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The elderly who have lost the ability to take care of themselves are called "disabled elderly". According to the analysis of international standards, among the six indicators of eating, dressing, getting in and out of bed, going to the toilet, walking indoors, and bathing, 1 2 items that cannot be done are defined as "mild disability", 3 4 items that cannot be done are defined as "moderate disabilities", and 5 6 items that cannot be done are defined as "severe disabilities". More than 60% of the physical condition of the elderly changes due to the maladaptation of the home environment.
The care of the disabled elderly requires a combination of physical and mental power, so what should family caregivers do?
Psychological care. For the disabled elderly, it is necessary to observe their emotions, be good at discovering the difficulties in their lives, and help them groom, bathe, change clothes, eat and sleep, urinate and urinate, etc. Reduce the mental burden of the disabled elderly, take the initiative to care for them enthusiastically, do not dislike them, do not show any disgust in front of them, so that they can truly experience the warm care of their families.
2.Dietary care. Diet is also key to home care for disabled seniors.
Ensure proper nutrition and intake. Because the disabled elderly are often accompanied by aphasia, unable to express their wishes correctly, or choking and swallowing, unable to ensure food, and often have insufficient or excessive income, family members should pay enough attention. It is necessary to set recipes, quantitatively and regularly**, eat less and more meals, and do not use frying, frying, and barbecue cooking; Avoid greasy, sweet, greasy, spicy, and salty products; Quit smoking and drinking.
Constipation should eat high-fiber foods, such as vegetables, fruits, etc. Patients with hyperlipidemia should avoid eating animal offal and eat more foods with high fat and cholesterol such as peanuts. If the disabled elderly person has a severe cough, they should go to the hospital immediately for symptomatic treatment**.
3.Keep your stool smooth. Disabled elderly people who have been bedridden for a long time are prone to constipation.
If they push too hard to defecate, it can induce a bloody stroke and a cerebral embolism. In order to maintain smooth bowel movements, it is necessary to have regular bowel movements, eat more celery, carrots, fruits, etc. If necessary, drugs such as senna soaked in boiling water, hemp seed intestinal pills, lactulose, and kassel can be used.
4.Functional exercises. Through certain exercises, it can promote the recovery of limb function, prevent limb muscle atrophy, enhance physical fitness, prevent complications, and enable the disabled elderly to treat diseases with a positive attitude and improve their mental state.
The main methods used are massage, passive exercise with the help of others, and active exercise with self-involvement. **Exercise should be gradual according to the actual situation of the elderly, and should not be rushed. Slight progress in motor function in the elderly should be affirmed and encouraged to further mobilize the enthusiasm of the elderly to participate in exercise.
5.Strengthen disease observation to prevent complications and accidents. Careful observation must take the initiative to understand and familiarize yourself with the changes in the condition of the elderly.
If you don't think it's normal, ask in detail. Generally, if it is not obvious, it should be sent to the hospital for examination in time, so as not to delay the condition and miss the opportunity.
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Middle-aged and elderly people are prone to pain in the knee with long bone spurs, and if there is a problem with the lumbar spine and the nerve will also hurt, if so, lumbar spine problems and long bone spurs are common diseases, and most of them do not need drugs or surgery**, find an osteopath.
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Go to the hospital to check your health.
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Middle-aged and elderly people are prone to bone spurs in the knees, and if there is a problem with the lumbar spine, it will also hurt if the nerve is compressed, if so.
Lumbar spine problems and long bone spurs are common diseases, most of them do not need drugs or surgery**, find an orthopedic doctor, they specialize in treating this kind of disease, can remove bone spurs, no longer compress the nerves, and the corresponding symptoms will naturally disappear, **The time is usually not more than ten minutes, that is, there will be a little pain when treating, just take a rest.
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Leg weakness may be a manifestation of varicose veins, which are caused by obstruction of veins and vessels in some places, manifesting as exposure of green tendons. Guidance: According to your symptoms, you should elevate your lower limbs, pay attention to rest, take medicine for mild cases, undergo surgery for severe cases, and avoid standing for a long time.
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The old man's legs are weak, and it is the legs.
If the qi and blood flow too slowly, the leg muscles and muscles will lack the nourishment of qi and blood, which will gradually degenerate, and the bearing capacity will decrease, resulting in weakness.
When people get old, the qi and blood in the body begin to weaken, and the blood vessels in the body and legs are blocked by garbage substances, cold and dampness, and toxins, resulting in the slow flow of qi and blood in the legs, and some will be weak, and some will even be sore and cold.
That's why people's old legs age first.
To restore it, it is necessary to strengthen the physique, nourish enough qi and blood, enhance the body's energy and yang qi, speed up the flow of qi and blood around the body and legs, unblock the blockage of the body and legs, through the heat and sweating in the body, you can discharge the garbage and cold and dampness in the body with sweat, and over time, the qi and blood in the body and legs run smoothly, and sufficient qi and blood can nourish the leg muscles and muscles and bones, becoming strong and powerful.
