Presentation on theme: "INDIAN GERONTOLOGICAL ASSOCIATION, JAIPUR"— Presentation transcript:
1INDIAN GERONTOLOGICAL ASSOCIATION, JAIPUR CHRONIC DISEASES IN INDIA – CROSS CUTTING ISSUES : POVERTY,ENVIRONMENT & GENDERBY DR. K.L.SHARMAINDIAN GERONTOLOGICAL ASSOCIATION, JAIPUR
2MODIFABLE RISK FACTORS FOR NON-COMMUNICABLE DISEASES GENERAL ENVIRONMENTAL EXPOSURESPhysical Environment :Ambient air quality , Water qualityOccupational and work siteFood safety and availability
3MODIFABLE RISK FACTORS FOR NON-COMMUNICABLE DISEASES Social Environment :IncomeCognitive EducationCultural EducationAccess to Health ServicesAvailability of Public Health and Community Services
4MODIFABLE RISK FACTORS FOR NON-COMMUNICABLE DISEASES Personal Environmental ExposuresSmoking ( and tobacco use)Nutrition and ObesityDietary Intake, Micronutrient adequacy and Caloric balancePhysical Activity, Alcohol/ Drug AbuseGenetic endowment, monogenetic, gene-environment interaction
5What Are Chronic Diseases? Chronic diseases are non communicable illnesses that are prolonged in duration, do not resolve spontaneously, and are rarely cured completely. Examples of chronic diseases include heart disease, cancer, stroke, diabetes, and arthritis.
6Key Chronic Diseases : The Facts Heart disease and stroke are the first and third leading causes of death, accounting for more than 30% of all U.S. deaths each year. Cancer, the second leading cause of death, claims more than half a million lives each year. Diabetes is the leading cause of kidney failure, non traumatic lower extremity amputations, and new cases of blindness each year among U.S. adults aged 20–74 years. Arthritis, the most common cause of disability, limits activity for 19 million U.S. adults. Obesity has become a major health concern for people of all ages. 1 in every 3 adults and nearly 1 in every 5 young people aged 6–19 are obese.
7CHRONIC DISEASES SOME FACTS : Chronic diseases cause 7 in 10 deaths each year in the United States. About 133 million Americans—nearly 1 in 2 adults—live with at least one chronic illness. More than 75% of health care costs are due to chronic conditions. Approximately one-fourth of persons living with a chronic illness experience significant limitations in daily activities. The percentage of U.S. children and adolescents with a chronic health condition has increased from 1.8% in the 1960s to more than 7% in 2004.
8CHRONIC DISEASES SOME FACTS : Chronic diseases—such as heart disease, cancer, and diabetes—are the leading causes of death and disability.These diseases also cause major limitations in daily living.
10Distribution in Indian elderly:(n=1000) CHRONIC DISEASESDistribution in Indian elderly:(n=1000)IndiaRuralUrbanChronic DiseaseMFCough250195179142Piles33163218Joint Problems363404285393High/low BP108105200251Heart Disease34276853Urinary Problem38234924Diabetes36288566Cancer234Any of the above527514528560National Sample Survey 52nd Round Survey,
11Distribution of Physical Disability in Aged (n=1000) IndiaRuralUrbanDisabilityMFVisual249291225260Hearing139156111132Speech3238293Locomotor1071158094Amnesia/Senility9611361Any Disability380425333367National Sample Survey 52nd Round Survey,
13HEALTH PROMOTION & DISEASE PREVENTION DEFINITION:Health promotion activities are those activities in which an individual is able to practically engage, in order to advance or improve his or her health.
14Health Promotion Three levels of health promotion activities: Primary Prevention:Activities are designed to completely prevent a disease.Example : Immunization against Pneumonia or InfluenzaSecondary Prevention :Early detection and management of diseases.Example : Colonoscopy to detect small cancerous polypsTertiary Prevention :To manage clinical diseases in order to prevent them from progressing or to avoid complications of the disease.Example : Use of beta blockers to help remodel the heart incongestive heart failure.
15AREAS OF HEALTH PROMOTION The need to focus on the following areas in order to promote health and prevent disabilities in the elderly client :1. Physical activities2. Nutrition3. Tobacco use4. Safety5. Immunization
16Activities of Daily living and Health Promotion Independence in activities of daily living is an important goal for health promoting activities. Preventing Strategies in lessening disabilities : 1.)Smoke Cession 2.) Immunization 3.)Physical activity 4.)Weight control 5.)Blood pressure control 6.)Arthritis 7.)Diabetes self management program
17SELF MANAGEMENT OF CHRONIC DISEASES (CDSMP) CDSMP Of Kate Loring (M.D.) was supported by Agency for Health Care Research and Quality (AHRQ).It is a 17 hours. course for patients with chronic diseases that is taught by lay peoples.
18CHRONIC DISEASE SELF MANAGEMENT PROGRAMME The course aims at :To teach patients to improve symptom management.To maintain functional ability.To adhere to medical regiment.HOW TO JUDGE THE EFFECTIVENESS OF THE PROGRAMME ?BY THE IMPROVED SELF EFFICACY OF CLIENTS WHO PARTICIPATE IN THE PROGRAMME.
19CHRONIC DISEASE SELF MANAGEMENT PROGRAMME WHAT IS THE DIFFERENCE BETWEEN SELF MANAGEMENT PROGRAMME AND HEALTH PROFESSIONALS GOAL ?THE GOAL AND CONCERNS ARE DIFFERENTFIVE ELEMENTS OF SELF MANAGEMENT PROGRAMME :PROBLEM SOLVINGDECISION MAKINGRESOURCE UTILIZATIONFORMING A HEALTH CARE PROFESSIONAL / CLIENT PARTNERSHIPTAKING ACTION