sheeloopoonam@yahoo.com's blog

It is defined as the ratio of the combined age groups 0 – 14 yr. and 65 yr. and above to the 15 – 65 yr. age group.

This blog provides a complete, exam-oriented, and practical guide to Geriatric Clinico-Social Case Taking (CSC) for MBBS and MD Community Medicine students. It explains how to assess an elderly patient under four major components: detailed clinical history and examination, clinico-social diagnosis, effects of illness on the family, and suggested management. The blog highlights common health problems of the elderly, functional decline, chronic diseases, locomotor disorders, psychological issues, and the WHO Age-friendly Primary Health Care (AF-PHC) approach. Students learn how to take a structured history, conduct focused general and systemic examination, fill ADL/IADL scales, identify social support systems, evaluate environmental risks, and plan holistic curative–preventive–promotive management. Essential for CSC practicals, ward exams, and PG assessments.

• National Policy for Older Persons (NPOP) 1999 and National Policy on Senior Citizens 2011
• National Programme for Health Care of Elderly (NPHCE), 2011
• Relevant Constitutional Provisions
– The right of parents, without any means, to be supported by their children having sufficient means has been recognized
– Provident funds
– Old age pension
• National Old Age Pension (NOAP) Scheme,
• Maintenance and Welfare of Parents and Senior Citizens Act, 2007

This blog provides a complete, MBBS-oriented format for Clinico-Social Case (CSC) taking, emphasizing assessment of the index case within the context of family and environment. It outlines all major components—including identification data, clinical history and examination, family health study, housing and environmental assessment, customs and health practices, KAP regarding contraception, and steps for clinico-social diagnosis. The blog also guides students on suggesting curative, preventive, and promotive management at individual, family, and community levels.

WHY, Dietary Counselling?
• SAM = Severe Acute Malnutrition
• MAM = Moderate Acute Malnutrition
• Under-nourished children (MAM & SAM) have serious consequences
– Increased morbidity and increased risk of infections
– Increased mortality
– impaired physical and
– Impaired cognitive development, compromised IQ even in adulthood
– Develop into stunted adults
– Increased disease even in adulthood
– SAM is potentially life threatening as associated with complications

Early initiation of breastfeeding; immediately after birth, preferably within one hour

Exclusive breastfeeding for the first six months of life - give only breast milk; not even water should be added

Timely introduction of complementary food beyond six months along with continued breastfeeding

BOOKS
1. Theory: Park's Textbook of Preventive and Social Medicine, Bhanot Publishers, CHECK the LATEST Edition. New editions are launched almost every 2 years

Some common places to check for water accumulation are as follows:
Inside the house
• Desert coolers
• Flower vase
• Potted plants
• Water tanges, cisterns, and other stored water
• Old cans, tires, coconut shells, bottles lying in open, etc.
Around the house
• Puddles and roadside ditches
• Open drains
• Cess pools
• Soakage pits
• Old non-functioning fountains, bird baths, ornamental pools, etc.

RAPID DIAGNOSTIC TEST (RDT) KIT FOR DIAGNOSIS OF MALARIA


Name the appropriate program under which this is used.
National Vector Borne Disease Control Program (NVBDCP)

What are the levels of iodine in the iodized salt at the production and the consumption level?
• At the production level—Not less than 30 ppm (parts per million)
• At the consumption level—Not less than 15 ppm

Name the regulation under which these levels are fixed.
The Food Safety and Standards Act, 2006