There are many problems for the elderly not to go out. Some Japanese start-ups have developed electric wheelchairs and muscle strength equipment, hoping to use technology to intervene in long-term photo taking in the future. Hong Yujie, an expert in preventive medicine and family medicine, said that elderly people who look forward to staying indoors for a long time are prone to depression, muscle loss and other problems, and the risk of infection and death will also increase, so they are optimistic about scientific and technological assistance. However, he also reminded that taking care of elders should adhere to "respect", "autonomy" and "care", and more communication and encouragement instead of coercion is the best principle.
The elderly are indoors for a long time. They suffer from sarcopenia and depression.
In view of the reasons why the elderly don't go out, Dr. Hong Yongjie pointed out that it may be because of inconvenient movement (joint degeneration, bone spurs, muscle weakness, stroke, etc. ), frequent urination and other urination problems, or when they go out, they are lazy and feel that going out is boring. Some people are afraid of going out to increase the burden of family care, or even retreat socially, afraid of being left out by outsiders, afraid of installing nasogastric tubes and wheelchairs, and dare not go out.
Dr. Hong Yongjie emphasized that if the elderly do not go out for a long time and withdraw from socializing for a long time, they will easily develop into depression, while if they eat casually at home, lack nutrition and lack activities, sarcopenia will occur. "If the muscle mass is less than 65,438+00%, the immunity will decrease, and the muscle mass will decrease by more than 30%, which is directly related to the increased risk of infection and death. 」
In addition, the elders look forward to staying at home, may be used to sleeping all the time, work and rest are upside down, are prone to emotional instability, have conflicts with their families, and even fall out with the whole family. This is a situation that doctors often encounter in clinic.
It is difficult to support the elderly, and caregivers will also suffer occupational injuries.
Dr. Hong Yongjie also observed clinically that 70% of caregivers often have low back pain in the process of care, because they need to bend over for a long time to take care of them, which will seriously lead to disc herniation, nerve compression, numbness of hands and feet, and even osteoporosis of caregivers, leading to compression fractures of the spine.
Doctors have met nurses, and they are not strong enough. In the process of transporting the elders, both of them couldn't hold back and fell, and both of them were broken. He reminded caregivers to be especially careful to ensure the posture and movement of handling, so as not to hurt caregivers and people being cared for.
Japanese high-tech is facing a wave of aging, which Taiwan Province Province can learn from.
Japan, which is also facing the wave of aging, realizes the importance of long-term care for the elderly, combines high technology to help the elderly and caregivers, and even has many ingenious designs to make people change assistive devices. For example, some enterprises have developed electric wheelchairs with futuristic appearance, multi-wheel design and convenient operation. Even for caregivers, there is a sci-fi concept of muscle strength suit, which provides support through aerodynamic force without electricity, so that caregivers can save effort in handling and avoid the risk of injury.
Dr. Hong Yongjie is optimistic about the success of technical assistance, saying that many family members just push patients to the park in wheelchairs and chat beside them, and no one cares about their elders. This is not a good situation. The advantage of electric wheelchair is that the elderly can operate it by themselves. When they are in control, their emotions are very different. If they can't do it independently, they are prone to the above-mentioned depression. As for muscle strength equipment, if it helps to relieve the pressure on the joints and muscles of caregivers, it will help to prevent muscle and bone injuries and even avoid falling in pairs.
However, the doctor reminded that experts should be consulted when using such assistive devices, including the safety, operability and height of wheelchairs.
Doctors who care for the elderly advocate respect, autonomy and care.
Many people always want to give the best to their elders, but Dr. Hong Yongjie said, don't impose your ideas on your elders. Elders have their own ideas and habits, and should adhere to the principles of "respect", "autonomy" and "care". As long as there are no great health risks, it is very important to let them feel respected and give them all kinds of care in life.
In the textbook of preventive medicine, the advice for people over 90 years old is that "doctors may not live longer than patients". The doctor said that as long as it is not too harmful, try not to force patients to do what they should and should not do. However, whether the elders go out or not is still a big problem. Dr. Hong Yongjie suggested that people should encourage and communicate more than force, which is a better way for family members and elders.
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