PRESENTED BY

G.JOSPHIN SYLVIA
MINTU THOMAS
Geriatrics
 Geriatrics, or geriatric medicine, is a specialty that
focuses on health care of elderly people.
 It aims to promote health by preventing and
treating diseases and disabilities in older adults.
 A branch of medicine that deals with the problem of
aging and the disease of the elderly .
Gerontology
 Gerontology is the study of
the social, cultural, psychological, cognitive,
and biological aspects of ageing.

 The field is distinguished from geriatrics, which is the

branch of medicine that specializes in the treatment of
existing disease in older adults
Diseases
 Arthritis.
 Heart Disease.
 Visual and auditory defects.
 Respiratory Diseases.
 Alzheimer's Disease.
 Osteoporosis.
 Diabetes.
 Influenza and Pneumonia.
 Gastrointestinal diseases
 Neurological disorders
Types of Disabilities
 Physically disabled
 Mentally disabled
 Physically and Mentally disabled

 Physically disabled : These are the patients having

significant physical disabilities but with emotional and
intellectual intactness.
 They have ability to socialise in an open and
unsupervised environment
 Mentally disabled :These have major emotional
and social disabilities with minimal physical
disabilities

 Mentally and Physically disabled :These patients

require nursing care for physical disabilities and
supervision for social activities.
 The community room as well as external environment
for mentally disabled persons has to be supervised by
the nursing staff.
Case Study
JOHNS HOPKINS HOSPITAL
Introduction
 The Johns Hopkins is the teaching hospital founded in
1889 ,Baltimore, United states. One of the world’s
greatest hospital and medical institutions.
 The Johns Hopkins Division of Geriatric Medicine and
Gerontology grew out of the Division of Chronic and
Community Medicine begun in 1963.
 Major clinical programs begun or developed under Dr.
Burton's in 1998 include:
 Elder House Call Program
 Hospital at Home
 Program for All-inclusive Care of the Elderly (PACE)
 Orthopaedic-Geriatric Medicine Hip Fracture Service.
Geriatric Medicine
 Mission:-
To provide the highest quality clinical care to
improve the health of older adults and society by
creating, translating, and disseminating
knowledge through education and research.
 Vision:-
To be an inclusive and vibrant academic
community that sets the international standard for
clinical care, education, and scientific discovery
focused on improving the health of older adults.
Clinical Services
The Johns Hopkins Division of Geriatric Medicine and
Gerontology offers:-

 primary care and second opinions for older adults

 The Centre provides comprehensive care with services that

include diagnosis and assessment as well as education and
treatment recommendations that extend beyond
prescriptions.
Speciality Services
 Medical Psychiatry Programme

 Home based medicine

 Memory and Alzheimer’s Centre

 Program of all inclusive care for the elderly

Facilities In Geriatrics
 Home –based medicine
 Calling system for appointment
 Aging research programs
 Centre on Aging and Health(COAH)
 Centre for transformative geriatric research
 Memory and Alzheimer’s Treatment centre
 Program of All-inclusive care of the Elderly(PACE)
 Inpatient rehabilitation
 Conducting research on elderly patients to provide a
high quality care.
Physical facilities
 The long term facilities require the following
components:
 Administrative facilities :These include ,
 Lobby and information centre
 Administrative office
 Admitting and medical record area
 Administrative staff toilet room
 Social service office
 Staff conference area
 Staff facilities: These includes,
 Locker room
 Lounge and dinning room
 Public facilities
 Storage facilities

 Planning considerations
1. Fittings and fixtures should be safe and durable.
2. Wheel chair should be provided.
1. If windows are openable,they should be narrow
enough so as not to allow patient escape.
2. Access to balconies or roof must be prevented
3. Homely environment
4. Should be focus on the total quality of life-physical ,
mental , and spiritual.
5. Ensure resident safety and security
6. Hand rail should be provided in the entrances ,
corridors, staircase, for convenience of the aged.
7. Open spaces should be provided to encourage
interaction .
Conclusion
 Technological and medical sciences advancements in
the cure of traditional acute diseases have prolonged
life resulting in the increase of the number of older
people in the world.
 Facilities are required to specially care for the aged .
 The caring and safe design should allow them to lead a
safe , comfortable ,independent and dignified life.
THANK YOU