Download - Geriatrics ppt
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PRESENTED BY
DR.RAJIMUNNISA BEGUM
P.G SCHOLAR K.C dept.
Dr.B.R.K.R govt.Ayurvedic college.hyd.
&
DR.D.R SUNIL KUMAR .BAMS
Scope of ayurvedain geriatric health
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Introduction
Objective of
Geriatrics
Aim of geriatric
medicine
Brief history of Geriatrics
Geriatric
population“ Longer life with lesser disease and
painless death” that is, a self
sufficient life followed by a peaceful
death.
Maintenance of health in old age by high
levels of engagement and avoidance of
disease
in Ayurveda it is a 5000
year old well planned
therapy
1980- 5.3%
2000- 7.7%
2025- 13.3% ( 1.2 billion )
Somatic mutation
theory
Autoimmune theory
Hay flick’s theory of
aging
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Health problems1.Joint problems2.Impairment of special senses3. Cardio vascular disease4.Hypothermia5.Cancer, Prostate enlargement, Diabetes&6. Accidental falls
Psychological problems 1. Emotional problems
2. Suicidal tendency3. Senile dementia, Alzheimer’disease
Social problems Poverty, Loneliness, Dependency, Isolation, Elder
abuse, Generation Gap
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Cataract &Visual impairment- 88%
Arthritis &locomotion disorder-40%
CVD &HT – 18%
Neurological problems- 18%
Respiratory problems including Chronic bronchitis- 16%
GIT problems- 9%
Psychiatric problems- 9%
Loss of Hearing – 8%
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Preventive geriatricsSpecific management for medical conditions
RehabilitationsSatwavajaya
chikitsa
Yuktivyapasrayachikitsa
Daiva vyapashraya
chikitsa
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Primordial prevention
• Pre geriatric care
Primary prevention
• Health education
• Exercise, Yoga,& Athmavidya
Secondary prevention
• Annual medical check-up
• Early detection ( Universal approach, Selective approach)
• Treatment
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Tertiary prevention
• Counseling and Rehabilitation
• Welfare activities (Sanjay Niradhar Yojana, Vridhashrama)
• Chiropody services
Improving quality of life
• Cultural programme
• Old age club
• Meals-on wheel service
• Home help
• Old age home
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In order to shorten long-time nursing periods for old people in need of
medical care
1.preventive treatment and
2.medical rehabilitation must be the main priority of all
measures
Geriatric rehabilitation is subdivided into
Prophylactic rehabilitation
General rehabilitation and
Target-specific rehabilitation.
On the whole, it has to be reckoned that older people need a
distinctly longer period of recuperation, in which the clinical picture
rather than the age is the decisive factor of a successful
rehabilitation9
In ayurveda, this is called "Vridhopacharaneeyam".
Jara chikitsa is one among the eight branches of Ashtanga Ayurveda and it deals with diseases and conditions associated with old age.
Ayurvedic Geriatric procedures are aimed to cure the physical, emotional and behavioral disturbances with the help of well-planned Ayurvedic ChikitsaProcedures.E.g.: Panchakarma ,Rasayana Chikitsa & Vajeekarana Chikitsa
Jara Chikitsa is also called Rasayana Chikitsa or rejuvenation therapy, because it aims at revitalizing the body tissues for a youthful being.
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Ayurvedicapproach
is based on
•Hita charya ( Ahara, Vihara, Manasa)
•Dinacharya & Ratricharya, Ritucharya, Sadvrtta
•Rasayana / Vajeekarana
•Manasopachara & Achara Rasayana
•Vyadhi pratyaneeka
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Hita charya ( Ahara, Vihara, Manasa )
Covers a major sphere in the context of Praanapalana as aptly quoted by:
“Nagaree nagarasyaeva radhasyeva radhi yadha
Swashareerasya medhavi krityeshu avahito bhavet”
( Cha Su 5 / 100 )
Commentator Gangadhara on the above verse opines that the measures discussed are especially meant for Jeeva rakshana or sustenance of life by adopting Hita acharasand avoiding Ahita acharas thus striking an equilibrium between the psycho somatic elements
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Dinacharya / Ratricharya - the daily regimens for the
maintanance of Ayu, Bala, Pusti & Swasthya eg : daiva
poojanam, Abyanga, Nasya.
Ritucharya - the seasonal regimens for maintaing the Dosa
samya, Dhatu pusti, Indriya & Satwa bala and especially for
preventing the seasonal disorders
Sadvrtta – includes
Dharma acharana for Medha, Satwa, Pusti and Ayu
Dharaneeya & Adharaneeya vegas
Ahara – (nutritional aspects) Nityopayogi ahara, Hita
ahara, Matravat ahara etc
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Sharngadhara notes that with each passing decade the body loses, one by one the following factors ie
childhood-10
growth -20
luster and complexion-30
intelligence-40
skin health -50
strength of sight-60
virility& valour-70
discrimination -80
sensory perceptions etc-90
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Rasayana & Vajeekarana is meant to enhance health and ojas hence re-vitalizing tissues that were worn out or are in the process of wearing out due to factors like diseases and ageing.
Rasayana & Vajeekarana chikitsaenhances immune system, arrests ageing, gives luster to the skin, gives youthful energy, nourish blood and body tissues (Sapta dhatus), and eliminate senility and other diseases of old age.
To conclude these therapy includes immuno-modulation, antioxidant action( prevents bio-oxidation there by checking age related disorders, auto immune disorders, degenerative disorders), adaptogenic affects and so on.
“Asya prayogat Chayanah suvriddho abhootpunaryuva ”
(Cha Chi I / I / 72 )15
Wherein the specific chikitsa explained in the Roga Adhikara have to be followed
Selection of yogas may be done after considering the factors like
Heeyamanadhatu avastha
Saukumaratwa
Dourbalya
Hence mangement may be done using
Minimum dosage having maximum efficacy
Modifiable Aushada sevanakala and Aushada matra
Prescription with minimum adverse effect
Adequate supervision of long term medication
Therapeutic procedures like Panchakarma to be done after thorough evaluation
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Vardhakya avastha invariabily presents with
Psyosomatic afflictions
Glani
Sada
Nidra & Tandra
Alasya
Nirutsaha
Asamarthya chesta of
Sareera & manas
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Implementation of
Manodosha ousadha sangraha – Dhi, Dhairya & Atmadi
vignana
Satwavajaya chikitsa
Daiva vyapashraya chikitsa
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Vayah stapaka acc…dosha prakriti (susruta)
Vata pradana prakriti - ksira
Pitta _ ghrta
Kapha _ madhu
Rakta _ sitodaka
Other available rasayana drugs
Cyavanaprasa,Bhallataka rasayana,
Louha rasayana (it corrects the lifespan of RBC in Normocytic Hypochromic anaemia).
Tripala Rasayana,
Silajatu rasayana in Mutra vikaras
Pippali vardhamana rasayanas
Kapikachu,aswagandha.
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Ref;charaka
Mandukaparni
svarasa
Yastimadhu
churnawith milk
Guduchisamoolasvarasa
Sankhapuspikalka
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Best one is sankhapuspi
Dirghayu
Smrti
Medha
Arogyam
Tarunavayas
Prabha
Varna
Svara
Audaryametc….
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