Yu tink se big pɔsin na yu os kin fɔdɔm bɔku tɛm? Yu kin stɔp dis wit wan Fɔl Risk Asɛsmɛnt!

Wi ɔl dɔn yɛri ɛn sɔntɛm wi dɔn ivin si wi granpa ɛn granma dɛn de fɔdɔm we dɛn de muf rawnd. Sɔntɛnde wi kin tink se, "O, na so i kin bi we wi ol, wi nid fɔ tek tɛm smɔl." Bɔt yu no, dɛn fɔdɔm ya nɔto sɔntin fɔ tink bɔt so simpul wan. Ivin jɔs wan fɔdɔm kin mek yu gɛt sɔntin we siriɔs, lɛk we yu bon brok (`(Fracture)`), ɛn sɔntɛnde yu ed wund ɔ yu bren pwɛl. So i rili impɔtant fɔ tek tɛm smɔl bɔt dis, mɔ we wi de tink bɔt di ɛlda dɛn we wi lɛk.

So wetin na dis Fɔl Risk Asɛsmɛnt?

Fɔ tɔk am simpul wan, fɔ asɛs di risk fɔ fɔdɔm na we yu dɔktɔ de chɛk yu fɔ no if yu fɔdɔm. Jɔs lɛk aw wi kin savis motoka wan wan tɛm ɛn fiks in fɔlt dɛn, na so wi bɔdi kin chenj as wi de ol, wi kin no di nyu prɔblɛm dɛn we kin apin wit am, ɛn du tin dɛn fɔ sɔlv dɛn. Dis kin ɛp yu fɔ mek yu nɔ fɔdɔm.

Wetin mek dis (Fɔl Risk Asɛsmɛnt) impɔtant so?

Yu kin de tink se, "Okay, so wetin gud i du mi if a no se i de?" Tink bɔt dɛn tin ya:

• Yu kin ridyus yu risk fɔ fɔdɔm: We yu no gud gud wan wetin kin mek yu fɔdɔm, i kin izi fɔ avɔyd dɛn.
• Yu kin no wetin na yu patikyula risk factors: Nɔto ɔlman kin fɔdɔm di sem we. We yu dɔn ɔndastand wetin patikyula afɛkt yu, yu kin du tin fɔ adrɛs dɛn.
• Yu kin bi indipɛndɛnt, indipɛndɛnt, ɛn aktif fɔ as lɔng as yu ebul: I at fɔ du ɛvride wok we yu de fred ɔltɛm fɔ fɔdɔm. Afta dis asɛsmɛnt, yu kin win da fred de ɛn liv gladi at.
• Yu kin liv wɛl, yu kin liv yu layf fɔ yusɛf: Aw i go sɔri if yu brok yu an ɛn fut bikɔs yu fɔdɔm ɛn yu nɔ go ebul fɔ slip na bed? Dis na ɛp fɔ avɔyd dɛn kayn tin dɛn de.

Bɔku pipul dɛn kin tink se fɔdɔm na nɔmal tin ɛn wi nɔ go ebul fɔ avɔyd as wi de ol. Bɔt nɔto dat na di tru. Bɔku pan di wan dɛn we kin fɔdɔm, dɛn kin ebul fɔ mek dɛn nɔ fɔdɔm! I jɔs de tek di rayt risk asɛsmɛnt ɛn tek di step dɛn we nid.

Udat nid fɔ gɛt Fɔl Risk Asɛsmɛnt?

I jɔs fayn fɔ mek ɛvri big pɔsin we ol 65 ia ɔ pas dat gɛt at le wan bɛsik fɔl risk skrinin. We yu go to dɔktɔ, dɛn kin aks yu kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Yu de fil se yu nɔ stedi smɔl, lɛk se yu nɔ balans, ɔ we yu tinap ɔ waka?"
• "Yu don fol at least wan taim fo di pas yie?"
• "Yu de fil fred ɔ wɔri ɔltɛm fɔ fɔdɔm?"

If yu ansa "yes" to ɛni wan pan dɛn kwɛstyɔn ya, yu dɔktɔ go mɔs se yu fɔ du ``kɔmprɛhɛnsif fɔdɔm risk asɛsmɛnt``, we go luk insay dis smɔl mɔ dip wan.

Aw ɔltɛm dɛn fɔ du dis asɛsmɛnt?

