PHTY306 Lecture Notes - Lecture 1: Physical Therapy, Polypharmacy, Macular Degeneration

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1 Feb 2019
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Assessment and management of falls in the older adult. What is gerontology? the study of older age and ageing. Multidisciplinary and is concerned with physical, mental, and social aspects and implications of ageing. Apa has a gerontology physiotherapist specialist pathway. Australia is an ageing population and the oldest old fastest growing country. A specific condition not all older people are frail. Fried frailty index: 3 of 5 of the following: decreased grip strength, self-reported exhaustion, slow walking speed, unintentional weight loss, low physical activity. The evidence that aspects of frailty can be modified is emerging. Multidisciplinary assessment and intervention eg exercise, nutrition. An increasing number of frail older patients are under- going surgical procedures. Frailty is an independent risk factor for adverse postoperative outcomes. Optimisation of frail older patients prior to surgical procedures could improve postoperative outcomes. Amount of decline in some systems dependent on the individual and their lifestyle. Genetics - lifestyle - environment - diet - co-morbidities.

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