Alzheimer’s, Parkinson’s, COPD, tumors … What pathologies fill Ehpads?



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THE ESSENTIAL

  • In 2030, 21 million elderly people aged 60 and over will live in France, or 3 million more than in 2019.
  • Today the main causes of addiction can be classified into three categories of pathologies.

Ehpads could have 108,000 more residents by 2030, according to a new study from DREES (Directorate of Research, Studies, Evaluation and Statistics).

Three main types of pathologies in nursing homes

“Today, the main causes of addiction can be classified into three categories of pathologies”, explains geriatrician Paul-Emile Haÿ, Korian’s medical director France Seniors:
“- Neurodegenerative diseases leading to cognitive dependence, such as Alzheimer’s disease, but also more rarely Huntington’s disease, Charcot’s disease, vascular dementia or even Lewy body dementia (DCL).
– Pathologies that trigger physical dependence, such as hip fracture, cardiovascular or pulmonary diseases such as COPD, kidney failure or even atrophic lateral sclerosis. Parkinson’s disease is a mixed case, as it first triggers a physical, then a mental addiction.
– Tumors in the elderly, which can be accompanied in their end of life in Ephad “.

In 2030, 21 million seniors aged 60 and over will live in France, or 3 million more than in 2019. According to the DREES Places of Life and Autonomy (LIVIA) projection model, maintain current entry practices institutions for the elderly with loss of autonomy would suppose to double over time the rate of opening places observed since 2012, in order to accommodate an additional 108,000 residents in accommodation facilities for non self-sufficient elderly (Ehpad) between 2019 and 2030, then others 211,000 between 2030 and 2050, which would add to the 611,000 residents in existing places.

“Half of the nursing home residents are at level 1 and 2 of the GIR score”

“However, the promotion of homecare and the restriction of places in nursing homes, as current policies are popular, could result in some seniors being deferred to forms of intermediate housing between ordinary and nursing homes, such as residences. autonomy”, specify INSEE analysts.

The number of people in independent residences, which currently stands at just over 100,000, should then multiply by 1.5-2.5 in 2030 compared to today, depending on the evolution scenarios of the number. of seats in Ehpad maintained. “Nursing homes would therefore focus on welcoming the most dependent elderly, a trend that is already being observed today”, Paul-Emile Haÿ specifies. “Currently, half of the residents in nursing homes are at level 1 and 2 of the GIR score (iso-resource group corresponding to the level of loss of autonomy of an elderly person), ie they have a very high cognitive dependence”, continues the geriatrician. “Cognitive addiction will, in my opinion, always be the big problem between now and 2030, particularly due to Alzheimer’s disease, and this even if we find treatments today”, concludes this specialist of the elderly.




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