geriatric_monika.ppt

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Geriatric

Presented to

Dr(Mrs) Sushma SainiPresented by

Mrs Neerja Shukla



Introduction

The word geriatrics was invented by Ignatz L. Nascher, avienna born immigrant to the united states

Geriatric medicine was a product of the British NHS

Nascher was the father of geriatrics and Majory Warren was its

Mother The 1st Geriatric service was started in U.K in 1947.

Geriatric department at GH, Chennai was established in 1978.

Post Graduate course in Geriatric medicine has been started in1996 at Madras medical college.

Prof. V.S. Natarajan was the first Geriatric professor in India Hippocrates noted conditions common in later life

Aristotle offered theory of ageing based on loss of heat



Introduction cont..

Geriatric term is derived from Greek word “geron” meansold age & “iatros” means healer or physician

Aging is the normal process of time related changes,begins with birth and continues throughout life.

Geriatrics is the branch of medicine that focuses on healthpromotion and the prevention and treatment of disease anddisability in later life.

The term itself can be distinguished from gerentology,which is the study of the aging process itself.

"Geriatrics" is cognate with Jara in Sanskrit which alsomeans old.

http://en.wikipedia.org/wiki/Cognate

http://en.wikipedia.org/wiki/Cognate



Need of Geriatric care

India is undergoingdemographic changes,with the declining birth rateat 34 per cent and

increasing life expectancythe geriatric population,which is at 7 per cent now,is expected to reach 10per cent by the year 2030.

India is only the secondcountry after China to haveworld‟s largest geriatricpopulation.



Need of Geriatric care cont….

According to the 2001 census, India is home to

more than 76 million people aged 60 years and

over.

At present, 10.5% of Kerala's population is older than 60 years while in Dadra and Nagarhaveli, this

proportion is only 4%.

Regions with more favourable health indicatorsseem to be aging faster and the demand for

specialist services will soon be evident in such

places.



Implications of demographic figures

Larger number of elderly requiring care

Considerable period of life after 60 or 70

years requiring care No decline in the number or proportion of

other vulnerable population requiring care

Competition among various group of peoplefor resources.



Challenges of health care of elderly

Health care needs of elderly are different from those of other age groups

The structural, functional, mental and emotional status of elderly is not the same as of younger population

The manifestation and course of disease can be veryunpredictable and may require specialized care.

The goal of health interventions is more likely to care thancure. Consequently restoration of functions and

improvement in quality of life than eliminating the disease. A major shift from communicable to non communicable

diseases.



Myths related to old age

Most elderly live in developed countries.( over 60% of elderly live in developing countries i.e 355 million out of 580millions and by 2020 it will be 700 millions out of 1000 millions)

Elderly are all the same

( elderly are diverse group some lead active healthy lives others of muchyounger may have poor quality of life due to many contributing factors

such as – Participating in family and community life

– Eating balanced and healthy diet

– Maintaining adequate physical activity

– Avoiding smoking and alcoholism

– Genetic component

Men and women age same way

(Men and women age differently. Women live longer than men and havingbiological advantage until menopause as hormones protect them fromischemic heart diseases for example)



Myths related to old age cont..

Elderly are frail

( Far from being frail, the vast majority of elderly remain physically fitand well into later life and able to care for themselves. It is a minorityof elderly who are very old and became disabled to the point thatthey need assistance for the activities of daily living.)

Elderly have nothing to contribute.(Elderly make innumerable contribution to their families, society andeconomies)

Elderly are an economic burden on the society.

( most elderly around the world continue to work in both paid andunpaid jobs making a significant contribution to the economic

prosperity of their community e.g. in agriculture men and womencontinue working till very late in life and in developed world there isrecognition that let the people work till they can.)



Theories Of Aging

1 . BIOLOGICAL THEORIES:-

a. Free Radical Theory:- Free Radicals are atomswith unpaired electrons

Radicals damages cells in an organism, causingaging, Mitochondria, region of cells thatmanufacture chemical energy, produce freeradicals & are primary site for free radical damage.

