1) Frailty refers to a loss of physiologic reserve that makes older adults susceptible to disability from minor stresses or challenges. It is not dependent on age, diagnosis, or functional ability.
2) Common features of frailty include weakness, weight loss, muscle wasting, exercise intolerance, frequent falls, immobility, and instability of chronic diseases.
3) Frailty exists on a continuum from vigorous to frail. Early intervention can help reduce disability and adverse outcomes like falls, injuries, hospitalizations, and death in frail older adults.
Stroke in people under 45 years of age is less frequent than in older populations but has a major impact on the individual and society. In this article we provide an overview of the epidemiology and etiology of young stroke.
Stroke in people under 45 years of age is less frequent than in older populations but has a major impact on the individual and society. In this article we provide an overview of the epidemiology and etiology of young stroke.
Coma is defined and the anatomy of consciousness explained. The various levels of arousal, AVPU scale and Glasgow Coma Scale described. The differential diagnosis of coma discussed are coma with & without focal deficits and the meningitis syndrome.
The various aspects of history discussed in details. The examination part includes the general examination, Brainstem reflexes, motor functions with the signs of lateralisation and meningeal irritation signs.
The basic lab investigations, Imaging and special investigations like CSF examination, EEG discussed.
Elevated intracranial pressure and its management explained.
Frailty applications in clinical practice. Assessing level of frailty can help identify underlying risks to contextualize conversations with patients and their caregivers.
Interstitial lung disease is a general category that includes many different lung conditions. All interstitial lung diseases affect the interstitium, a part of the lungs' anatomic structure.
Some of the types of interstitial lung disease include:
Interstitial pneumonia: Bacteria, viruses, or fungi may infect the interstitium of the lung. A bacterium called Mycoplasma pneumonia is the most common cause.
Idiopathic pulmonary fibrosis : A chronic, progressive form of fibrosis (scarring) of the interstitium. Its cause is unknown.
Nonspecific interstitial pneumonitis: Interstitial lung disease that's often present with autoimmune conditions (such as rheumatoid arthritis or scleroderma).
Frailty as a Long Term Condition?
Monday 10 November 2014
12noon – 12.45pm
Professor John Young
National Clinical Director for Integration & Frail Elderly, NHS England
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
Introducing a Toolkit to support the management of Frailty in Primary Care:
- Understanding the concept of frailty as a long term condition
- Understanding how frailty can be managed effectively in primary care
- Understand how to access and implement practical tools which can support identification, assessment and care planning for older people living with frailty in primary care.
Coma is defined and the anatomy of consciousness explained. The various levels of arousal, AVPU scale and Glasgow Coma Scale described. The differential diagnosis of coma discussed are coma with & without focal deficits and the meningitis syndrome.
The various aspects of history discussed in details. The examination part includes the general examination, Brainstem reflexes, motor functions with the signs of lateralisation and meningeal irritation signs.
The basic lab investigations, Imaging and special investigations like CSF examination, EEG discussed.
Elevated intracranial pressure and its management explained.
Frailty applications in clinical practice. Assessing level of frailty can help identify underlying risks to contextualize conversations with patients and their caregivers.
Interstitial lung disease is a general category that includes many different lung conditions. All interstitial lung diseases affect the interstitium, a part of the lungs' anatomic structure.
Some of the types of interstitial lung disease include:
Interstitial pneumonia: Bacteria, viruses, or fungi may infect the interstitium of the lung. A bacterium called Mycoplasma pneumonia is the most common cause.
Idiopathic pulmonary fibrosis : A chronic, progressive form of fibrosis (scarring) of the interstitium. Its cause is unknown.
Nonspecific interstitial pneumonitis: Interstitial lung disease that's often present with autoimmune conditions (such as rheumatoid arthritis or scleroderma).
Frailty as a Long Term Condition?
Monday 10 November 2014
12noon – 12.45pm
Professor John Young
National Clinical Director for Integration & Frail Elderly, NHS England
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
Introducing a Toolkit to support the management of Frailty in Primary Care:
- Understanding the concept of frailty as a long term condition
- Understanding how frailty can be managed effectively in primary care
- Understand how to access and implement practical tools which can support identification, assessment and care planning for older people living with frailty in primary care.
Presentation slides Frailty: building understanding, empathy and the skills t...NHS Improving Quality
Frailty: building understanding, empathy and the skills to support self-care
Guest speaker:Dr Dawn Moody, Director - Fusion48
An opportunity to learn about some innovative approaches to making the health and care workforce 'Fit for Frailty'* (*British Geriatrics Society 2015).
