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550

Gout Presentation

Summary of aetiology, presentation, investigations and treatment of Gout.  
Katie Dumble
about 9 years ago
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90

Femoral neck fracture - Applied Anatomy

This video will help you: Describe and explain femoral neck fracture and their deformities.  
youtube.com
over 1 year ago
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6
234

The Basics of Inpatient Geriatrics with Dr. Neamtu

Dr. Daniela Neamtu covers the main principles of geriatrics including polypharmacy: she reviews differences in pharmacology in older adults, demystifies the ...  
youtube.com
almost 2 years ago
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A Guide to Dementia

Epidemiology & societal impact, genetic and other risk factors, differential diagnosis of dementia assessment methods, agitation, treatment & management and references.  
hopkinsmedicine.org
over 2 years ago
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Dementia: A reflection from an Egyptian Perspective

Through different periods of the Egyptian history from Pharaonic, Greco-Roman, Coptic, Islamic and Modern Era; Egyptians tend to respect, appreciate and care for elderly. There is also a rich Eastern Christian tradition in respecting and taking care of old people that has continued since the first centuries of Christianity. Churches used to develop retirement homes served by monastic personnel and nurses. Egyptian culture traditionally linked some aspects of mental illnesses to sin, possession of evil, separation from the divine and it is usually associated with stigmatisation for all family members. However, forgetfulness with ageing was normalised. Until now, it seems that the difference between normal ageing and dementia is blurred for some people. Recently, the term 'Alzheimer' became popular, and some people use it as synonymous to forgetfulness. El-Islam, stated that some people erroneously pronounce it as 'Zeheimer' removing the 'Al' assuming it is the Arabic equivalent to the English 'the'. In 2010, a film was produced with the title 'Zeheimer' confirming the mispronunciation. Elderly face many health challenges which affect their quality of life. Dementia is one of these challenges as it is considered to be one of the disorders which attack elderly and affect their memory, mental abilities, independence, decision making and most cognitive functions. Therefore, the focus on dementia has increased around the world due to the rapid spread of the syndrome and the economical and psychosocial burden it cause for patients, families and communities. (Grossber and Kamat 2011, Alzheimer’s Association 2009, Woods et al. 2009). In recent years, the proportion of older people is increasing due to the improvement in health care and scientific development. The demographic transition with ageing of the population is a global phenomenon which may demand international, national, regional and local action. In Egypt the ageing population at the age of 65 and older are less than 5% of the Egyptian population (The World FactBook, 2012), yet, the World Health Organization (WHO) asserts that a demographic shift is going to happen as most of the rapid ageing population will transfer to the low and middle income countries in the near future (WHO, 2012). Egyptian statistics assert this shift. The Information Decision Support Center published the first comprehensive study of the elderly in Egypt in 2008. According to the report, in 1986, 5 percent of Egyptians were age 60 and older. In 2015, they will make up to 11 percent of the population and in 2050; over a fifth. Caring of older persons constitutes an increasing segment of the Egyptian labor market. However, nation wide statistics about number of dementia sufferers in Egypt may be unavailable but the previous demographic transition is expected to be accompanied by an increase in dementia patients in Egypt and will affect priorities of health care needs as well. The Egyptian society may need adequate preparation with regards to health insurance, accommodation and care homes for the upcoming ageing population (El-Katatney, 2009). Although the number of care home increased from 29 in 1986 to be around 140 home in 2009; it cannot serve more than 4000 elderly from a total of 5 million. Not every elderly will need a care home but the total numbers of homes around Egypt are serving less than 1% of the elderly population. These facts created a new situation of needs for care homes besides the older people who are requiring non-hospital health care facility for assisted living. The Egyptian traditions used to be strongly associated with the culture of extended family and caring for elderly as a family responsibility. Yet, in recent years changes of the economic conditions and factors as internal and external immigration may have affected negatively on elderly care within family boundaries. There is still the stigma of sending elderly to care homes. Some perceive it as a sign of intolerance of siblings towards their elderly parents but it is generally more accepted nowadays. Therefore, the need for care homes become a demand at this time in Egypt as a replacement of the traditional extended family