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Health program


1. Prevention of chronic disease
Genetic factors
Mostly uncommon chronic diseases are established genetic factors example hemophilia and gout. So, the elder who got the inheritance or causative gene more chance of chronically illness. You should to counseling with a doctor or expert man.

Nutritional factors


Daily foods have profound influence on the occurance of chronic disease. Obesity and malnutrition are in themselves disease, shortening life span caused by heart attack, hypertension, diabetes and osteoarthritis.
One cause of disease is an optimal total calories uptake may be deficiency of nutrient. Example lacking of Iron caused to anemia, or inadequate of some amino acid cause of edema.

The rest-activity ratio


Ratio of rest and activity is unequal are influence of chronic disease example, if you have more physical exercise. You get risk of heart disease.

Habit –forming drugs


The excessive or prolong of a number of habit –forming drugs or alcohol are significant in several chronic disease, lack of nutrient or vitamin deficiency caused to the cirrhosis of liver and brain damage. Furthermore, if you ever use narcotic drugs. Its cause of underlying personality disorder.
-Psychological Factors
Frequently, more people to be sick cause by “anxiety thinking”. Example, Peptic ulcer and hypertension.


2.How to checking to chronic disease?


Annual Health checking


Chest x-ray, Test of visual and auditory acuity, ocular tonometry to detect glaucoma, urinalysis, blood checking (sugar, germ, WBC, RBC, cholesterol), proctosigmoidoscopy, virginal smear ,ect.
-Multiple screening
Short time to test and freely (or low cost)
3.Care of ambulatory chronic ill

Why not take care illness man at home?
Answer some disease of elder have to close up taking care.
Example Cancer ,Tuberculosis patients or another severe disease must to consulting and take care by nurse or physician.
One of the problems involved in providing care for ambulatory patients is that only some prepayment of insurance planning.

4.Home care of elder


Organizing home care


Planning of look after the elder at home is better way for mostly illness man, because of someone dislike the hospitalized atmosphere. Almost or nearby of all elder got chronic disease that along time treatment. So, home care is the better for patients and relatives. Moreover, the physician and hospitalized man do not overwork and decrease some problem of caring the elder and the bed use for admit emerged patients.

5. Institutional for eldercare

Hospital
Nursing home
Personal care home


Supporting service


1.Nursing

Public health nursing is consisted of nursing and allied services to person, family. Nurse who looks after community of patients or planning of take care the elder. Hers roles are the care of sick in their home under physical guidance, health educator, nutritionist, physical therapist, she have to be alert for changing the condition of the patients.
The significant of the nursing are interpretation and consult to the elder. Sometime role as supervisor in health and emotional care.




2. Education
To tell and maintain optimal health, to effect change in behavior that cause improve for the better health. Using the device for changing their bad habit; smoking, drinks, drug. Example: media of mass communicate, newspaper, radio, TV , case study or magazine.
3. Nutrition
Well – rounded help against to chronic disease for good health. The elders have a good health if got sufficient available nutrients. But the most problem is lack of teeth and can’t /inefficient of chewing meals. So, the nutritionist roles are require the special diet and assistance in menu preparation. Co-working with nursing. As consultant in comfortable nutrition to specialized patient; obese, arthritic, diabetic patients are consulted by food faddist, because the expensive or supplementary food are not always good for health.
4. Dentistry
The elder must to checking their oral health. Prevent an oral cancer and systemic disease and chronic dental disease. For the better life ; able to eat, sleep and to do the favorite activity. So, the maintain of adequate mastication help to be a good health. Most elder usually have periodontal and geriodontics disease (loss of calcium from the bone due to osteoporosis).

Environment factors in adult health
1. water and food
Caution
Sodium that soluted in water is more over than limitation caused of more diseases. Example; cardiovascular diseases are made a heart failure, hypertension. Food from the packaging is concern of the chronic disease. Dietary food and supplementary food should not take for elder if it not under physical guidance.
2. Light
The retina of elder easy to damaged by the excessively bright lights and may be visual problem. Avoid it with wearing protective goggles.
3. Housing
Should be design the living place of elders to decrease the accident and illness such as move them live at the first floor because of when they up stair. Its caused of neuromuscular-skeleton disease. Thus use the wheelchair or elevator. The condition and surroundings should be cleansing up always.
4. Air
Without polluted air in home is necessary for everyone. Its concern about their health. So, air conditioning must be hygiene (somebody hate to disuse perfume with air conditioner.