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Review 8

גיליון 8 – חושים, ינו' 03

תיאור מקרה

 

Jacob [a pseudonym] is a man of 76 who lives in one of the coastal towns. He is married with children, who all his life difficult profession independently and good living. Now he suffers from severe respiratory smoking in the past. Jacob confined to his home and his accompanying oxygen cylinder, treated many drugs, including steroids, inhalers different drugs high blood pressure and intermittent antibiotics. Recently he was diagnosed with cataract [cataract] but is not analyzed due to the general condition.

Best Days "knew Jacob 'benefit life "from a night at restaurants, good food and drink in moderation. Now he limits himself to a slice of bread with different spreads, soup, chicken and burgers. He claims he does not enjoy the food and often "complain" about him and complain. Good basic nutritional condition but recently has shown signs of decline.

situation deteriorated further during the last hospitalization, which was treated pulmonary infection antibiotic. He refused to eat the food served to him at the hospital, claiming S"laocl tastes like chalk. " His wife brings him lunch every day, but it is not satisfied: "What happened to you, you forgot to cook?" On his return home he was thinner, especially little to eat and eat meals. Recently, he demanded his wife to cook spicy foods and high salt prohibited it.

Is the problem of Jacob is physical, emotional or environmental? Why ceased Jacob to eat? What causes dislocation senses of taste and smell with Jacob? What are the consequences of mental / environmental of disruption of the senses?

Dr. Avner Shahar -MPH, MD specialist Medicine and Geriatrics, Hospital Herzfeld-Kaplan Gedera

is Jacob's problem is physical, emotional or environmental? Jacob is a typical case of an elderly man who suffers from a chronic illness. These people live in ecologically fragile and delicate in itself and it is difficult to separate the causes of their problem facing physical mental factors.

specifically here seems to me that the problem was physical, at least at first, and then reflected her emotional reaction. When the environment, even her crucial role here (Bet patients in front of the house).

why ceased Jacob to eat? You can see two steps downhill eating with Jacob. in the past it was delighted by special diet and spicy. now he limits own menu del mono-tones. this may be the result of a depressed mind, but it is more likely that it reflects damage to the sense of taste and smell affects appetite and food intake. secondarily growing dissatisfaction with the food, behavior changes in the family and depression secondary. < / strong>

What causes dislocation senses of taste and smell with Jacob? as it is hard to separate body in front of people and the environment in such a patient, therefore we can say that there are several causes disruptions are " to. The sense of smell gradually decreases with age and also damaged liver and chronic smoking. In addition, impaired nasal mucosa dryness that involves continuous oxygen therapy and various medications that cause dryness. Even inhalers, including Cromolin and its derivatives and steroids cause disruption of the sense of smell.

As for the sense of taste, it suffered damage from drugs drying, also there is a disruption taste drug therapy for high blood pressure, including Kfotn and enzyme inhibitors transformation (ACE ), and other drugs. Antibiotics can cause disruption of flora in the pharynx and covering the tongue affects the taste.

What are the consequences of mental / environmental of disruption of the senses? Jacob lost many pleasures in his life with the outbreak of the disease. He is not mobile, is not working and not spending, which reduces the life experiences that saved him. This loss is even more difficult person "passions" which he liked to exhaust the experiences of the senses. Now he can not walk, his view is limited and does not expect parties and musical performances. Eating remains one of the only experience available to him. Loss of food taste the same place and make him bitter. In desperation, he unloads his anger on his wife away from her more.

How can I address the problem? Ads nature of the problem is the first step to dealing it. Sensing garbled person is unaware that only felt the food bland and requires Tblon and salting the rest. Environment does not understand the root of his problem and created friction. You can improve the situation by brushing the tongue gently brush gently and who-salt and lemon. Consult your physician and initiate a "reorganization" more drugs that affect the taste. As for oxygen, can be used in humidity and cream and Vaseline nostrils to prevent damage to the mucous membrane. The very awareness of disruption may reduce the sense of insult the wife and allow for flexibility and openness in assembling a menu, with an emphasis on flavor.

injury senses of taste and smell causes a decrease enjoyment of food and other problems. it can be treated and facilitate the hospital.