Learning outcomes:
To explore the Frailty Fulcrum as a tool for holistic assessment and management of frailty
To hear how Virtual Reality is being used to build empathy for older people living with frailty
To learn about the impact of a county-wide, multi-agency, multi-professional training an toolkit for care professionals working with older people
Resources:www.fusion48.net
Dr. François Béland - La prevención, detección y atención a la fragilidadFundación Ramón Areces
El 9 de marzo de 2015 la Fundación Ramón Areces celebró una nueva conferencia del tercer ciclo sobre envejecimiento, que organizamos en colaboración con el Centro de Estudios del Envejecimiento. En esta ocasión, el lema general elegido es 'Envejecimiento saludable y la prolongación de la vida activa'. François Béland, de la Universidad de Montreal, habló de 'La prevención, detección y atención a la fragilidad'. En su conferencia, explicó cómo pueden articularse medidas para prevenir la fragilidad, que es "algo que se va construyendo a lo largo de la vida".
PRACTICAL DISEASE CONCEPTS IN EPIDEMIOLOGYzayannabilah
Portal of entry to the human body
Natural course of communicable disease
Later stages of infection
Nutritional deficiency
Communicable disease prevention and control
Trillium II /Focus workshop at Informatics for Health2017: Manchester, April 24-27, 2017
Frailty is an age-related state of vulnerability to the risk of adverse health out-comes after a stressor event. The condition predisposes individuals to progressive decline in different functional domains, leading to falls and fractures, disability and dependency on others, hospitalization, institutional placement and ultimately death. We discuss drivers, challenges and opportunities for healthcare information standards related to frailty in old age in an effort to launch a call for coordinated action across research, policy, and academia. Key issues are selected as the back-drop for this discussion: EHR, patient summaries and frailty in a context of coor-dinated care enabled by health IT standards.
Presentation 3 of 5: Sarah Damanti, MD
Geriatric Unit IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milano
University of Milan, PhD in Nutritional Sciences
Mobility is Medicine
Loretta Schoen Dillon, PT, DPT, MS
Director of Clinical Education and Clinical Associate Professor
UTEP Physical Therapy Program
Mano y Corazón Binational Conference of Multicultural Health Care Solutions, El Paso, Texas, September 27-28, 2013
Hospital Acquired Deconditioning in Older AdultsChris Hattersley
Evidence based information on hospital acquired deconditioning in older adults, links to any studies referenced are included in the notes section of the presentation slides.
Critical Appraisal of a Diagnostic Test Article.pptxMarc Evans Abat
How to critically appraise a journal article on accuracy of a diagnostic test. This presentation spans issues regarding directness, validity, applicability and individualization. Also included are how to process information on sensitivity, specificity, likelihood ratios, predictive values and decision thresholds
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
3. Frailty
Refers to a loss of physiologic reserve that
makes a person susceptible to disability
from minor stresses.
An inherent vulnerability to challenge from
the environment.
Not dependent on age, diagnosis or
functional ability
5. Frailty
Functional status varies considerably
among older adults
– Portion remain independent in daily function
– Majority after 85 years need some assistance
with instrumental activities
– Frail elderly are severely disabled
6. Common Features of Frailty
1. Weakness
2. Weight loss (unexplained)
3. Muscle wasting (sarcopenia)
4. Exercise intolerance
5. Frequent falls
6. Immobility
7. Incontinence
8. Instability of chronic diseases
7. Associated Features of Frailty
Older Age
Female
Less Education
Lower Income
Poorer Health (Multiple co-morbid
chronic disease)
(Fried et al [2001], Community-based study)
8. According to Buchner and Wagner
The goal of preventive strategies is to reduce or eliminate the factors
that threaten physiologic capacity
9. Frailty as a Clinical Syndrome
Clinical Syndrome of Frailty
Symptoms
Adverse Outcomes of
Weakness
Frailty
Fatigue
Falls
Anorexia
Injuries
Under nutrition
Acute Illnesses
Weight Loss
Hospitalizations
Signs Disability
Physiologic changes marking
Dependency
increased risk
Institutionalization
Decreased muscle mass
Death
Balance and gait
abnormalities
Severe deconditioning
10. Stages of Frailty
Speechly / Tinnetti:
– “There may be a transitional state between
vigor and frailty.”
– “Earlier” stage of frailty – patient should be
screened and interventions instituted
– “ If lack of full recovery after an illness Then:
need for aggressive “Rehabilitation” after
acute illness and “Prehabilitation” when
surgery is anticipated.
