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The proportion of elderly at any age without any chronic conditions is small, and disease can trigger a cascade of events resulting in functional deficits and disability. An increase in the number of activities with which an elder has difficulty increases linearly with comorbidity, that is, coexistent medical conditions that further complicate not only the genesis of a functional deficit but also its treatment. For example, rehabilitation for a stroke for an individual who also has painful, degenerative changes in the foot and a low tolerance for stressful activity secondary to angina with exertion would present a particular rehabilitation challenge. Yet, this example encapsulates geriatric rehabilitation specialist’s emphasis on care and function, not cure and disease. (more…)

Over the past 60 years, many documents, including the 1948 Universal Declaration of Human Rights, have addressed the rights of all persons. But it was not until the Declaration on Social Progress and Development in 1969 that the human rights of the elderly were specifically mentioned in an international rights document (Office of the United Nations High Commissioner for Human Rights). The United Nations adopted the first International Plan of Action on Ageing in 1987 and the General Assembly of the United Nations adopted the Principles for Older Persons in 1991. (more…)

In older patients without apparent cardiovascular disease, the number of cardiac myocytes declines, while residual myocytes enlarge. Concurrently, there is an increase in elastic and collagenous tissue in all parts of the interstitial matrix and conduction system with advancing age. (more…)

The overarching goal of physical therapy rehabilitation is to return the individual to as close to the premorbid level of function as possible or, alternatively, to maximize a person’s current potential for function and maintain it as long as possible. This goal is achieved by promoting changes in the individual, by altering his or her physical health elderly or social environments, or by implementing a combination of both strategies. (more…)

Growing older results in the various changes in the anatomy and physiology of human cardiovascular system. This affects in both healthy patients and patients with hypertension. The heart gets a less powerful pump, and needs to bring more to do the same job. (more…)

Because it expresses my own orientation, I carry in my wallet a membership card to the Society for the Right to Die, which has imprinted on the back a signed statement of my living will.

When the aging process accelerates inexorably, you usually don’t just fail to wake up one morning because of old age. One of the many illnesses that afflict the elderly with increasing frequency will likely be the cause of death and dying. Here is where I feel a living will is important. (more…)

A decline in glucose tolerance with age is a common finding that leads to an increased incidence of type 2 diabetes (T2DM) in the elderly. By age 60, 18.3% of persons have diabetes. Nearly 50% of individuals with T2DM are over the age of 65 years. (more…)

The senses of smell and taste are termed chemical senses because they detect chemical stimuli and encode chemosensory information into neural signals. A variety of diagnostic terms have been used to describe smell and taste disorders. Standard classification terms for olfactory disorders are anosmia (absence of smell), hyposmia (diminished sensitivity of smell), and dysosmia (distortion of normal smell). Phantosmia, a type of dysosmia, refers to perception odor in absence of an odor stimulus, and parosmia refers to distortion of odor perception when an odor is present. For taste, diagnostic terms include ageusia (absence of taste), hypogeusia (diminished sensitivity of taste), and dysgeusia (distortion of normal taste). (more…)

Since the 1960s a number of critiques have been developed about the misrepresentations inherent in the images which portray minority groups. Critiques have been increasingly made of what are seen as demeaning images of women, gays, the living elderly index, ethnic groups and regional minorities. Here the assumption is that such groups suffer from the imposition of negative stereotypes: images which do not accurately represent their everyday realities and aspirations. (more…)

You must understand that getting old is not an easy phase that our loved ones or the people that we know go through. Actually, everybody will age as time passes but each one will accept such a fate in different ways. But one thing that is the same, caring for older people should always be implemented and acted out. (more…)