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Valuations In The Elderly

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Valuations in the elderly

Introduction

The older adult is defined as the one who is above 60 years taking into account that this population has been progressively increasing in society. That is why it is important to know what we mean when we talk about old age, we refer to a state through which human beings pass, a process where several subjective experiences associated with biological age and life experiences are involved, whileAging is: a set of transformations and/or changes of the individual throughout life Biochemical, physiological, morphological, social, functional and psychological nature. 

Developing

In Colombia, life expectancy has been slightly increasing being 79.6 years in women and 74.12 In men, in the last population census in 2018 9.1% of the population are over 65 years old. Integral valuation in geriatrics is an interdisciplinary process that has as main objectives: assess the diseases of older adults, evaluate the mental, nutritional, social and support network with which the elderly has, realization of interventions and therapeutic plansin the short, medium and long term, to meet the elderly of biopsychosocial and its impact completely.

As mentioned above, the integral assessment in the elderly is interdisciplinary and several health professionals and social work teams must be available, this assessment is made up of: a medical, functional, mental, nutritional and social assessment. A description of each of these components and their usefulness in the elderly will be made, we will start talking about medical assessment, the characteristics of older adults should be known very well taking into account that they have a wide variety of physiological changes and beginTo appear new pathologies.

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The older adult usually has clinical manifestations that are different or atypical compared to the mature adult or the young adult. The importance of carrying out a complete medical history with all the information plus a physical examination of all systems are a fundamental part of this process. The assessment of the mental function in the elderly has three main objectives, assess the level of consciousness, the cognitive function (typical of the cerebral cortex, acquired by learning) and the affective or emotional state taking into account a greater interestin the part of the country of depressive mood in the elderly that has been increasing its prevalence in it.

The cognitive assessment in the old man is used to determine the presence of a cognitive impairment through test where the screening is carried out taking into account some factors such as age, the educational level. These are the help tool without forgetting to make a global evaluation taking into account three important axes the cognitive behavioral and he works, so here the anamnesis enters to play a fundamental role by directing symptoms that affect these three previously mentioned axes, another componentIt is the ability of the elderly to make decisions

The objectives of cognitive evaluation in the elderly are:

  • • Early diagnostic
  • • Differential diagnosis
  • • Estimation of functional capacity
  • • Design of cognitive stimulation programs
  • • Establish the evolutionary rhythm
  • • Establish action plans together with the family

The minimental is known as one of the most used tests to perform an assessment of cognitive function in patients, this tool allows an evaluation of the patient’s temporal and spatial orientation in the time an evaluation of the recent memory and care memory, pluslanguages, with a score scale with 30 points being the perfect score.

conclusion

The advantages of this tool is mainly that it is well known, in addition to simple with a short time no more than 10 minutes allowing the evaluation of cognitive functions, but it also has its limitations as in the memory section where only three words are used consideringThat it is not a very sensitive test in patients who have slight alteration of memory, but that has a great clinical impact, in turn in the fixing domain it depends on the time in which the patient requires to complete this domain

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