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According to Wikipedia, elderly care, or simply eldercare (also known in parts of the English speaking world as aged care), is the fulfillment of the special needs and requirements that are unique to senior citizens. This broad term encompasses such services as assisted living, adult day care, long term care, nursing homes (often referred to as residential care), hospice care, and home care. Because of the wide variety of elderly care found nationally, as well as differentiating cultural perspectives on elderly citizens, cannot to be limited to any one practice.
What to look for in the nursing home facility:
AIM Healthcare Nursing Home aims to be the top rated senior living centre to elderly. Considering a nursing home does not mean you don’t care about your family. If you cannot provide the necessary care, it is the responsible decision to find a place where your family member’s needs will be met.
Please contact us if you have any queries at +60122865039 or +60342979798 or visit us at 327B, Jalan 16, Kampung Baru Ampang. (behind Nine Emperor God Temple Ampang)]
To ease your mind to buy necessity for your aging parents, visit www.ielder.asia
Types of urinary incontinence (symptom): Complaint of involuntary loss of urine
1. Stress urinary incontinence: Complaint of involuntary loss of urine on effort or physical exertion (e.g. sporting activities), or on sneezing or coughing.
2. Urgency urinary incontinence: Complaint of involuntary loss of urine associated with urgency.
3. Mixed urinary incontinence: Complaint of involuntary loss of urine associated with urgency and also effort or physical exertion or on sneezing or coughing.
4. Urgency: Complaint of a sudden, compelling desire to pass urine which is difficult to defer.
Management/treatment for urinary leakage:
1. The Knack maneuver
-The Knack maneuver essentially is a voluntary contraction performed in response to a specific situation.
- Teach a voluntary contraction of the pelvic floor muscles with appropriate timing.
- For example, hold/squeeze the muscle just prior to a cough or sneeze.
- It is a useful strategy in patients with stress urinary incontinence.
2. Pelvic Floor Muscle Training (Kegel Exercise)
- Patient specific training is necessary to ensure a proper contraction for muscle that support the bladder and urethra.
- It is also essential to train both the fast and slow-twitch muscle fibers.
-Also, training must include instruction in volitional contractions before and during an activity that may cause incontinence, such as coughing, sneezing, and lifting.
-Patients are typically recommended to perform the exercises four to five times daily.
3. Behavioural therapy/education
-The focus of behavioral therapy is on lifestyle changes such as fluid or diet management, weight control, and bowel regulation.
-Education about bladder irritants, like avoid caffeine, quit smoking, carry out physical activities, is an important consideration.
-Also, discussing bowel habits to determine if constipation is an issue as it is important to educate the patient about avoiding straining.
4. Bladder training
-The decision making for bladder re-training, including a voiding schedule if necessary to increase the capacity of the bladder for people with frequency issues.
-Bladder training attempts to break the cycle by teaching patients to void on a schedule, rather than in response to urgency.
-Urge suppression techniques are taught, such as distraction and relaxation.
-A voluntary contraction of the pelvic floor muscles helps increase pressure in the urethra, and control urinary leakage.
International Continence Society (ICS)
Miller JM, Sampselle C, Ashton-Miller J, Son Hong G-R, De Lancey JOL. Clarification and confirmation of the Knack maneuver: the effect of volitional pelvic floor muscle contraction to preempt expected stress incontinence. Int Urogynecol J 2008;19:773-782.
Look for incontinence products, please visit https://ielder.asia/collections/incontinence
Rheumatoid arthritis is a systematic autoimmune inflammatory disease and results in persistent inflammation of synovial tissue especially of the wrists, hands and feet. Individuals with rheumatoid arthritis are 8 times more likely to have functional disability compared with adults in the general population from the same community.
Although the chances of women suffering from rheumatoid arthritis is higher than men, anyone can suffer from rheumatoid arthritis. Rheumatoid arthritis onset is usually in middle age, it is most common in the elderly. However, children and young people may also suffer from the disease.
Common sign & symptoms:
Thus, it can causes dramatic interference with quality of life if early diagnosis and appropriate treatment are not obtained.
