The document discusses the field of geriatrics, including definitions, common medical conditions among elderly patients, specialties within geriatric medicine, and complications that can arise in treating older adults. Key topics covered include delirium, mobility issues, medication management, dementia, and the top medical conditions faced by geriatric patients. The aging population is driving increased demand for specialists trained in the unique healthcare needs of older patients.
directly affects cancer outcomes, some data do suggest
that patients can develop a sense of helplessness
or hopelessness when stress becomes overwhelming.
This response is associated with higher rates of death,
although the mechanism for this outcome is unclear.
It may be that people who feel helpless or hopeless
do not seek treatment when they become ill, give up
prematurely on or fail to adhere to potentially helpful
therapy, engage in risky behaviors such as drug use, or
do not maintain a healthy lifestyle, resulting in premature
death.
Evaluation and Management of Behaviors in Persons with Cognitive ImpairmentVITAS Healthcare
The goal of this webinar is to enable healthcare clinicians to implement a comprehensive approach to non-pharmacologic and pharmacologic management of dementia-related behaviors for the benefit of patients and their caregivers.
This presentation is about geriatric Psychiatry awareness. it contains basic information about what is geriatric psychiatry, which are the main psychiatry disorder found in elderly and how to manage them?. it contains some detailed information about late life depression, delirium and dementia in geriatric population.
directly affects cancer outcomes, some data do suggest
that patients can develop a sense of helplessness
or hopelessness when stress becomes overwhelming.
This response is associated with higher rates of death,
although the mechanism for this outcome is unclear.
It may be that people who feel helpless or hopeless
do not seek treatment when they become ill, give up
prematurely on or fail to adhere to potentially helpful
therapy, engage in risky behaviors such as drug use, or
do not maintain a healthy lifestyle, resulting in premature
death.
Evaluation and Management of Behaviors in Persons with Cognitive ImpairmentVITAS Healthcare
The goal of this webinar is to enable healthcare clinicians to implement a comprehensive approach to non-pharmacologic and pharmacologic management of dementia-related behaviors for the benefit of patients and their caregivers.
This presentation is about geriatric Psychiatry awareness. it contains basic information about what is geriatric psychiatry, which are the main psychiatry disorder found in elderly and how to manage them?. it contains some detailed information about late life depression, delirium and dementia in geriatric population.
The goal of this webinar is to help the healthcare professional understand how to identify patients with advanced Dementia/Alzheimer’s who may be eligible for the Medicare hospice benefit, and how the timely use of hospice care can address many of the challenges and complications experienced by these patients as they approach the end of life.
With conventional allopathic medicine, when we present our symptoms to our doctors we are hoping for a solution. What we often receive is a diagnosis accompanied by a prescription to relieve our symptoms, and we are sent home. However, symptoms are the body’s way of telling us that something is out of balance; similar to the warning light that pops up on the dashboard of our cars when something is wrong.
The goal of this webinar is to help the healthcare professional understand how to identify patients with advanced Dementia/Alzheimer’s who may be eligible for the Medicare hospice benefit, and how the timely use of hospice care can address many of the challenges and complications experienced by these patients as they approach the end of life.
With conventional allopathic medicine, when we present our symptoms to our doctors we are hoping for a solution. What we often receive is a diagnosis accompanied by a prescription to relieve our symptoms, and we are sent home. However, symptoms are the body’s way of telling us that something is out of balance; similar to the warning light that pops up on the dashboard of our cars when something is wrong.
Understanding the Fundamentals of Brain Health and Chronic Diseases Safdar...S'eclairer
Safdar I. Chaudhary, MD
Medical Director S’eclairer; Clinical Assistant Professor, Chatham
University; Board Certified in Adult Psychiatry by American Board of
Psychiatry and Neurology
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.
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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.
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
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
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
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.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
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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.
People over the age of 65 are considered,
geriatric but there is no set age
3
4. Cognitive and behavioral disorders
Medication management
Self-care capacity
Falls, balance, gait disorder
Atypical presentation of disease
Palliative care: any form of medical care or
treatment that concentrates on reducing the
severity of disease symptoms
Hospital care for elders
Health care planning and promotion
Most pressing issue facing geriatrics is the
treatment and prevention of delirium
4
5. Geriatric medicine is the study of
the decline of the body organs as
the body ages.
This health varies according to the
whether the body is in decline or
maintaining as age continues to set
in and the lifetime of good and/or
bad habits that have accumulated.