Cells continuously produces free radicals and free

radicals damages eventually, kills the cells, whenthere is no enough radical in the cells in anorganism, then the organism ages.



Theories of aging cont..

The primary site of radical oxygen ismitochondrial DNA(mt DNA). Mt DNAaccumulates over time and shuts downs the,

mitochondria causing cells to die andorganism to age.

b. Cross Linkage Theory:-It postulates that

collagen, a connective tissue component,becomes cross linked, rigid and lesspermeable with age.




c. Immunological Theory:- It proposes thatdecrease in human function may result in anincrease in autoimmune responses, causing the

body to produce antibodies that attack itself.2. DEVELOPMENTAL THEORIES OF AGES:-ERIKSON(1963)developed the concept of 8stages of human, each stage representing crucial

turning points in the life span stretching from birthto death.

He delineated the major development task of oldage as ego integrity versus despair




3. PSYCHOSOCIAL THEORIES:-These theories attempt topredict and explain social interactions and roles thatcontribute to older adult's successful adjustment to old age.

a. Disengagement theory:-This theory is formulated by

Cumming & Henry. It has four basic concepts:-1. The aging person & society mutually withdraw from each

other

2. Disengagement is biologically & psychologically intrinsic &

inevitable3. Disengagement is considered necessary for successful

aging

4. Disengagement is beneficial for both the elderly & society.




b. Activity theory :It proposes that life

satisfaction in normal aging involves

maintaining the active life style of middle

age. This theory assumes that older adults

have same needs as middle aged persons.

This theory does not address the impact of

bio psychological changes or the presenceof multiple losses on ability of older person

to continue activities.




c. Continuity theory(Atchley,1989,Neugarten):-It purposesthat successful adjustment of old age is the ability of person to continue life pattern across a life time

4. NORMAL BIOLOGICAL AGING:-INTRINSIC AGING(FROM WITHIN THE PERSON):-It refers

to those changes caused by normal aging process that aregenetically programmed & essentially universal within thespecies.

EXTRINSIC AGING:-it results from influences outside theperson. Illness & disease , air pollution & sunlight areexamples of extrinsic factors.



Geriatric Assessment

Geriatric individuals present differently than

younger people

Geriatric people deserve respect,experience normal changes associated withaging

All body systems show degradation over

time

Successful aging requires compensation to

maintain vitality despite losses



Physical assessment

- Integumentary System

Loss of subcutaneous fat loosens skin, loss

of elastin and collagen decreases pliability

and strength

Hair follicles stop producing hair,

Melanocytes stop producing color, graying the hair

Sebaceous glands secrete less oil, making

skin dry and sweat glands produce less sweat



Integumentary System

Cont..

Thermoregulation suffers,

elderly often feel cold

Pressure sores occur when

thinned skin is compressedby body weight over a

period of time.

Poor perfusion slows repair,

leading to infection



Respiratory System

Weaken musculature of upper airway allows

for greater occlusion risk

Dentures and loss of sensation lead togreater risk of choking

Decreased cough and gag reflexes allow

secretions to accumulate in lungs, riskingpneumonia



Respiratory System cont..

Vital capacity decreases by 50% and

residual volume increases

Chemoreception from aortic arch maymake breathing respond sluggishly to high

CO2 readings, decreasing O2 levels from

SpO2 of 98% to as low as 93-95% as anorm



Cardiovascular system

Lowered stroke volume(volume of blood in onecontraction) and cardiacoutput (volume of blood in oneminute)

Arrhythmias

SA node loses 90% of its cellsby age 75

Orthostatic hypotension due

to loss of baroreceptors inaortic arch and carotid sinus(as much as 20mmHg)

