
vruddhaapya chikitsalu

vruddhaapya chikitsa ledhaa vruddhaapya vaidyam anedi vruddhula pratyaekamaina aarogya avasaralanu teerchadampai drushti saarinche vaidya pratyekata. geriatrics" anae padam greeku padam jeron nundi udbhavinchindi, dheeni ardham "vruddhudu", mariyu eatros "itros" antey "vaidyam chesevadu". vruddhulalo vyaadhini nivaarinchadam, nirdhaarinchadam mariyu chikitsa cheyadam dwara aarogyaanni prothsahinchadam dheeni lakshyam. vruddhula samrakshanhalo naipunhyam kaligina vaidyudu ayina vruddhaapya vaidyudu ledhaa vruddhaapya vaidyudi samrakshanhalo rogulu undagala nirneeta vayassu ledhu. badulugaa, eee nirnayam vyaktigata roogi avasaram mariyu vaariki andubaatulo unna samrakshana nirmaanaala dwara maarganirdesam cheyabadutundi. eee samrakshana aneka deerghakaalika paristhitulanu nirvahistunna ledhaa rojuvaaree jeevita naanhyatanu bedirinche gananeeyamaina vayassu-sambandhita samasyalanu edurkontunna vaariki prayojanam chekuurustumdi. kutumba sabhyulu mariyu samrakshakulu swatantramgaa nirvahinchadaaniki samrakshana baadhyatalu marinta ottiditoe kuudinavi ledhaa vaidyaparamgaa sanklishtamgaa maarithe vruddhaapya samrakshana suuchimchabadavachchu.
vruddhaapya chikitsa mariyu vruddhaapya shaastram madhya vyatyaasam undhi. vruddhaapya shaastram anedi vruddhaapya prakriya yokka bahula vibhagala adhyayanam, idhi gaayam, anaaroogyam, paryaavarana pramaadaalu ledhaa pravartanaa pramaada karakalu lenappudu kalakramena avayava paniteerulo ksheenatagaa nirvachinchabadindi. ayithe, geriatricsnu konnisaarlu medical gerontology anie pilustaaru.
paridhi.
vayojana mariyu vruddhaapya vaidyaala madhya thedaalu.
vruddhaapya rogulanu chusukovadamlo mariyu aarogyakaramaina vruddhaapyaanni prothsahinchadamlo vruddhaapya rogula providerlu pratyeka sikshana pondutaaru. andinchina samrakshana ekkuvagaa bhaagaswaamya nirnayam teesukovadampai aadharapadi untundi mariyu roogi lakshyalu mariyu praadhaanyatala dwara nadapabadutundi, ivi paniteerunu kapadatam, jeevana naanhyatanu meruguparachadam ledhaa jeevita samvatsaraalanu podiginchadam nundi maaravacchu. united states mariyu kenadaaloni vruddhaapya vaidyulu saadhaaranamgaa upayoginche maargadarsaka ghnaapakasakti anedi 5 meterla vruddhaapya shaastram, idhi manassu, chalanasheelata, bahula sanklishtata, mandulu mariyu roogi viluvalanu velikiteese vishayalanu vivaristundi.
vruddhulu bahula vaidya paristhitulanu ledhaa bahula-anaarogyaanni nirvahinchadam sarvasaadhaaranam. sareeradharma saastramlo vayassu-sambandhita maarpulu anaaroogyam, vyaadhi-sambandhita anaaroogyam mariyu maranaaniki gurayye avakaasam perugudalanu prerepistaayi. antekakunda, saadhaarana vyaadhulu vruddha rogulalo asadhaaranamgaa undavacchu, roogi samrakshanhalo marinta roganirdhaarana mariyu chikitsa sanklishtatanu jodistaayi.