Akɔdin to di gaydlain dɛm frɔm difrɛn wɛlbɔdi ɔganayzeshɔn dɛm, i fayn fɔ mek dɛn du dis fɔl risk asɛsmɛnt at le wan tɛm insay di ia . Bɔt i go dipen pan ɔda mɛrɛsin dɛn we yu gɛt, yu ej, ɛn if yu dɔn fɔdɔm bifo, yu dɔktɔ kin tɛl yu fɔ du dis tɛst bɔku tɛm, fɔ ɛgzampul, ɛvri siks mɔnt.

Us tin dɛn de mek a gɛt mɔ prɔblɛm fɔ fɔdɔm?

Bɔku tin dɛn de we kin mek pɔsin fɔdɔm. Lɛ wi luk di men wan dɛn.

Di rizin dɛn we mek pɔsin gɛt bɔdi ɛn wɛlbɔdi:

• We wi de ol: As wi de ol, wi mɔsul dɛn de wik, wi yay nɔ de si fayn smɔl smɔl, wi nɔ de yɛri bak, di tɛm we wi de du tin nɔ go de igen, ɛn i nɔ go izi fɔ mek wi balans. Ɔl dɛn tin ya kin mek pɔsin fɔdɔm.
• Prɔblɛm fɔ balans: Sɔm pipul dɛn kin fil se dɛn nɔ de tinap tranga wan ivin we dɛn tinap stret. Dɛn kin fil lɛk se dɛn de shek shek we dɛn de waka. Dis na wan men tin bak we kin mek pɔsin fɔdɔm.
• Dizayd fɔ waka: Sɔm pipul dɛn kin waka kwik kwik wan, ɔda wan dɛn kin waka kwik wit smɔl smɔl stɛp dɛn, sɔm kin waka wit dɛn leg dɛn we dɛn kin spre, ɛn ɔda wan dɛn kin waka lɛk bed. Wi kin kɔl dɛn chenj ya na di we aw pɔsin de waka ``gait disorders``. Dɛn tin ya kin mek am izi bak fɔ trip pan sɔntin we de na grɔn, slip, ɛn fɔdɔm.
• Distrakshɔn (mild cognitive impairment): As pipul dɛn de ol, dɛn mɛmori kin pwɛl ɛn i kin gɛt prɔblɛm fɔ pe atɛnshɔn to wan tin. Dɛn kɔl dis kɔndishɔn mild cognitive impairment. Dis kin mek dɛn fɔdɔm we dɛn de waka, we dɛn de klaym stej, ɔ ivin we dɛn de waka rawnd di os.
• At de bit: We di at bigin fɔ bit fast fast wantɛm wantɛm, ɔ i de bit fast fast, ɔ di ritm we di at de bit nɔ de bit ɔltɛm, yu kin fil lɛk se yu ed de tɔn ɛn yu nɔ go ebul fɔ bit.
• Ɔtostatik haypɔtɛnshɔn: Yu kin fil lɛk yu ed de tɔn ɔ yu de fil layt we yu tinap wantɛm wantɛm frɔm bed, chia, ɔ sidɔm? Bɔku pipul dɛn dɔn ɛkspiriɛns dis. Di rizin na dat blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm we yu chenj yu pozishɔn. Dɛn kin kɔl dis ɔrtɔstatik haypɔtɛnshɔn. Dis na wan men tin bak we kin mek pɔsin fɔdɔm.
• Yu nɔ de si fayn: We yu yay nɔ de si fayn, yu nɔ go ebul fɔ si tin dɛn we de ambɔg yu bifo, stɛp, ɔ ivin smɔl tin dɛn we de na grɔn. Dɔn, yu go mɔs kech pan dɛn ɛn fɔdɔm. Sik dɛm lɛk katarakt ɛn glaukoma kin afɛkt dis bak.

Ɔda tin dɛn we kin mek pɔsin kɔmɔt na do ɛn we gɛt fɔ du wit layf:

• Di bad tin dɛn we kin apin na os: Dis na wan pan di say dɛn we pipul dɛn nɔ kin no bɔt na di os , bɔt na wan pan di say dɛn we denja pas ɔl. Tink bɔt dis:
• Tɔys, nyuspepa, sus, waya, ɛn ɔda tin dɛn bin skata ɔlsay na di flɔ.
• Lɛk ples dɛn we layt nɔ de, mɔ we yu de go na kichin ɔ batrum na nɛt.
• Rug dɛn we de slipul, kapɛt, flo we dɛn dɔn polish, flo we dɛn tayl.
• Di batrum gɛt sop, slipul ɛn wata we de pul na di flɔ.
• Di nɔ gɛt handrɛl na di stej, di ed dɛn we brok brok na di stɛp dɛn.
• Chair ɛn tebul dɛn we nɔ rili ay.
• Klaym op wan chia fɔ tek tin dɛn frɔm di shelf dɛn we de ɔp na di kichin.