Higher risk of angina, MI andaneurysm



Nervous System

- Brain Loss- by age 80

brain weight shrinks by 10-20%

5-50% of neurons

20% of synapses in frontal lobe

- Atrophying brain leaves greater intracranial space,

allowing for larger intracranial bleed before ICP

develops- Sluggish perception of peripheral nerves

- Thus more likely to have burns, etc



Renal, Hepatic, Gastric

Kidney mass, thus function, decreases

Liver enzyme levels drop, slowing the

detoxification of drugs and other compounds Saliva production decreases, gastric motility

slows, absorption less efficient (for food and

medications) Bladder capacity diminishes

Anal sphincter loses elasticity



Musculoskeletal System

Muscles weaken and atrophy , Ligaments lose

elasticity, Cartilage changes, leading to arthritis

Kyphosis “humpback”, height loss due to disks

and the osteoporosis of vertebrae

Muscle mass replaced by fat

Fat-soluble drugs (e.g., diazepam) become

more diluted Water-soluble drugs (alcohol) more

intensified by loss of lean tissue



Immune System

Weakened immune system

Bed-ridden patients are at higher risk of UTI

and pneumonia



Sensory Changes

VISION

Pupils have increased

opacity, making pupils

sluggish and vision

impaired

Lens hardening makes

focusing more difficult

Peripheral vision

decreases

Decreased ability to

distinguish between

colors.



HEARING

Decreased ability to hear high frequency

sounds. Hearing loss may cause older person to respond inappropriately, to

misunderstand and to avoid social

interactions.



TASTE AND SMELL

Decreased ability to taste & smell

NERVOUS SYSTEM:- Slowed reaction time

Ability to learn & acquire new skills

decreases after 7th decades Reduced cerebral circulation causing

fainting & falls



Neurological Disorders

-Aphasia Disease that affects the ability to understand or produce speech or the

ability to read or write

-Apraxia

Impairment of carrying out purposeful movements Unable to express gestures

-Dementia Affects the ability to communicate

Lose the ability to think in abstractions- very concrete

Inability to name objects or express thoughts

Dementia leads to frustration, withdrawal, suspiciousness, paranoia,delusions

Incoherence used as an clinical synonym for dementia



Dementia cont..

Loss of intellectual abilitiesenough to interfere withsocial or occupationalfunctioning

In 1835, James Prichardrecognizes 4 stages

of dementia

impaired memory

irrationality/loss of

reasoning power incomprehension

loss of instinctive/voluntaryaction



Neurological Disorders cont..

Alzheimer‟s

Senile dementia of the Alzheimer‟s type”

Dysarthria

Speech disorders due to the weakness, slowness or lack of coordination of speech mechanisms

Consistent speech errors .



Neurological Disorders cont..

- Parkinson‟s Disease Chronic, progressive disease in which dopamine-producing

cells die in CNS, making the communication of movement

progressively uncontrolled Decreased facial expression

Mouth becomes soft, monotonal speech



Environmental Assessment

- Home assessment :-

Home security

Hazardous conditions

Poor wiring, rotting floors, unventilated gas heaters, broken

glass, smoke detectors Home too hot or cold

Check for smell or fecal matter/urine

Presence of pets

Appropriate food present

Check bedding soiled/urine stained

If the person has a disability, are there appropriateassistant devices (wheelchiar, walker, etc.)



Environmental Assessment

Person‟s access to telephone or emergency

distress device

Are medications out of date, unmarked, or from a large number of different physicians?

If living with others, is the person confined to

a small living environment?

If residing in a nursing home, are the

person‟s needs being met?



Social Assessment

Assessing ADL‟s

Eating

Dressing Bathing

Toileting

Are ADL‟s being supervised by someone?



Social Assessment

If the person is dependent on help for ADL‟s,

- Are there delays in getting medications, food

or toileting? If institutionalized, is food still sitting on tray

or is patient sitting in soiled diapers?

Does the person have a social network anddaily social activities?

Does the family members or attendants

regularly visits the patient?



