Management of immobilization and its complication for elderly.
Increased life expectancy have an effect on the rising percentage of elderly population in Indonesia and health problem associated with the elderly, particularly immobilization. Immobilization may cause various complications, especially when it has been overlooked without any appropriate and proper medical care in keeping with the procedures. High incidence of immobilization in elderly and the life-threatening complication call for an agreement on management of immobilization and its complication. Management of immobilization needs interdisciplinary team-work cooperation, the patients and their family. The management may be commenced through a complete geriatric review, formulating functional goals and constructing therapeutic plan. Various medical conditions and external factors that may act as risk factors of immobilization as well as drugs intake that may exaggerate the immobilization should be evaluated and optimally managed. Any complication due to immobilization and other concomitant disease/condition should be recognized and managed comprehensively in order to reduce morbidity and mortality. Management of immobilization and its complications include pharmacological and non-pharmacological treatment, i.e. various mobility exercises, utilization of ambulatory device and supporting appliance for assisting patients in stand-up position, as well as the management of urinary voiding and defecation.
Laksmi
Purwita W
PW
Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Dr. Cipto Mangunkusumo Hospital, Jl. Diponegoro No. 71, Jakarta Pusat 10430.
Harimurti
Kuntjoro
K
Setiati
Siti
S
Soejono
Czeresna H
CH
Aries
Wanarani
W
Roosheroe
Arya Govinda
AG
D000368:Aged; D002908:Chronic Disease; D015577:Geriatric Assessment; D006801:Humans; D007103:Immobilization / Q000009:adverse effects*; D007214:Indonesia; D010348:Patient Care Team; D012307:Risk Factors; D020246:Venous Thrombosis / Q000209:etiology*