geriatrics anedi vaidya, nursing, formacy, saamaajika pani, saareeraka mariyu vruttiparamaina chikitsa rangaalaku chendina pratyeka providerlatho kuudina atyanta interdisciplinary. vruddha rogulu mandula nirvahana, noppi nirvahana, manasika mariyu ghnaapakasakti samrakshana, punaravasam, deerghakaalika nursing samrakshana, poeshanha mariyu saareeraka, vruttiparamaina mariyu prasamgamtho sahaa vividha rakaala chikitsalaku sambandhinchina samrakshananu pondavacchu. vaidyetara parigananalalo saamaajika sevalu, parivartana samrakshana, adhunaatana aadesaalu, nyaayavaada adhikaram mariyu itara chattaparamaina parigananalu unnaayi.
sanklishtata perigindi.
avayavaalalo saareeraka nilva taggadam valla vruddhulu konni rakaala vyaadhulanu abhivruddhi chestaaru mariyu telikapati samasyala nundi (telikapati jeernasayaantara shotha nundi nirjaleekaranam vantivi) marinta samasyalanu kaligi untaaru. bahula samasyalu peragavacchu vruddhulalo telikapati jwaram gandaragolaanni kaliginchavacchu, idhi padipovadaaniki mariyu toda meda pagullaku ("virigina hip") daariteeyavachchu.
vruddhulalo vyaadhi yokka pradarsana aspashtamgaa mariyu nirdishtamgaa undakapovachhu, ledhaa indulo bhrama ledhaa patanam undavacchu. (udaaharanaku, pneumonia, yuvakulalo kanipinche adhika jwaram mariyu dagguku badulugaa, takkuva sthaayi jwaram mariyu gandaragolamto undavacchu.) kontamandi vruddhulaku vaari lakshanaalanu maatallo vivarinchadam kashtamgaa anipinchavacchu, mukhyamgaa vyaadhi gandaragolaanni kaligistunnatlayite ledhaa vaariki abhignaa balaheenata unte. vruddhulalo chittavaikalyam malabaddhakam vanti chinna samasya valla ledhaa gundepotu vanti teevramaina mariyu praanaantakamaina samasya valla sambhavinchavachhu. muula kaaranaanni kanugonagaligite, veetilo chaalaa samasyalu chikitsa cheyadaginavi.
geriatric pharmacology.
vruddhulaku mandulapai pratyeka shraddha avasaram. vruddhulu mukhyamgaa bahula deerghakaalika vyaadhulu perukupovadamto polyformacy (bahula mandulu teesukovadam) kii guravutaaru. eee vyaktulalo chaalaa mandhi aneka mulika mandulu mariyu pratyaksha mandulanu kooda sweeya-suuchimchinavaaru. eee polyformacy, vruddhaapya sthithitho kalipi, aushadha paraspara charyalu ledhaa pratikuula aushadha praticharyala pramaadaanni penchavacchu. pharmacokinetic mariyu pharmacodynamic maarpulu vruddhaapyamtho talettutaayi, ivi metabolize cheyagala mariyu aushadhaalaku pratispandinche saamarthyaanni debbateestaayi. naalugu pharmacokinetic mechanisms (shoshana, pampinhee, jeevakriya, visarjana) loe prati okkati vayassu-sambandhita saareeraka maarpula dwara antaraayam kaligistaayi. udaaharanaku, mottammeeda taggina hepatic function mandula clearance ledhaa metabolismlo jokyam chesukovacchu mariyu moothrapindaala paniteerulo taggudala moothrapindaala tolagimpunu prabhaavitam chestundi. pharmacodynamic maarpulu vruddhaapya rogulalo mandulaku maarutunna sunnitatvaaniki daariteestaayi, marphin vaadakamtho noppi upasamanam vantivi. anduvalla, vruddhaapya vyaktulaku eee vayassu-sambandhita maarpula dwara teliyajeyabade pratyeka aushadha samrakshana avasaram.
vruddhaapya syndromes.
