The old man living alone to do the physical and mental health assessment
October 30, 2011
“young and old to companion”, “parents, not in his”, the two words to explain a problem: the family to the old person is very important, especially for single old people is even more so. But modern social work ways made most young people can’t live together with their parents: some is not the same city life, some old man and young people to different ways of life and doesn’t want to live together. So, some of the old man had to live alone. Henan province 2 area MengYi encephalopathy, director of the hospital professor warn that a decision on whether to let the old man living alone before, be sure to give the old man to do a physical and mental health assessment, especially such as diseases of vital organs.
first of all, assessment of the heart health. High blood pressure is a whole body of many diseases basic diseases, if the old man high blood pressure or often Chinese beauty fluctuation, blood pressure control not ideal, best can have a family to take care. The old man often had coronary artery disease in 1 or 2 o ‘clock comes on, may appear angina, myocardial infarction, or even sudden death may occur. Myocardial ischemia is cause angina, myocardial infarction of the direct cause, general myocardial cell ischemia 30 minutes will appear irreversible death, myocardial ischemia, the longer the myocardial cell necrosis and the more. Myocardial cell is difficult to regeneration of cells, the necrotic a little one, so for myocardial infarction speaking, the sooner the better treatment, time is life. Angina pectoris general a few minutes to ease, taking available JiuXinWan can alleviate pain. For myocardial infarction and sudden death of the old man, the night when the timely discovery hospital is very important.
second, assessment of the brain health. The old man night by night wedding flowers or in the morning, if from bed up too fierce, blood pressure will climbed sharply, and, at this point, with cerebrovascular disease person to because blood pressure rise suddenly and produce cerebral hemorrhage, appear loss of consciousness, coma, hands and feet can’t move. If not treated in time, is likely to lead to the hemiparalysis. So the old man night at night or in the morning, speed must slow down: slowly to sit up, sit for a minute or two before moving to the bed and a leg down slowly, and then put down another leg, and then sit for a minute or two, then slowly down bed. High blood pressure, diabetes is a disease of the basic cerebrovascular disease, with these diseases should pay special attention to prevent cerebrovascular disease.
third, assess mental mental health. Both the health of body health, including mental health. So not only should the old man’s eat live problems, but also concerned about the old man’s spiritual mental health. With the old age is more and more big, the social relations will gradually decrease, social activities and less, plus the body function decline, big cerebral blood reduce, very prone to depression state (old people who live alone more so). Depression of the specific performance of mental state not beautiful, insomnia, easy to cry. Most of the time the spirit of the old man performance is not very obvious, and the main performance for physical symptom, such as headache, dizziness, insomnia, stomach bloated, chest pain, joint pain, but check index was close to normal. Can’t let the old man living alone with symptoms of depression, because if the old man into a depression symptoms cannot extricate oneself, often appear commit suicide. Therefore, no and old man lived in with to go home and read frequently, old man with a chat for a walk, often calling up, more about the old man’s physical and mental health.
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