THE 10 MINUTE GERIATRIC

ASSESSMENT

“DEEP IN” FOR QUICKSCREENING

D - Dementia, Depression,

DrugsE - Eyes

E - Ears

P - Physical Performance,

Psychosocial

I - Incontinence

N -Nutrition



Problems of old age

Economic problems

Social problems

Mental problems Physical problems



Economic problems

On retirement incomereduces to half

The working capacity

declines with age Provident fund and bank

balance is already spent onmaking houses and settling

the children Big sum of money is

needed to spend onmedical care



Table 1: Percentage of elderly economical

dependents in India Compiled from 42nd NSSO, 1986/8

Degree of

dependen

ce

Male Female

Rural Urban Rural Urban

Not

dependent

51.6 45.71 8.78 4.84

Partially

dependent

16.2

0

16.90 13.71 9.13

Fully

Dependent

32.7

4

37.39 77.51 86.04



Social problems

loss of status after retirement

might loose spouse, other near and dear ones or good friends

sons, daughters and young

friends get busy in their ownaffairs

there is a painful feeling of futility and loneliness which isincreasing more due to nuclear families

the needs of old age such asmixing up with relatives, playingwith children, becoming usefulto society, feeling of wantedand needed were well taken

care in joint families earlier



Mental problems

Mental changes are inevitablein old age

A certain degree of cerebralatrophy in universal in elderlyand is associated with loss of memory and slowing of reflexes

Sexual changes aggravatemental tension

Senile dementia is well knownentity

Depression associated withsocial isolation

Suicidal tendencies mayincrease



Physical problems

– Due to ageing organ functions deteriorate and can

cause

o Impairment of special senses especially hearing and sight

o Deterioration of heat regulating mechanism of body

o Hypertension and coronary diseases

o Obesity

o Osteoporosis and osteoarthritis

o Prostate enlargement

o Diabeteso Cancer

o Cardiac and respiratory problems

o Accidents

o Disability



GERIATRIC GYNECOLOGY

Common Problems

Post-menopausal

bleeding

Urinary incontinence

Prolapse

Gynecologic cancer

Osteoporosis

Vulvar problems



Elder abuse

Elder abuse is often

defined as a single, or

repeated act, or lack

of appropriate action,occurring within any

relationship where

there is an

expectation of trustwhich causes harm

or distress to an

older person (WHO)



Elder abuse

There are several types of abuse of older people that areuniversally recognised as being elder abuse and theseinclude:

Physical: e.g. hitting, punching, slapping, burning,

pushing, kicking, restraining, falseimprisonment/confinement, or giving too much medicationor the wrong medication;

Psychological: e.g. shouting, swearing, frightening,blaming, ridiculing, constantly criticizing, ignoring or

humiliating a person. A common theme is a perpetrator who identifies something that matters to an older personand then uses it to coerce an older person into a particular action;

http://en.wikipedia.org/wiki/Physical_abuse

http://en.wikipedia.org/wiki/Psychological_abuse

http://en.wikipedia.org/wiki/Physical_abuse



Elder abuse

Financial: e.g. illegal or unauthorized use of a person‟s property,money, pension book or other valuables (including changing theperson's „will‟ to name the abuser as heir), often fraudulently obtaining„Power of attorney‟ followed by deprivation of money or other property, or by eviction from own home;

Sexual: e.g. forcing a person to take part in any sexual activity withouthis or her consent, including forcing them to participate inconversations of a sexual nature against their will;

Neglect: e.g. depriving a person of food, heat, clothing or comfort or essential medication.

In addition some countries also recognise the following as elder abuse:

Rights abuse: denying the civil and constitutional rights of a personwho is old, but not declared by court to be mentally incapacitated. Thisis an aspect of elder abuse that is increasingly being recognised andadopted by nations

Self-neglect: elderly persons neglecting themselves by not caringabout their own health or safety.

http://en.wikipedia.org/wiki/Self-neglect

http://en.wikipedia.org/wiki/Neglect

http://en.wikipedia.org/wiki/Sexual_abuse



Prevention of elderly abuse

Education and public awareness campaigns: conductingcampaigns on elderly abuse have been vital for informingpeople in industrialized countries.

