Multi-morbidity is slowly becoming common in India. Comprehensive elderly care for seniors with multiple chronic conditions is an important element of healthy ageing. Multimorbidity affects the physical and psychological well being of seniors. Some of the most commonly seen conditions in seniors are hypertension, diabetes, arthritis, constipation, hearing loss, pain/swelling of joints, limitation of movement, breathlessness, and vision-related issues. The key elements of elderly care in multimorbid seniors is
Since the senior has multiple conditions, it is important to ensure that vital parameters like blood pressure and blood sugar are tracked regularly. The prevalence of diabetes and hypertension is very high among Indian seniors. it is important that the treating doctor’s advice be sought in setting acceptable vital reading for a senior. This could vary depending on the health condition of the senior. It is important for the caregiver to know the values at which alerts should be sent out for action
When the senior is able to and inclined to perform exercises, the caregiver should facilitate and encourage it. for seniors who have mobility challenges, suitable mobility aids help. A caregiver’s role is to ensure that the aid is used correctly and without any accidents. even for bedridden patients, passive exercises are recommended. this is important to avoid stiffness and promote a sense of wellbeing. a physiotherapist could help set up a regime suitable for the senior.
Polypharmacy is a reality for seniors with multiple illnesses. Managing over 2 drugs in an error-free manner includes a. taking the drug at the right time, b. taking the right quantity of the drug. Regulating insulin for seniors with diabetes is important. medicine management in elderly care includes attention to the availability of drugs, in the right dosage, administered at the right time and in the right denomination. Timing of medication in relation to food is also an important element of good medicine management
Quick Identification of and response to any symptoms