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Social and medical programs and facilities intended for the care and maintenance of the aged.


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 ?
We (also) have 33 mobile units that provide comprehensive care to old people in their home while they are with their children and grandchildren to reduce the phenomenon of sending old parents to the elderly care home," she added.
The study Quality development in elderly care education through the expansion of training capacity in NRW relates different perspectives of actors involved in the investigation and use of an appropriate and justified scientific method mix.
This then has a knock on effect of staff coming into elderly care homes.
Rashid Hospital has a full-fledged elderly care unit.
The Elderly Care Assessment Service will be provided from Llandough, St David's and Barry hospitals.
Keywords: one-child policy, child loss, elderly care, medical care, social security and benefits, pensions, China
SINN Fein last night called on health trusts to come clean on whether they are closing elderly care homes by stealth.
JEDDAH: ARAB NEWSThe Saudi Basic Industries Corporation (SABIC), in collaboration with the management of the Elderly Care Center in Riyadh, hosted a greeting ceremony recently to mark the Eid festival.
A study of reviews left on feedback website the Good Care Guide showed that many people viewed elderly care as needing improvement, with nearly three quarters (71 per cent) of negative reviews on the site directed towards care provided by homecare agencies and care homes.
Summary: The coalition is announcing that elderly care bills are to be capped by the state.
The member states will also submit each of their own national strategies for elderly care to lay the groundwork for the formation of a unified Gulf strategy for active, healthy care of old people.
THE first of four colon cancer screenings has been held at the National Bank of Bahrain (NBB) Centre for Elderly Care.