in a seventh of those age 65 to 74, and in a fifth age 75 and older. Tooth loss, which influences both chewing and clarity of speech, occurs in more than a fifth of individuals over the age of 65. Age-related changes in heart and kidney function make older adults more vulnerable to shifts in water balance that can result in dehydration, e.g., in hot weather, when left alone, or while waiting for medical or surgical procedures. In older adults, adequate fluid intake is associated with fewer falls, less constipation, lower rates of laxative use, and better rehabilitation outcomes in orthopedic patients. In older adults dehydration can precipitate emergency hospitalization and increase mortality. The decline in renal function that occurs with aging means that the kidneys are less able to concentrate urine, so more water is lost in an older person than would be in a younger individual. Institutionalized adults should be ensured of access to something to drink at all times, with fluid offered regularly since thirst may not prompt older individuals to drink. Fasting should be minimized. Ambulatory adults should be reminded to increase their fluid intake during exercise, hot weather, and illness, and healthy older adults should be taught to monitor urine color as one indicator of dehydration — darker urine often represents incipient dehydration, while clear, watery urine is seen in well-hydrated adults. Individuals with urinary incontinence should be advised not to limit their intake in an effort to prevent incontinence episodes; 1500 to 2000 ml (1½ to 2 quarts) of fluid daily is required to maintain hydration for most individuals.

When communicating with the elderly, caregivers in all settings should remember to encourage the patient’s use of hearing aids and/or eyeglasses; use the patient’s name, make eye contact, and use touch as appropriate; enunciate clearly; allow time for the patient to respond; ask only one question at a time, develop a signaling system for “yes” and “no” answers, and post it clearly for all caregivers and visitors to see and use; use gestures that relate to the information being conveyed verbally; and write questions/options so that the patient can see them as they are read aloud for the patient to hear. Other critical elements of the care of the elderly include providing physical therapy to improve balance and prevent falls; limiting the use of medications that may contribute to cognitive dysfunction, confusion or delirium; ensuring adequate nutrition; screening for cancers, dementia, depression, and other diseases that become more common with advancing age; remaining aware of “atypical” presentations of illnesses and infections; protecting the skin from ulceration; and maintaining healthful participation in the community.

References in periodicals archive ?
Work has already started on two other new elderly care homes - Claremont House at Heckmondwike and Moorlands Grange at Netherton.
RNHA Wales chief executive Frank Ursell said, ``We don't know how many more warnings this Government needs before it wakes up to the reality that the foundations of elderly care are being eroded, especially in Wales.
Just before the General Election, the Health and Social Care Bill was passed, paving the way for the creation of care trusts, in which the NHS and social services jointly will provide elderly care.
I must thank Susan Vallejo and the team at the Elderly Care Services and the staff at the GHA and the Care Agency for all their efforts in bringing this excellent project to fruition.
Bahrain Elderly Care Home hosted the event at Dohat Arad, in Muharraq, in the presence of Shaikh Khalid bin Ali Al-Khalifa, Muharraq Governor Salman bin Isa bin Hindi, Muharraq Mps and municipal councilors.
Just as worrying was Monday's Equality and Human Rights Commission (EHRC) findings, that elderly care in people's own homes is often failing, amid funding shortages for staffing levels and staff training.
Al-Kanderi, on behalf of the Minister Al-Afasi, thanked the elderly care
Therefore, Senior Minister Thyra Frank and Innovation Minister Sophie Lhde are ready to work on quality indicators for elderly care that can measure the results of municipal care efforts.
The country has been devoting all potential to guarantee health, social, economic and psychological care for the old people, Al-Kharraz told a forum marking the 2017 International Day for Older Persons, organized by the Elderly Care Department in cooperation with the Jaber Al-Ali Alzheimer Society.
These figures underline the urgent need for the development of an elderly care system to include health services and all related medical and social care services," Humaid Al Qutami, chairman of the board and director-general of the DHA, was quoted as saying by Wam news agency.
The analysis of how population changes may impact on elderly care beds found only 20 of the 150 council areas are on track to keep up with likely demand.
Said business includes the provision of elderly home care services, sale of elderly home related goods, and the provision of home-based elderly care services, non-medical health consultation services, elderly home management services, catering services, sale of health related food, pre-packaged and non-packaged food, sale of consumables and leasing, and other business activities as Pine Care Elderly Home and Yada HK may agree on in the PRC.