---------- Forwarded message ---------

Thanks Mani Sir.

I have seen and heard of death of people after a fall, albeit after some
time; but the suffering, both psychological and physical as their movements
are restricted, is really troublesome - both for them and their care takers.

The write up mainly dealt with on how to take care from falling while at
home.

But another equally important point is to take care when you walk / go on
the streets. I have seen in my own circle how a speeding vehicle - bikes,
autos, cars etc. makes the elderly to rush to move away from them, lose
their balance, and fall and get injured. Sometimes a speeding vehicle even
scraps past them resulting in a fall.

Given the traffic in the cities and some rash driving, one can never be too
careful. It is better to avoid rush hour traffic, if possible, if one has
to go out.

N Sekar
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On Sun, Dec 17, 2023 at 2:04 PM, APS Mani
<[email protected]> wrote:
Golden rules to the elderly, often forgotten!  Thanks, Sekar Sir.   No 4,
for both genders, applies well, and losing balance is a threat at any
time.

On Sun, Dec 17, 2023 at 12:49 PM 'N Sekar' via iyer123 <
[email protected]> wrote:


🦵🏻🦿🦵🏻
*A letter from  orthopaedic doctor to all the elderly (60-100 yers and
above…)*

*I don't advocate  determination of bone density anymore, because the
elderly will definitely have osteoporosis, and with the increase of age,
the degree of osteoporosis will definitely become more and more serious,
and the risk of fracture is bound to get bigger.*




*The elderly are prone to fractures because the denominator value (bone
density) is getting smaller and smaller, so the risk of fractures will
definitely increase.*

*Therefore, the most important measure for the elderly to prevent fractures
is to do everything possible to prevent accidental injuries.*

*How to reduce accidental injuries?*

*There are the ten characters of the so-called secret that I summed up,
which is:*

*“Be careful, be careful, be careful again"!*

*Specific measures include:*

*1. Never stand on a chair or stool to get something, even a low stool.*

*2. Try not to go out on rainy days.*

*3. Take special care when bathing or using the toilet, to prevent
slipping.*

*4. The most important, especially for women - don't wear underwear in
bathroom, taking support of wall or other things... The commonest cause of
slipping and fracture of hip joint... After bath, come back to your
changing room.. Sit comfortably on either a chair or on  your bed and then
put on underwear..*

*5. While going to toilet, ensure that bathroom floor is dry and not
slippery.. Use only commode.. and at the same time, fix a hand rest to hold
on to while getting up from the commode seat...  same is true while taking
a bath sitting on bath stool.*

*5.  Be sure to clean up the clutter on the  floor of the house before
going to bed, and take double care when floor is wet...*

*5. When getting up in the middle of the night,  sit on the bed for 3-4
minutes before standing up; be sure to turn on the light first, and then
get up.*

*6. At least in night or even during day time (if feasible), please, please
do not close toilet door from inside..  If possible, have an alarm bell
fitted in toilet, and press it to summon help from  family members etc in
case of any emergency...*


*7. Seniors must sit on a chair or a bed  to wear pants etc.*

*8. In the event of a fall, you must stretch out your hands to get support
from the ground. It is better to fracture the forearm and wrist than to
fracture the femoral neck at the hip joint.*

*9. I strongly advocate exercise, at least walk, to the extent possible for
you..*

*10. Especially for women.. be very, very serious to keep your weight in
permissible limits... Diet control is the most important key... Eating
leftovers, common behavior of women... just get away from it... feed
leftovers to stray cows... keeping your weight in control is absolutely in
your head and your mind, " always better to stop eating with half stomach
full, rather than eat till have a satiety for having full stomach.*

*Regarding increasing bone mass, I also advocate dietary supplements (dairy
products, soy products and seafood, especially small shrimp skins, which
are high in calcium) rather than medicinal supplements.*

*The other is to do outdoor activities properly, because sun exposure
(under UV light) converts the cholesterol in the skin into vitamin D.*

*It is beneficial to promote intestinal absorption of calcium and
osteoblast activity has the effect of delaying osteoporosis.*

*Pay special attention to the non-slip floor of the bathroom. When going up
the stairs, use the handrails and don't fall. Everyone, take care.*

*Therefore, the elderly must pay attention to anti-skid and anti-fall
measures.*

*One fall will cost years of life. So, be careful.*

**Avoid standing for too long**

*The message may look long, but it’s worth reading it especially for the
seniors, and those taking care of seniors.*


*By*-
*Orthopaedic and joint replacement surgeon.*
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