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Loneliness, is the new "disease" that affects the chronically ill in Lazio. A tile on something that was worrying. Just a trip to the lanes of Internal Medicine, home to about half of patients hospitalized each year. In 2009, in Lazio, about 800 thousand hospital admissions were over 400 thousand in medical areas.
Growth patients' chronic critics, are 20 percent of the patients - Dario says Manfellotto, FADO Lazio at the top of the scientific society that meets today and tomorrow in Rome's hospital interns - but also increasing the number of older people seeking help at the hospital because they do not know where to go. Because the chronically ill or elderly person is alone. Why not can no longer rely on 'self-help and not a social network to which contact, family structures in the area. Army of patients over 65 years - more than one million two hundred thousand, only those over 84 have risen by ten per cent three years - lead the nightmare of loneliness. A nightmare for the reduction of hospital beds is not a corresponding increase in care facilities in the area. Everything right now is based on carers: 75 000 regular, more than double in black. The alarm sounded by FADO Lazio has got it right: The Lazio region is becoming a carer-dependent, of course, always for those who can afford it and, in times of crisis, you also save on this. "
"And thus was born the problem of sliding doors, revolving doors - explains Dario Manfellotto-Patients over 65 are 25% of the accesses in the ER, but the inmates are among the most half. But patients with more than 75 years who are discharged from hospitals, 48.30% were hospitalized again within a month, maybe in another hospital. And 'the health emergency in the region and documented with a dossier of proposals to the Governor of the instructions Polverini repayment plan approved recently and that, in general, we agree. But on Hospital Territory-path is a reflection. Where to send our patients discharged from departments of internal medicine if they are still inadequate receptivity and availability of care services, post acute and long-term care? The reduction of beds certainly necessary - even if on 'opportunity of cutting long-term care and rehabilitation remains in doubt - did not lead to immediate creation of intermediate structures, such as district hospitals, which should give assistance to many sick, but obviously not those acute and serious. "
" Mr Fazio, already a few years there will be more place for young people in the ward. " Alarm Minister Fazio has launched a few days ago:" In 2050 - the Minister said-if we continue to house the elderly in the hospital there will be no place for young people " . "But the year 2050 by the Minister feared - Manfellotto-replication has already arrived, and we're saying for years. Not have to wait forty years to see the breakdown lanes. Soon, foreigners will also increase the ill, elderly or not. Today foreigners are a hundred times less elderly Italian residents but will be quadrupled in twenty years. Sick in addition to sick, elderly in addition to the elderly. "
"The Minister said - Manfellotto-concluded that" one should not close our local hospital without adequate care, but the road goes toward the care planning. "The problem is that currently neither the doctors general medical practice or territory structures are able to assist the large number of patients to become more and more. The future is tomorrow. The repayment plan will be implemented from January 1, 2011. We must act now. We must now draw the future, I repeat, it is really upon us. The interior features in every hospital, true sentinels of the health status of our country and our region are ready to roll up their sleeves to work together in solving the problem. On this project you need a table for consultation with the Region. "
One in five white hair. In Lazio there are about one million 200 thousand and over sixty of them, more or less a third, more than eighty years. They represent nearly 20 percent of the population (80 year old and above are 5.4%). The primacy of white hair, but not new-it is always women (651,895 against 471,172), while taking a look at the older provinces is to Rieti, where 23.2 percent of the population has more than 65 years The younger than that of Latin America (17.8% of over 65). ISTAT estimates are clear: if the aging index of the region today is equal to 142.3% in ten years will increase to 164.8% and 208.7% in 2030 will become. In ten years will be a little over 65 'more than one million and 300 thousand and now account for 22.4 percent of the population but will become 1 million 500 thousand in 2030 (those over 80 will almost 9% of the population). There is a fact that 'image' the situation well: today, in Latium, the centenarians are centenarians and 1368 (1031 women and 337 men) in 2020 will exceed the threshold of a hundred candles in 2000.
Gli stranieri, malati dimenticati. Fra 10 anni saranno il triplo. I malati‘dimenticati’: sono gli stranieri, anziani e meno anziani. Attualmente nel Lazio i residenti stranieri con più di 65 anni sono 12.500, vale a dire cento volte in meno degli italiani. Ma la loro corsa è già iniziata. Tra appena dieci anni il numero sarà triplicato (l’Istat ne stima 36.710) e tra vent’anni saranno il quadruplo di oggi (78.102). Oggi rappresentano il 2,7 per cento della popolazione straniera residente, nel 2030 saranno quasi il 10 per cento degli stranieri nel Lazio.
Roma badante-dipendente. All figures of the elderly in Rome and province. Solitude, "disease" rampant. It is the elderly victim. In large towns in the province of Rome, the capital in the first place, not only in villages, but a bit 'of time, even small ones, where it is believed that life runs more to the measure of a person advanced in years. " If one of the chronically ill or elderly person is only a dramatic reality in all the Lazio-the doctor says Emilio Scotti, Past President FADO Lazio, at the Congress of the FADO Lazio (the scientific society that brings together hospital interns), headed by Dario Manfellotto- the capital is even more distressing. Resigned hospital, the patient may end up a prisoner in the house if he has relatives, has no ability to pay. The full loneliness is when the house has no lift. The addresses of the repayment plan, just approved, prepared by the Governor Polverini and largely shared - if the closure of beds increased assistance will not follow a specific territory, likely to underestimate the impact of the frail elderly after discharge . I am reminded of the famous Law Dr. Intelligent rules, sacrosanct, and all civil shared. But, I closed the asylums, patients sometimes found themselves alone, the sole responsibility of families. With regard to health in general, province of Rome, the data coincide with those of the entire region. More cases of diabetes, arthritis, hypertension, chronic bronchitis, allergies. We eat too much and hurt. Growing overweight. Increase patients' chronic critics "who are now 20 percent of hospital admissions. A health worsens. It should be better just to smoke. And this is good news. "" Now Roma is nanny official - Add Scott-The elderly over 65 in the province of Rome are 824,416 of whom 220,775 are over 80 years and 1812 are centenarians or centenarians. Today the elderly in Rome and province represent nearly 20 percent of the population in ten years will be 22 percent and in 2030 almost 26 per percent. But what most impresses is the aging index: if today is almost 140% in 2020 will be almost 158% and 199% in 2030. In ten years there will be in Rome and province, one hundred and thirty thousand older people than today, which must be added to those foreigners who, throughout Lazio today are a minority (in Rome and province are the total of 10,355 foreign residents 406mila) but soon become a new army. "
pain, a fact overlooked in Lazio. "There is another emerging problem - says Dr. Ruggero Pastorelli, FADO next president of Lazio and Director of Operational Structure A complex of Internal Medicine, Hospital of the Regional Congress of the FADO Colleferro Lazio in Rome - a face of health, almost forgotten, that we should look into. The pain, oncology and other sources, at least in 20-25% of patients admitted in the Division of Internal Medicine is not always measured and addressed in a structured way that is, with the guidelines and drug protocols. A few months ago is Law 38/2010, which we hope to apply immediately. But this law did not include internists who attend half of the patients hospitalized, including referring physicians for palliative care and treatment of pain. We demand that the region know to fill this gap, to assist law enforcement in our own hospitals. It is not only a hope but an appeal. "
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