The document discusses long term care facilities and provides details about a visit to The Valley Inn facility. It summarizes that as lifespans increase, long term care facilities provide 24-hour nursing care for people with chronic illnesses or disabilities. The Valley Inn aims to maintain residents' quality of life and independence. It offers various activities, amenities, and community involvement opportunities in a home-like environment. After the tour, the author gained a new perspective on long term care facilities and aging, and decided to volunteer at The Valley Inn.
Senior Life magazine, which I created and edited myself. Forgive the awkward layouts - the ads were sold in "pre-fab" blocks. I built the ads per client requests.
Senior Life magazine, which I created and edited myself. Forgive the awkward layouts - the ads were sold in "pre-fab" blocks. I built the ads per client requests.
Senior Life magazine, which I created and edited myself. Forgive the awkward layouts - the ads were sold in "pre-fab" blocks. I built the ads per client requests.
Senior Life magazine, which I created and edited myself. Forgive the awkward layouts - the ads were sold in "pre-fab" blocks. I built the ads per client requests.
Senior Life magazine, which I created and edited myself. Forgive the awkward layouts - the ads were sold in "pre-fab" blocks. I built the ads per client requests.
Senior Life magazine, which I created and edited myself. Forgive the awkward layouts - the ads were sold in "pre-fab" blocks. I built the ads per client requests.
Congregations for the homeless assists single homeless men transition to permanent housing. By providing emergency shelter, case management/life coaching and subsidized housing, a homeless man is shown the path to a stable and productive life.
AHEPA Senior Living’s Hellenic Senior Living affordable assisted living lifestyle communities are attractive options for income-qualified older adults, 62 and older, who are seeking assistance with daily activities yet desiring to maintain their independence. Our communities provide the support and assistance necessary for residents to age with dignity among their friends and peers.
Access Health's white paper on the Full Circle America case study credits BlissCONNECT with providing sophisticated technology to enable aging at home. Dr. Allan Teel, who is doing pioneering work in this field explains the role of the Bliss software, "We are morphing BlissCONNECT into an expansive care team that coordinates care and information through one secure location.
Here is the half-yearly E-Newsletter of #Athulya for the months of April to September 2021. This edition has a lot of things that explains the bond between Athulya and the #seniors. Hope you all like it. Enjoy reading !
Here is the half-yearly E-Newsletter of #Athulya for the months of April to September 2021. This edition has a lot of things that explains the bond between Athulya and the #seniors. Hope you all like it. Enjoy reading! #newsletter #halfyearnewsletter #athulya #seniorcare #homecare
Website: https://www.athulyahomecare.com
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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
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
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.
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
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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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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
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
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Kitchen j ss368-01h-unit5project
1. LONG TERM CARE FACILITIES |0
Long Term Care Facilities
Jennifer Kitchen
SS368-01H
2. LONG TERM CARE FACILITIES |1
Long Term Care
As the population grows and medical advances increase the average life
expectancy there becomes a need for long term care. Many Americans live long
healthy lives but at some point they may need care for conditions that restrict their
ability to manage day to day undertakings. Long term care facilities offer 24 hour care
by skilled nursing staff to individuals with chronic illnesses and other disabling
conditions (Corr & Corr, 2009). The staff tries to maintain a quality of life for the
residents that help to keep them comfortable. The focal point of long term facilities is to
assist individuals in everyday living.
Assisted living facilities give individuals with chronic illnesses and disabilities a
certain amount of independence and a voice in their own care. These facilities may be
recognized as skilled nursing facilities or nursing homes, intermediate care facilities,
and residential care facilities or retirement homes (Corr & Corr, 2009). These facilities
may serve just the elderly or they may serve people of all ages that need long term
care. Some people who reside in these facilities are there for physical rehabilitation that
is to extensive for outpatient care. I decided to visit The Valley Inn, a long term care
facility in Mancos, CO to see what long term facilities are all about.