At the present, there is no therapy that can completely heal RA. But there are treatments that achieve pain relief and the slowdown of the activity of RA to prevent disability and increase functional capacity.
Sources obtained from: Pubmed, Physiopedia, Pedro, Gene G. Hunder: Atlas of Rheumatology. Philadelphia: Lippincott Williams and wilkins , Inc ; 2002
Alan Hakim, Gavin Clunie: Oxford handbook of Rheumatology. London: University Press; 2002
Prof. Dr. L. Verbruggen. Cursus: Reumatologie. VUB 2011
Did old people always with grassy or greasy odour especially when it comes to elder care centre, grandparent’s living house, old folk home and other similar places. However, this uncomfortable odour can be difficult to detect on oneself but lingers on pillowcases, shirt collars and other such fabrics, is completely impossible to combat.
Many people are familiar with it, and commonly referred to as "old people smell."
Actually, this odour found in most of elderly is well-known as "Nonenal."
According to a study published by the "Journal of Investigative Dermatology" in 2011, an increase of Nonenal is associated with aging.
What is actually means by Nonenal?
Nonenal production among most of the elderly is a due to aging process. As the part of human ageing, the deterioration of the skin's antioxidant defences contribute to the production of Nonenal. Nonenal production usually begins around age 40 in both men and women, and may be exacerbated by hormonal changes such as menopause.
As the ageing skin grows weaker, its natural oils become oxidized more quickly; this is caused by fatty acids, which are secreted by the sebaceous glands and react to the oxygen in the air to form Nonenal.
Because it isn't water soluble, Nonenal can remain on the skin despite washing, even remaining after several intense scrubbing. Therefore, the smell caused by Nonenal persists, even in extremely clean environments.
Is there any way to reduce Nonenal odour?
We can actually get rid of it by following a healthy lifestyle:
1.carrying out physical exercise regularly
2.avoiding personal stress
4.drinking alcohol in moderation amount
5.eating a clean diet
6.getting enough daily rest
Apart for that, certain ingredients can also help combat Nonenal, such as:
2.Japanese green tea
Last but not least, the truth about "old people smell" is: it's a natural part of the aging process, and no one experiencing it should feel ashamed. Each of us should understand the truth on “old people smell” and combat along with elderly.
WHAT IS CONSTIPATION?
Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. Some elderly typically experience other symptoms such as:
HOW CAN IT HAPPEN AMONG ELDERLY?
Constipation is associated with chronic disease processes (Parkinson disease, stroke, diabetes etc), medication use, and psychosocial issues (anxiety, depression).
HOW TO MANAGE FECAL IMPACTION PROBLEM?
Fecal impaction should be treated with:
First of all, what will be the largest organ of our human body?
The answer will be definitely the SKIN as the largest organ in general, followed by the liver as internal largest organ.
The skin also known as the fastest growing organ in our body, it carry a huge roles in protecting human body from any external harm. What will happen if one day when we get old, the largest organ are injured?
HOW COMMAN CAN AN ELDERLY ARISE WITH PRESSURE SORES ISSUE?
Pressure sores are wounds caused by unrelieved pressure on the skin, especially over bony prominences, such as the elbow, heel, hip, shoulder, back, and back of the head.
The unrelieved pressure prevents blood from getting to your skin so the skin dies. Normally the nerves send messages of pain or feelings of discomfort to your brain to let you know that you need to change position, but few elderly with high immobility, recent weight loss, bowel &bladder incontinence, disease related to brain/spinal cord damages (stroke) tends to keeps these messages from reaching your brain.
Pressure sores can occur:
WHAT TO DO IN ORDER TO PREVENT AND MANAGE PRESSURE SORES?
OBSERVE AND RECOGNIZE ELDERLY’S SKIN IF:
Well said, ‘Prevention is Better than Cure’, especially to avoid accident of fall among elderly.
Generally, it requires a combination of medical treatment, rehabilitation, and environmental changes.
Let prevent fall-related injuries among elderly at all places, by following the suggestions below:
The most common form of dementia, a disease involving the progressive loss of brain nerve cells. Since these nerve cells are essential for normal thought, thinking, memory and other brain functions. People with Alzheimer's Disease suffer a decline of mental functions which eventually having difficult in managing normal activities of daily life (ADLs).
