16.2% of physical therapists work in geriatrics, long-term care, and skilled nursing facilities. Common diagnoses treated include arthritis, osteoporosis, stroke, and dementia. Therapists aim to improve range of motion, strength, balance and independence through exercises and equipment tailored for elderly patients. Ongoing education and collaboration with other healthcare providers is important for quality care.
Patients in medical rehabilitation (such as for stroke or spinal cord injury) often have many medical problems that reduce their energy and cognition. If their team decides they are 'psychologically unmotivated' they are discharged prematurely to nursing homes. Appropriate medical intervention can restore 'motivation' as well.
Patients in medical rehabilitation (such as for stroke or spinal cord injury) often have many medical problems that reduce their energy and cognition. If their team decides they are 'psychologically unmotivated' they are discharged prematurely to nursing homes. Appropriate medical intervention can restore 'motivation' as well.
Any rehabilitation team is comprised of different types of specialists who deal with the physical, emotional and spiritual needs of the patient. Find here a description of a few of them along with their responsibilities.
The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
Rehabilitation : Principle and its types Palash Mehar
Rehabilitation-
According to WHO “Rehabilitation or rehab is the combined and coordinated use of the medical, social, educational, and vocational measures for training and re-training the individual to the highest possible level of functional ability”.
Principles of Rehabilitation
Aspects of Rehabilitation
Types of Rehabilitation :-
There are too many types rehab to list here but some common types of therapy include,
Physical therapy
Occupational therapy
Speech/swallow therapy
Cognitive rehabilitation therapy
Vocational rehabilitation
Discussion of the basics of a physical therapy career from the history of the profession, to salaries, educational requirements, PT/PTA programs, and tips to apply to PT school. Also the APTA Vision 2020, MoveForwardPT, and "You Can Be Me Video".
Cancer and role of occupational therapist in cancer Ambreen Sadaf
Introduction to oncology
Role of occupational therapy
Hazards to life due to cancer
Interventional aim to cancer
Lifestyle management
Benefits of occupational therapy in oncology
Occupational service in cancer
Interventions
Role of occupational therapy in cancer or oncology
Any rehabilitation team is comprised of different types of specialists who deal with the physical, emotional and spiritual needs of the patient. Find here a description of a few of them along with their responsibilities.
The Healthcare Team as the Healthcare Provider: A Different View of the Patie...guesta14581
Presentation to the Ohio State Society of Medical Assistant's annual convention about the Patient Centered Medical Home and the role of the medical assistant
Rehabilitation : Principle and its types Palash Mehar
Rehabilitation-
According to WHO “Rehabilitation or rehab is the combined and coordinated use of the medical, social, educational, and vocational measures for training and re-training the individual to the highest possible level of functional ability”.
Principles of Rehabilitation
Aspects of Rehabilitation
Types of Rehabilitation :-
There are too many types rehab to list here but some common types of therapy include,
Physical therapy
Occupational therapy
Speech/swallow therapy
Cognitive rehabilitation therapy
Vocational rehabilitation
Discussion of the basics of a physical therapy career from the history of the profession, to salaries, educational requirements, PT/PTA programs, and tips to apply to PT school. Also the APTA Vision 2020, MoveForwardPT, and "You Can Be Me Video".
Cancer and role of occupational therapist in cancer Ambreen Sadaf
Introduction to oncology
Role of occupational therapy
Hazards to life due to cancer
Interventional aim to cancer
Lifestyle management
Benefits of occupational therapy in oncology
Occupational service in cancer
Interventions
Role of occupational therapy in cancer or oncology
Papayacare: senior care and post operative carepapayacare1
Papaya Care assisted living delivers the highest levels of senior care and patient care in a warm, personalized manner.
PAPAYACARE ASSISTED LIVING and HOME HEALTHCARE at Ahmedabad is initiated by one of the Houston-based healthcare professionals SUMI PATEL. She moved to Ahmedabad to achieve the dream of serving our elders back home at India. She completely understands the day to day needs of seniors and shall be privileged to have your family member served, for as long as you wish.
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
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
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.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
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
2. Percentage of PTA’s working in the
setting
Salary range
Diagnoses
Treatments
Equipment
Education
Recognition
APTA Specialty Section web site
2
3. Is healthcare of the elderly.
› It is to promote health and to prevent and
treat diseases and disabilities in older adults.
› There is no set age.
› Determined by problems that geriatrics focus
on.
3
4. Long Term Care
› The provision of medical, social, and
personal care services on a recurring or
continuing basis to persons with chronic
physical or mental disorders.
› The care may be provided in environments
ranging from institutions to private homes.
4
5. Skilled Nursing Facility
› It is an establishment that houses chronically
ill, usually elderly patients, and provides long-
term nursing care, rehabilitation, and other
services.
5
6. 16.2% of PTA’s work in the Geriatrics-LTC-
SNF specialty.
› This makes Geriatrics the second highest
setting to where PTA’s work.
6
7. Hourly rate range:
› $18.51 - $24.99
Factors that will affect salary:
› State to which you are employed
› Years of experience
› Type of facility
7
8. Common Conditions in Geriatrics:
› Arthritis
› Osteoporosis
› Cerebral Vascular Accident (Stroke)
› Cancer
› Parkinson's Disease
› Urinary and Fecal Incontinence
› Amputations
› Cardiac and Pulmonary Diseases
› Dementias
› Alzheimer's Disease
› Coordination and Balance Disorders
› Functional Limitations related to mobility
› Sports/Orthopedic Injuries
› Joint Replacements
› Hip Fractures
8
9. › Increase, restore or maintain range of motion,
physical strength, flexibility, coordination, balance
and endurance
› Recommend adaptations to make the home
accessible and safe
› Teach positioning, transfers, and walking skills;
promote maximum function and independence
within an individual's capability
› Increase overall fitness through exercise programs
› Prevent further decline in functional abilities through
education, energy conservation techniques, joint
protection, and use of assistive devices to promote
independence
› Improve sensation, joint proprioception
› Reduce pain
9
10. Some equipment to use with elderly:
› Theraband
› 12 inch ball
› 32-38 inch ball
› Mat table
› Floor mat
› Stairs
› Ramp
› Gait belt
› Home exercise program
10
11. Effects of aging on:
› Joints and ligaments
› Central Nervous System
› Cardiac considerations
Balance and Falls
Loss, Grief, and Adjustment
11
12. Work together on evaluation of patient:
› Geriatrician
› Nurse
› Social worker
› Nutritionist
› Physical therapist
› Occupational therapist
› Consultant pharmacist
› Geropsychiatrist
12
13. Recognition of Advanced Proficiency
› Current member of APTA
› Five years of work experience
› At least 60 contact hours of continuing
education within the last five years.
› Letter of reference for above-average job
performance.
› Involvement in at least three activities to
demonstrate leadership to the community
13
14. Benefits for being selected for the
Proficiency Award:
1. Increased confidence in the provision of
patient care.
2. External recognition from APTA.
3. Reinforcement of life-long learning.
4. Distinction that assists with career
advancement
14
16. The Geriatric-LTC-SNF setting deals with
many diagnosis's and treatments.
There are many different types of
equipment that can be used for therapy,
you just have to use the ones that will
benefit your patient the best.
Continuing Education will help you provide
the best quality of care and strength
training to your patients.
Being able to work well with the Geriatric
team will help benefit the patient to the
fullest.
16