A CONCEPTUAL STUDY ON VRIDDHAVASTHAJANYA DHATUKSHAYAAND IT' S EFFECT ON NETRA.

Ayurveda is a science of life, which protect health and promote life (Ayu) of human being. Geriatric disorder is growing problem in today’s era; by 2050 one fifth of the world will be older than 65 years. As per Acharya Sushruta Jara is naturally occurring disease like Kshut(Hunger), Pipasa(Thirst), Nidra(Sleep), and Mrityu (Death) under phenomenon of Svabhavbala roga.Acharya Vaghbhata explained Vata dosha is predominant in old age so there will be more chances of catabolic activities in the body cells. Sarvadhatuvyuhakarta is the function of Vata dosha which will be predominant in old age causes Dhatukshaya. Predominant Vata dosha and Dhatukshaya leads to many degenerative diseases and it also affect the organ like Netra.Indriyaabhivahan,Sarvendriyayojan and Indriyatarpana (along with other dosha) are the normal functions of prakrita Vata, also Preenan,Jeevan ,Lepana and Sneha are the normal functions of Dhatu. Acharya Sushruta explained four types of Patals (layer of eyeball), these Patalas are Dhatuashrit.During ageing the changes occur in patalas manifested by Timir, ARMD and Linganaash like diseases.Dhatukshaya and its effect on netra occurs continuously. To break down this vicious chain Ayurveda has it’own Rasayana (Rejuvenation) therapy which deals with old age. Rasayana helpful in balancing Vata and improving Dhatukshaya. With the help of Rasayana therapy we can delay pathogenesis of Dhatukshaya and ageing, ultimately it prevents diseases for some period.

GAINING INTERPROFESSIONAL COMPETENCE THROUGH A GERIATRICS CASE CONFERENCE

There is increased demand to provide health professions students with interprofessional education and practice experience. Interprofessional Case Conferences (ICC) allow students to work in teams to learn about different professions while exploring a topic through the lens of an interprofessional core competency. The goal of this particular ICC was to provide students an experience to witness and discuss team-based, person-centered care for a common geriatric disorder. The case was designed to develop the interprofessional competency of teams and teamwork. Students were divided into teams and observed live vignettes of a care conference involving an 80-year old female admitted to a rehabilitation facility following a hip fracture and replacement. Students witnessed how patients, families, and healthcare providers work together during a stressful time. After each vignette, students discussed questions related to miscommunications, motivations of the different actors involved, and how the healthcare team should respond. In the first offering, 93 students participated, increasing to 150 in the next year. Students completed a post-survey to determine if the session delivered a positive interprofessional experience. The average positive response rate was 92.5% (92-94%, n = 53) in year-1 and 93.5% (90-97%, n = 71) in year-2. By allowing students to witness a simulated live care conference, they had a tangible event to dissect instead of discussing hypotheticals. By discussing a geriatrics case in a rehabilitation setting, students witnessed how numerous healthcare professions coordinate care for a patient and her family, thereby demonstrating competence in teamwork.

ROLE OF GARLIC IN GERIATRIC DISORDERS – A REVIEW

Geriatric disorder is growing problem in today’s era. By 2050, one fifth of the world will be older than 65 years. As per Vagbhata ‘Vata Dosha’ is predominate in the body in old age. So there will be more catabolic activities taking place in the body which leads to many of chronic diseases like dementia, hypertension, diabetes, cardio vascular disease, etc. Conventional system of medicine is not satisfactory in this problem as lack of holistic & compre nsive approach towards this problem. Ayurveda has described Rasayana (Rejuvenation) Therapy which deals with old age complaints. Rasayana drugs of Ayurveda like Aamalki, Shatavari, Guduchi, Garlic, etc. are used to prevent, cure diseases & to promote & preserve health of the healthy. Among these herbs, Garlic (Allium sativum-Linn) has been widely used as one of the natural Rejuvenator & dietary factor. It treats number of diseases & considered as ‘Superior medicine’ for ‘Vata Dosha’. Garlic has antioxidant properties, which improve general health & inhibit premature aging. In addition, it has anti-microbial, antihypertensive, anti- diabetic, anti carcinogenic, aphrodisiac & cardiac stimulant properties. Garlic detoxifies organ system, induces relaxation & promotes longevity. Scientific studies revealed that, antioxidants drugs have definite role in the prevention of Geriatric diseases. Garlic is cheap, easily available & easy for use. Keeping all these facts in mind possible role of Garlic in Geriatric care will be discuss in detail in present paper.

Frailty:Pathophysiology, Phenotype and Patient Care Nestle Nutrition Institute Workshop Series Vol 83

The demographic shift in the average age of the population worldwide calls for careful attention to the nutritional health needs of the elderly. Frailty is associated with increased disability, post surgical complications and increased mortality. This geriatric disorder is not given proper attention in clinical settings.

Primary and reversible Pisa syndrome in juvenile normal pressure hydrocephalus

ObjectiveTo report a case of Pisa syndrome in a patient with idiopathic normal pressure hydrocephalus, who had never been exposed to psychotropic medications.MethodsA 26-year-old, Colombian, male patient, was referred because he had cognitive abnormalities, gait disturbances and urinary incontinence. This patient also displayed pleurothotonos. Neurofunctional evaluations of sensory and motor integration at peripheral and central nervous system levels were done. Idiopathic normal pressure hydrocephalus (NPH) was diagnosed.ResultsPisa syndrome disappeared after spinal tap drainage with further gait, balance and behavioural improvement. A brainstem-thalamocortical deregulation of the central sensory and motor programming, due to the chaotic enlargement of brain ventricles was thought to be the pathophysiological mechanism underlying this case.ConclusionNPH must not be longer considered as an exclusive geriatric disorder. Further, uncommon movement disorders may appear with this disorder, which should be carefully approached to avoid iatrogenic and deleterious pharmacological interventions.