5
6. Delirium: acute and debilitating decline in attention-
focus, perception, and cognition that produces an altered
form of semi-consciousness
Immobility: disinclined to move
Instability: lack of physical stability; unsteadiness
Incontinence: involuntary excretion of urine
Impaired intellectual memory functioning: various
mental processes that underpin rational thinking.
Elderly care: fulfillment of the special needs and
requirements that are unique to senior citizens
Multiple medications: prescription and nonprescription
medications, herbal supplements, and vitamins
Impaired vision: visual degenerative conditions
Impaired hearing: full or partial decrease in the ability to
detect or understand sounds
6
7. Dementia isn't a specific disease. Instead, it describes a group of
symptoms affecting intellectual and social abilities severely enough
to interfere with daily functioning. It's caused by conditions or
changes in the brain. Different types of dementia exist
Alzheimer's is the most common form of dementia
Cancer (e.g., ovarian cancer, prostate cancer) refers to any one of a
large number of diseases characterized by the development of
abnormal cells that divide uncontrollably and have the ability to
infiltrate and destroy normal body tissue
Diabetes the term "diabetes mellitus" refers to a group of diseases
that affect how your body uses blood glucose, commonly called
blood sugar.
Epilepsy is a disorder characterized by episodes of abnormal
neuronal signaling in the brain.
7
8. Heart disease is an umbrella term for a variety for different diseases affecting
the heart. As of 2007, it is the leading cause of death in the United States
Osteoporosis which means "porous bones," causes bones to become weak and
brittle — so brittle that even mild stresses like bending over, lifting a vacuum
cleaner or coughing can cause a fracture. In most cases, bones weaken when you
have low levels of calcium, phosphorus and other minerals in your bones
Parkinson's disease develops gradually, often starting with a barely noticeable
tremor in just one hand. But while tremor may be the most well-known sign of
Parkinson's disease, the disorder also commonly causes a slowing or freezing of
movement.
Sleep disorders nightmares, night terrors, sleepwalking, sleep talking, head
banging, wetting the bed and grinding your teeth are kinds of sleep problems
called parasomnias. There are treatments for most sleep disorders. Sometimes
just having regular sleep habits can help
Stroke occurs when the blood supply to a part of your brain is interrupted or
severely reduced, depriving brain tissue of oxygen and nutrients. Within a few
minutes, brain cells begin to die.
8
9. • Half of all Americans are taking multiple medications each day, including
prescription and nonprescription medications, herbal supplements, and
vitamins
• 51% are taking more than one medication of any kind each day
• 46% are taking at least one prescription medication each day
• 28% are taking multiple prescription medications a day
• 40% are taking multiple herbal supplements or vitamins each day
Of people age 65 or older, 79% are taking at least one prescription
medication a day, with an average of 4 prescription medications a day.
Although these medications could have a serious impact on their hospital
care, the survey found that only 8% told hospital staff knew what
medications they were taking, and only 3% brought samples of their
medications with them to the hospital.
9
10. Geriatric Rehabilitation : Focus on physical therapy and
rehabilitation
Geriatric Psychiatry (focus on dementia, delirium, depression and
other psychiatric disorders).
Geriatric Cardiogeriatrics (focus on cardiac diseases of elderly)
Geriatric nephrology(focus on kidney diseases of 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)
10
11. 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
11
12. Employment/Salary Data:
Reported Range of Current Hourly Salaries from 2007:
Out-state full time Geriatrics = $17.50 - 18.43
Out-of-town full time Geriatrics = $22.50
These are averages for the Minneapolis/St. Paul metro area
West North Central: $31,764 (MN, IA, MO, KS, NE, SD, ND)
The Median income of full-time PTAs in the East North Central area of the
Midwest is $37,000
The Median income of full-time PTAs in the West North Central area of the
Midwest is $33,140
The Median income of full-time PTAs with 1-3 years of experience is
$34,000
12
13. 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”.
13
14. PT’s, PTA’s active and retired
number approximately 5000
Largest of any APTA
component in 2006
PTA’s comprise 8% of the
Section or 400 members
14
15. Marilyn Moffat Foundation in Geriatric
Physical Therapy Achievement in geriatric
physical therapy research and practice
specific to geriatric care and rehab.
15
16. 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. 16
17. 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
,PMID3551552
http://ageing.oxfordjournals.org/cgi/pmidlookup?view=long&pmi
d=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
17