According to statistics worldwide, one in 20 of those aged 65 and above have Alzheimer's Disease. However, amongst those aged 80 and above, one in five have Alzheimer's Disease. There is also a smaller group of people who may develop what is called Early Onset Alzheimer's from as young as their 40s or even late 30s.
Many causes of Alzheimer's disease , 70% are unknown reasons ; a few cases it can be caused due to stroke and others metabolic problems.
So far, there is no curable treatment for Alzheimer's disease, but for those who can find the cause of a few cases , such as certain types of hydrocephalus , a lack of vitamin B12, depression , should be given appropriate treatment immediately .
Alzheimer's patients should do more exercise and to participate in social activities, but also pay attention to nutrition. In addition, family support is the key to the treatment of Alzheimer's disease. Caregiver should try to keep the home environment safe. For examples, wires and switches to be hidden ; brightness remains visible at night in order to avoid accidents or falls.
Malaysia’s racing against time to become a developed nation but with a growing population of singles, couples having fewer kids and people living longer, there’s a high chance we’ll be an aged country before then. And, we are far from ready to grow old.
MALAYSIA is fast becoming an aged nation. And it isn’t ready.
In 2006, we hit the ageing status and by 2030, we’ll be aged.
Lack of care centres for the aged, infrastructure and money are why we’re struggling.
Describing the situation as “dire if we do nothing”, Employees Provident Fund (EPF) deputy chief executive officer (strategy) Tunku Alizakri Alias (pic) says we’re ageing before we can reach developed nation status.
The number of youngsters are dropping as the number of seniors soar, he points out.
“Other countries are becoming aged too but they’ve already developed. Our window period for planning is much shorter.
“Making policies and implementing them takes time. And, you can’t save money overnight,” he warns, stressing that not enough retirement savings and low financial literacy are big challenges.
Sixty-eight percent of members aged 54 have savings lower than RM50,000 which can only last five years assuming they spend RM820 per month. The full EPF withdrawal age is 55 but the average life expectancy is 75.
Malaysians must face facts. We’re living longer so we must work longer, he says.
One myth we often hear about aging is that it’s not unusual to be confused when you’re old. It’s true that we can expect many changes as part of normal aging. But a sudden change in cognitive function—or the way we think and process information—is not one of them.
Pay attention on following signs among elderly, when:
Knowing the risk factors for sudden confusion among elderly as following:
Several practical steps to help these elderly include:
Most importantly, every caregiver should really listen to elderly concerns. For example, spend more time, sit down, make eye contact, and really listen for dialogue.
Good to do:
Practice proper sleeping habits:
Many Americans view retirement as a chance to explore the world and discover a new life after their working years. With Social Security benefits declining and the possibility of a volatile 401(k) retirement account, people also view retirement as a way to live the good life for less money than is possible in America.
While Latin America normally first comes to mind when thinking about overseas locations for retirement living, Malaysia is quickly becoming one of the most popular retirement destinations for Americans. Consistently ranking in the top five most sought-after retirement destinations, it is the best place to retire in Southeast Asia.
1. Central Island Lifestyle
Malaysia is comprised of a set of islands that provide a central home base for traveling throughout Southeast Asia. This central location provides amazing travel opportunities throughout the region. For example, retiring to the island of Penang provides American retirees with the chance to take a 40-minute flight to the well-known island of Langkawi and a one-hour flight to the famous island of Phuket, Thailand.
Regardless of the island, Malaysia provides its residents with an average temperature of 86 degrees Fahrenheit and has no drastic seasonal changes other than rain and sunshine. The country gives American retirees an easy access point to the rest of the world and a laid-back lifestyle when they stay local.
2. Good Housing Options for Retirees
Thanks to an economy based on tourism and electronics manufacturing, Malaysia has a growing real estate landscape. This increase in the supply of good housing gives American retirees the chance to purchase or rent homes in Malaysia without spending a fortune. The country provides such housing options as sea-view condominiums, brand-new bungalows and heritage shophouses.