Public education, awareness building as well as training

workshops, continuing educational programmes, scientificmeetings and conferences can help change the attitudesand behaviour of caregivers and practitioners in variousdisciplines – medicine, mental health, nursing, social work,criminal justice, researchers, educators, policy-makers and

decision-makers.



Management of Elderly abuse

Educate individual about occurrence of

elderly abuse

Implement safety plan ( Placement in safe

home, court protection order, hospital

admission)

Refer patient or family members (counseling

services, legal assistance)

Follow up

ROLE OF COMMUNITY HEALTH



ROLE OF COMMUNITY HEALTH

NURSE



ROLE OF COMMUNITY HEALTH NURSE

Prevention and

management of illness

or disability

Maintenances of general health and

nutrition

Prevention of

accidents

Combating ageism

P ti d t f



Prevention and management of

illness or disability

Periodical medical check ups, usually annually to rule outthe chronic diseases at the beginning itself

Immunization

Acceptance and adaptation to the demands of chronic

disease Continuity of care

Monitoring drug usage

Maintaining family and neighbour support system

Management of crises Financing the health care

Planning for the old age



Maintenance of general health and

nutrition

Physical activity

Regular contact with family andfriends

Participating in political, social or civic concerns

„Satat udyog Shant man‟ means bebusy be calm

„Keeping too busy to be ill and toohealthy to be old‟

Keeping busy in – social work

– religion pursuits – Loneliness has to be decreased by

suitable hobbies, social serviceetc.

– Joining the clubs or groups of senior citizens



Maintenance of general health and

nutrition

Adequate nutrition

Use of dentures if needed

Adequate fluid intake,

fresh fruits, vegetables toalleviate constipation

Having good sleep assleep is very important for

mental health Self health monitoring and

self care



Prevention of accidents

Developing safe environment and habits to

compensate sensory loss and slowed or

unsteady reactions to danger

Limiting driving

Wearing comfortable and suitable clothes

and shoes

Good house keeping

Using stick for support



Geriatric rehabilitation

Geriatric rehabilitation or Geriatric Physical Therapy isthe branch of medicine that studies rehabilitation andphysical therapy issues in elderly.

Geriatric rehabilitation covers three areas –

- normal aging due to disuse and deconditioning,cardiovascular problems like vascular disease and stroke,

- and skeletal problems including osteoporosis andosteoarthritis conditions such as knee and hipreplacements.

- Physical medicine Physicians use rehabilitation to worktoward the goal of returning the patient to a pre-injuryquality of life and may use physical, occupational, andspeech therapies

http://en.wikipedia.org/wiki/Medicine

http://en.wikipedia.org/wiki/Physical_medicine_and_rehabilitation

http://en.wikipedia.org/wiki/Physical_therapy

http://en.wikipedia.org/wiki/Elderly

http://en.wikipedia.org/wiki/Geriatric


http://en.wikipedia.org/wiki/Aging

http://en.wikipedia.org/wiki/Stroke

http://en.wikipedia.org/wiki/Osteoporosis

http://en.wikipedia.org/wiki/Osteoarthritis

http://en.wikipedia.org/w/index.php?title=Hip_replacements&action=edit&redlink=1


http://en.wikipedia.org/wiki/Quality_of_life

http://en.wikipedia.org/wiki/Quality_of_life



http://en.wikipedia.org/wiki/Osteoarthritis

http://en.wikipedia.org/wiki/Osteoporosis

http://en.wikipedia.org/wiki/Stroke

http://en.wikipedia.org/wiki/Aging


http://en.wikipedia.org/wiki/Geriatric

http://en.wikipedia.org/wiki/Elderly



http://en.wikipedia.org/wiki/Medicine



Geriatric rehabilitation cont..

