The risk of doubt
This article was translated by an automatic translation system, and was therefore not reviewed by people.
The patient's age is the third complainant. He enters the office and requires a bit of everything: the hurt back, the head, the joints, the chest. And the danger is in the care that doctors give to such complaints. "It feels more pain who have more diseases. The elderly suffer more with degenerative diseases. The problem is you think he must feel pain because it is old. The symptom should be thoroughly investigated, "explains Luiz Carlos neurogeriatra BENTHIEN of Pilar Hospital, in Curitiba.
The misinterpretation of symptoms in elderly patients is more risky than in other age groups. The body weakened by the aging is more difficult to metabolize the drugs. The kidneys, for example, operate with 40% of the capacity of a young adult, even in people without chronic kidney problems. The same occurs with the liver. The retention of fat and water in the body of the elderly is another factor that alters the absorption of chemical components. Therefore the indication of medicines should be careful.
"In addition to the dangerous combination of drugs, there are potentially risky side effects in elderly bodies. Before prescribing, the professional must evaluate the level of benefit that the drug, associated or not, will bring to the patient, "explains neurologist Claudia Baeta Panfílio, one of the coordinators of the Annual Symposium of Neurology Hospital of Pilar, which is next Saturday in Curitiba. The event will bring together experts to discuss the approach to the treatment of elderly patients, the importance of accurate diagnosis, monitoring of dementia and the high use of medication by more than 60 years.
The correct administration of medicines for elderly aims to avoid loss of quality of life and even damage to their health. In addition to overload the body, badly administered drugs - or wrong doses to cure or misdiagnosed problems - can cause severe side effects, poisoning, or mask other diseases. This is what the doctors call iatrogenese, when a drug causes other diseases, instead of promoting the cure of evil for which it was originally indicated. Remedies for labyrinthitis, for example, can cause symptoms of parksionismo as involuntary tremors. The control of hypertension need to take care not to cause dizziness, which may lead to fainting and falls, and consequently, fractures. Simple analgesics are dangerous if the patient has another health problem. "An aspirin to fight pain, can cause gastric bleeding if the patient has an ulcer," exemplifies BENTHIEN.
Therefore, beyond the strict medical supervision is essential escape from self and "empurroterapia," practiced in branches of pharmacy. "Without knowing the patient or his family are increasing the risk of complications to choose a remedy without the proper prescription," says the doctor. Another common behavior is extremely dangerous and the box of medicines stored at home. As the product in general are reused when the symptoms reappear, further postponing a final solution to the problem. "Or the guy who takes the pill on and passes to a neighbor, trying to help in a health problem similar to it. Depending on the history of the neighborhood, there may be more complications than benefits, "he explains.
But do not just have the correct prescription. We must follow the treatment. Failure to take a dose or offset in the next administration also put health at risk. In homes or places of rest, the trading of medicine are common and risky. At home, caregivers should be aware of the routine administration of medicines. "The ideal is to keep a spreadsheet with the schedule, the dose and who gave the medication. This avoids the failure or poisoning duplicate doses, "teaches Claudia.
Dementias
The abuse of drugs can lead to dementia by intoxication. They regress when the patient is undergoing treatment right.
Type
The dementia may be degenerative, such as that caused by Alzheimer's, vascular, result from poor blood circulation in the brain; priônicas, caused by genetic mutation and by external agents, and reverse, produced by the intoxication of drugs or tumors and hematomas.
Treatments
In addition to appropriate medication in the case of reverse, the elimination of the causative agent already leads to the necessary improvement to the welfare of the patient. In more severe cases, there is the monitoring and reduction of damage.
Prevention
Neurological stimulation and social interaction are key to maintaining mental health. The neuropsychology Ticyana Moralez da Silva teaches simple exercises, such as making the grocery list for mentally after giving the waiver or failure to stop playing with their grandchildren: someone reciting the alphabet and shout "stop," the partner to say the words beginning with the letter in which the enemy was stopped.
Source: Gazeta do Povo
This article was translated by an automatic translation system, and was therefore not reviewed by people.
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