Академический Документы
Профессиональный Документы
Культура Документы
Rate of decline however gets accelerated by negative adult life style factors like smoking, alcohol, lack of exercise, improper diet as well as by environmental & external factors; Hence this decline can be slowed down or even reversed at any age through the individual himself or the policy makers.
With increasing life span, greater social & household involvement of elderly is happening but it is a challenge for Indian geriatricians to change their mindset so that they begin adopting healthy lifestyles & environment to eliminate risk factors and remain fit and independent.
HEALTHY AGING DETERMINANTS With Impact on Life Long Development and QOL
POSITIVE
Joint Family
NEGATIVE
Poverty & Abuse
Active Involvement
Physical Activity
Illiteracy
Double Burden
Vegetarianism
Spirituality & Relax
Insanitation
Inaccessible Care
6
Cardiovascular: sedentary, obesity, lipids, BP, salt, diet, smok, pollut Pulmonary: smoking, environmental pollution Neurological: BP, smoking, alcohol, diet, depress,mental inactivity Diabetes: diet,sedentary, obesity Musculoskeletal: sedentary, obesity, hormone deficiency Gastrointestinal: low fibre, alcohol, poor oral hygiene Urogenital: BP, hormone deficiency Infections: under nutrition, poor skin care and no vaccination Cancers: diet, smoking, chewing tobacco Spl senses: sunlight, noise, diabetes, water fluoride, drugs Accidents : unsafe homes
K S Sunil. Primer on Geriatric Care. Pp 12-18, 2002
PHYSICAL ACTIVITY
Benefits: Physiological, psychological and social. if physical exercise could be dispensed as a pill, it could be the most valuable prescription to prevent diseases (Edward Staneley) Varieties: Aerobic, resistance and balance exercises. yogic, spiritual & exercise related to work, recreation, household and social interaction Duration: Brisk walk for 20-60 mts for 3-5 d/week morning walk better as he is fresh, walks with his whole body; in evening he walks only with his legs
1.WHO. The Heidelberg Guidelines. JAPA 5: 2-8, 1997; 2.Vinod Kumar. JAPA 6: 205-6, 1998
HEALTHY DIET
Low fat, low salt, adequate liquids, proteins, vitamins, calcium, micronutrients and high fibre, fruits and vegetables
Make them relish their food with good flavour, smell, colour, utencils and environment Frequent small meals, no overeating food left on the table does more good than what has been taken
JUDICIOUS MEDICATIONS
Properly understand directions of their use Take with or after food unless told otherwise Get ingredients checked to avoid duplication Consult doctor to avoid unnecessary medicines Never hoard medicines you no longer require Do not share medicines with anyone
MISCELLANEOUS
Personal cleanliness and oral hygiene Bowel movements and sound sleep Avoid dust and pollution Home and road safety Specific tasks e.g.Screening, HRT, immunization Engagement with life is a must: A perpetual holiday is a good working definition of hell-Bernard Shaw Have a positive attitude: To me old age is always 15 years older than I am