Geriatric Rehabilitation also have a role in intermediate

care, where patients are referred by a hospital or family

doctor, when there is a requirement to provide hospital

based short term intensive physical therapy aimed at the

recovery of musculoskeletal function, particularly recoveryfrom joint, tendon, or ligament repair and, or, physical

medicine and rehabilitation care when elderly patients get

out of sync with their medication resulting in a deterioration

of their personal health which reduces their ability to liveindependently.









Geriatric rehabilitation cont..

Rehabilitation maintains functional independence in the elderly.

Rehabilitation of geriatric patients is imperative for the patients' well-being and for society, so that we can thrive socially and economically.

Essential to geriatric rehabilitation is communication, specificallyimproving any sensory impairment, including those related to visionand hearing.

The prevention of falls and osteoporosis can improve the patient'shealth and longevity.

Addressing malnutrition can promote healing and vitalize the patient toparticipate in a formal rehabilitation program.

Depression is common in the older population if a functional loss of

mobility and an inability to perform activities of daily living (ADLs)predominates.

Cognitive impairment, such as delirium and dementia, can affect thepatient's rehabilitation goals and outcomes. Finally, a driver 'sevaluation for an appropriate elderly candidate is an underutilized partof rehabilitation that has a considerable impact on society.

http://en.wikipedia.org/w/index.php?title=Sensory_impairment&action=edit&redlink=1

http://en.wikipedia.org/wiki/Longevity

http://en.wikipedia.org/wiki/Malnutrition

http://en.wikipedia.org/wiki/Depression_%28mood%29

http://en.wikipedia.org/wiki/Activities_of_daily_living

http://en.wikipedia.org/wiki/Cognitive_impairment

http://en.wikipedia.org/wiki/Delirium

http://en.wikipedia.org/wiki/Dementia

http://en.wikipedia.org/wiki/Driver

http://en.wikipedia.org/wiki/Driver

http://en.wikipedia.org/wiki/Dementia

http://en.wikipedia.org/wiki/Delirium

http://en.wikipedia.org/wiki/Cognitive_impairment

http://en.wikipedia.org/wiki/Activities_of_daily_living

http://en.wikipedia.org/wiki/Depression_%28mood%29

http://en.wikipedia.org/wiki/Malnutrition

http://en.wikipedia.org/wiki/Longevity

http://en.wikipedia.org/w/index.php?title=Sensory_impairment&action=edit&redlink=1



Geriatric care facilities

Home Care

Person lives in home with assistance from

family, home care nurses, etc.

Assistance includes bathing, feeding,

exercising, medication administration, trips

to physician‟s offices, etc.



Government Policies

Old age pension

Traveling concession

Reservation of seats

for elderly Separate queue for

senior citizens

Special reservation in

housing schemes for pensioners

Old age homes

National Policy for Older



National Policy for Older

Persons Announced in January, 1999.

Objectives: to encourage individuals to make provision for their ownas well as their spouse’s old age;

to encourage families to take care of their older family members;

to enable and support voluntary and non-governmental organizations

to supplement the care provided by the family; to provide care and protection to the vulnerable elderly people,

to provide health care facility to the elderly;

to promote research and training facilities to train geriatric care giversand organizers of services for the elderly;

to create awareness regarding elderly persons to develop themselves

into fully independent citizens.

An Integrated Programme for Older



An Integrated Programme for Older

Persons

– Under this Scheme financial assistance up to 90% of the project cost is provided to NGOs for establishingand maintaining old age homes, day care centres,

mobile medicare units and to provide non-institutionalservices to older persons.

– The scheme has been made flexible so as to meet thediverse needs of older persons includingreinforcement and strengthening of the family,awareness generation on issues pertaining to older persons, popularisation of the concept of life longpreparation for old age, facilitating productive ageing,etc.



Scheme of Ass istance to Panchayati Raj Ins t i tut ions /Volun tary Organisat ions /Self Help Groups for Construct ion of old age homes/mu l t i service centres for o lder person s

This scheme provides for one time construction grant for

old age homes/multi service centers. The registeredsocieties, public trust, Charitable Companies or registered Self-help Groups of Older Persons in additionto Panchayati Raj Institutions are eligible to get theassistance under this scheme. Against the budget

allocation during 2005-06 of Rs.67 laskh, the expenditurewas Rs. 47 lakh.

