How can its appearance be detected? What should be done if there is any doubt? Can it be prevented and treated? To protect our elderly, it is imperative to better understand the sliding syndrome and adopt the appropriate approach.
Discovering the sliding syndrome:
French geriatrician Jean Carrié initially described the characteristics of the sliding syndrome as "a process of involution and senescence taken to its most complete state." Later attributed, the term "sliding" symbolizes a gradual deterioration in the patient's condition, often likened to a feeling of slipping away. This syndrome, sometimes referred to as "unconscious suicide," affects 1% to 4% of hospitalized individuals over 70, particularly those who are frail, with an average age of around 80.
Recognizing the signs:
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The sliding syndrome manifests as a sudden behavioral change in an elderly person, coupled with a loss of autonomy. Even those once independent may abruptly lose interest in life and decline essential tasks like eating, bathing, or getting out of bed. While not initially physical, this dependence leads to an inability to cope without assistance and may be accompanied by various anxieties, such as fear of solitude.
The importance of vigilance:
These warning signs should never be overlooked, as they pose a significant danger to the individual. Lack of movement increases the risk of muscle atrophy, while inadequate nutrition and care weaken the body, fostering conditions ripe for infections, particularly pulmonary ones. Sadly, this can lead to fatalities in over 80% of cases. However, while severe, the progression of the syndrome is not necessarily irreversible. Those who overcome it often achieve complete remission, resuming eating, communication, and psychological well-being.
Prevention and early detection:
Prevention plays a crucial role given the sudden onset and management complexities of the sliding syndrome. Special attention should be given to any challenging physical or psychological episodes experienced by the elderly. During convalescence, particularly after emotional shocks, close support and vigilance are paramount to prevent the syndrome's development.
Preparing for nursing home admission:
Whether entering a nursing home due to necessity or choice, it's vital to ensure the transition is well-received by the individual. Involving them in the decision-making process and maximizing conditions for successful integration can prevent feelings of abandonment. Nursing homes, especially post-hospitalization, offer an ideal environment for recovery, significantly reducing the risk of developing the sliding syndrome.
Recognizing symptoms and taking action:
Symptoms of the sliding syndrome may initially go unnoticed or be mistaken for depression or other age-related conditions. However, sudden changes in behavior, refusal to eat or move, and marked physical and cognitive decline should immediately alert caregivers and family members. Swift detection and intervention increase the chances of recovery and prevent long-term dependency.
Seeking treatment and support:
In confirmed cases, admission to a care home may be necessary for comprehensive management and psychological support. A team of professionals can provide essential care, including pressure ulcer prevention, psychotherapeutic follow-up, and appropriate medication. Prompt consultation with a general practitioner or emergency services is crucial upon detecting any changes in behavior or condition.
Contact us for support:
We understand the challenges families face when choosing the right care home. Our advisors at Senior Home Plus are here to assist you in finding a facility tailored to your needs.
Do not hesitate to contact us on the following number: 0230 608 0055 or fill out this form.
