2023-07-15 03:45:00
Keypionts :
There is an increasing number of elderly people around the world, including Thailand, which is facing an aging tsunami. 2023 is the first year that the number of elderly people in Thailand has increased more than 1 million per year. It will be a situation like this for the next 20 years. must undergo screening for at least 12 main diseases or health checks, but in 2017, more than 66% of the elderly did not receive a health checkup. Guidelines for health promotion and prevention of diseases or health problems in the elderly have at least 13 items that will help aging with a good quality of life
recently Faculty of Medicine Siriraj Hospital, Mahidol University, in collaboration with the Thai Association of Pediatrics and Geriatrics and Abbott Laboratories Co., Ltd., organized the activity “Siriraj cares for the elderly…take care of themselves.
Prof. Dr. Apichat Asavamongkolkul, Dean of the Faculty of Medicine Siriraj Hospital, Mahidol University He said that every region of the world has an increasing population of elderly people. The World Health Organization (WHO) has developed a guideline for self-care interventions for health and well-being, urging countries to be prepared. Including preparing resources to help care for the increasing elderly However, it’s not just regarding the elderly. but must make the society, the strength of the community Families have a sense of involvement in caring for the elderly.
In addition to taking care of the elderly, you also need to take care of yourself. Therefore, emphasis must be placed on promotion, prevention, and treatment in order to be ready to enter the aging population with quality. Thailand has completely entered an aging society. It will soon enter the highest aging society. which tends to occur faster as well due to lower birth rates Siriraj attaches importance to caring for the elderly, which began more than 25 years ago, has worked hard in the past. Organize various projects to support and at the end of this year, Siriraj Geriatric Science Center will be opened in Samut Sakhon Province as a model center for comprehensive elderly care. And is a model for the Ministry of Public Health (Sor.) to expand the results in different regions.
4 concerns regarding the aging society
side Prof. Prasert Assantachai, M.D. from the Department of Preventive and Social Medicine Faculty of Medicine Siriraj Hospital Said that this year is the first year that the number of Thai elderly has increased by more than 1 million per year, it will be a situation like this for the next 20 years, known as a rapidly increasing elderly tsunami. Currently, the situation of the elderly that is worrisome is 1. For health, the elderly must know how to take care of themselves to be healthy. Don’t look at it as anything, it’s a free treatment. However, no one can take better care of ourselves than we can take care of ourselves. For diseases that are most common in the elderly, the first is musculoskeletal disease. Followed by internal diseases, diabetes, blood pressure, lipids, ischemic heart disease, malnutrition. and later degenerative diseases of the brain system such as dementia, Parkinson’s disease, depression
2. The social aspect of economic status Most of them hope to rely on subsistence allowances. Lack of interest in savings since before old age Must try to campaign for working people to save Not hoping but relying on government care will be an increasing burden in the future Developed countries, including Japan, Hong Kong, Korea, will do long-term care insurance or Long-Term Care Insurance, which is a co-payment. But Thailand, in the past, the government did not dare to do this. If the government bears the burden, everything will not survive.
3. Environmental friendly Both in terms of transportation, public vehicles, various facilities that supports the aging society and 4. elderly caregivers We need to support more of this group of people. These things are considered that we still do very little compared to the increasing wave of elderly people.
More than 66% of the elderly did not have a health check-up.
while Somboon Inthalaporn, M.D. Lecturer, Department of Preventive and Social Medicine Faculty of Medicine Siriraj Hospital Said on the topic “Older people, pay attention, screen, prevent disease” that disease screening It is a process to find health conditions or risk factors. which can change as a disease with the use of inspection methods, tests or inquiries to the examinee can be done at the population level Audience level high risk group or individual level which the recipient will not have any symptoms or signs of the disease Aims for early diagnosis. and access to fast treatment with good results
In 2017, the elderly had health checkups that were not due to illness, received from the state 32.46%, private sector 0.84%, did not receive health checkup 66.44% and unknown 0.26%.
Top 10 causes of death
The disease that causes the death of the Thai elderly population in 2021, ranked in the top 10, is all types of cancer and tumors. cerebrovascular disease, pneumonia, coronavirus disease 2019, sepsis Ischemic heart disease, diabetes, high blood pressure Chronic lower respiratory disease and liver disease
The top 10 diseases of the elderly that cause the loss of healthy years or years of good health in males consist of:
1. Stroke
2. Chronic obstructive pulmonary disease
3. ischemic heart disease
4. Diabetes
5. Liver cancer
6. Bronchial and lung cancer
7. dementia
8. Osteoarthritis
9. Tuberculosis and 10. Deafness
For females, 1. Stroke 2. Diabetes 3. Dementia 4. Ischemic heart disease 5. Osteoarthritis 6. Cataracts 7. Nephritis and kidney disability 8. Liver cancer 9. Chronic obstructive pulmonary disease and 10. Deafness
What seniors need to be screened
For disease screening or annual health check-ups in the elderly according to recommendations, the main components are cancer, body measurements, nutritional status, risk factors for coronary artery disease, anemia, vision and hearing. oral health screening Dementia, depression, kidney function osteoporosis fall risk ability to perform daily activities
which can do some self-health screening, such as measuring blood pressure, weighing, checking sugar on the fingertips Regularly observe abnormal symptoms such as forgetfulness, fatigue easily, fever or persistent cough, loss of appetite, weight loss, feeling of lumps, flatulence often, constipation alternating with diarrhea, frequent falls. and may use health screening tools such as self-health screening forms or health screening applications
For example, preliminary fall risk screening with 3 screening questions as follows: Has there been a fall history in the past 1 year? Do you feel unstable when standing or walking? And worry regarding falling? If at least 1 abnormality is found, there is a risk of falling and further evaluation is required.
and screened by a doctor medical personnel regularly, such as cervical cancer Pap smear every 3 years until the age of 65 years, if the previous test results were normal 3 times in a row, following 10 years, stop checking following the age of 65 years if there is no sexual intercourse Breast cancer Breast exam every 1 Year Do a mammogram every 1-2 years until the age of 70 years, following which further examination as appropriate.
Colon cancer checks for blood in the stool every year. Screening for risk factors for atherosclerosis by checking blood sugar every year Blood pressure should be checked more than once a year. Hyperlipidemia every 5 years. After 75 years of age, no examination is required. In the absence of cardiovascular disease Have your vision checked by a doctor Age 60-64, check every 2-4 years Age 65 and over, check every 1-2 years, but if you have eye health problems, you need to check first. and hearing examination, etc.
Guidelines for promoting healthy aging
Finally, Dr. Somboon said that it summarized 5 guidelines for screening and preventing diseases in the elderly. 1. Always check your health regularly. 2. Annual health check by a doctor 3. Check the laboratory regularly. 4. Screening for diseases or other abnormalities and 5. If an abnormality is found in the screening, further examination will be performed to diagnose and treat the disease. or periodically monitor abnormalities
Guidelines for health promotion and prevention of disease or health problems in the elderly
1. Avoid health risk behaviors.
2.Do physical activity
3. Take care of proper nutrition.
4. Use the drug properly.
5. Get enough sleep.
6. Vaccination to promote immunity
7. Keep studying and learning. Do activities that promote cognition
8. Prevent diseases that are at risk of death or common diseases in the elderly.
9. Take care of the physical, chemical and biological environment.
10. Check your health regularly.
11. Take good care of your congenital disease. no complications
12. Keep observing abnormal symptoms and see a doctor.
And 13. Take good care of your mood and mind.
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