vruddhaapya lakshanaalu anae padaanni vruddhulalo ekkuvagaa unna clinical paristhitula samuuhaanni vivarinchadaaniki upayogistaaru. eee lakshanaalu nirdishta pathology ledhaa vyaadhi valla sambhavinchavu, badulugaa, aneka avayava vyavasthalanu prabhaavitam chese bahula kaarakaala paristhitula abhivyakti. saadhaarana paristhitulalo balaheenata, kriyaatmaka ksheenata, padipovadam, khandamlo nashtam mariyu poeshakaahaara lopam vantivi unnaayi.
balaheenata.
saareeraka nilvalo ksheenata, saareeraka mariyu bhavodvega ottillaku perigina durbalatvam mariyu paniteeru kolpovadam dwara balaheenata gurtinchabadutundi. idhi pragatiseela mariyu anukokunda baruvu taggadam, alasata, kandaraala balaheenata mariyu kadalika taggadam vanti vaatini chuupavachchu. idhi perigina gayalu, aasupatrilo cheradam mariyu pratikuula clinical phalitaalato mudipadi untundi.
paniteeru taggudala.
saareeraka paniteeru mariyu/ledhaa abhignaa paniteerulo ksheenata valla kriyaatmaka vaikalyam talettavachhu. idhi praathamika rojuvaaree panulanu nirvahinchadamlo sampaadinchina kashtamtho mudipadi untundi, phalitamgaa itara vyaktulu mariyu/ledhaa vaidya parikaraalapai aadharapadatam perugutundi. eee panulu rojuvaaree jeevanam yokka praathamika karyakalapalu (ADL) mariyu rojuvaaree jeevanam yokka vaayidya karyakalapalu (IADL) gaa upa-vibhajinchabaddaayi mariyu saadhaaranamgaa oka vyakti yokka kriyaatmaka sthithiki suuchikagaa upayoginchabadataayi.
rojuvaaree jeevana karyakalapalu (adl) anedi aaharam, vyaktigata parisubhrata, toilet, badilee mariyu umbulating vanti vaatini chusukovadaniki avasaramaina praathamika naipunyaalu. rojuvaaree jeevana sadhana karyakalapalu (iadl) vanta, gruha nirvahana, okari aardhika nirvahana mariyu mandulatho sahaa oka samaajamlo swatantramgaa jeevinchadaaniki mimmalni meeru anumatinchadaaniki avasaramaina marinta sanklishtamaina naipunhyaalanu vivaristaayi. vruddhulu mariyu vaari samrakshakulaku andinche maddatu mariyu samrakshana yokka paridhini nirnayinchadaaniki vaidyulu upayoginche oka mukhyamaina kriyaatmaka anchanaa ADL mariyu IADL yokka saadhaarana paryaveekshanha. idhi kalakramena paniteeru yokka gunaatmaka kolatagaa panichestundi mariyu senior housing apaartmentlu, naipunhyam kaligina nursing soukaryaalu, upasamana, dharamsala ledhaa gruha aadhaarita samrakshanhatho sahaa pratyaamnaaya jeevana erpaatlu ledhaa samrakshana namuunaala avasaranni anchanaa vestundi.
padipotundi.
65 mariyu anthakante ekkuva vayassu unna peddalalo atyavasara vibhaagamlo pravaesaalu mariyu aasupatrilo chaeradaaniki padipovadam pradhana kaaranam, veetilo chaalaa varaku gananeeyamaina gaayam mariyu shaashwata vaikalyaaniki daariteestaayi. padipovadaanni tagginche uddesyamto konni pramaada kaarakaalanu savarinchagalagatam valana, idhi jokyam chesukovadaniki mariyu pramaadaanni tagginchadaaniki avakaasaanni highlight chestundi. savarinchagala karakalu
moothra aapukonaleni sthithi.
