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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?
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.
(Top causes of death, 65+)
(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.
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,
spirit... Normal Aging of Muscle
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
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
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 &
q ↓ Vascular compliance.
q ↓ Cardiac reserve and output
q ↓ Organ perfusion, ↑ peripheral
resistance So what can WE do? Pulmonary Changes
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- Summer '09