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According to this copy situation of the elderly, consider the following reasons: 1. Weakness of the spleen and stomach, insufficient spleen and stomach transport function, and less subtle metaplasia of the water valley, and then deficiency of qi and blood, unable to nourish the lower limbs and weak, it is recommended to take oral Gui Spleen Pills. 2. Kidney qi deficiency, meridians can not be nourished and lower limb weakness occurs.
3. For neurological diseases, neurology is recommended.
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The elderly have weakness in their legs, which indicates that the patient may be caused by potassium deficiency, and it is seen whether the elderly have a decrease in food intake and insufficient potassium distribution in the patient's body. In traditional Chinese medicine, it can be regarded as qi deficiency according to syndrome differentiation, and codonopsis, poria cocos, and astragalus are given to tonify.
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Swollen feet, spleen and kidney yang deficiency, irregular heartbeat, lack of qi and blood, intestinal obstruction, a person with muscle slashing 70 pounds, and only 2o days after being discharged from the hospital.
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Weakness in the legs of the elderly may be due to diseases of the old blood vessels. Because old vascular disease (varicose veins) will lead to the phenomenon of weakness of the lower limbs, it is necessary to go to a professional hospital for examination in time, and do not delay the best time, which may lead to paralysis of the whole body.
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This is a condition of limb weakness that needs to be carried out in a timely manner.
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Proper exercise, not bed rest for a long time, so that the body function will naturally decline.
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Consider vascular diseases, such as varicose veins and early venous thrombosis, etc., and pay attention to it and seek medical attention in time**.
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First of all, the situation you copied is very likely to have the symptoms of rhinitis, and the symptoms of leg weakness are not very related to this dao. Is there any abnormality in your blood pressure? If the blood pressure is normal, it is best to check the potassium in the blood to see if it is possible. :
You may be kidney yin deficiency, yin deficiency is hot, so there is blood clots in the nose, weak legs, traditional Chinese medicine believes that kidney yin deficiency, loss of nourishment, deficiency of heat endogenous weakness syndrome, for kidney yin deficiency, its symptoms are: waist and knee soreness and pain, dizziness and tinnitus, men's sperm **, insomnia and forgetfulness, dry oropharynx, five hearts (palms, feet, heart) irritability, hot flashes and night sweats, afternoon cheeks red (feel hot) urine yellow, red tongue and less jin, less moss or no moss, fine pulses, etc., **generally to nourish yin and kidneys, You can take traditional Chinese medicine prescriptions such as Liuwei Dihuang Pill and Zuogui Pill, but Chinese medicine pays attention to syndrome differentiation and treatment, so it is best to go to the local Chinese medicine hospital for treatment and clinical treatment, and the combination of four diagnoses is wonderful. The details are unclear at this time.
Is it potassium deficiency, just doubt. Laboratory tests are required to determine.
Endocrine tests are mainly thyroxine, epinephrine, etc. It is up to the clinician to determine which tests to choose. 、
At present, this weakness symptom has little to do with the liver and brain, and I hope it can help you!!
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Have you been to the hospital for a check-up and how long has it lasted?
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Many diseases may cause weakness, and it is recommended to check how long this condition has been.
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The body is too deficient in potassium, so make up for this more. Medical Examination Cabin.
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Caring for disabled elderly people needs the help of their children, and even if they are sent to nursing homes, they are not particularly well cared for. If you have a lot of children, it's fine, but if you have few children, it's really powerless to take care of them.
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Give the elderly nutritious and easy-to-digest food, as well as prevent bedsores, scrub the body frequently, and turn over the elderly regularly
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The biggest difficulty in the care of the disabled elderly lies in the handling of urine and urine, the caregiver is dirty, the children are inconvenient, and the elderly are embarrassed. As a scientific and technological urine care robot, it can automatically sense the discharge of urine and urine, collect it in time, and clean and dry the human body, and the nursing staff only need to empty the dirt bucket once a day.
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Feed the elderly regularly and quantitatively, turn over the elderly regularly, wipe their bodies, take the elderly out for a walk, and so on!
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First of all, we must be careful, and secondly, we must see whether the elderly are illiterate? When there is any need, let it be written on paper, and then communicate, otherwise it will be difficult, you must be patient and careful.
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Joy Housekeeping-Nursing.
1. Diet Diet control and regulation are the basic measures for diabetes. The purpose is to reduce the burden on pancreatic islets and facilitate the recovery of islet function. Diet should be adjusted according to factors such as illness, height, weight, labor intensity, and the presence or absence of complications.
Dietary control is accompanied by a comprehensive understanding of the patient's eating.
a.If the diet is insufficient, you can add three boiled vegetables and other high-fiber foods to satisfy hunger.
b.**If there is any surplus in the diet, you should contact your doctor and deduct the dose of hypoglycemic drugs.
c.If you want to eat sweets, you can use xylitol to taste.
d.To eat fruits, it is necessary to deduct the calories of the staple food.
