Dealing with death and the process of dying is slowly being rethought in German society through hospice work. Many people find it difficult to come to terms with saying goodbye to life; the thought of the end is pushed far away. This is because the subject of “dying” is fraught with anxiety and fear, and … Dying in a Hospice
The decision to move into a retirement home is a big step for everyone involved. But when one’s own strength declines, memory weakens and older people no longer feel safe in their own four walls, sooner or later the path leads to a retirement home. This not only means giving up familiar surroundings, dear neighbors … Checklist Retirement Home
The new Family Caregiver Leave Act has been in force since January 1, 2012: the so-called Act on the Reconciliation of Care and Work is intended to make it easier for working people to care for family members and to enable them to continue to work while providing care. We have compiled the most important … Family Caregiver Leave: What to Consider?
Again and again, headlines like this appear: “Caregiver kills nursing home resident” or “Scandal in nursing home – residents tortured and underserved”. Each time there is an outcry from the population, each time politicians and experts make statements. But what leads to violence against people in need of care? Murder and manslaughter are not the … Violence in Nursing
The life situation of many people nowadays includes stress, multiple burdens of work, household and family or various other problems such as lack of money and everyday worries.This leads in some cases to exhaustion and weakness or psycho-mental disorders such as sleep disorders, depression or sexual dysfunction. The psycho-mental tests (synonyms: psychometric test procedures; psycho-mental … Psycho-Mental Testing
Somatopause (synonyms: STH deficiency; STH deficiency; growth hormone deficiency; ICD-10-GM E88.9: metabolic disorder, unspecified) describes the progressive decline in STH (somatotropic hormone, growth hormone) secretion with consecutive STH deficiency in middle-aged and older adults. The hormone STH is a peptide produced in the anterior lobe of the pituitary gland and is secreted irregularly throughout the … Somatopause
Medical history (history of illness) represents an important component in the diagnosis of somatopause. Family history Social history What is your occupation? Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). What symptoms have you noticed in yourself? Reduced energy and vitality … Somatopause: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Obesity (overweight)-particularly with android body fat distribution, that is, abdominal, truncal, central body fat (apple type). Andropause (menopause of the male) Diabetes mellitus – is accompanied by hyperglycemia (hyperglycemia), which inhibits growth hormone production. Hemochromatosis (iron storage disease) – genetic disease with autosomal recessive inheritance with increased deposition of … Somatopause: Or something else? Differential Diagnosis
To prevent oxidative or nitrosative stress, attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Malnutrition and undernutrition – including over- and undernutrition. Diet low in micronutrients (few cereal products, less than 5 servings of vegetables and fruits (< 400 g/day; 3 servings of vegetables and 2 servings of fruits), few … Oxidative Stress and Nitrosative Stress: Prevention
Oxidative stress is a biochemical condition that has no clear symptoms!Risk factors are thus the first indication of possible oxidative stress.However, detection of oxidative or nitrosative stress is only possible by laboratory diagnosis.
Pathogenesis (disease development) Oxidative or nitrosative stress occurs when cellular antioxidant defenses are too low to compensate for reactive oxygen radicals: As intermediates of metabolism, free radicals are constantly produced in every cell of the human body. The oxygen compounds with unpaired electrons strive to snatch electrons from another atom or molecule. They react with … Oxidative Stress and Nitrosative Stress: Causes
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Aim for normal weight!Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis. BMI ≥ 25 → participation in a medically supervised weight loss … Oxidative Stress and Nitrosative Stress: Therapy