1. GERIATRIC CARE
By: Dr.Sadaf Shaikh
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2.  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
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3.  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
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4. 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.
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5. Problems in
elderly are multi-
faceted and
often a single
problem may be
the result of a
complex chain of
decomposition of
body functions.
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6. Physical problem
Psychological
problems
Social problem
Economical
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7.  Cardio-respiratory problems- High Blood
Pressure, Syncope, Heart 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
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8.  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,
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9.  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
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10.  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
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11. No or inadequate
source of income
Total economical
dependence on
children for their
daily needs
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13.  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.
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14.  Health Habits :-
 Healthy diet
 De-addiction of Alcohol & smoking
 Adequate Sleep
 Calcium & Vitamin D supplementation
 Immunization :-
 Influenza
 Tetanus
 Pneumococcal
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15.  Injury Prevention :-
 keep the floor dry
 keep the obstacles
away
 Bright light
 Flat Shoes
 Grabber in Bathrooms
 low level Switches
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16. 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
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17. Early detection and
treatment is an
important step in
secondary
prevention of disease
and disability.
Regular screening is
Required.
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18.  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
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19.  Hard interventions-
 drugs.
 physiotherapy.
 occupational therapy.
 aids and adaptation.
 speech and language
therapist.
 Soft interventions-
 advice.
 education.
 counseling.
 encouragement.
 listening.
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20.  Social attitude
 Physicians support
 Organization of “day
care centers”
 Hospitalization in c/o
chronic illness
 Counseling the
caregiver
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21.  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
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22. Helpage India supports the following programs to make
life easier for older people:
1. Free cataract operation
2. Mobile Medicare units
3. Income generation and micro-credits
4. Old age home and day care centers
5. Adopt a grant parents
6. Disaster mitigation
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