Hello! I work as a doctor for 21 years. My name is George O. Sapego. This article will tell you how to deal with senile asthenia.
In the last article, there were a few questionnaires, on which you can navigate. If your old man solemnly acknowledged the fragile, it is not a sentence. First you need to evaluate several things:
- individual features of this particular grandfather or grandmother that;
- weigh the risks and benefits of any intervention;
- make a decision about how aggressive will your intervention.
Some people prefer to leave the old man alone. Me personally, this approach does not particularly enjoy.
From the doctor will need to treat chronic diseases, to monitor the exacerbation of these diseases and be ready for the diseases that the old man had not yet appeared, but is estimated will soon be to appear.
The basic principle of treatment of fragile elderly people - "the less - the better."
Physical exercise
It is necessary. It's the most important. Old people are more mobile, will increase daily physical activity will be less than the fall, the bones become stronger and improve the overall tone.
We are talking about people aged somewhere 70 - 90 years.
It is believed that if, for example, a woman will not be 80 years to perform some physical work or do the exercises, then by age she was normally can not cope with the fact that to get out of the chair or toilet. Presented? Normally would not be able to get up from the toilet ...
This is to ensure that when the grandmother brought from the hospital, you do not need her too much to care. It should be encouraged to move and do more itself. Relatives of patients each time to make a scene, when you say that. Virtually 100% of the offense.
Before lifting the old man and make him move, you need to discuss with the doctor's this list of diseases, if they are:
- acute infection in some place;
- fever with a sensation in the muscles ache;
- deep vein thrombosis;
- sudden weight loss;
- leg ulcers that do not heal for a long time;
- retinal detachment or similar eye problems;
- recent surgery.
Begin to exercise extreme caution. To begin with walking is suitable for 5 minutes, 2 times a day.
If the old man is difficult to rise from a chair without using their hands, then you need to start doing it in a chair with armrests or from a chair with armrests. We need to try to get up every time, using fewer hands.
If hard to climb the stairs, it is necessary to encourage the rise of one step at a time, be sure to hand resting on the railing.
The burden should be gradually but steadily increasing.
balance training
If the old man goes bad, the balance can be trained while standing near the chair on one leg. We need to stand beside the chair and hold on to the back of it with both hands. You can hold on to the walker. It is necessary to raise (just off the floor) one foot and hold it in the air for 10 seconds. It is advisable to repeat this for each leg 10 - 15 times.
If the old man walks normally, then you need to add exercise to balance training with walking. The most simple - a walking heron. To pull direct hand in hand as a tightrope walker balances. You need to go forward. The foot, which is a step forward, it is necessary to hold in the air for a second and then put on the floor. Enough to make 20 steps each leg.
Nutrition
To compensate for the weight loss you need to eat something nutritious between meals. There must be a protein and calories. You need a lot of protein. If there are no contraindications such as kidney diseases, the protein must 1.2 - 1.5 g / kg body weight per day.
Look for a calculator that is used for weight loss. That's a lot of protein. To get as much protein, it is necessary every day to eat meat, cheese and eggs in any form. The effect of diet usually wait about 3 months.
The local doctor should prescribe vitamin D. It helps to prevent falls. In this case, vitamin D is needed not so much for the bones, how to properly maintain balance and proper muscle function. You need to ask your doctor about medications calcium and iron.
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senile fragility
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