UNESCO bestowed World Heritage status on Penang's historic capital, Georgetown, which has helped to uplift the housing market in the area. While this uplift is important for the quality of Malaysian homes, the demand hasn't increased the prices out of an average American retiree's price range. The average price of a home is $163,500, and there's no limit to the number of houses a person can own in Malaysia.
3. Excellent Health Care and Medical Centers
Malaysia is home to world-class private health care facilities, such as the LohGuanLye Medical Centre, Island Hospital, Gleneagles Hospital and the Pantai Medical Centre. Almost all of the doctors and nurses in Malaysia are trained in Europe and Australia, making the quality of care very high for American retirees.
However, the high quality of care does not translate to high health care costs in the country. Relative to the care provided, the cost is much lower than in other countries. Additionally, English is the language used in the Malaysian health care industry, making it easy to communicate with medical personnel and health care providers.
4. Most Malaysian Citizens Are Bilingual
Almost everyone in Malaysia speaks English as a second language, if it is not their first language. Malaysia was once a British colony, and it gained independence after World War II. While the official Malaysian language is Bahasa Malaysia, it's very easy for American retirees to communicate with locals as they travel and live in Malaysia.
5. Joining a Multicultural Society
Malaysia has always been flush with international ports. As a former British colony, Malaysia is very multicultural. Malaysia has Malay, Indian, Chinese and Eurasian influences, making it a great retirement destination for expatriates who are looking to expand their horizons.
It should come as no surprise, then, that the country is welcoming to all foreigners. It even has such expat organizations as the Malaysian-German Society and the Penang Irish Association.
Nursing Care and Regular doctor visits
Provide Nutritional Meals, focus health & wellness
5 min reach hospital, close to park
Old folks home fee, nursing home service
Room， Air conditioner，comfort, safety, activities & entertainment
地址∶327B, Jalan 19, Kampung Baru Ampang, 68000 Ampang, Selangor, Malaysia （安邦九皇爷庙后面)
1. Enhancing targeted support, particularly for underserved communities, through initiatives in mobile healthcare, mobile emergency services, and ambulance services to enable faster services to all communities.
2. the Government will implement a ‘eHealth’ strategy which will incorporate existing Information and Communications Technology (ICT) systems into one system-wide model to enhance health data management, and to support research, development and commercialisation initiatives. The Government will work with the private sector to increase information sharing and strengthen the role of the private sector in service delivery.
3. Expand capacity to increase accessibility, with initiatives in developing new facilities, upgrading existing facilities, and enhancing healthcare personnel capacity and capabilities. The Government will encourage the participation of private healthcare service providers and non-governmental organisations (NGOs) in the provision of healthcare facilities such as dialysis, rehabilitation and medical testing lab centres, to complement the existing public healthcare services. The plan also intends to achieve 2.3 hospital beds per 1,000 population, where the hospital bed count includes public and private hospitals, maternity and nursing homes, hospices and ambulatory care centres. There is also an aim to achieve a doctor to population ratio of 1:400.
4. Intensifying collaboration with the private sector and NGOs to increase health awareness. This will span a broad range of initiatives, from community health and prevention programmes, to research and development efforts between industries, universities, and research institutions.
5. Promoting the healthcare travel services industry where the focus will be to attract healthcare travellers seeking treatment in areas such as oncology, cardiology, orthopaedic, reproductive help, and dental treatment services. The plan is to grow healthcare travel through international accreditation, increased insurance coverage, and the regional referral network, all leveraged to attract a higher in-patient mix and revenue-per-patient in the identified areas.
A national or international awareness day is a date usually set by a major organisation or government to commemorate a public health or ethical cause of importance on a national or international level.
World Alzheimer’s Day, September 21st of each year, is a day on which Alzheimer’s organizations around the world concentrate their efforts on raising awareness about Alzheimer’s and dementia. Alzheimer’s disease is the most common form of dementia, a group of disorders that impairs mental functioning. Every 68 seconds, someone develops Alzheimer’s disease. At current rates, experts believe the number of Americans living with Alzheimer’s will quadruple to as many as 16 million by the year 2050.
