Articles with tag: «old age.»
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2023 № 10 Medical and social problems of geriatrics patients.
Introduction. Currently, the demographic situation is characterized by a serious increase in the aging of the population. Life expectancy is an important indicator that determines the level of public health and socio-economic development of the country, which depends on a number of biological and social factors. Geriatric patients are a category of people in need of medical and social assistance. Much has been done in the Russian Federation to improve the quality of life of older people in order to increase life expectancy. Active longevity is an important aspect of the health and social services system.
The aim is to study the medical and social problems of geriatric patients in the historical aspect.
Materials and methods. The analysis of Russian-language and English-language literature of domestic and foreign authors was carried out in order to verify the medical and social problems of the elderly and determine methods for helping this category of patients. PRISMA data was used to compile the review.
Results. Based on the analysis of scientific literature materials, 3 categories of problems in geriatric patients were identified: decreased mental and physical abilities; geriatric syndromes; support for caregivers. Based on these categories, the following subcategories were identified: Decreased mental and physical abilities (loss of mobility; malnutrition; visual impairment; hearing impairment; cognitive impairment; symptoms of depression); geriatric syndromes: (urinary incontinence; risk of falls); support for caregivers.
Discussions. The main goal of public health according to the WHO concept of healthy aging is to maintain functioning throughout the life cycle. Taking measures at an early stage plays a crucial role, since the process of senile decrepitude or dependence on outside help can be delayed, slowed down or even partially reversed if appropriate measures are taken at an early stage of reduced functionality.
Conclusions. Geriatric patients are a serious medical and social problem that should be solved by: medical workers, government officials, psychologists, social services, volunteers, scientists, relatives of patients. -
2019 № 6 Main trends in mortality from injuries among elderly persons
Р. 34-38
Abstract. Despite the fact that the main economic and demographic negative contribution to the death rate from injuries is caused by cases among the able-bodied population, a huge social role is played by mortality among the elderly and senile age. For all the major causes of death from injuries, with the exception of death in road accidents and due to injuries with sharp objects, where the maximum rates are recorded for men of working age, the leading age groups are65 years or more, and peak values occur at the age of 80 years or more.The problem of high mortality among seniors is interdepartmental in nature; to solve this problem, it is necessary to involve not only health authorities, but, above all, social services. For persons of old age, an organization of an accessible environment is necessary, not only at public and private facilities, but also at the place of residence. -
2020 № 4 The Structure of hospitalized morbidity of elderly and senile patients
Population aging in the Russian Federation requires is a new challenge for medical and social care, including inpa- tient care, for the elderly. The purpose of this study was to study the structure of morbidity requiring hospitalization of elderly and senile people in the Krasnoyarsk territory. We analyzed data of all 36206 patients aged 60 years and older who were hospitalized to the Krasnoyarsk regional hospital for war veterans in 2014–2019. Age, gender, duration of in-hospital care, main and concomitant diseases were the main studied variables. The proportion of men among the elderly increased while the proportion of women decreased over the study period. It was found that the causes of hospitalization varied considerably between age groups. Thus, among the hospitalized elderly, diseases of the circulatory system and diseases of the genitourinary system were most often identified as the main disease in patients. Diseases of the circulatory system were diagnosed as the main disease more often also in elderly patients and in patients belonging to centenarians. Our results reflect gradual increase in life expectancy of the population. An increase in the proportion of people with advanced age in the population structure warrants structural changes in institutions that specialize in providing medical and social assistance to these categories of the population.
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2023 № 5 Problems of providing endocrinological care to the elderly in the Russian Federation.
The main goal of the modern organization of medical care to the population with diseases of the endocrine system is to improve the quality, efficiency and accessibility of medical care to persons suffering from diseases of the endocrine system. For many years now, the problem of the dynamics of the prevalence of diseases of the endocrine system reflects frightening figures. At the same time, the group of the most common diseases is still diabetes mellitus (DM), obesity and thyroid diseases. Diseases of the endocrine system significantly reduce the quality of life of the elderly. The health status of elderly people is most often characterized by the comorbidity of chronic diseases, which
in turn leads to a deterioration in the prognosis regarding life and health, and also makes necessary forced polyprogmasia. Identification of the problems of providing endocrinological care to the elderly will improve the quality and effectiveness of medical care at all stages of its provision.
The purpose of the study: to analyze the organization of medical care in the development of endocrine diseases in the elderly population of the Russian Federation.
Materials and methods. A content analysis of regulatory and legal documents on the provision of medical care to elderly patients in the field of Endocrinology in the Russian Federation, an analysis of Rosstat data on the main health indicators of the elderly population of the Russian Federation over the past 10 years was carried out.