{"id":153280,"date":"2024-10-04T14:40:06","date_gmt":"2024-10-04T14:40:06","guid":{"rendered":"https:\/\/raed.academy\/?p=153280"},"modified":"2024-10-04T14:40:06","modified_gmt":"2024-10-04T14:40:06","slug":"atencio-a-les-caigudes-de-nit-i-de-dia","status":"publish","type":"post","link":"https:\/\/raed.academy\/ca\/atencio-a-les-caigudes-de-nit-i-de-dia\/","title":{"rendered":"Atenci\u00f3 a les caigudes, de nit i de dia"},"content":{"rendered":"
\"August

Dr. August Corominas<\/p><\/div>\n

August Corominas<\/strong><\/em><\/a>, professor de Fisiologia Humana de la Universitat de M\u00farcia<\/strong> i de la Universitat Aut\u00f2noma de Barcelona<\/strong> i acad\u00e8mic em\u00e8rit i membre del Senat<\/strong> de la Reial Acad\u00e8mia Europea de Doctors-Barcelona 1914<\/strong> (RAED), comparteix amb la comunitat acad\u00e8mica l’article “Atenci\u00f3 a les caigudes, de nit i de dia”<\/strong>, en qu\u00e8 incideix sobre les mesures de prevenci\u00f3 d’accidents dom\u00e8stics en gent gran, que sovint tenen una inusitada gravetat.<\/p>\n

L’acad\u00e8mic ha compartit recentment en aquesta publicaci\u00f3 els articles “La fragilitat de la gent gran”<\/strong><\/a>, “Les cares del mal”<\/strong><\/a>, “Maldat i crueltat. Apocalipsi destructiu a les guerres actuals”<\/strong><\/a>, “La f\u00faria dels d\u00e9us”<\/strong><\/a>, “Atenci\u00f3 amb la fragilitat i les caigudes de la gent gran”<\/strong><\/a>,\u00a0“La salut dels refugiats”<\/strong><\/a> i “Fragilitat i antifragilitat”<\/strong><\/a>, “La maldat de Putin”<\/strong><\/a>, “Nou apocalipsi i batalla d’Armagedon”<\/strong><\/a>, “Ser vell o no”<\/strong><\/a>, “Anti-Aging”<\/strong><\/a>,\u00a0 “Graf\u00e8: un element de gran futur tecnol\u00f2gic”<\/strong><\/a>, “Estad\u00edstica d’Hiroshima”<\/strong><\/a>\u00a0i “Viure a la Lluna”<\/strong><\/a>, “La dieta mediter\u00e0nia”<\/strong><\/a>, “Els dif\u00edcils inicis de Can Ruti”<\/strong><\/a>\u00a0i Els secrets de la longevitat i les ‘zones blaves’<\/strong><\/a>. A m\u00e9s \u00e9s autor d’un dels cap\u00edtols del llibre “Vitalidad al envejecer. Si lo deseas, puedes vivir m\u00e1s a\u00f1os con salud”<\/strong>, editat per la Reial Corporaci\u00f3 amb el suport de Vichy Catal\u00e1n<\/strong>.<\/p>\n

Atenci\u00f3 a les caigudes, de nit i de dia<\/h2>\n

Les caigudes s\u00f3n molt freq\u00fcents, m\u00e9s del que podem pensar, i a la inf\u00e0ncia s\u00f3n gaireb\u00e9 normals, fins i tot poden ser un joc. Per\u00f2 a la tercera edat poden provocar lesions, traumes, fractures i fins i tot derivar a la mort. L’Organitzaci\u00f3 Mundial de la Salut<\/strong> (OMS) alerta que a partir dels 65 anys \u00e9s freq\u00fcent que se’n produeixi una a l’any. A partir de 80 anys la freq\u00fc\u00e8ncia ja \u00e9s de tres cops l’any. I posteriorment s\u00f3n molt freq\u00fcents, de vegades de fins a 20 o 30 per any, i solen ser greus, amb fractures, especialment les caigudes nocturnes en persones que viuen soles. Qu\u00e8 hi podem fer des de l’\u00e0mbit de la prevenci\u00f3?<\/p>\n

    \n
  • Exercicis per millorar la marxa i l’equilibri i entrenament funcional.<\/li>\n
  • Pr\u00e0ctica del tai-txi.<\/li>\n
  • Avaluaci\u00f3 de l’habitatge i modificaci\u00f3 del seu disseny.<\/li>\n
  • Reducci\u00f3 o eliminaci\u00f3 del consum de psicotrops.<\/li>\n
  • Intervencions multifactorials, com avaluacions individuals del risc de caigudes, seguides d’intervencions i derivacions m\u00e8diques en funci\u00f3 dels riscos detectats.<\/li>\n
  • Suplements de vitamina D per a persones amb defici\u00e8ncia d’aquesta subst\u00e0ncia.<\/li>\n<\/ul>\n