2. Rest Life should be regular, adequate sleep, combination of work and rest, such as severe cases and serious complications must be bed rest. Rest can reduce energy expenditure and have a protective inhibition on the brain, which is beneficial to**.
3. Oral care can prevent infection, due to diabetes hyperglycemia and vitamin B metabolism disorders, it can lead to dryness and itching. Therefore, it should be scrubbed frequently with warm water; There is peripheral nerve dysfunction, so it is insensitive to heat sensation and easy to cause burns; If there is a bad smell in the mouth, it is necessary to strengthen oral care.
4. Clothing, shoes and socks should be loose to prevent gangrene at the end of the toes.
5. Psychological Nursing Because diabetes is a lifelong disease, patients are prone to anxiety and psychological problems, and it is necessary to explain the condition carefully so that patients can understand that the disease can be controlled. Advanced methods can be envisioned to increase confidence in cooperation for disease.
6. Take medication regularly according to the doctor's instructions and observe adverse reactions.
7. Closely observe the condition.
a.Measure urine glucose before meals or leave a urine period, and measure blood sugar regularly.
b.Observe for signs of ketoacidosis, hypoglycemia, etc., and seek medical attention in time if they appear.
c.Observe for complications such as infection, limb gangrene, cataracts, coronary heart disease, etc.
d.Ask the patient to carry a small card for disease diagnosis with him, so that he can deal with it in time in case of accidents. Regular outpatient follow-up is required.
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In taking care of the elderly with long-term disability, the most important thing is to prevent the occurrence of pressure ulcers, also known as pressure ulcers, joint stiffness and deformities of hands and feet, so we should do the best work as soon as possible to accelerate the recovery of the physical functions of the elderly. Family care is generally very careful, but the nursing knowledge is not enough, the time is not many people are tired, it is recommended to find relevant caregivers (commonly known as nurses) to take care of the elderly, you can also go to the nursing easy to check some nursing knowledge.
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The elderly with disability and dementia have no ability to take care of themselves, and generally need 3-4 people to take turns to take care of them, which is difficult to do in ordinary families. At present, Changsha Yongji Nursing Home has a new type of elderly care model "combination of medical care and elderly care", which can solve this problem, improve the quality of life of the disabled and dementia elderly, and reduce the burden of the disabled and dementia elderly families.
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The state has specially established a long-term care insurance policy to provide services and financial guarantees for long-term disabled persons who have reached a certain level of nursing needs after assessment, and provide them with basic life care and medical care closely related to basic life. 90% of the nursing cost is borne by the long-term care insurance**, and 10% is paid by yourself, and you can apply if you meet the following conditions:
1) 60 years of age or older;
2) Participate in the city's employee medical insurance or resident medical insurance;
3) Personnel who participate in the city's employee medical insurance also need to apply for basic pension procedures in accordance with the regulations;
4) Insured persons who have reached the assessment level 2 to 6 and are within the validity period of the assessment after the unified needs assessment of elderly care.
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1. Before formal feeding, it is necessary to consider whether the amount of food to be fed is sufficient, whether the selection of ingredients is reasonable, whether the eating time is correct, and what the appetite of the service users is.
2. The body of the elderly will be 20% less water than that of young people, so the water supply of the elderly is very important. Fever, vomiting, diarrhea can lead to the loss of water in the body, which can be supplemented by feeding soup, milk, juice, tea, water, etc. When replenishing water, you should also consider balance, not too much at once.
3. The swallowing function of the elderly is poor, the eating speed is too fast, the food shape is too large, too hard, not easy to chew and swallow, and the fish and bone spurs are stuck in the throat; Choking cough caused by loud talking and laughing while eating; Eating peanuts, zongzi, rice cakes, dumplings, etc., are very likely to cause suffocation in the elderly when eating. When eating, the elderly should be reminded to maintain a slightly forward posture with their upper body.
4. Food should be chopped into pieces, but not minced. Feed less at a time, feed after swallowing, and then feed, so that dry and thin alternately, and feed according to the rhythm of the other party's breathing, otherwise you will choke. When the swallowing muscles are paralyzed, feed from the healthy side.
When lying down to eat, solid food and semi-liquid food are not easy to choke, and it is easy to choke when drinking soup, so the elderly should be reminded not to worry. It is best to drink the soup with a straw or a cup with a straw. Rinse your mouth after meals to prevent food from being trapped in your mouth to avoid suffocation while sleeping.
5. In order to prevent and treat bedsores, the daily care of the disabled elderly should be turned over every 2 hours day and night to avoid being stressed for too long. In addition, keep **dry, scrub with alcohol and massage the pressure area with talcum powder. It is necessary to avoid contamination and dampness caused by urine and urine, and replace it in time once it is contaminated.
6. Wash the patient's feet and bathe regularly to keep them dry and clean. Keeping the bony process dry, clean, and with normal blood circulation are two key measures to prevent pressure sores.
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