The Valley Inn
Outside the sign reads “where quality of life is most important.” As I walked in
the main door I got a warm feeling and could smell food cooking. Inside it has the look
of a 4-star hotel and it is set in a beautiful valley with mountain views on every side. I
spoke with Ashley, a social services director who has been with this facility for almost
3. LONG TERM CARE FACILITIES |2
7years. Ashleystated the goal at The Valley Inn was to help the residents feel at home
and as we walked aroundI saw many of the residents in the halls and recreation rooms
talking and laughing. There is an Alzheimer Specialty Unit that I was not allowed to
enter, as to not upset any of the residents with Alzheimer’s or dementia. There are 110
beds at this facility and at this time 77 beds are filled. Ashley informed me that all the
supervisors at the Valley Inn must be CNA certified even the social service director and
activity director. This facility has been open for 17 years and was started because the
owner, Joyce, “found a need” for a long term facility in her hometown of Mancos. Joyce
is partnered with C & G Health Care Management and The Valley Inn has 6 sister
facilities in other towns in the Southern Rockies area. The Valley Inn brochure reads “a
loving environment where residents come first.” They create individual care plans for
each resident and involve the loved ones in their care.
Ashley stated that this The Valley Inn is highly rated by the people of the
community and many of them like to get involved. There are many activities that require
community volunteers. I spoke to the activity director, Tim and his assistant, Samantha
and was shown a monthly schedule of activities that are held. I was astonished at not
only the number of daily activities but also at variety. Not only can the residents take
part in arts and crafts and games they also get to go on outings to Wal-Mart and the
casino, read the news and discuss views every morning, hold book club
meetingsweekly and also get to attend balls and parties. I visited on a Monday and
seen 3 babies visiting and every Friday the residents get to visit with the pets from all
over Mancos and the surrounding area. There is a resident doctor, a massage
therapist, a beauty and barber salon, and a restaurant where the residents can order off
4. LONG TERM CARE FACILITIES |3
a real menu at no extra charge. The residents can enjoy the music room, the living area
with a big screen TV, the solarium, the non-denominational chapel, and the flower and
vegetable gardens. There are Biker Rallies held twice a year to promote the facility and
the awareness of the community’s aging population. And every Halloween the facility is
decorated and children come by to “trick or treat”. Joyce and the partners of The Valley
Inn share ideas and discuss what is important while involving the staff and the residents
in the plans. The residents are free to give input on activities and many of the activities
they hold at the Valley Inn have been requested by residents. The Valley Inn is more
than just a place to wait to die, as Ashley put it, “it is a place for people to live.”
Discussion
When I started on this assignment I had a view of long term care facilities. It did
not match what I found at The Valley Inn. I have only been to one other long term care
and rehabilitation facility. It was nothing like this place. I know now that I should not
have prejudge this type of facility. The Valley Inn was a beautiful, comfortable place
that was bustling with activity. It was not some sterile, white walled medical center. It
did not smell of cleaning products and urine but like home cooking. I thought as I toured
the building and the grounds that long term care can be given in an enjoyable, relaxing
environment. I gained a new perspective on the end of life. Dying does not have to be
a lonesome experience. Some people live very a very long life but find they cannot
work through their end days and just need a place to live where life can be more
convenient. As the population of people over the age of 85 keeps growing people live
long healthy lives well past the age of retirement (Frontline, 2006). Family is not always
available to help care for the elderly and many do live in long term facilities. A dying
5. LONG TERM CARE FACILITIES |4
individual does not have to feel excluded from society simply because they live in an
institution to receive the assistance they need. They have the right to continue on living
until death does come for them. Long term care facilities may give this assistance while
helping maintain a quality of life.
It is almost springtime in the Rocky Mountains and there will be many events
going on and Tim told me that“the need for more volunteers is high.” So, I have signed
up to become a volunteer at The Valley Inn. It will be an experience for me for I have
never worked in any health institution so far. I only have experience in educational and
environmental volunteering. I have worked with ESL (English as a second language)
students tutoring them how to read and write essays in English. That gives me
experience with people. I told Tim I would like to work in the garden as well as assist in
outings and the various parties. If my background check is cleared by the end of the
week I would like to take part in the Mardi Gras party next week. I am looking forward
to forming relationships with some of the smiling faces I seen and more at The Valley
Inn.
6. LONG TERM CARE FACILITIES |5
References
Corr, C.A. and Corr, D.M., (2009). Death and Dying: Life and Living. Ohio: Cengage
Learning.
Frontline, (2006). Living Old: the modern realities of aging in America. PBS Home
Video.
The Valley Inn, 211 Third Ave, Mancos, CO 81328. (970)533-9031.