12. Stages of Frailty
Characteristics of Hospitalized Individuals with
Failure to Thrive
(Berkman B. et al, Gerontologist, 1989)
1. Mean age 79
2. Average of 6 diagnoses
3. Symptoms similar to clinical syndrome of frailty
4. Malnourished, dehydrated, skin ulcers, falls, pain,
cognitive disabilities
5. Very limited effective intervention
6. 16% die during hospitalization
13. Potential Causes of Frailty
1. Decline in function of multiple organ systems
(due to aging) = enhance vulnerability to
stressors
2. Hypothalamic – pituitary – adrenal axis (Central
regulators of homeostasis)
A. Older animals show decrease ability to terminate the
adrenocortical response to stress ; decrease
hippocampal glucocorticoid receptors
B. Prolonged poststress corticosterone elevation
contribute to catabolic state
14. Potential Causes of Frailty
3. Decline of growth hormone levels
Contribute to decrease protein synthesis and muscle
mass
Decrease bone mass
Diminish immunologic states
(NEJM 1990 Rudman et al).
Clinical Trial: 21 healthy GH deficient men ages 61-81
receive rhGH
Increase lean body mass 9%
Decrease adipose tissue 14%
15. Potential Causes of Frailty
4. Changes in immune system may be due
to T cell dysfunction
– Increase lymphoproliferative disorder
– Susceptibility to infection
– Autoimmune disorders
17. Challenges and Solutions in
Care of the Frail Elderly
1. IMPORTANT to recognize the vulnerable and
frail before adverse outcomes
Recognize components that are reversible
Recognize the syndrome early
2. Prevention of adverse outcomes (i.e. falls,
medication side effects)
3. Increase physical activity level of FOA
(improved strength, flexibility, exercise
tolerance, nutrition)
4. Prehabilition and rehabilitation prevent decline
associated with prolonged bedrest due to
illness or surgery
18. Challenges and Solutions in
Care of the Frail Elderly
5. Improve Quality of Acute Hospital Care
A. Intensive case management – hospital-based
Advanced Practice Nurses intervene early
Identify newly admitted FOA early, aggressively
monitor progress through discharge
Coordinate efforts of health care team
Educate staff, patient and families
Bridge communication and clinical gaps between
systems (i.e. hospital NH )
Facilitate access to programs and services
19. Challenges and Solutions in
Care of the Frail Elderly
B. Be aware “BEWARE” of “cascade” of acute
hospital care
20. Complication of Hospitalization
Hopitalization Functional Medical Medical
Symptom Intervention Complication
Restraints Thrombophlebitis
Confusion
Drugs Pulmonary embolus
Not Eating Nasogastric Aspiration pneumonia
tube
Restraints Thrombophlebitis
Falling
Fracture
Incontinence Foley catheter UTI / Septic shock
21. Challenges and Solutions in
Care of the Frail Elderly
C. Early detection of acute illness
D. Delivery of medical treatment in least
stressful site of care (i.e. home)
E. Comprehensive Geriatric Assessment
F. Palliative Care alternatives for respiratory/
cardiac failure, weight loss, pain
management.
22. Challenges and Solutions in
Care of the Frail Elderly
Advantages of CGA
1) Creation of individual treatment plan
with a multidisciplinary team
2) Improve functional outcome
3) Improve patient survival
4) Reduction in hospital days
5) Reduction in readmission rates
6) No increase in mortality
23. Challenges and Solutions in
Care of the Frail Elderly
Elderly with irreversible declines in
functional capacity, QUALITY
hospital care may shift from
survival at all cost to improving
patient’s functional outcome.
24. Advancing Health and Well Being
Into Old Age in Filipino Society
(Philippine [Inter-Agency] and DSWD Plan of Action CY 2007)
1. Advocacy on prevention of common diseases
2. Conduct regular medical check-up of senior
citizens in rural health units (RHU).
3. Conduct care giving trainings to families of sick
and frail senior citizens
4. Conduct seminars on gerontology, physical
fitness program, nutrition education and dietary
counseling
25. Advancing Health and Well Being
Into Old Age in Filipino Society
(Philippine [Inter-Agency] and DSWD Plan of Action CY 2007)
5. Establish geriatric wards in government
and private hospitals.
6. Implementation of neighborhood support
services for older persons (NSSOP).
7. Ensure the implementation of the
Philippine Plan of Action for Nutrition
(PPAN) as a blueprint and country’s
guide for action to achieve nutritional
adequacy for Filipinos