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Adulto mayor y envejecimiento sano
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Adulto mayor y envejecimiento sano

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El envejecimiento como ya hemos visto trae aparejado en algunos órganos un deterioro funcional, que aunque no sea de igual proporción al histológico, si sobremanera lo supera por el grado de repercusión y molestia que acarrea.

Es así que se manifiesta los trastornos de las articulaciones (artrosis), problemas en los pies (callos, deformidad de dedos, espolones, unicomicosis), trastornos respiratorios (Disnea, tos y expectoración), Cardiovascular (Hipertensión, angina, secuelas de trombosis cerebrales), trastornos mentales.

Estos cambios traen aparejado todo una serie de trastornos, para la deambulación; el movimiento cotidiano para su supervivencia, la comunicación adecuada con los demás de la barriada y con sus mismos familiares. El contacto con el medio ambiente que lo rodea y que al final, es quien esta actuando con él, en una dinámica constante.

Todo esto se pudiera prevenir, o atenuar, si desde el principio los hubiéramos incorporado al ejercicio controlado y educativo, a las charlas de salud, en donde les hablemos del habito de fumar, de las consecuencias finales de esta practica, la forma de comer sin variedad, dietas ricas en  grasas, con pocas fibras y vegetales, tan importante para la incorporación de las vitaminas.

A los adultos mayores hay que hacerles una valoración en la consulta de su estado físico, psíquico y su medio social en que esta instalado y de esta forma comenzar a influir en cambios que debe asimilar para su nueva vida a partir de ahora y es como enseñar a un niño como debe comportarse, hay que estimularlo y hacerle razonar con argumentos sólidos, convincentes y ejemplos prácticos el porque se debe hacer una cosa y no otra.

Cuando se piensa en la población envejecida se debe de pensar en la atención primaria como elemento fundamental en la cadena de atención a la población.

Si se piensa en un plan de acción para un subgrupo poblacional hay que pensar en el primer nivel asistencial. Será necesario que se disponga del tiempo para la dedicación a ellos, pues no solo es saber que existen sino tener un plan, dedicándole el tiempo necesario para el control y el mejoramiento científico.

La expectativa de vida en la actualidad rebasa los límites de los 70 años, y se marcha a pasos sólidos a los 80 años, con vistas a alcanzar los 120 años; todo esto conllevará a una mejor atención primaria, a una prevención desde que el individuo esta en el vientre materno y un avance tecnológico en el campo de la investigación y la prevención que nos ponga a tenor con lo que queremos alcanzar.

En una área de atención se han escogido dos grupos, que representan 5 familias cada uno y en donde cada familia tiene un anciano y estos entre cada grupo tienen un mismo problema en común; en un grupo los ancianos son Diabéticos y en otro grupo los ancianos son Hipertensos.

En cada grupo hemos concebido la atención de forma integral, o sea con la participación del trabajador social ( Pues hay que tener en cuenta formas de vida, economía, problemas sociales de alcoholismo en la casa etc); la especialista en nutrición (Pues hay que ver los hábitos alimenticios, los vicios en la alimentación , costumbres, y la mejor forma de encaminar esta nutrición), especialistas en Educación física y recreación, así como otros que puedan ayudar en el contesto de un Plan de atención integrar.

Cada grupo tendrá debido a sus particularidades charlas o conversatorios, que les enseñen, tanto a ellos como a sus familiares como es su enfermedad, como hay que tratarla, como prevenir sus complicaciones, como interrelacionarse con el medio, o sea crear la autoayuda en los enfermos mismos con el conocimiento de su enfermedad y a la vez realizar esto mismo con sus familiares y amigos para de esta forma, crear todo un sistema de ayuda, consideración, reconocimiento de mérito y centro familiar de aquellos que con honor y dignidad llegan a la ancianidad y que puedan ser parte de la sociedad con mejor calidad de vida.

Dr Ricardo martinez 


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