Geriatric Rehabilitation: Physical Therapy and Principles of Rehabilitation


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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…)

Overview of Hormonal Changes with Age

Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocrine function. Several mechanisms interact in most systems to bring about the observed changes. Aging is associated with anatomic changes of the endocrine glands. In addition, with age, changes in hormone secretion occur, including alterations in circadian or seasonal biorhythms, changes in pulsatile frequency or amplitude of hormone secretion, as well as absolute changes in mean serum hormonal levels. (more…)

What is Frailty? Aging Related Disease

There is strong consensus among geriatricians and gerontologists that frailty is a clinical state of increased vulnerability and decreased ability to maintain homeostasis that is age-related problems and centrally characterized by declines in functional reserves across multiple physiologic systems. This vulnerability is age-related and also related to, but distinct from, disability and elderly disease states. (more…)

Hormonal Changes with Age – An Overview

Altered cellular metabolism and intracellular and intercellular signaling with advancing age result in widespread changes in endocrine function. Several mechanisms interact in most systems to bring about the observed changes. Aging is associated with anatomic changes of the endocrine glands. In addition, with age, changes in hormone replacement secretion occur, including alterations in circadian or seasonal biorhythms, changes in pulsatile frequency or amplitude of growth hormone secretion, as well as absolute changes in mean serum hormonal levels. The three main hormone systems that show decline with age are the gonadal hormones (menopause and andropause), the adrenal steroids DHEA and DHEA-S (adrenopause), and the GH/IGF-1 axis (somatopause). (more…)

Changes in Adult Roles after Retirement Ages

Adults have two principal jobs in life - earning a living and raising a family — and much of life’s satisfaction comes from doing these jobs as well as possible. The man’s work makes him feel useful and other people respect him if he does a good job. In the same manner, raising a family and making a home are the woman’s way of being useful. (more…)

Senior Scams: Consumer Protection for Older Adults

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Foot Care and Teeth Care for Elderly

foot teeth care elderly
Of all parts of the body, the foot seems to be the most common site for chronic and irritating disorders. Corns, bunions, painful joints, nail abnormalities, and other minor problems abound, par¬ticularly in later years. Many of the difficulties are related to poor care of the feet and thus can be minimized. The nail should be trimmed with nearly square corners and not too close, and this should be done at regular intervals. Minor infections should be treated immediately, especially in persons with diabetes or poor circulation where the consequences can be serious. (more…)

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The Benefit of Physical Activity for Elderly

physical activity elderly
Some years ago an experiment was made on young college students to test the effects of inactivity. Each student was immobilized in a body cast for a period of several weeks, and measurements were made of various body functions before and afterwards. It was found that the enforced inactivity resulted in deteriorated function of many body parts. (more…)

Home Safety Concern is Top Priority for Elderly

I got up around 6:45 one morning and made my way to the kitchen to start the day. As I stood at the sink, something caught my eye out the front window. My neighbor’s front door appeared to be open and the screen door was flapping in the wind. This was a bit odd, because the temperatures were in the low 30’s and the north wind was howling… not exactly the kind of weather for leaving the door wide open. I stood there a few minutes to see if someone was coming in or out of the door and had possibly propped it open temporarily. (more…)

10 Tips to Look Younger

tips to look younger
Have you ever wanted to look younger than your current ages? Sure you have. Many of us still looking for the Fountain of Youth; the elixir to reverse aging process. We may even go to drastic and extremes measures to reach it. Surgical face lifts and botox treatments are sometime the preferred choices for ones who are looking for shortcut. These treatments are not come cheap. Surely, you can look younger, but have you realized that there are other methods, that will give you a more youthful look which cost you a penny? (more…)