This document provides an overview of geriatrics physical therapy responsibilities. It defines geriatrics as the branch of medicine focusing on healthcare for the elderly. It discusses the history of geriatrics, differences from adult medicine, geriatric specialties, common medical conditions, employment outlook, and achievements in geriatric physical therapy research and practice. The goal is to promote health and prevent/treat diseases and disabilities in older adults.
Nursing and challenges for geriatric care in acute hospitalsgrace lindsay
The presentation provides an overview of issues and challenges for nursing in dealing with the health needs of older people in an acute care health care setting. Some of the specific considerations are highlighted including assumptions and stereotyping.
End of life issues in advanced heart failure manalo palliative careDr. Liza Manalo, MSc.
Why aren’t countries accountable to commitment on end of life (#EOL) care for vulnerable people?
For lack of know-how. This presentation aims to teach cardiologists how to provide good palliative care to their patietnts.
Jeff Rusch, Glenn Stolt - Evolution And Change: Preparing For TomorrowJohn Blue
Evolution And Change: Preparing For Tomorrow - Glenn Stolt, Christensen Farms CEO, and Jeff Rusch, Christensen Farms Vice President of Production, Health and Nutrition, from the 2015 Allen D. Leman Swine Conference, September 19-22, 2015, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2015-leman-swine-conference-material
Nursing and challenges for geriatric care in acute hospitalsgrace lindsay
The presentation provides an overview of issues and challenges for nursing in dealing with the health needs of older people in an acute care health care setting. Some of the specific considerations are highlighted including assumptions and stereotyping.
End of life issues in advanced heart failure manalo palliative careDr. Liza Manalo, MSc.
Why aren’t countries accountable to commitment on end of life (#EOL) care for vulnerable people?
For lack of know-how. This presentation aims to teach cardiologists how to provide good palliative care to their patietnts.
Jeff Rusch, Glenn Stolt - Evolution And Change: Preparing For TomorrowJohn Blue
Evolution And Change: Preparing For Tomorrow - Glenn Stolt, Christensen Farms CEO, and Jeff Rusch, Christensen Farms Vice President of Production, Health and Nutrition, from the 2015 Allen D. Leman Swine Conference, September 19-22, 2015, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2015-leman-swine-conference-material
Epos software is one of the best software for Hospitality management. By Epos System you can easily manage all kinds of billing, keep track of customer information and can integrate directly with credit card payment systems. For more details visit Netron hospitality technologies. For more information about neutron epos ltd, please visit our website at http://www.netron.co.uk/
Dr. Jeff Zimmerman - Developments in infectious disease surveillanceJohn Blue
Developments in infectious disease surveillance - Dr. Jeff Zimmerman, Vet Diagnostic and Production Animal Medicine, Veterinary Diagnostic Laboratory, Iowa State University, from the 2016 North American PRRS Symposium, December 3‐4, 2016, Chicago, Illinois, USA.
More presentations at http://www.swinecast.com/2016-north-american-prrs-symposium
medical surgical nursing , nursing care of elderly patient with disease conditions and different care given to them,it contain introduction , definition, nursing care, patient teaching, diet management, research.
Geriatric Dentistry with Nutrition in Geriatrics...Prosthodontics and Geriatrics...Management of Geriatric Patients in Prosthodontics...Full prepared seminar.. Have a look :)
Patient Directed Care; Why it’s important and what does it really mean?Spectrum Health System
Understanding the importance of effective patient centered communication for patient engagement and improved health outcomes. Will discuss the importance of patient directed care and its relationship to the quadruple aim. Will discuss the barriers and a framework for conversations that are critical to patient directed care and cultural competency.
The Aging Brain: Maturity & Making Health Transitionspkebel
This presentation by Alicia I. Arbaje, M.D. was given at the 2010 RWJF Local Funding Partnerships Annual Meeting in St. Paul, MN.
Aging is a time of physical, emotional, cognitive, psychosocial and health care transitions that vary in rate and severity from one individual to another. We are actively learning about the way the human brain changes in the later years of our lives. What can older individuals, their families, and our human service organizations do to maintain or improve quality of life as older adults navigate these transitions?