moothra aapukonaleni ledhaa athi churukaina muutraasayam lakshanaalu anukokunda mootravisarjana cheyadam anie nirvachistaaru. moothram utpatti mariyu pounahpunyaanni penche mandula valla eee lakshanaalu sambhavinchavachhu (udhaa.zii. adhika raktapotu nirodhakaalu mariyu mootravisarjana mandulu), moothra naalaala infections, kati avayava vyaapti, kati naela panicheyakapovadam mariyu muutraasayam khaalii avadanni niyantrinche naraalanu debbatise vyaadhulu. kadalikanu prabhaavitam chese itara kandaraala asthipanjara paristhitulanu parigananaloki teesukoovaali, endukante ivi snaanapu gadulanu cherukovadam kashtataram chestaayi.
poeshakaahaara lopam.
poeshakaahaara lopam mariyu paelavamaina poeshakaahaara sthithi aandolana kaliginche amsam, idhi aasupatrilo cherina vruddha rogulalo 12 saatam nundi 50 saatam mariyu sahayaka jeevana sanghaalu mariyu naipunhyam kaligina nursing soukaryaalu vanti deerghakaalika samrakshana soukaryaalalo nivasistunna samsthaagata vruddha rogulalo 23 saatam nundi 50 saatam mandini prabhaavitam chestundi. saareeraka, rogalakshana, manasika mariyu saamaajika aardhika kaarakaala kalayika kaaranamgaa poeshakaahaara lopam sambhavinchavachhu kabatti, samarthavanthamaina jokyaalanu gurtinchadam kashtam. sareeradharma karakalu vaasana mariyu ruchi taggadam, mariyu poeshaka aaharaanni teesukovadam prabhaavitam chese jeevakriya raetu taggadam. anukokunda baruvu taggadam anedi roganirdhaarana kaarakaala valla sambhavinchavachhu, veetilo abhignaa paniteerunu prabhaavitam chese, neerugaa jeernakriyanu prabhaavitam chese deerghakaalika vyaadhula vistruta shreni kooda untundi (udhaa.zii. paelavamaina dantaala vyaadhi, jeernasayaantara cancerlu, jeernasayaantara refluxes vyaadhi) ledhaa aahara parimitulatoe nirvahinchavacchu (udhaa.zii. raktaprasarana gunde vaiphalyam, madhumeham, adhika raktapotu). manasika karakalalo niraasa, anorexia mariyu dukkham vanti paristhitulu unnaayi.
aacharanaatmaka aandolanalu.
vruddhaapya vaidyulaku mariyu vaari rogulaku kaaryaacharana saamardhyalu, swaatantryam mariyu jeevana naanhyata samasyalu chaalaa aandolana kaligistaayi. vruddhulu saadhaaranamgaa veelainanta kaalam swatantramgaa jeevinchaalanukuntaaru, dheeniki vaaru sweeya samrakshana mariyu rojuvaaree jeevitamlooni itara karyakalapalalo palgonagalagali. vruddhaapya vaidyudu vruddhula samrakshana empikala gurinchi samacharanni andinchagaladu mariyu prajalanu gruha samrakshana sevalu, naipunhyam kaligina nursing soukaryaalu, sahayaka jeevana soukaryaalu mariyu dharamsalalaku tagina vidhamgaa suuchimchavachchu.