    A m\u00e9s d’aquestes intervencions n’hi ha d’altres que es consideren prudents implementar encara que no estiguin recolzades per un corpus de recerques. Aquest \u00e9s un tema, per altra banda, que per la seva naturalesa \u00e9s poc probable que sigui objecte d’estudis de qualitat, ja sigui perqu\u00e8 sigui dif\u00edcil fer aquestes investigacions o perqu\u00e8 les intervencions semblen tan l\u00f2giques i evidents que no es considera necessari estudiar-les. Algunes d’aquestes intervencions s\u00f3n:<\/p>\n

      \n
    • Tancar les zones perilloses o restringir-ne l’acc\u00e9s.<\/li>\n
    • Promoure pol\u00edtiques i normes per als parcs infantils que obliguin que les superf\u00edcies on es juga siguin toves i que es limiti l’al\u00e7ada des d’on es puguin produir caigudes.<\/li>\n
    • Aplicar sistemes funcionals de salut i seguretat a la feina.<\/li>\n
    • Fer servir arnesos, sistemes de retenci\u00f3, sistemes anticaigudes i bastides segures per a les persones que treballen a certa altura.<\/li>\n
    • Exigir als propietaris que habilitin degudament els habitatges i fer complir les normes de construcci\u00f3.<\/li>\n
    • Millorar l’accessibilitat de l’entorn i dels espais p\u00fablics, com ara les voreres.<\/li>\n
    • Garantir que hi hagi la deguda proporci\u00f3 de personal per al nombre d’interns a les resid\u00e8ncies de gent gran.<\/li>\n<\/ul>\n

      \"\"<\/p>\n

      Les caigudes s\u00f3n la segona causa mundial de mort per traumatismes involuntaris. Segons els c\u00e0lculs de l’OMS, moren a l’any 684.000 persones a causa de caigudes i cada any es produeixen 37,3 milions de caigudes que requereixen atenci\u00f3 m\u00e8dica. \u00c9s important educar, capacitar, crear de lloc de treball segur. Concloem amb unes recomanacions espec\u00edfiques de la Cl\u00ednica Mayo<\/strong>.<\/p>\n

        \n
      • Revisar els medicaments.<\/li>\n
      • Recordeu les caigudes pr\u00e8vies per recordar els perills.<\/li>\n
      • Tenir en compte possibles afeccions sobre el centre de gravetat del cervell.<\/li>\n
      • Mantenir l’activitat, caminar cada dia, practicar gimn\u00e0stica, aquagym, caminar…<\/li>\n
      • Fer servir sabates c\u00f2modes (sense talons alts).<\/li>\n
      • Retirar obstacles i mantenir l’atenci\u00f3 en aixecar-se del llit per anar a orinar i tenir llums nocturnes.<\/li>\n
      • Utilitzar sabatilles antilliscants.<\/li>\n
      • Il\u00b7luminar b\u00e9 la sala d’estar.<\/li>\n
      • Prestar m\u00e0xima atenci\u00f3 a les obres p\u00fabliques.<\/li>\n
      • Usar els dispositius d’alerta de la Creu Roja.<\/li>\n
      • Molta atenci\u00f3 a la dutxa i la banyera.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

        August Corominas incideix sobre les mesures de prevenci\u00f3 d’accidents dom\u00e8stics en gent gran, que sovint tenen una inusitada gravetat, a l’article “Atenci\u00f3 a les caigudes, de nit i de dia”<\/p>\n","protected":false},"author":12,"featured_media":135585,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[455,213],"tags":[],"class_list":["post-153280","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ciencies-de-la-salut","category-medicina-i-cirurgia","et-has-post-format-content","et_post_format-et-post-format-standard"],"yoast_head":"\nAtenci\u00f3 a les caigudes, de nit i de dia - Reial Acad\u00e8mia Europea de Doctors<\/title>\n<meta name=\"description\" content=\"August Corominas sobre les mesures de prevenci\u00f3 d'accidents dom\u00e8stics en gent gran, a l'article "Atenci\u00f3 a les caigudes, de nit i de dia"\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/raed.academy\/ca\/atencio-a-les-caigudes-de-nit-i-de-dia\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atenci\u00f3 a les caigudes, de nit i de dia - 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