This presentation looks at how decisions at times of transition can make the difference between independence and isolation, socialization and loneliness, maintaining vigor and declining health. It will focus on how best practices may be influenced by rural or urban locations, economic status and nonprofit versus commercial interests. We will also look at issues related to housing, physical activity, recovery from loss or illness and intergenerational relationships.forth
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
2. Objectives
• Define geriatrics
• History of geriatrics
• Differences between adult and geriatric medicine
• Types of geriatric specialties
• Geriatric giants
• Surgical geriatric specialties
• Medical conditions
• Salary Data
• Employment outlook
• Achievement in geriatric physical therapy research and
practice.
• Conclusion
11/3/2009 2
3. Geriatrics is the branch of medicine that focuses on health care
of the elderly. It aims to promote health and to prevent and treat
diseases and disabilities in older adults.
• There is no set age at which patients may be under
the care of a geriatrician. Rather, this is determined
by a profile of the typical problems that geriatrics
focuses on.
• People over the age of 65 make up one of the fastest
growing segments of the population of many
industrialized nations. The variation in health, daily
function, cognition, social roles, and living conditions
among these older adults requires that allied health,
medical, social service, social science, health
education, health management, and movement
science professionals develop the competence to
address the unique needs of this age group.
11/3/2009 3
4. History of Geriatrics:
• “The Cannon of Medicine” written by Abu Ali Ibn
Sina in 1025
• Arabic physician, Ibn Al-Jazzarr Al-Qayrawani
(898-980), addressed sleep disorderss and another
one on forgetfulness and how to strengthen
memory
• The first modern geriatric hospital
• "Father" of Geriatrics, Dr. Ignatz Leo Nascher
• "Mother" of Geriatrics, Dr. Marjorie Warren
• Most pressing issue facing geriatrics is the
treatment and prevention of delirium
11/3/2009 4
5. Differences between Adult and
Geriatric medicine
• Geriatrics is the branch of medicine that focuses on
health care of the elderly. It aims to promote health
and to prevent and treat diseases and disabilities in
older adults. The term geriatrics differs from
gerontology which is the study of the aging process
itself.
• Disease is a medical condition where an abnormal
condition impairs bodily function impairs bodily
functions whether it is physically or psychologically.
• Functional ability, independence and quality of life
issues are of greater concern to geriatricians, than to
physicians of adults.
11/3/2009 5
6. Geriatric Specialities
• Geriatric psychiatry or psychogeriatrics (focus on dementia,
delirium, depression and other psychiatric disorders).
• Cardiogeriatrics (focus on cardiac diseases of elderly)
• Geriatric nephrology (focus on kidney diseases of elderly)
• Geriatric Rehabilitation (focus on physical therapy in elderly)
• Geriatric oncology (focus on tumors in elderly)
• Geriatric rheumatology (focus on joints and soft tissue disorders
in elderly)
• Geriatric diagnostic imaging
• Geriatrics dermatology(focus on skin disorders in elderly)
• Geriatric subspeciality medical clinics (As Geriatric
Anticoagulation Clinic Geriatric Assessment Clinic, Falls and
Balance Clinic, Continence Clinic, Palliative Care Clinic, Elderly Pain
Clinic, Cognition and Memory Disorders Clinic)
11/3/2009 6
7. Medically Treatment Issues
• Treating an elderly patient is filled with complications with the
major difference of treating a geriatric patient is that treating an
elderly person sometimes needs to have a guardian or healthy
proxy make the medically decision required for the situation or
treatment required. The issues of power of attorney, privacy, legal
responsibility, advance directives and informed consent must
always be considered in geriatric procedure
•
• Geriatric pharmacotherapy(medications)
• Issues with medications often need to be addressed with the
elderly because of the multiple over the counter medications and
herbs as well as those medications prescribed by their physician.
Many of the drugs that are taken by the elderly have many
contraindications with other medications they may be taking and
react in an adverse way to other medications.
11/3/2009 7
8. • The presentation of disease in elderly
persons may be vague and non-specific and
may also be a secondary symptom to the
actual cause of the issue. Description of the
disease itself may be the patient not being
able to verbalize or explain the symptoms
due to confusion or delirium caused by the
disease itself.