balaheenamaina vruddhulu konni rakaala vaidya samrakshananu tiraskarinchadaaniki enchukovachhu, endukante pramaada-prayojana nishpatti bhinnamgaa untundi. udaaharanaku, balaheenamaina vruddha mahilalu maamograamulanu pareekshinchadam mamuluga aapivestaaru, endukante rommu cancer saadhaaranamgaa nemmadigaa perugutunna vyaadhi, idhi vaaru itara kaaranaala valla chanipoye mundu vaariki noppi, balaheenata ledhaa praananashtam kaliginchadu. balaheenamaina vyaktulu shastrachikitsa anantara samasyalaku mariyu podiginchina samrakshana avasaraniki kooda gananeeyamaina pramaadam kaligi untaaru, mariyu roogi mukham entha paatadigaa kanipistundo kakunda dhruveekarinchabadina charyala aadhaaramgaa khachitamaina anchanaa-vruddha rogulu vaari empikala gurinchi puurtigaa samacharam unna empikalanu cheyadaaniki sahaayapadutundi. empika chesina shastrachikitsalaku mundu vruddha rogula anchanaa rogula punaruddharana pathaalanu khachitamgaa anchanaa veyagaladu. oka balaheenata scale aidu amsaalanu upayogistundih anukokunda baruvu taggadam, kandaraala balaheenata, alasata, takkuva saareeraka shrama mariyu nemmadigaa nadiche vegam. aarogyakaramaina vyakti 0 score chestaadu; chaalaa balaheenamaina vyakti 5 score chestaadu. balaheenamgaa laeni vruddhulatho poliste, madhyantara balaheenata skorlu (2 ledhaa 3) unna vyaktulu shastrachikitsa tarvaata samasyalanu kaligi unde avakaasam rendu retlu untundi, aasupatrilo 50 saatam ekkuva samayam gaduputaaru mariyu vaari sonta illaku badulugaa naipunhyam kaligina nursing sadupaayaaniki discharge ayye avakaasam moodu retlu ekkuva. shastrachikitsaku mundu intlo nivasistunna balaheenamaina vruddha rogulu (4 ledhaa 5 skoru) marinta adhvaannamaina phalitaalanu kaligi untaaru, anaarogya vruddhula kante nursing homeku discharge ayye pramaadam iravai retlu ekkuvagaa untundi.
upa pratyaekatalu mariyu sambandhita sevalu.
saadhaaranamgaa vruddhulalo kanipinche konni vyaadhulu peddavaarilo arudugaa untaayi, udhaa.zii.chittavaikalyam, chittavaikalyam, padipovadam. samajalu vruddhaapyamlo, aneka pratyeka vruddhaapya mariyu vruddhaapya sambandhita sevalu udbhavinchaayi, vaatilo
charitra.
saampradaaya bharatiya vaidya vyavasthalooni enimidi saakhalalo okataina aayurvedam, vruddhaapya vaidyaala maadirigaane "jara" ledhaa "rasayana". akaala vruddhaapyam valla kalige alasata mariyu saareeraka alasatanu paelavamaina aaharam phalitamgaa charaka varninchaadu. vruddha rogulu adhika saareeraka ledhaa manasika ottidini nivaarinchaalani mariyu telikapati conny pooshakamaina aaharaanni teesukoovaalani "charaka samhita" sifaarsu chestundi.
byzantine saamraajyamloni aneka mandhi vaidyulu vruddhaapya vaidyaanni adhyayanam chesaaru, amida yokka atius vanti vaidyulu eee rangamlo pratyekata kaligi unnaaru. trolless alegzander vruddhaapya prakriyanu shareera kanajaalamlo thema kolpovadam valla kalige marasmus yokka sahaja mariyu anivaarya roopamgaa chuusaaru. atius rachanalu vruddhaapyam yokka manasika mariyu saareeraka lakshanaalanu vivaristaayi. theophilus protospatharius mariyu joyans actuvarius kooda tama vaidya rachanalalo eee amsaanni charchinchaaru. byzantine vaidyulu saadhaaranamgaa oribasius rachanalanu pariseelinchi, vruddha rogulu "vaedi mariyu thema" andinche aaharaalu samruddhiga unde aaharaanni tinaalani sifaarsu chesaaru. vaaru tarachugaa snanam cheyadam, mardana cheyadam, vishraanti teesukovadam mariyu takkuva teevrata kaligina vyayama niyamaalanu kooda sifaarsu chesaaru.
