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The Ticking Time Bomb of Ageing Sri Lanka

The Ticking Time Bomb of Ageing Sri Lanka. Dr. Padma S Gunaratne MD(SL), FRCP( Edin ), FRCP( Glasg ), FRCP( Lond ), FCCP, Hon FRACP, FAAN President Sri Lanka Association of Geriatric Medicine. “Caring for the Silver Year ”. World report on ageing and health – WHO 2015.

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The Ticking Time Bomb of Ageing Sri Lanka

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  1. The Ticking Time Bomb of Ageing Sri Lanka Dr. Padma S Gunaratne MD(SL), FRCP(Edin), FRCP(Glasg), FRCP(Lond), FCCP, Hon FRACP, FAAN President Sri Lanka Association of Geriatric Medicine “Caring for the Silver Year”

  2. World report on ageing and health – WHO 2015

  3. proportion of population aged 60 Global AgeWatch

  4. Dementia is now leading cause of death for women in Scotland, figures show Nearly three times as many women than men living into their 90s in Scotland Population figures from the National Records of Scotland

  5. 2050 • 29% Sri Lanka Percentage of people more than 60 years Is similar to Japan

  6. The Global AgeWatch Index ranks countries by how well their older populations are faring. The impact is multidimensional and, for Health, Health Systems, work force and Budgets Profound Global AgeWatch

  7. The Global AgeWatch Index ranks countries by how well their older populations are faring. Regional average figures for social connectedness (79%), safety (71%) and civic freedom (81%). Global AgeWatch

  8. Health problems in elderly • Symptoms are different to that of young age. • Multiple pathological processes. • Failure to report illness. • High incidence of complications. • Multiple medications. • High prevalence of cancers. • May progress rapidly. • Health, social, financial sequel.

  9. Common Diseases • Falls • Sarcopenia • Neurodegenerative conditions • Cognitive impairment • Osteoporosis • Malnutrition

  10. Is Sri Lanka ready to address these escalating Health Issues that are predictable?

  11. World report on ageing and health – WHO 2015

  12. Health of the elderly is pertinent if for them to be used as a resource for the country. Need to improve the health care delivery system addressing the health needs of elderly population. SRI LANKA 16.2 / 20 YEARS

  13. Active Ageing • “The process of optimizing opportunities for health, participation and security to enhance quality of life as people age” • It emphasizes the need for action across multiple sectors and has the goal of ensuring that “older persons remain a resource to their families, communities and economies’.

  14. Components of Health Policy for Active Ageing • prevent and reduce the burden of disabilities, chronic disease and premature mortality. • Reduce risk factors associated with major diseases and increase factors that protect health throughout the life course. • Develop a continuum of affordable, accessible, high-quality and age-friendly health and social services that address the needs and rights of people as they age. • Provide training and education to caregivers.

  15. There is a need to strengthen disability services

  16. Availability of rehabilitation professionals in the MOH (Per 100,000 population) Annual Health bulletin 2015

  17. Availability of Physiotherapists World report on disability - WHO

  18. Availability of Occupational Therapists • Global AgeWatch • World report on disability - WHO

  19. Social workers high income countries - 15.7 / 100,000 PpnSri Lanka – ?

  20. Need to change attitude Old people are ill, not because they are old but because they are ill We added years to life. Let’s add life to years.

  21. Health should not be the limiting feature or the dominant feature of older populations. • Many health problems are chronic and many could be prevented, or the disabilities could be postponed by healthy behavior or correct management. • Availability of Long term care and support can ensure that they live dignified lives that any of us wish to have towards ageing. • There is a need to improve environment of many of our hospitals to make it elderly friendly by improving accessibility, providing disable friendly toilets, acquiring equipment for elderly care, improving the rehabilitative services etc. • Establishing wards for elderly with special needs like Geriatric Wards is important.

  22. Thank you

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