TAILIEUCHUNG - Compression of morbidity in the elderly

Approximately 50% of all nursing home residents, and 42% of residents living in assisted living programs have some form of dementia (Alzheimer Association 2007). It is strongly suggested that there be special training programs set up to inform the first responders as to specific needs, as well as specific actions, that should and should not be used with these citizens. The University of New Mexico has published a guide (Center for Development and Disability 2007) that addresses many of these issues in an easily used, bullet-point format to and provide specific guidance. This document, or others like it, can be. | ELSEVIER Vaccine 18 2000 1584-1589 locate vaccine Compression of morbidity in the elderly James F. Fries Stanford University School of Medicine 1000 Welch Road Suite 203 Palo Alto CA 94304-5755 USA Abstract The Compression of morbidity paradigm envisions reduction in cumulative lifetime morbidity through primary prevention by postponing the age of onset of morbidity to a greater amount than life expectancy is increased largely by reducing the lifestyle health risks which cause morbidity and disability. Recent data document slowly improving age-specific health status for seniors indicate that postponement of the onset of disability by at least 10 years is feasible and prove effectiveness of some lifestyle interventions by randomized controlled trials. Human aging is increasingly represented by frailty with declining reserve function of many organ systems including the immune system. Enhancement of immune function in this setting raises medical ethical and social issues which are sometimes in conflict. 2000 Elsevier Science Ltd. All rights reserved. Keywords Compression of morbidity Aging Primary prevention The health of persons over 65 years of age is a medical problem in the developed nations. Over 80 of all illness morbidity mortality and medical costs are concentrated in the years after age 65. The illness burden is mostly made up of chronic illness complicated by the frailty of increasing age. In this century we have seen a transfer of the illness burden from the acute infectious diseases prevalent in 1900 to chronic disease by mid-century followed by a decline in major chronic illnesses and now with a slow transition from chronic disease per se to the associated problems of aging 1 . 1. An overview of the aging process . Mortality changes over time Changes in survival curves in developed nations over this century are instructive since they lead us Tel. 1-650-723-6003 fax 1-650-723-9656. E-mail address jff@ . Fries . .

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