The International Day of Older Persons is observed on October 1 each year. The holiday is celebrated by raising awareness about issues affecting the elderly, such as senescence and elder abuse. It is also a day to appreciate the contributions that older people make to society.
World Stroke Day is observed on October 29 to underscore the serious nature and high rates of stroke, raise awareness of the prevention and treatment of the condition, and ensure better care and support for survivors. On this day, organizations around the world have facilitated events emphasizing education, testing, and initiatives to improve the damaging effects of stroke worldwide.
For World Parkinson’s Day on April 11th to encourage everyone to get behind the cause and raise funds for a cure.
World Diabetes Day is the primary global awareness campaign of the diabetes world and is held on November 14 each year.
On 12 October, World Arthritis Day will be celebrated around the globe. World Arthritis Day aims to raise awareness of the condition and make sure that sufferers and caregivers know all the support and help that is available to them.
World Heart Day takes place on 29 September every year and is a chance for people across the globe to take part in the world's biggest intervention against cardiovascular disease (CVD).
World Cancer Day is marked on February 4 to raise awareness of cancer and to encourage its prevention, detection, and treatment. World Cancer Day was founded by the Union for International Cancer Control (UICC) to support the goals of the World Cancer Declaration, written in 2008
The Breast Cancer Awareness Month, marked in countries across the world every October, helps to increase attention and support for the awareness, early detection and treatment as well as palliative care of this disease.
World AIDS Day is held on 1 December each year. It raises awareness across the world and in the community about the issues surrounding HIV and AIDS.
The United Nations General Assembly unanimously declared 2 April as World Autism Awareness Day (A/RES/62/139) to highlight the need to help improve the quality of life of children and adults, who are affected by autism, so they can lead full and meaningful lives.
Fact sheet about Ageing society in Malaysia
Malaysia’s population is increasing steadily with age, as are the populations of other nations across the world. By 2020, 10% of the country’s population will be above the age of 60 and by 2030, the percentage of the people aged above 60 will increase to 15%.
Malaysia's population is ageing at a faster rate than many may have realised. The average life expectancy for women and men in Malaysia is 76 and 73 years, respectively.
Is Nursing Home in demand in KL, Malaysia?
Asians traditionally rely on family members to take care of them in old age. In fact, it was fairly common for childless couples or unmarried individuals to adopt a child so that they would have someone to care for them when they became old and frail.
In the past, the elderly usually stayed at home with family members instead and it was rare for them to be placed in nursing homes. But now it’s not easy for the younger generation to take care of elderly family members as many of them have full-time careers. As we become more educated and career-minded, having another family member to take care of while juggling a challenging job and bringing up a family is often perceived as an extra burden.
Some say that caring for an elderly parent can be like taking care of a child.
When parents do not have time to care for their own children in Malaysia, they hire a full-time maid to keep an eye on them; the same applies to elderly parents.
In the geriatric ward, it is common to see patients of all races accompanied by a kakak – domestic workers hired from countries like Indonesia, Myanmar, Cambodia, etc, who act as the primary carer. They work around the clock, feeding, washing, dressing and accompanying the patients at all times. Some very dedicated ones even know how to clean and dress pressure ulcers or wounds, are able to help with the suction of phlegm, and do some simple physiotherapy or rehabilitation exercises with the patient.
Alternatively, instead of hiring a maid, some parents choose to send their children to a nursery while they are at work, and pick them up after work. Similarly, in Western countries, there are “drop-in” centres where you can drop your parents off before you leave for work and bring them home when you finish work.
This service is still not available in Malaysia, but instead, we can see rapidly rising numbers of nursing homes or old folks home, especially in urban areas like Kuala Lumpur.
As an increasing number of Malaysians are living well into old age, they are in greater need of assistance in performing routine functions. Demand is also going up for medical care and nursing homes, while families are burdened with the high cost of care for elderly members.
In the past, parents usually moved in with their children as they grew older and became more dependent, and any children who sent their parents to an old folks’ home were regarded as having neglected their filial duties.
However, taking care of an elderly parent has become increasingly difficult compared to 30 years ago. This is mainly because ageing now comes with a package of chronic diseases, like diabetes, hypertension, stroke, dementia and heart disease, among others. This is mostly a result of our unhealthy modern living habits, and also, the ability of modern medicine to prolong life, even with chronic disease.
