first day slides intro to aging well

shortage shortage q only 10 of medical schools have

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Unformatted text preview: ... q Only 10% of medical schools have ANY mandatory geriatric education! (www.cnn.com/2003/health/08/28/geriatritrician.shortage/index.html) q ALL accredited chiropractic colleges since the mid 1970’s have had at least a 20-30 hour course in geriatrics or aging. (CCE) Chiropractors can help fill that need! help What do the “futurists” say? What q “We are aging, and this may be the most unique social phenomenon of the 20th century.” q The most significant shift in health care = HEALTH PROMOTION. (That’s where we come in!) Ken Dychwald: “Age Wave, Age Power: How the 21st Century will be Ruled by the New Old” Myth #2: There’s nothing we can do to prevent diseases common to aging. common (Top causes of death, 65+) Heart Disease Cancer Stroke (National Center for Health Statistics, CDC: 2004) Myth #3: Old people won’t change their habits, so there’s no sense even asking them to. no Fact: Patients over 65 are the most compliant patients of all; quite motivated to make positive change in their lives! (DiMatteo MR. In: Feldman MD, Christensen JF. Behavioral medicine in primary care: A practical guide. Appleton and Lange. Stamford, CT. 1997) Wellness, health of health body, body, mind & spirit... spirit... Normal Aging of Muscle Normal q ↓ total muscle mass as we age. q ↑ Atrophy in esp. lower extremities q ↓ in isometric strength. – Largely a function of disuse. So what can WE do? Normal Aging of Bone Normal q Loss in bone mass: 1% / year Premenopause, then 2-3 %/ yr. Post-m.p.!!* q By age 80 most women may have lost 43% of trabecular bone, men 27%. So what can WE do? Normal Aging of GI System Normal q↓ Carbohydrate-splitting enzymes. q ↓ Basal gastric HCL q ↓ Gastric intrinsic factor. q ↓ Ca and Vitamin D absorption So what can WE do? Normal Aging - Heart & Circulatory System Circulatory q ↓ Vascular compliance. q ↓ Cardiac reserve and output q ↓ Organ perfusion, ↑ peripheral resistance So what can WE do? Pulmonary Changes Pulmonary q ↓...
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