Geriatric care

1. GERIATRIC CARE By: Dr.Sadaf Shaikh 4/22/2014 1 Dr.Sadaf Shaikh

2. INDEX INTRODUCTION PHYSIOLOGICAL CHANGES DUE TO AGING HEALTH PROBLEMS OF THE AGED PSYCHOLOGICAL PROBLEMS PREVENTION AND MANAGEMENT a. PREVENTIVE HEALTH CARE b. INTERVENTION IN REHABLITATION SERVICES PROVIDED BY THE GOVT. NON-GOVT. ORGANISATIONS 4/22/2014 2 Dr.Sadaf Shaikh

3. What is Geriatrics?????? The care of aged is called geriatrics or clinical gerontology The study of the physical & psychological changes which are incidental to old age is clinical gerontology 4/22/2014 3 Dr.Sadaf Shaikh

4. AGEING It is a progressive and generalized impairment of body functions resulting in, loss of adaptive responses to stress and increasing the risk of age-related diseases. People more than 60 yrs are considered elderly. Old age is not a disease but a normal and inevitable biological phenomenon. 4/22/2014 4 Dr.Sadaf Shaikh

5. Physiological Changes due to aging Problems in elderly are multi-faceted and often a single problem may be the result of a complex chain of decomposition of body functions . 4/22/2014 5 Dr.Sadaf Shaikh

6. Health Problems of the aged Physical problem Psychological problems Social problem Economical 4/22/2014 6 Dr.Sadaf Shaikh

7. Physical Problems Cardio-respiratory problems- High Blood Pressure, Syncope, H eart Failure, Asthma, Bronchitis Musculo - skeletal problems- Arthritis, fibroids, osteoporosis, Loco-motor difficulty, weakness of muscle. CNS Complaints- loss of memory, Altered behavior, Parkinson's Gastro intestinal Problems- GERD, Peptic Ulcer, Carcinoma of colon, constipation, impaired metabolism 4/22/2014 7 Dr.Sadaf Shaikh

8. Continue… Genito -urinary Problems- UTI, incontinence, Uterus Prolapse, Prostate enlargement Skin Diseases- Psoriasis, eczema, Alopecia, wrinkles Endocrine Problems- Hypo/ Hyper glycemia, Hypo/ Hyper Thyroidism, osteomalacia Eye / Ear Problems- senile cataract, Glaucoma, Deafness, 4/22/2014 8 Dr.Sadaf Shaikh

9. Psychological Problems Anxiety Sleep Disorder Altered Behavior Guilt (“Am I a burden to others?”) Suicide tendency(“I wish I could die???) Loss of Appetite Lack of Interest in society 4/22/2014 9 Dr.Sadaf Shaikh

10. Social problems Abuse:- Physical Abuse Psychological /emotional abuse Sexual abuse financial abuse Neglect Dependency :- PHYSICAL, FINANCIAL, FUNCTIONAL & other dependency has a major affect on the self esteem of the old Insecurity :- Insecurity of being abandoned by their children Rehabilitation :- one of the major problem 4/22/2014 10 Dr.Sadaf Shaikh

11. Economical Problems No or inadequate source of income Total economical dependence on children for their daily needs 4/22/2014 11 Dr.Sadaf Shaikh

12. Prevention & Management 4/22/2014 12 Dr.Sadaf Shaikh

13. Preventive Health Care in Elderly The role of prevention in geriatrics is to delay the onset of age-related decompensatory problems of body functions. It includes- Primary prevention. Secondary prevention. Tertiary prevention. 4/22/2014 13 Dr.Sadaf Shaikh

14. Primary Prevention Health Habits :- Healthy diet De-addiction of Alcohol & smoking Adequate Sleep Calcium & Vitamin D supplementation Immunization :- Influenza Tetanus Pneumococcal 4/22/2014 14 Dr.Sadaf Shaikh

15. Continue……. Injury Prevention :- keep the floor dry keep the obstacles away Bright light Flat Shoes Grabber in Bathrooms low level Switches 4/22/2014 15 Dr.Sadaf Shaikh

16. Secondary Prevention Screening Screening helps in early detection of modifiable risk factors and their adequate management. Hyper/hypotension, diabetes mellitus Dental problems Drug adverse effects Cancers Infections Nutritional deficiency states Eyes /ears 4/22/2014 16 Dr.Sadaf Shaikh

17. Continue…. Early detection and treatment is an important step in secondary prevention of disease and disability. Regular screening is Required . 4/22/2014 17 Dr.Sadaf Shaikh

18. Tertiary Prevention It deals with rehabilitation and caregiver support. Rehabilitation is a problem solving process focused on the patients functional abilities. Rehabilitation team includes; a physician, a physiotherapist, an occupational therapist, a speech and language therapist, a psychiatrist, a dietitian, a nurse and a social worker 4/22/2014 18 Dr.Sadaf Shaikh

19. Interventions in Rehabilitation Hard interventions- drugs. physiotherapy. occupational therapy. aids and adaptation. speech and language therapist . Soft interventions- advice. education. counseling. encouragement. listening . 4/22/2014 19 Dr.Sadaf Shaikh

20. Supporting the caregiver Social attitude Physicians support Organization of “day care centers” Hospitalization in c/o chronic illness Counseling the caregiver 4/22/2014 20 Dr.Sadaf Shaikh

21. Prevention and management of elder abuse Assessment of physical and mental capacity of the elderly. Assessment of general quality of care Assessment of relation with the abuser Assessment of abusers for their problems Counseling the abusers 4/22/2014 21 Dr.Sadaf Shaikh

22. Helpage India Helpage India supports the following programs to make life easier for older people: Free cataract operation Mobile Medicare units Income generation and micro-credits Old age home and day care centers Adopt a grant parents Disaster mitigation 4/22/2014 22 Dr.Sadaf Shaikh

23. THANK YOU……. 4/22/2014 23 Dr.Sadaf Shaikh