Directorate of welfare of disabled



Directorate of welfare of disabled

and senior citizensIn Karnataka

State Government Schemes for older persons

Old age Homes: State Govt. extend the financialassistance to NGOs to run Old Age Homes to take care of the elderly persons providing all the basic amenities andcare protection to life etc.,

Monthly Pension scheme for older person :Rs. 400/- isgiven as monthly pension to needy elderly persons tomaintained themselves:

Eligibility Criteria:

1. He / She should be 65 years or more in age.

2. The combined annual income of the proposedpensioner and his or her spouse shall not exceedRs.20,000/- as certified by the local revenue authority.



Help Line for Senior Citizens:

Help lines are established at 14 places in the State with the help of Police Dept. and NGO‟s to redress the difficulties of senior citizens. (other 4 help lines)

Day Care Center for Senior Citizens:

Day care centers are established at Bangalore, Hubli-Dharward,Gulbarga and Belgaum corporation areas.

The main objectives of Day Care center is to maintain well being of older persons, to provide social and emotional services, recreation,Health care etc.,

Identity Cards for Senior Citizens:

The Deputy Director Women & Child Development Department of theconcerned district will identify NGOs to issue Identity Cards to Senior Citizens. The NGOs can collect Rs. 25 towards issue of Identity Cardsto Senior Citizens.

Concessional Bus Pass:

Elder persons above the age of 65 living in Karnataka



Rehabilitation

Aids and Appliances:

Aids and Appliances are provided todisabled persons whose families annual

income is less than Rs.11,500 in Rural

Areas and Rs.24,000 in Urban Areas



Organizations working for elderly

Help age India

Servants of people society

Geriatric society of India



Helpage India

Health care and

medical facility

Shelter homes and old

age homes Disaster response



Helpage India

HelpAge India has adopted a two pronged approach towards shelter. Firstly it provides support to the existing shelters and old age homes by

way of technical support and by providing part or whole funding toNGOs for building or upgrading the structures.

HelpAge has provided support to 253 Old Age Homes and 135 DayCare Centres.

The second approach is to build Old Age Homes for the disadvantagedelderly.

HelpAge India is building an OAH at Cuddalore (Near Pondichery),Tamil Nadu, which is nearing completion. It has a capacity of 100 beds.It is known as “Tamaraikulam Elders Village”, total area of this elder village is 5.4+ acres.

HelpAge India has recently (June-„07) conducted a rapid survey of 12OAHs of Delhi and NCR to identify the gaps in their overall functioning.

Specialized education for geriatric



Specialized education for geriatric

care

Post Graduate Diploma in Geriatric

Medicine for MBBS doctors

Six – Month Certificate Course in Geriatric

Care

1-year Post Graduate Diploma in Integrated

Geriatric Care

3-Month Certificate Course, the NGO

trainees are exposed to different techniques

and tools relevant for geriatric care

World Elder Abuse Awareness Day



World Elder Abuse Awareness Day

(WEAAD)

In 2006 the United Nations designated June

15th as World Elder Abuse Awareness Day

(WEAAD) and an increasing number of

events are held across the globe on this dayto raise awareness of elder abuse, and

highlight ways to challenge such abuse.

http://en.wikipedia.org/wiki/Elder_abuse

http://en.wikipedia.org/wiki/Elder_abuse



Geriatric care in Chandigarh

Geriatric friendly low door buses

Separate queue for senior citizens

Pavements for walking on the road sides Parks

Free once a weak medical check up and

medication by help age India in low socioincome colonies

Old age homes



Role of NGO‟s

Mobile health care

Helplines

Restoration of vision Livelihood support

Old age homes

Day care centres

Cancer /Alzheimer‟s projects



THANK YOU

geriatric_monika.ppt

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