Forever Autumn - Building a Community of Practice (A Falls Reduction Initiative)anne spencer
First meeting of members of the Forever Autumn Community of Practice based in Ireland. This COP will focus on falls reduction strategies across differing care settings including residential care, acute care, community care. Visit the web site www.foreverautumn.co
Forever Autumn - Building a Community of Practice (A Falls Reduction Initiative)anne spencer
First meeting of members of the Forever Autumn Community of Practice based in Ireland. This COP will focus on falls reduction strategies across differing care settings including residential care, acute care, community care. Visit the web site www.foreverautumn.co
Presentation given to the AIGNA Conference in Dublin on Wednesday 22nd June 2011.
The presentation is about a bone health educational programme developed for the staff by the staff at St Mary's Hospital, Phoenix Park, Dublin.
Forever Autumn is a Falls Awareness and Falls Prevention initiative being developed in St Mary's Hospital, Phoenix Park, Dublin Ireland.
It builds on the Bone Health Education Programme which was launched in May 2011.
The project team comprises of clinical and non clinical members of staff from the hospital. The project is being led by Daragh Rodger, CNS in Health Promotion and Assessment of the Older Adult, and Anne Spencer, Clinical Educational Technologist.
Developing Resources to support staff in identifying the palliative care need...Irish Hospice Foundation
Irish Hospice Foundation Changing Minds Project - Developing Resources to support staff in identifying the palliative care needs of people with Dementia
Using wellbeing concept to measure economic and social impacts: A case study ...CGIAR
This presentation was given by Silva Larson (JCU/USC), as part of the Annual Scientific Conference hosted by the University of Canberra and co-sponsored by the University of Canberra, the Australian Centre for International Agricultural Research (ACIAR) and CGIAR Collaborative Platform for Gender Research. The event took place on April 2-4, 2019 in Canberra, Australia.
Read more: https://www.canberra.edu.au/research/faculty-research-centres/aisc/seeds-of-change and https://gender.cgiar.org/annual-conference-2019/
Presentation given to the AIGNA Conference in Dublin on Wednesday 22nd June 2011.
The presentation is about a bone health educational programme developed for the staff by the staff at St Mary's Hospital, Phoenix Park, Dublin.
Forever Autumn is a Falls Awareness and Falls Prevention initiative being developed in St Mary's Hospital, Phoenix Park, Dublin Ireland.
It builds on the Bone Health Education Programme which was launched in May 2011.
The project team comprises of clinical and non clinical members of staff from the hospital. The project is being led by Daragh Rodger, CNS in Health Promotion and Assessment of the Older Adult, and Anne Spencer, Clinical Educational Technologist.
Developing Resources to support staff in identifying the palliative care need...Irish Hospice Foundation
Irish Hospice Foundation Changing Minds Project - Developing Resources to support staff in identifying the palliative care needs of people with Dementia
Using wellbeing concept to measure economic and social impacts: A case study ...CGIAR
This presentation was given by Silva Larson (JCU/USC), as part of the Annual Scientific Conference hosted by the University of Canberra and co-sponsored by the University of Canberra, the Australian Centre for International Agricultural Research (ACIAR) and CGIAR Collaborative Platform for Gender Research. The event took place on April 2-4, 2019 in Canberra, Australia.
Read more: https://www.canberra.edu.au/research/faculty-research-centres/aisc/seeds-of-change and https://gender.cgiar.org/annual-conference-2019/
Building a translational team for impacting public policyPre-Congress Worksh...OARSI
David Hunter MBBS, PhD, FRACP
Florance and Cope Chair of Rheumatology, Professor of Medicine
University of Sydney and Royal North Shore Hospital
Chair, Institute of Bone and Joint Research
Consultant Rheumatologist, North Sydney Orthopedic and Sports Medicine
Global Medical Cures™ | Lactose Intolerance & Osteoporosis
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Presentazione a cura del Dottor Paolo Falaschi - XII° Congresso Nazionale FIMeG 2018 - The Silver Tsunami: l'anziano fra appropriatezza e farmaeconomia
Gerontological Nursing Research in a Time of Changeanne spencer
Keynote presentation given by Dr Catriona Murphy, School of Nursing and Human Sciences, Dublin City University at the 5th Annual Nursing Showcase at St Mary's Hospital, Phoenix Park, Dublin. September 6th 2017.
Bone Health and Falls Awareness in Intellectual Disability Population: Empowe...anne spencer
Bone Health and Falls Awareness in Intellectual Disability Population: Empowerment of Peers through Education - Lorraine Ledger, CNMIII, St Michael's House, Dublin
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
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
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263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
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.
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
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
2. Report of the
National Steering Group
on the
Prevention of Falls in
Older People and
the Prevention and
Management of
Osteoporosis
throughout LifeFalls strategy
2008
5. Osteoporosis comes from ‘osteo’ meaning bone and the
greek word por (passage) ie simply it means porous
bone.
Osteoporosis results in loss of bone strength, thus making
bone more fragile and easily susceptible to fracture.
Osteoporosis is classed as a bone density 2.5 or more
standard deviations below normal peak bone mass
(WHO, 2002)
• Normal Bone Density 0 - -1
• Osteopenia -1 - -2.5
• Osteoporosis > -2.5
DEXA SCAN RESULTS
6. DXA scan
Bone health assessment
Bone health Education
•Diet
•Exercise
•Lifestyle choice
St Mary’s Healthy Ageing Clinic
7. A T-score compares the patient’s
results with the mean peak bone mass
(thickness of bones) of a large number
of normal females and males between
the ages of 20-40.
A Z-score compares the patient’s
score with their own age group; this
should only be used in the diagnosis
of the spine in children and
adolescents
8.