With most, if not all, family members in full-time employment, the elderly are often left alone at home during the day. With nobody at home to properly care for them, accidents, such as a fall, or incidents like a stroke or heart attack, could occur without anyone being aware of it. Any incident, even something minor, may contribute to a drastic decrease in the quality of life of an elderly patient, possibly resulting in them becoming fully dependent on others, completely bed-bound or unable to communicate at all.
Therefore, while the ideal place to grow old is somewhere familiar with family around to keep you company, if the elderly parents spend their days at home alone, with no one to see if an accident occurs, then perhaps spending their days in a nursing home or old folks’ home may not be as disgraceful as it used to be.
But it is important to remember that a nursing home is not somewhere you send your parents to and subsequently, wash your hands of all responsibility. All family members should still be actively involved in the caregiving process even if their parent is in an assisted-care facility.
How to find the best nursing home in KL, Malaysia
Whether you are searching for yourself or you are a family member helping out, finding the best nursing home can be a difficult process. For all involved it’s a new emotional and financial challenge. But the more prepared you are the better decision you’ll make.
Before you do a lot of leg work, ask around.
Selecting the Right Nursing Home
After you’ve asked around (see above) and have some homes that sound promising, go for a visit. And think about these questions while you’re there. These questions will most likely lead to other questions.
Quality of Life
Is the nursing home clean?
Do they offer social, recreational, religious and cultural activities that interest you?
Can you choose your waking, bed time, and bathing time?
Can you get food and drinks anytime? Is the food good? Ask to try it.
Can you have visitors anytime?
Can you have a pet?
Is transportation provided?
How much privacy is there?
Can you decorate your room how you like?
Is the temperature comfortable?
Is there good natural lighting?
Quality of Care
Is the staff respectful and friendly and provide good nursing care?
Will you get a copy of your care plan? Your care plan is based on your health information and must be assessed in the first 14 days and at least every 90 days thereafter.
Who are your doctors? Can you see your personal doctor?
What improvement goals is the nursing home working on?
Costs will vary based on location, the type and amount of care, and who the provider is. Some nursing homes will charge extra for additional services while others will have “all inclusive fees.”
National Stroke Association of Malaysia (NASAM) www.nasam.org
According to Nasam, stroke is the third largest cause of death in Malaysia. Only cancer and heart attacks kill more. It is the No.3 killer of middle-aged people. Nasam’s youngest stroke patient is a six-year-old girl.
Stroke is a form of cardiovascular disease but it attacks the brain which is full of blood vessels. The brain receives 20% of your body’s blood which carries vital supplies of oxygen and nutrients. When a blood vessel in your brain bursts or gets clogged, supply stops. That part of the brain starts to die. You have a stroke, very silently.
Alzheimer’s Disease Foundation Malaysia www.adfm.org.my
Benign Prostatic Hyperplasia (BPH) is a non-malignant enlargement of the prostate effecting about 50% of men aged 60 years and above. This enlargement is a normal consequence of aging and is rarely life threatening but may produce distressing symptoms.
The prevalence of BPH is said to be high, but patients’ only seek treatment when a critical level of bother has been reached. In Malaysia, results from a campaign on health awareness of BPH in Hospital Kuala Lumpur found a prevalence of 35/100 in self referred participants aged 50 years and above.
Visit of National Alzheimer's Caregiver Online Network http://admalaysia.ning.com
Dementia is one of the common chronic diseases affecting one in 10 of people over the age of 65, and one in four over the age of 85. It is likely that the direct and indirect cost of dementia care will increase considerably.
Games like playing cards, bingo, dominos, mahjong, identifying and arranging various colours and shapes, and many such activities augment cognitive stimulation and improves interpersonal interactions among clients.
Malaysian Urological Association www.muacme.org
Malaysian Diabetes Association www.diabetes.org.my
Diabetes is one of the most Prevalent chronic diseases among Malaysian. It is also well known that more than half of diabetic cases will eventually develop pathological changes in end organs.
Arthritis Foundation Malaysia www.afm.org.my