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Health in retirement 2010/11 Seminar program Presented by Australian & New Zealand Society for Geriatric Medicine.

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Presentation on theme: "Health in retirement 2010/11 Seminar program Presented by Australian & New Zealand Society for Geriatric Medicine."— Presentation transcript:

1 Health in retirement 2010/11 Seminar program Presented by Australian & New Zealand Society for Geriatric Medicine

2 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 

3 General and Geriatric Medicine Staff Specialist Prince Charles Hospital Visiting Consultant Logan Specialists Centre, Springwood Ph: John Flynn Private Hospital, Gold Coast Ph:

4 Today we’ll look at Normal ageing Important issues Prevention – what you can do! © Australia & New Zealand Society for Geriatric Medicine

5 What does ageing mean? Ageing does not imply ill health Biological age vs chronological age –‘old and infirm’ – not necessarily true –‘you’re as old as you feel’ – very true Aim is to reduce impact of ageing on health and function © Australia & New Zealand Society for Geriatric Medicine

6 Never assume it’s just due to old age © Australia & New Zealand Society for Geriatric Medicine

7 Normal ageing The senses: –Reduced dark adaptation –Loss of high tones –Reduced sound localisation –Reduced smell Skin thinner and drier Reduced thirst awareness Reduced temperature appreciation © Australia & New Zealand Society for Geriatric Medicine

8 Normal ageing Reduced respiratory reserve Reduced maximal heart rate Slowed gastrointestinal activity Reduced kidney reserves and reduced ability to concentrate urine Prostatic enlargement © Australia & New Zealand Society for Geriatric Medicine

9 Normal ageing Slow physiological decline Decreased muscle mass, strength, and co-ordination Increased incidence of disease Reduced overall reserve © Australia & New Zealand Society for Geriatric Medicine

10 Important issues Blood pressure –Monitor with GP Medications –Know what you take and what they are for Osteoarthritis –Not a normal part of ageing Osteoporosis –Treatable and preventable © Australia & New Zealand Society for Geriatric Medicine

11 Important issues Dementia –Memory loss not a feature of normal ageing Incontinence –Can be treated/controlled – seek medical advice Sexual function –Never make assumptions © Australia & New Zealand Society for Geriatric Medicine

12 Prevention – what you can do! Mind –Maintain it by exercising it Body –Exercise, nutrition, weight Soul –Positive attitude, flexible, open minded © Australia & New Zealand Society for Geriatric Medicine

13 Exercise for body Improve flexibility, strength Self image and feel good Weight control Choose activities you enjoy Make it a part of your life © Australia & New Zealand Society for Geriatric Medicine

14 Nutrition Balanced diet – less fat, more fibre Adequate water intake Stop smoking Moderate alcohol intake © Australia & New Zealand Society for Geriatric Medicine

15 Weight – obesity Maintain healthy weight Know what is right for you – regular checkups Exercise Nutrition and water © Australia & New Zealand Society for Geriatric Medicine

16 Conclusion Care for your mind, body, and soul Majority of retirees are healthy Find a good GP Feeling unwell is not part of normal ageing – consult your doctor if you have symptoms Above all else be active and enjoy yourself! © Australia & New Zealand Society for Geriatric Medicine

17 The Fountain of Youth

18 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

19 The truth… “ You’re as old as you feel”

20 By 2050, the Australian population is forecast by the ABS to increase by 36%. Dementia will increase nearly fourfold

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26 Not Diagnosed Yet..

27 I’m 65 Will I get to 85? Men - 40% Women - 60%

28 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

29 But remember it’s not just the years you add to life, but life to the years !

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31 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.

32 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.

33 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.

34 Special Problems of Elderly Multi-factorial Atypical “Silent” Chronic Multi Medications Psychological issues (life change) Neglect A Question of Care ?

35 Could it be dementia?

36 Diagnose Dementia Early Specific treatment May slow underlying disease process, the sooner the better May delay nursing home placement

37 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

38 Diagnosing anything...

39 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

40 PRIMARY GOAL OF TREATMENT To enhance quality of life and maximize functional performance improve cognition, mood, and behaviour

41 Do You wish to live forever?

42 Want to remain young forever? Want to remain healthy forever?

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44 Is the road easy?? Is the road easy??

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46 THANK YOU And Live Well ! Insha Allah!

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