Home Care for the
    Elderly


        REPORT BY:
     CIELO RODRIGUEZ
     NIKKI VILLAFLOR
PHYSICAL CHANGES

Changes in Physical Aspects of the elderly:
 Slow reflexes
 Less efficient circulation
 Graying of hair and changes of its texture
 Slow bodily processes
 Loss of skin elasticity, underlying fat
 Skin becomes thin and more fragile
 Less accurate senses
 Posture becomes more stooped and walking becomes more difficult
 Loss of muscle strength and familiar tasks become more difficult
 Less accurate in sensing temperature of water and air
 Healing takes longer
 Decrease of or short-term memory
MENTAL CHANGES

Cause mental changes in the elderly:
 Decreased brain circulation
 Medications
 Physical changes
 Social Changes
 Patient may be disoriented, forgetful, and irritable
PSYCHOSOCIAL CHANGES

Reasons that may make retirement yield negative effects
 Presence of chronic diseases make them leave work early
  and sometimes make them disabled and dependent.
 Death of spouse may affect psychological outlook in life
  and are oftentimes devastating. Some may lose the will to
  live leading to serious physical and mental problems.
 Being out of work may lead to loss of their sense of
  belongingness, self-esteem, personal satisfaction, and
  usefulness. Some retired people maintain part-time work
  to promote usefulness and well-being.
 Decreased financial income results in lesser social and
  leisure activities, lesser food choices, and inability to
  afford medical services.
SOCIAL CHANGES

Changes in social aspects:
 Retirement
 Change in income
 Change in level of activity
 Fear of illness
 Isolation from friends and family
 Death of spouse
Because of these changes, the elderly may:
 Become anxious, depressed or withdrawn, or may
  increase activity
 Change in eating habits, sleeping habits, or memory
 No longer show interest in those things they used to
  enjoy
 Suddenly develop an interest in activities they always
  disliked
Following activities may help elderly fight loneliness:
 Focus on hobbies
 Getting active with community activities
 Getting involved with church activities
 Joining family activities
Special
 Considerations In
Caring for the Elderly
SAFETY

Maintaining a safe environment through:
 Encourage them to discuss their capabilities realistically.
 Encourage properly-installed grab bars.
 Help provide lighting with switches that are easily to
  operate
 Encourage safe practice in the kitchen
 Set the thermostat on the water heater so that hot water
  is at a safe level.
 Plan emergency exits
 Help provide smoke detectors
 Encourage them to discuss their driving capabilities with
  their physician
EXERCISE

Benefits of exercise:
 Increase strength of bones
 Increase cardiac and respiratory capacity
 Increase muscle strength and tone
 Decrease in weight
 Help maintain normal blood pressure
 Decrease in anxiety
 Better sleep habits
SLEEP

Recommended sleep regimes for the elderly:
 Limiting intake of drinks with caffeine
 Creating a relaxing, pleasant atmosphere before
  going to sleep
 Developing regular sleep schedule
 Limiting naps and time spent without activity
 Creating a regular exercise routine
 Reviewing medications
MEDICATION

The following can also be problems:
 They may stop taking medications due to financial
  reasons, forgetfulness, and being new about the drugs.
 The older body retains medications at a different rate
  than does the younger body
 The kidneys and liver of an older client remove waste
  products more slowly
 Older clients often forget they have taken medications
  and repeat them.
 Older clients may have several physicians each of whom
  may not be aware of all the medications that have been
  prescribed by other physicians.
FOOD AND NUTRITION

Risk factors for malnutrition:
 Difficulties in chewing and swallowing
 Difficulties in procuring or preparing food
 Recent loss of spouse oral health problems
 Poverty
 Multiple drug abuse
 Confusion or depression
 Neurologic disorders
 Chronic lung disease
 Eating fewer than three meals a day
 Anorexia
 Inability to self-feed
 Alcoholism
 Altered taste and smell
 Diabetes
 Recent surgery
 Loneliness
ABUSE

Some of the signs are:
 Bruises on a person that are hard to explain
 A request from a person not to be left alone with a
  particular person
 Conflicting stories from family members
 A “feeling” that things are not right
 Lack of family concern for the safety of the client
 Exchange of abusive words between family members
 Unexpected deterioration of the person’s health