when many older people nowadays either do not have the choice or the facilities to continue living with their families (El-Katatney 2009). Many families among the Egyptian society seem to have turned from holding back from the idea of transferring to a care home to gradual acceptance since elderly care homes are becoming more accepted than the past and constitutes a new concept of elderly care. Currently, many are thinking to run away from a lonely empty home in search of human company or respite care but numbers of geriatric homes are extremely lower than required and much more are still needed (Abdennour, 2010). Thus, it seems that more care homes may be needed in Egypt. Dementia patients are usually over 65, this is one of the factors that put them at high risk of exposure to different physical conditions related to frailty, old age, and altered cognitive functions. Additionally, around 50% of people with dementia suffers from other comorbidities which affect their health and increases hospital admissions (National Audit Office 2007). Therefore, it is expected that the possibility of doctors and nurses needing to provide care for dementia patients in various care settings is increasing (RCN 2010). Considering previous facts, we have an urgent need in Egypt to start awareness about normal and upnormal ageing and what is the meaning of dementia. Moreover, change of health policies and development of health services is required to be developed to match community needs. Another challenge is the very low number of psychiatric doctors and facilities since the current state of mental health can summarised as; one psychiatrist for every 67000 citizens and one psychiatric hospital bed for every 7000 citizens (Okasha, 2001). Finally the need to develop gerontologically informed assessment tools for dementia screening to be applied particularly in general hospitals (Armstrong and Mitchell 2008) would be very helpful for detecting dementia patients and develop better communication and planning of care for elderly. References: El Katateny, E. 2009. Same old, same old: In 2050, a fifth of Egyptians will be age 60 and older. How will the country accommodate its aging population?. Online available at: http://etharelkatatney.wordpress.com/category/egypt-today/page/3/ Fakhr-El Islam, M. 2008. Arab culture and mental health care. Transcultural Psychiatry, vol. 45, pp. 671-682 Ageing and care of the elderly. Conference of European churches. 2007. [online] available at: http://csc.ceceurope.org/fileadmin/filer/csc/Ethics_Biotechnology/AgeingandCareElderly.pdf World Health Organization. 2012 a. Ageing and life course: ageing Publications. [Online] available at : http://www.who.int/ageing/publications/en/ World Health Organization. 2012 b. Ageing and life course: interesting facts about ageing. [Online] available at: http://www.who.int/ageing/about/facts/en/index.html World Health Organization 2012 c. Dementia a public health priority. [online] available at: http://whqlibdoc.who.int/publications/2012/9789241564458_eng.pdf World Health Organization. 2012 d. Why focus on ageing and health, now?. Department of Health. 2009. Living well with dementia: a national dementia strategy. [Online] available at: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_094058 Andrawes, G., O’Brien, L. and Wilkes, L. 2007. Mental illness and Egyptian families. International Journal of Mental Health Nursing, vol.16, pp. 178-187 National Audit Office. 2007. Improving service and support for people with dementia. London. [online[ Available at: http://www.nao.org.uk/publications/0607/support_for_people_with_dement.aspx Armstrong, J and Mitchell, E. 2008. Comprehensive nursing assessment in the care of older people. Nursing Older People, vol. 20, No. 1, pp. 36-40. Okasha, A. 2001. Egyptian contribution to the concept of mental health. Eastern Mediterranean Health Journal,Vol. 7, no. 3, pp. 377-380. Woods, R., Bruce, E., Edwards, R., Hounsome, B., Keady, J., Moniz-Cook, E., Orrell, M. and Tussell, I. 2009. Reminiscence groups for people with dementia and their family carers: pragmatic eight-centre randomised trial of joint reminiscence and maintenance versus usual treatment: a protocol. Trials Journal: open access, Vol. 10, [online] available at: http://www.trialsjournal.com/content/10/1/64 Grossberg, G. and Kamat, S. 2011. Alzheimer’s: the latest assessment and treatment strategies. Jones and Bartlett, publisher: The United States of America. Alzheimer’s Association. 2009. 2009 Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, Volume 5, Issue 3. [online] Available at: http://www.alz.org/news_and_events_2009_facts_figures.asp Royal College of Nursing. 2010. Improving quality of care for people with dementia in general hospitals. London. National Audit Office. 2007. Improving service and support for people with dementia. London. [online[ Available at: http://www.nao.org.uk/publications/0607/support_for_people_with_dement.aspx Authors: Miss Amira El Baqary, Nursing Clinical instructor, The British University in Egypt 10009457@qmu.ac.uk Dr Emad Sidhom, MBBCh, ABPsych-Specialist in Old Age Psychiatry-Behman Hospital e.sidhom@behman.com  
Amira El Baqary
over 3 years ago
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Urinary Incontinence

