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Health education of joint dislocation
Lead: If there are old people at home, you must be very careful. The elderly are physically weak, including not only heart and kidney diseases, but also joint diseases such as rheumatism and osteoporosis. Old people need special care and love. If their children can't give them enough love, then the old people will be very lost.

At the same time, the elderly have more time, and they are eager to use these free time to do something. They will inevitably bump into each other in their activities, which may lead to the elderly falling down and even serious death. Of course, we can't let our parents stay at home often, which requires us to tell the elderly what is the way to prevent falls, so as not to cause serious injuries.

Falling does great harm to people, not to mention the elderly, who are already very weak. Falling down again is likely to put the old man in a critical state. Let's look at the factors that make the old man fall.

⑴ Activity factors, walker use, gait instability and balance disorder are the risk factors for the elderly to fall, but if they engage in more farm work and continuous exercise, the probability of the elderly falling will drop a lot.

(2) Psychological factors, the psychological factors of fear of falling make the elderly often trapped at home. This group of elderly people can't get enough activities and are prone to depression, so at this time, their desire to go out for activities is greatly increased and they are more likely to degenerate.

(3) Disease factors: Older people with diseases such as hypertension, osteoporosis, Parkinson's disease and arthritis are more likely to fall. Often older people are already cautious, but they still fall down because of these diseases.

(4) Drug factors: The elderly will use more drugs to treat diseases, such as antihypertensive drugs and antiarrhythmic drugs. Although these drugs have a very good effect on a certain disease, they may have some side effects after use, leading to confusion and slow response in the elderly.

5] Functional factors, because the elderly are weak, their muscles are atrophied, and many activities cannot be supported, so the elderly are prone to fall.

[6] Risk factors: Some elderly people refuse to accept the old life and always do some dangerous actions. When an accident comes, the old man can't control his body well, which leads to a fall.

The consequences of the fall of the elderly are very serious, which may aggravate the original condition, may damage the slightly healthy body, may aggravate the skin injury of the elderly, and may also make them close their hearts and never want to go outside again. There are many factors for the elderly to fall, with serious consequences and even death. As relatives, friends and children of the elderly, we should do our part to care for these elderly people and let them feel psychologically that we are their dependence. No matter what happens, they can tell me. Moreover, we can go out with them, on the one hand, we can take care of the elderly, on the other hand, we can help them in time after the accident, otherwise falling may kill them.

According to relevant statistics, 4%~ 15% of the elderly in the world will cause serious injuries. According to the data of accidental injuries and deaths, about 23%~40% of the elderly are caused by falls. Old people may not die suddenly after falling, but joint diseases that have been lurking for a long time will suddenly erupt, such as dural hematoma, joint dislocation and laceration.

The disease burden of the elderly after falling is very heavy, because it is not a simple matter to want the elderly to resume their former free activities. Improper conditioning or opportunistic rehabilitation exercise is not good for your health. However, the family members of patients have to bear a lot of rehabilitation expenses, and they have to stay with the sick family members at all times, which affects their normal life. The state has also invested heavily in this area. Taking Shanghai as an example, they spent an average of 2,680 yuan per elderly person in non-fatal falls. But Shenzhen spends more on health.

Everyone can't guarantee that he won't fall when he is old, so paying attention to the prevention of falling or emergency treatment after falling from an early age can reduce the harm to the human body to a certain extent.

I exercise. We can use Tai Ji Chuan, which can move many joints as daily exercise. Old people can decide whether to exercise according to their own physique. There is no denying that some old people have better physical fitness than young people, and it is not difficult for them to keep fit. However, there are only a handful of such old people. Generally, the elderly can exercise with low range and little difficulty, and can use the fitness equipment in the park to complete exercise or jogging, walking and gymnastics.

Psychological, the old man wants to go out for a walk because he is too lonely at home. At this time, they need to go out to make friends and play, and the children are not always at home or busy with work. Then the two sides with uncoordinated time will inevitably have no time to communicate. At this time, children or relatives and friends need to spend some time counseling the elderly, or let them find a friendly community where they can understand and communicate with each other, thus reducing psychological pressure.

Three. Environment or assistive technology. At this time, we can use some devices that are conducive to the activities of the elderly, such as wearing devices to improve the eyesight of the elderly, improving the family environment, and trying to create a convenient place for the elderly to move. Can reduce the risk of falls in the elderly.

ⅳ education. In the process of education, we mainly focus on teaching the elderly how to prevent falls and how to deal with them after falls. Only in this way can the elderly still rely on some means to maintain their own safety without us.

ⅴ liquid or nutritional therapy, nutritional therapy can be used to alleviate the current physical symptoms of osteoporosis in the elderly, such as a balanced diet, no drinking, no smoking, etc., which can prevent the elderly from falling to a certain extent.

ⅵ Drug therapy: The main drugs used by the elderly are psychotropic drugs, vasoactive drugs and vitamin D drugs. These drugs can help the elderly to relieve mental stress and anxiety, and also activate blood vessels, so as not to block blood vessels and prevent blood circulation from reaching all parts of the body. Vitamins can provide corresponding nutrients and help the elderly to get some relief.

ⅶ Surgery, the surgical treatment is mainly to implant pacemakers for the elderly with bad heart, which can greatly reduce the probability of falling.

ⅷ Setting up an investigation and intervention team can give patients some support in the absence of family members, and the team members are more professional, which can give more professional assistance to the elderly and improve the survival rate after falling.

References:

[1] Cao, Huang Youyi, Shu Xin. Meta-analysis of the risk factors of falls among the elderly in China [J]. Nursing Research, 2018,32 (20): 3222-3228.

[2] Cai Lun, Lin Cen, Zhou Nai. Progress in public health research on falls of the elderly [J]. China Journal of Gerontology, 2018,38 (09): 2265-2268.

[3] Yolanda, Yao Wenbing. Influencing factors and preventive measures of falls of the elderly [J]. China Journal of Gerontology, 2017,37 (17): 4373-4375.

[4] Cao Shufen. Old people tend to fall down under pressure. Sunset, 20 14(2 1):30.

[5]. Older men are vulnerable to psychological pressure. Love, marriage and family (health), 2013 (11): 4.