Home care for the elderly

  • 1.
    Home Care forthe Elderly REPORT BY: CIELO RODRIGUEZ NIKKI VILLAFLOR
  • 2.
    PHYSICAL CHANGES Changes inPhysical Aspects of the elderly:  Slow reflexes  Less efficient circulation  Graying of hair and changes of its texture  Slow bodily processes  Loss of skin elasticity, underlying fat  Skin becomes thin and more fragile  Less accurate senses  Posture becomes more stooped and walking becomes more difficult  Loss of muscle strength and familiar tasks become more difficult  Less accurate in sensing temperature of water and air  Healing takes longer  Decrease of or short-term memory
  • 3.
    MENTAL CHANGES Cause mentalchanges in the elderly:  Decreased brain circulation  Medications  Physical changes  Social Changes  Patient may be disoriented, forgetful, and irritable
  • 4.
    PSYCHOSOCIAL CHANGES Reasons thatmay make retirement yield negative effects  Presence of chronic diseases make them leave work early and sometimes make them disabled and dependent.  Death of spouse may affect psychological outlook in life and are oftentimes devastating. Some may lose the will to live leading to serious physical and mental problems.  Being out of work may lead to loss of their sense of belongingness, self-esteem, personal satisfaction, and usefulness. Some retired people maintain part-time work to promote usefulness and well-being.  Decreased financial income results in lesser social and leisure activities, lesser food choices, and inability to afford medical services.
  • 5.
    SOCIAL CHANGES Changes insocial aspects:  Retirement  Change in income  Change in level of activity  Fear of illness  Isolation from friends and family  Death of spouse
  • 6.
    Because of thesechanges, the elderly may:  Become anxious, depressed or withdrawn, or may increase activity  Change in eating habits, sleeping habits, or memory  No longer show interest in those things they used to enjoy  Suddenly develop an interest in activities they always disliked
  • 7.
    Following activities mayhelp elderly fight loneliness:  Focus on hobbies  Getting active with community activities  Getting involved with church activities  Joining family activities
  • 8.
  • 9.
    SAFETY Maintaining a safeenvironment through:  Encourage them to discuss their capabilities realistically.  Encourage properly-installed grab bars.  Help provide lighting with switches that are easily to operate  Encourage safe practice in the kitchen  Set the thermostat on the water heater so that hot water is at a safe level.  Plan emergency exits  Help provide smoke detectors  Encourage them to discuss their driving capabilities with their physician
  • 10.
    EXERCISE Benefits of exercise: Increase strength of bones  Increase cardiac and respiratory capacity  Increase muscle strength and tone  Decrease in weight  Help maintain normal blood pressure  Decrease in anxiety  Better sleep habits
  • 11.
    SLEEP Recommended sleep regimesfor the elderly:  Limiting intake of drinks with caffeine  Creating a relaxing, pleasant atmosphere before going to sleep  Developing regular sleep schedule  Limiting naps and time spent without activity  Creating a regular exercise routine  Reviewing medications
  • 12.
    MEDICATION The following canalso be problems:  They may stop taking medications due to financial reasons, forgetfulness, and being new about the drugs.  The older body retains medications at a different rate than does the younger body  The kidneys and liver of an older client remove waste products more slowly  Older clients often forget they have taken medications and repeat them.  Older clients may have several physicians each of whom may not be aware of all the medications that have been prescribed by other physicians.
  • 13.
    FOOD AND NUTRITION Riskfactors for malnutrition:  Difficulties in chewing and swallowing  Difficulties in procuring or preparing food  Recent loss of spouse oral health problems  Poverty  Multiple drug abuse  Confusion or depression  Neurologic disorders  Chronic lung disease  Eating fewer than three meals a day  Anorexia  Inability to self-feed  Alcoholism  Altered taste and smell  Diabetes  Recent surgery  Loneliness
  • 14.
    ABUSE Some of thesigns are:  Bruises on a person that are hard to explain  A request from a person not to be left alone with a particular person  Conflicting stories from family members  A “feeling” that things are not right  Lack of family concern for the safety of the client  Exchange of abusive words between family members  Unexpected deterioration of the person’s health