1025loe evisenna raasina "dhi connon off medicine" loe, rachayita "vruddhulaku pushkalamgaa nidra elaa avasaram" mariyu vaari sariiraalanu noonetho elaa abhisheekinchaali anae daani gurinchi aandolana chendaaru mariyu nadaka ledhaa gurrapu swarry vanti vyayaamaalanu sifaarsu chesaaru. connon" yokka thesis III vruddhulaku anuvaina aaharaanni charchinchindi mariyu malabaddhakam ayina vruddha rogulaku aneka vibhaagaalanu ankitam chesindi.
arab vaidyudu algizer (-980) vruddhula vaidyam mariyu aarogyam gurinchi oka pustakam raasaaru. athanu nidra rugmatalapai oka pustakam, marachipovadam mariyu ghnaapakasaktini elaa balopetam cheyalane daanipai maroka pustakam, mariyu maranaaniki kaaranaalapai oka grandham kooda raasaadu. 9va sataabdamloo maroe arab vaidyudu, nestorian kraistava panditudu hunain ibn ishaq kumarudu ishaq ibn hunain (910loe maraninchaadu), "marchipovadaaniki mandulapai oka grandham" raasaadu.
georg day 1849loe "diseases off advanced life" nuu prachurinchaaru, idhi geriatric medicine amsampai modati prachuranalalo okati. modati aadhunika vruddhaapya aasupatrini 1881loe belgrade, cerbialo doctor laza lazarevic sthaapinchaaru.
geriatrics" anae padaanni 1908loe vaidyasaastramlo nobel bahumati graheeta ilya ilich mcnikov pratipaadinchaaru, taruvaata 1909 natiki doctor. ignatz leo nasher, mount sinoy hospital out patient department (newyork nagaram) looni clinic maajee cheef mariyu united stateslo geriatrics yokka "tandri".
united kingdamlo aadhunika vruddhaapya chikitsalu vruddhaapya vaidyula "talli" ayina daa. margery warren. vruddhula samrakshanaku punaravasam avasaramani warren nokki chepparu. landanlooni oka work house aasupatrilo vaidyuraligaa thana anubhavalanu upayoginchi, vruddhulaku vaaru chanipoye varaku aaharam andinchadam saripodani, vaariki rooga nirdhaarana, chikitsa, samrakshana mariyu maddatu avasaramani aame viswasinchindi. rogulu, veerilo kondaru gatamlo mancham meeda padukunnarani, saraina anchanaa mariyu chikitsato kontavaraku swaatantryam pondagaligaarani aame kanugonnaru.
yukelo vruddhaapya vaidya abhyasam kooda goppa bahula vibhaga charitra kaligina vaatilo okati. vruddhula sreyassu mariyu swaatantryaanni anukuulaparachadamloo vaaru chesina krushiki idhi kevalam vaidyaanni matrame kakunda anni vruttulanu viluvainadigaa bhaavistundi.
british geriatrics yokka maroka aavishkarta bernard isacs, paina perkonna geriatrics yokka "diggajaalu": sthirathvam mariyu asthirata, aapukonaleni mariyu balaheenamaina medhassu gurinchi vivarinchaadu. taginantagaa pariseelinchinatlayithe, vruddhulatho unna anni saadhaarana samasyalu eee diggajaalalo okati ledhaa anthakante ekkuva vatiki sambandhinchinavani aisas nokki chepparu.
vruddhula kosam jaateeya seva chatraala amalu dwara UK looni vruddhula samrakshana munduku saagindi, idhi shraddha kosam keelaka praantaalanu vivaristundi.
vruddhaapya vaidya sikshana.
united states.