"Wi neba, Aunt Soma, slip fo smol rug we bin de fo floor wen im de go bathroom las nait and fol. Laki, shi no get sirios injuri, bot im han bin brus bad bad wan. I luk laik se na smol tin, bot i fit bi big problem, no bi so?"

• Sɔm mɛrɛsin dɛn: Sɔm mɛrɛsin dɛn we yu kin tek kin mek yu ed de tɔn, yu kin slip, yu wik, ɛn yu nɔ kin ebul fɔ balans. Fɔ ɛgzampul:
• Di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad
• Mɛrɛsin dɛm wae dɛn kin gi fɔ sɔm kayn maynd sik dɛm (`Antipsychotics`) .
• Benzodiazepines (mɛrɛsin dɛm wae de ɛp yu fɔ slip ɛn nɔr de wɔri) .
• Sɔm mɛrɛsin dɛn we de mek pɔsin fil pen
• Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn (especially na di biginin) .

So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ivin vaytamɛn ɛn Ayurveda mɛrɛsin dɛn).

• Vitamin D we nɔ de: Vitamin D rili impɔtant fɔ mek wi bon dɛn strɔng ɛn fɔ mek wi mɔsul dɛn wok. We nɔ gɛt bɛtɛ vaytamɛn D na di bɔdi (Vitamin D deficiency), di bon dɛn kin wik ɛn dɛn kin brok izi wan if yu fɔdɔm. כlso, biכs di mכsul dεm wik, di bεlε kin dכn bak.
• Fɔdɔm bifo: If yu dɔn fɔdɔm bifo, yu go fɔdɔm bak. Dis kin bi bikɔs ɔf injuri we yu dɔn fɔdɔm bifo, ɔ bikɔs yu dɔn chenj di we aw yu de waka ɛn du tin dɛn we yu de du ɛvride bikɔs yu de fred fɔ fɔdɔm bak.
• Nɔ ebul fɔ du ɛksɛsayz: If yu nɔ de du ɛksɛsayz, we yu de spɛn bɔku pan yu tɛm fɔ sidɔm na wan ples, yu mɔsul dɛn kin wik smɔl smɔl, yu nɔ kin ebul fɔ chenj, ɛn yu nɔ kin balans fayn. Dis kin mek yu gɛt mɔ chans fɔ fɔdɔm.

Wetin kin apin we dɛn de du fɔl Risk Asɛsmɛnt?

Dis asɛsmɛnt kin gɛt sɔm step dɛn.

Rivyu fɔ di sayn dɛm, di mɛrɛsin histri, ɛn di mɛrɛsin dɛm

Yu dɔktɔ:

• If yu dɔn fɔdɔm bifo, dɛn go aks yu bɔt am ditayli. Fɔ ɛgzampul, aw yu fɔdɔm, wetin mek yu fɔdɔm, wetin apin afta yu fɔdɔm, ɛn if yu bin gɛt mɛrɛsin .
• Dɛn kin aks bɔt yu ɛvride aktiviti lɛvɛl, if yu kin du ɛvride wok fɔ yusɛf, ɔ if yu gɛt ɛni prɔblɛm.
• Aks bɔt ɔl di mɛrɛsin dɛn we yu de tek naw (we dɔktɔ gi yu, we yu kin bay, vaytamɛn, ivin tradishɔnal mɛrɛsin) ɛn si if ɛni wan pan dɛn kin mek yu fɔdɔm. Dis rili impɔtant.

Test ɛn ɔda tritmɛnt

Apat frɔm dat, di dɔktɔ kin du dɛn tin ya bak:

• Dɛn go chɛk yu blɔd prɛshɔn (we yu sidɔm ɛn tinap) ɛn yu at rit .
• Dɛn go du bɔku tɛst dɛn fɔ di bɔdi. Dɛn tin ya go luk pan tin dɛm lɛk yu balans, mɔsul trɛnk, ɛn di we aw yu de waka (wi go tɔk bɔt dis smɔl).
• Dɛn kin du blɔd tɛst fɔ chɛk di lɛvɛl we tin dɛn lɛk vaytamɛn D de, ɔ dɛn kin ɔda fɔ mek dɛn du DEXA skan fɔ chɛk if dɛn bon dɛn de. Dis kin ɛp fɔ no sik dɛn we de mek yu bon tan lɛk ɔstioporosis.
• Dɛn kin sɛn yu bak to ɔkupeshɔn tɛrapist. I kin kam na yu os ɛn luk fɔ di bad tin dɛn we kin apin na say dɛn we yu kin go bɔku tɛm (e.g., rug dɛn we kin slipul, say dɛn we nɔ gɛt layt fayn) ɛn ɛp yu fɔ avɔyd dɛn.