11/3/2009 8
9. Elderly Disease and the
Geriatric Giants
• Elderly disease and the geriatric giants
• Immobility
• Instability
• Incontinence
• Impaired intellectual memory functioning
• Elderly care
• Delirium
• Multiple medications
• Impaired vision
• Impaired hearing
11/3/2009 9
10. Surgical specialties directly related to
geriatrics
• Orthogeriatrics (close cooperation with orthopedic surgery )
• Geriatric Cardiothoracic Surgery
• Geriatric Urology
• Geriatric General Surgery/Trauma
• Geriatric Gynecology
• Geriatric Ophthalmology
• Geriatric Anesthesia (focuses on anesthesia & perioperative care of
elderly)
• Geriatric Intensive Care Unit: (a special type of intensive care unit
dedicated to citically-ill elderly)
• Geriatric Nursing (focuses on nursing of elderly patients and the aged).
• Geriatric Nutrition
• Geriatric Occupational Therapy(part of Geriatric Rehabilitation)
• Geriatric Pain Management
• Geriatric Physical Therapy
11/3/2009 10
12. Geriatric Psychology
• As society continues to age and more information
becomes clear as to the way the body reacts to time
and the abuse the body takes over time the treatments
of aging and its diseases will become more efficient
and effective. The process of developmental learning
as we age from childhood to adulthood and to the
elderly stages of development has begun theories of
how the brain reacts to those learned processes or
experiences.
• The experience of physical activity not only proves to
be physically helpful but mentally the mylen sheaths
continue to be activated in brain and thicken, showing
to show a delayed onset of dementia.
11/3/2009 12
13. The College of St. Catherine
Physical Therapist Assistant Program
• June 2007
• Employment/Salary Data:
Reported Range of Current Hourly Salaries:
Full time Geriatrics = $17.50 – $22.50
11/3/2009 13
14. EMPLOYMENT OUTLOOK FOR
PHYSICAL THERAPIST ASSISTANTS
• Employment of physical therapist assistants expected to grow much faster
than the average through the year 2010
•
• The large baby-boom generation is entering the prime age for heart
attacks and strokes
•
• Medical developments should permit an increased percentage of trauma
victims to survive, creating added demand for therapy services.
•
• “Physical therapist assistant is listed in the Top 100 Occupation List as
number 69th , with a 41.1% increase anticipated between 2000-2010
•
• Job outlook for physical therapist assistants is described as “Very Good”
11/3/2009 14
15. Minimum Geriatric Competencies
• Cognitive and behavioral disorders
• Medication management
• Self-care capacity
• Falls, balance, gait disorder
• Atypical presentation of disease
• Palliative care
• Hospital care for elders
• Health care planning and promotion
11/3/2009 15
16. Awards in geriatric physical therapy
• Adopt-A-Doc Program
• Clinical Educator
• Clinical Excellence
• Consumer Brochure Contest for Students
• Distinguished Educator
• Entrepreneurial Loan
• Excellence in Research
• Fellowship for Geriatric Research
• Joan M. Mills; Outstanding Service
• Lynn Phillippi; Advocacy
• Outstanding PTA
• Previous Award Recipients
• Student Award for Research
• Student Membership Award
• Volunteers in Action
11/3/2009 16
17. Conclusion
• As the population ages, so does the need for
those trained in the specialized care of the
elderly patient as it applies to the physical
therapy and its treatments required for
quality of life and independent living
activities
11/3/2009 17
18. • ^ GERIATRICSFOR-SPECIALISTS INITIATIVE (GSI)
• ^ Increasing Geriatrics Expertise in Surgical and Medical Specialties
• ^ Howell, Trevor H. (January 1987), "Avicenna and His Regimen of
Old Age", Age and Ageing 16: 58–9, doi:10.1093/ageing/16.1.58,
PMID 3551552,
http://ageing.oxfordjournals.org/cgi/pmidlookup?view=long&pmid
=3551552
• ^ Howell TH (1972). "Avicenna and the care of the aged".
Gerontologist 12 (4): 424–6. PMID 4569393.
• ^ Pitskhelauri GZ, Dzhorbenadze DA (1970). "[Gerontology and
geriatrics in the works of Abu Ali Ibn Sina (Avicenna) (on the 950th
anniversary of the manuscript, Canon of Medical Science)]" (in
Russian). Sov Zdravookhr 29 (10): 68–71. PMID 4931547.
11/3/2009 18