Prevalence & impact, pathophysiology, clinical types, assessment of urinary incontinence management & references.  
hopkinsmedicine.org
over 2 years ago
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care of the elderly

immobility in the elderly powerpoint presentation comp2 care of the elderly  
Emma Baker
almost 9 years ago
7
2
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Geriatric Survival Handbook by Brian Christopher Misiaszek, MD

http://fhs.mcmaster.ca/medicine/geriatric/docs/Geriatric_Handbook08.pdf : This link leads to the Geriatric Survival Handbook by Brian Christopher Misiaszek, MD, FRCPS (C) Assistant Professor of Medicine Michael G. DeGroote School of Medicine at McMaster University. It's a handy overview for anyone starting/reviewing a Geriatric rotation.  
fhs.mcmaster.ca
over 2 years ago
Www.bmj
3
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David Oliver: Pet hate—privatisation by stealth

David Oliver is a geriatrician and former national clinical director for older people, who has little truck with the idea that most admissions of elderly people are preventable. It is “absolute La La Land to think we’re going to be in a position any time soon when older people don’t still keep piling through the doors of general hospitals,” he asserted in 2013, arguing that the challenge was to improve hospital care, not pretend that it can be avoided. He is president of the British Geriatrics Society, senior visiting fellow at the King’s Fund, and visiting professor at City University London.  
bmj.com
about 3 years ago
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A Guide to Prevention

Recommended preventive services, other preventive services to consider, preventive services not indicated in older adults, delivery of preventive services and references.  
hopkinsmedicine.org
over 2 years ago
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Special Considerations Geriatrics (Review for EMT Professionals)

Download this and other presentations for FREE from Examville's Study Aids section. View thousands of videos and download study aids and tutorials at Examvil...  
youtube.com
over 2 years ago
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Falls in older people: assessing risk and prevention | Guidance and guidelines | NICE

We checked this guideline and decided that it should not be updated at this time. For details see the update decision, decision matrix and the process for deciding if an update is needed  
nice.org.uk
about 2 years ago
014bb6a73e0129716ec97bd7410bc87440efb19b6619633794397091
3
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Knee Changes In Osteoarthritis

X-Ray of Knee Joint in a Geriatric Patient With Osteoarthritis.  
Parantap J. Trivedi
over 1 year ago
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0
0

Special Considerations Geriatrics (Review for EMT Professionals) - YouTube

Download this and other presentations for FREE from Examville's Study Aids section. View thousands of videos and download study aids and tutorials at Examvil...  
youtube.com
over 2 years ago
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Textbook of Orthopedics

A new edition of this well established textbook for post graduate students and orthopaedic surgeons in training and practice. A thorough revision including many new images, X-Rays and MRI's and new chapters on trauma, arthroscopy and evidence based orthopedics. This new edition includes new clinical images, X-rays and MRI scans, 500 new line diagrams and 250 new X-rays. Every chapter has been thoroughly revised and updated and new chapters on trauma, arthroscopy, common surgical techniques, geriatrics and evidence-based orthopedics have been added.  
books.google.co.uk
over 2 years ago
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DAY 1 European Union Geriatric Medicine Society Mtg~ #EUGMS2015 Oslo 9/16-17 ~Tweet curation~ #aging #geriatrics (with images) · nxtstop1

Two day European/global conference addressing aging issues including nutrition, exercise, #activeageing, infection, falls , frailty ~ #EUGMS2015  
storify.com
about 2 years ago
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Renal supportive care weekend

[Prof Mark Brown discussing the renal supportive care model at St George Hospital] 21-23rd August, 2015 | St George Hospital, Sydney It was the fifth annual symposium but the first master class. A truly multi-disciplinary audience comprising nephrology, palliative care, geriatrics, trainees, specialists, nurses, social workers, dieticians, et al met on a warm and wet weekend…  
palliverse.com
about 2 years ago
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The #GeriMedJC (Geriatric Medicine Journal Club) 9/25/15 ~ curation by @nxtstop1 #geriatrics #aging (with images, tweets) · nxtstop1

#GeriMedJC :A Monthly global academic tweetchat on timely topics in the literature involving geriatric medicine~ last Friday @ month 8:30 -9:30 AM  
storify.com
about 2 years ago