Us tɛst dɛn dɔktɔ dɛn kin yuz fɔ asɛs di risk fɔ fɔdɔm?

Dɔktɔ dɛn kin yuz sɔm simpul bɔt fayn tɛst dɛn fɔ chɛk yu balans, trɛnk, ɛn aw yu de waka:

• 30-Sɛkɛn Chair Stand Tɛst: Dis na simpul tɛst. Dɛn kin aks yu fɔ sidɔm na chia ɛn krɔs yu an dɛn akɔdin to yu chɛst (yu nɔ kin ebul fɔ tinap wit yu an dɛn). Dɔn, dɛn kin aks yu fɔ tinap kpatakpata frɔm di chia ɛn afta dat, sidɔm kpatakpata bak. Dɛn kin kɔnt di nɔmba fɔ di tɛm dɛn we yu go ebul fɔ du dis insay 30 sɛkɔn. Dis kin mek yu no di trɛnk we yu leg mɔsul dɛn gɛt.
• Fo Stej Balans Tɛst: Insay dis tɛst, yu fɔ tinap na 4 difrɛn pozishɔn dɛn. Yu fɔ ol ɛni pozishɔn fɔ lɛk 10 sɛkɔn so. Dɛn pozishɔn ya kin at fɔ du smɔl smɔl. Fɔ ɛgzampul, insay wan, yu fɔ tinap wit yu tu leg dɛn togɛda, insay ɔda wan wit wan leg fɔ go bifo (tandem stance), ɛn insay di las wan, yu fɔ tinap pan wan leg. Dis kin tɛst yu balans.
• Timed Up & Go (TUG) test: Dis na kɔmɔn tɛst bak. Yu sidɔm na wan amchɛri. Dɔn, we dɛn tɛl yu fɔ "go," yu grap, waka lɛk 10 fit (lɛk 3 mita) stret bifo yu nɔmal we yu de waka, tɔn rawnd, ɛn sidɔm na di chia. Dɛn kin mɛzhɔ di tɛm we i tek fɔ du dis. Jɛnɛral wan, if i tek pas 12 sɛkɔn , dɛn kin tek yu se yu gɛt ay risk fɔ fɔdɔm.
• Kɔgnitiv tɛst: Sɔntɛnde, di dɔktɔ go aks yu sɔm kwɛstyɔn dɛn fɔ chɛk aw yu de mɛmba, aw yu de pe atɛnshɔn, ɛn aw yu de disayd fɔ du sɔntin, ɛn i kin aks yu bak fɔ du sɔm simpul wok dɛn. Dis na bikɔs, lɛk aw wi bin dɔn tɔk, fɔdɔm kin kam bak bikɔs i nɔ kin ebul fɔ ɔndastand sɔntin.

Wetin go bi mi rizɔlt afta dis asɛsmɛnt?

We dɛn dɔn du ɔl dis, yu dɔktɔ go tɛl yu if di risk fɔ lɛ yu fɔdɔm smɔl, i smɔl, ɔ i bɔku.

Di impɔtant tin na dat ivin if yu risk "lɔ," yu dɔktɔ go mɔs advays yu bɔt di tin dɛm we yu fɔ du fɔ mek yu nɔ fɔdɔm (`preventive recommendations`) we yu kin tek fɔ mek yu nɔ fɔdɔm tumara bambay.

Wetin na di jenɛral advays fɔ ridyus di risk fɔ fɔdɔm?

Dipen pan di rizɔlt fɔ yu asɛsmɛnt, yu dɔktɔ kin gi yu difrɛn advays ɛn advays dɛn, lɛk:

