Presentation on theme: "Health in retirement 2010/11 Seminar program Presented by Australian & New Zealand Society for Geriatric Medicine."— Presentation transcript:
Health in retirement 2010/11 Seminar program Presented by Australian & New Zealand Society for Geriatric Medicine
Healthy Ageing Dr. Mohammed A. Khateeb MBBS (Pakistan), PGCert (Kuwait), DPM.Ed.(Harvard), FRACP (Australia) MEMBER: Australia New Zealand Society of Geriatric Medicine American Geriatrics Society Australian Medical Association, Gold Coast Medical Association Internal Medicine Society of ANZ International Society To Advance Alzheimer’s Research and Treatment
General and Geriatric Medicine Staff Specialist Prince Charles Hospital Visiting Consultant Logan Specialists Centre, Springwood Ph: John Flynn Private Hospital, Gold Coast Ph:
Normal Ageing We start to age from the moment we are born. We do not all age in the same way. Ageing does not imply ill health
The truth… “ You’re as old as you feel”
By 2050, the Australian population is forecast by the ABS to increase by 36%. Dementia will increase nearly fourfold
Not Diagnosed Yet..
I’m 65 Will I get to 85? Men - 40% Women - 60%
At 65, how long much longer do you think you are going to live? Is this superannuation going to last? Men - 18 years Women - 21 years
But remember it’s not just the years you add to life, but life to the years !
Facts about ageing Facts about ageing In 2000, there were 600 million people aged over 60; there will be 1.2 billion by 2025 and 2 billion by In the developed world, the very old (age 80+) is the fastest growing population group. Women outlive men in virtually all societies; in very old age, the ratio of women/men is 2:1.
Fact 2 Population ageing is a triumph of modern society. It reflects improving global health, but also raises special challenges in both developing and developed countries.
Global Recession ? Ageing is a global phenomenon. The world's elderly population - people 60 years of age and older - is the fastest growing age group. By 2050 about 75% of elderly will be living in developing countries.
Special Problems of Elderly Multi-factorial Atypical “Silent” Chronic Multi Medications Psychological issues (life change) Neglect A Question of Care ?
Could it be dementia?
Diagnose Dementia Early Specific treatment May slow underlying disease process, the sooner the better May delay nursing home placement
Diagnose Dementia Early Safety ( driving, compliance, cooking, etc.) Family stress and misunderstanding (blame, denial) Early education of caregivers on how to handle patient Advance planning while patient is competent Patient’s and Family’s right to know
Protective factors for Alzheimer’s disease PossibleUnlikely Physical activity Ongoing intellectual stimulation Leisure/social activities Higher education Anti-inflammatory drugs Cholesterol lowering drugs (statins) Blood pressure lowering drugs for those with high blood pressure Moderate alcohol intake (b) (b) This may depend on gene status as some studies have found that moderate alcohol is not protective for those with the apolipoprotein E – epsilon 4 allele. Drugs used to treat established Alzheimer’s Omega-3 fatty acids
PRIMARY GOAL OF TREATMENT To enhance quality of life and maximize functional performance improve cognition, mood, and behaviour
Do You wish to live forever?
Want to remain young forever? Want to remain healthy forever?