Summary - Elderly, chronically ill and people with physical disabilities
As people get older, the limitations increase. There is a large overlap between the elderly group and the chronically ill and people with physical limitations. Especially women and people with a low educational level and a low socio-economic status (SES) have a chronic illness. At 11% there are several diseases, which may or may not be interrelated. Diseases can lead to limitations in functioning. Vulnerability in the elderly is a process in which physical, psychological and social deficits in functioning accumulate. Examples of geriatric syndromes caused by multiple factors are mobility problems and falls, continence problems, memory problems, delirium and gloominess. Polypharmacy is common in the elderly, which increases the risk of side effects and interactions. Oral health is declining with increasing vulnerability and age, especially among people in nursing homes. Chronic diseases have an impact on oral health, directly (due to the disease or treatment) and indirectly (due to limitations in the performance of oral care). Unfavorable lifestyle factors are large alcohol consumption, overweight and an unfavorable diet. Your own management requires extra support as you get older. There are age-specific and disease-specific points of attention when dealing with elderly people in practice.