• We yu grap na bed ɔ chia, tinap stret: Bifo yu grap wantɛm wantɛm, fɔs sidɔm na bed, put yu fut na grɔn, wet fɔ smɔl tɛm, dɔn tinap stret. Dis kin ɛp fɔ ridyus diziz bikɔs ɔf ɔtostatik haypɔtɛnshɔn.
• Yuz tin we go ɛp yu: If i nɔ izi fɔ yu fɔ waka, i go fayn fɔ yuz ken ɔ waka we fit yu fayn fayn wan we fit yu ayt. Yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi kin ɛp yu fɔ pik di rayt wan.
• Instɔl grab ba na di bafa: If yu instɔl grab ba nia di batrum ɛn tɔylɛt, dat kin rili ridyus di chans fɔ fɔdɔm na say dɛn we slipul.
• Fɔ chenj ɔ ridyus di doz fɔ di mɛrɛsin dɛn we de mek yu gɛt mɔ chans fɔ fɔdɔm: If sɔm pan di mɛrɛsin dɛn we yu de tek de mek yu fɔdɔm, yu dɔktɔ kin disayd fɔ chenj di mɛrɛsin ɔ ridyus di doz. Nɔ stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu fɔ ɛni rizin.
• Tek vaytamɛn D sɔpɔtmɛnt: If yu bɔdi gɛt smɔl vaytamɛn D lɛvɛl (`Vitamin D deficiency`), yu dɔktɔ kin se yu fɔ tek di rayt vaytamɛn D sɔpɔtmɛnt.
• Ɛksesaiz: I rili impɔtant fɔ du ɛksɛsayz we fayn fɔ ol pipul dɛn, mɔ di wan dɛn we go mek yu balans, mɔsul dɛn trɛnk, ɛn ebul fɔ chenj chenj. ``Tai Chi`` na wan rili gud eksasaiz fo dis. I impɔtant bak fɔ du patikyula ɛgzampul dɛn we pɔsin we de mɛn yu bɔdi go tɛl yu fɔ du.
• Inkrisayz di sikyɔriti na os:
• Rimov tin dɛn we nɔ nid na di flɔ.
• Gi gud layt, mɔ na di rod dɛn we dɛn kin yuz na nɛt.
• Rimov di rug dɛn we de slipul, ɔ mek dɛn stik na grɔn.
• Put wan mat we nɔ de slip na di bafa.
• Instɔl hanrɛl na ɔl tu di say dɛn na di stɛp dɛn.
• Wear di rayt fut: Wear sus ɔ sandal we fit fayn, we nɔ de slip, ɛn we gɛt lɔw il. Nɔ waka wit yu fut ɔ wɛr sɔks nɔmɔ, ivin insay os.

Yu dɔktɔ kin rifer yu bak to sɔm ɔda wɛlbɔdi pipul dɛn we go ɛp fɔ mek yu gɛt wɛlbɔdi:

• Ay dɔktɔ: Chek yu yay ɔltɛm, chenj yu glas if nid de, ɛn trit tin dɛn lɛk katarakt.
• Fizikal thɛrapist: I de gi yu patikyula ɛgzampul ɛn instrɔkshɔn fɔ ɛp yu fɔ gɛt trɛnk, fɔ mek yu balans fayn, ɛn fɔ praktis fɔ waka sef wan.
• Occupational therapist: Na therapist wae de stɔdi yu os ɛn aw yu de du yu woke ɛvride ɛn ɛp yu fɔ mek prɛktikal chenj dɛm fɔ ridyus di risk fɔ fɔdɔm. Fɔ ɛgzampul, aw fɔ yuz di bafa sef wan ɛn aw fɔ du tin dɛn sef wan na di kichin.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

So, di bottom lain na, nɔ dismis fɔdɔm as "nɔmal pat fɔ ol." Ivin wan fɔdɔm kin gɛt big impak pan yu layf ɛn yu indipɛndɛns. Dis Fɔl Risk Asɛsmɛnt na wan rili impɔtant, proaktiv step we yu kin tek fɔ protɛkt yusɛf ɛn di wan dɛn we yu lɛk frɔm dis denja.

Sɔntɛm ɔl wetin yu nid fɔ du na fɔ mek sɔm smɔl chenj dɛn na yu layf ɛn yu os. I kin bi sɔntin we simpul lɛk fɔ pik wan sus we fit fayn, tek sɔm vaytamɛn D, ɔ fɔ go to dɔktɔ we de mɛn yu bɔdi ɛn lan sɔm ɛksesaiz dɛn.

If yu dɔn pas 65 ia, ɔ if yu de wɔri bɔt fɔ fɔdɔm, ɔ yu dɔn fɔdɔm trade, yu fɔ rili tɔk to yu famili dɔktɔ (ɔ GP) ɛn tink bɔt fɔ gɛt ful fɔdɔm risk asɛsmɛnt. I go bi big invɛstismɛnt na yu wɛlbɔdi, gladi, indipɛndɛnt layf!

` Fɔdɔm, ol, fɔ asɛs di risk fɔ fɔdɔm, fɔ mek pɔsin nɔ fɔdɔm, fɔ ol pipul dɛn wɛlbɔdi, fɔ brok brok, fɔ balans