9.
10. Bone Density Results – Healthy Ageing Clinic
0
100
200
300
400
500
600
700
2010
Osteoporosis
561
Osteopenia
465
Normal
621
11. Osteoporosis Treatment
Prevention and Treatment
options
Calcium and Vitamin D are
essential for the treatment and
prevention of osteoporosis. If it is
not acquired in the diet it is
necessary to take a supplement.
This applies to everyone
regardless of DEXA scan result.
Exercise is also an essential
component in the treatment and
prevention of osteoporosis.
12. Treatment Options
Anti resorptives – Bisphosphonates decreases bone
resorption
eg. Alendronate – Fosamax 70mg - once a week
Alendronate combined with Vitamn D – Fosavance 5600
– Fosamax 70mg with 5600iu Vitamin D once a week
Ibandronate – Bonviva 150mg – once a month
Ibandronate – Bonviva by IV 3mg – every 3 months
Risedronate – Actonel 35mg – once a week
Risedronate – Actonel 35mg combi( with calcium) one
actonel a week and one calcium 500mg for six days of
week
Zoledronic Acid – Aclasta – once a year IV infusion
Osteoporosis Treatment
13. Strontium Ranelate – Protelos – dual action bone agent –
prevents bone loss and it increases bone formation – one 2g
sachet daily
Parathyroid Hormone – Teriparatide – Forsteo
Stimulates bone formation and is given by subcutaneous
injection for a period of 18 Months. It mimics the action of
natural human hormone. It is the most potent anabolic agent.
It is reserved for use of severe osteoporosis and is usually only
prescribed by a specialist physcian.
Denosumab – Prolia – monoclonal antibody
Prevents bone loss and osteoporosis – 60mg subcutaneous
injection 6 monthly
Osteoporosis Treatment
14. Compliance
• Improved patient education
• Good communication
• Taking into account patient's preferences
• Involving them in treatment decisions may
improve adherence.
• Offering support service – by phone
• Follow up scan to show improvement
Osteoporosis Treatment
15. Health Promotion
• Health promotion was identified as a key factor for bone
health and fracture prevention
• Development of Primary Care multidisciplinary teams
was of key importance to improve the prevention and
management of osteoporosis
• Primary Care is the appropriate setting to meet 90-95%
of all health and personal social service needs.
Strategy to prevent falls and fractures in Ireland’s ageing
population June 2008
16. Bone
Health
What can we do
Be aware – Community, Residential, Acute care.
Identifying those at risk – Fractures new & old, falls.
Carry out risk assessment for osteoporosis
Refer for further interventions – DEXA, physio, OT.
Provide education on diet, exercise and treatment options
Provide support – compliance with medications
Remember
Bone health is a lifelong process.
17. Bone health through the ages
1-12yrs 13-22yrs Adult Over 80
years
Peak Bone Mass
Age related bone mass Age related bone loss
23. Impact on Older Adult
• Where we work - Care of the Older Adult – all
settings
• Impact of these figures on our client group
– Loss of independence
– Suffering
– Severe disability
– Depression
– Need for home support
23
24. • Ageing population
• In 2030 a number of the present day work force will
be over 50 years of age
• In 2030 many of us may/will fall and will be a statistic
• Through education we can help reduce these figures
Real Life Facts
24
25. Impact on Society
• Loss to family and community
• Cost - Overstretched economy
• Provision of services home care, respite care,
extended care
• Proactive approach required rather than reactive
• Education is key
25
26. FOREVER AUTUMN
Implementation of a falls awareness
programme for all staff – clinical and
non clinical, illustrating the potential for
falls amongst the older adults in our
care.
Elements included:
• Revision of St Mary’s Falls Prevention
and Management Policy
• New Falls Risk Assessment Tool
• New Falls Risk Symbols
• New Falls Reduction Measures
27. Key Message
All staff have a
role to play in
reducing the risk
of falls – clinical
and non clinical –
know your role!
28. Review of Falls Data from January - June 2013
New Data Measurement
Interventions to prevent potential falls
Evidence to staff of benefits of Forever
Autumn Programme in action
*Compared to falls data pre Forever Autumn in 2011
Phoenix Park Community
Nursing Unit
33% Reduction*
St Mary’s Hospital 15% Reduction*
29. Development of an online resource to offer support,
guidance and continued education in falls prevention and
management across the care spectrum for older adults:-
•Acute Hospital Care
•Community Care
•Intellectual Disabilities Care
•Palliative Care
•Residential Care
Proactive collaborative approach to falls prevention by
providing a platform for continuing engagement
www.foreverautumn.co
31. To promote bone health, falls reduction, falls prevention
and effective falls management
To provide a platform to share the repository of
information to the wider community to enhance
quality care through presentations, articles of
interest, develop special interest groups etc.
www.foreverautumn.co
32. St Mary’s Community Falls
Service
The Falls Service at St Mary’s Hospital is a
consultant Geriatrician led multidisciplinary
service offering the following:
– Clinical assessment by Nursing and Medical staff
– Investigations
– Physiotherapy assessment
– Occupational therapy assessment
– Social worker services
– Education & support
33. Poster Campaign
2013
Prompt patients to ask
about screening for
osteoporosis and will be
placed in key patient
waiting
Areas:-
• A&E department
• Fracture Clinic
• Outpatient clinic
• GP surgery
• Health centre
33
34.
35. Bone
Health
Further Information
National Osteoporosis Society
International Osteoporosis Foundation
Strategy to prevent falls and fractures in Ireland’s ageing
population June 2008 HSE, DOHC, NCAOP, Irish
Osteoporosis Society