united stateslo, vruddhaapya vaidyulu praathamika samrakshana vaidyulu (mama.oo. ledhaa emm.dii.) kutumba vaidyam ledhaa antargata vaidyamlo boardu-dhruveekarinchabadina vaaru mariyu vruddhaapya vaidyamlo adanapu arhatala dhruvikarana patram (caq) pondadaaniki avasaramaina adanapu sikshananu kooda pondina vaaru. vruddhaapya prakriya, anaarogya namuunaalapai vruddhaapyam prabhavam, vruddhulalo aushadha chikitsa, aarogya nirvahana mariyu punaravasamlo vruddhaapya vaidyulu vistruta naipunyaanni abhivruddhi chesaaru. vaaru aasupatri samrakshana, deerghakaalika samrakshana, gruha samrakshana mariyu antima samrakshanhatho sahaa vividha paatralalo panicheestaaru. seniorlalo kanipinche pratyaekamaina aarogyam mariyu vyaadhula namuunaalanu suuchimchadaaniki vaaru tarachugaa naitika sampradimpulalo palgontaru. vruddhaapya vaidyulu abhyasinche samrakshana namuunaa narsulu, aushadha vikretalu, chikitsakulu mariyu saamaajika kaaryakartala vanti itara vibhaagaalato sannihitamgaa panicheyadampai ekkuvagaa drushti saarinchindi.
united kingdom.
united kingdamlo, chaalaa mandhi vruddhaapya vaidyulu aasupatri vaidyulu, marikondaru mukhyamgaa community vruddhaapya vaidyampai drushti pedataaru. vaastavaaniki idhi oka pratyaekamaina clinical speciality ayinappatikee, idhi 1970la chivari nundi saadhaarana vaidyamlo specialisationga vileenam cheyabadindi. anduvalla, chaalaa mandhi vruddhaapya vaidyulu rendintikee gurtimpu pondaaru. united states maadirigaa kakunda, geriatric medicine united kingdamlo oka pradhana pratyekata mariyu atyadhika sankhyalo unna antargata vaidya nipunulu.
kenada.
kenadaalo, vruddhaapya paristhitiloo vaidyudigaa panicheyadaaniki rendu maargaalanu anusarinchavacchu.
kenada antataa aneka vishwavidyaalayaalu saadhaarana prajala kosam vruddhaapya shaastra sikshanaa kaaryakramaalanu kooda andistaayi, antey narsulu mariyu itara aarogya samrakshana nipunulu vruddhaapya prakriyanu mariyu vruddha rogulu mariyu nivaasitula samakshamlo vaari paatranu baga ardham chesukovadaniki eee vibhaagamlo tadupari vidyanu konasaginchavacchu.
bharatadesam.
bhaaratadesamlo, geriatrics anedi saapekshamgaa kotta pratyaekamaina samarpana. moodu samvatsaraala post graduate residency (emm.dii) emm. bii. bii. ess (bachelor off medicine und bachelor off surgery) yokka <ii. dii. 1> under graduate sikshananu puurti chesina tarvaata sikshanalo cheravacchu. duradrushtavasaattu, kevalam enimidi pradhana samsthalu matrame emm.dii geriatric medicine mariyu tadupari sikshanalo. konni samsthalalo sikshana anedi geriatric medicine vibhaagamlo pratyekamainadi, antargata vaidyam, vaidya upa pratyaekatalu modalaina vaatilo rotationlatho untundi. conny konni samsthalalo, antargata vaidyam mariyu upa-pratyekatalalo 2 samvatsaraala sikshanaku, taruvaata vruddhaapya vaidyamlo oka samvatsaram pratyeka sikshanaku parimitam cheyabaddaayi.
kaneesa vruddhaapya naipunyaalu.
juulai 2007loe, association off american medical colleges (aamc) mariyu zaan eah. hartford foundation vruddhaapya vidyalo saamardhyaalapai jaateeya ekaabhipraaya samavesanni nirvahinchindi, ikkada graduating vaidya vidyaarthulu vruddha rogulaku kotta internlu samarthavanthamaina samrakshananu andinchadaaniki avasaramaina kaneesa saamardhyaalapai (abhyasa phalitaalu) ekaabhipraayam kudirindi. enimidi vishayaala domainlalo iravai aaru (26) kaneesa vruddhaapya saamardhyaalanu american geriatrics society (ags), american medical association (amaa) mariyu association off directors off geriatric academic prograams (adgp) aamodinchaayi. eee domainlu abhignaa mariyu pravartanaa rugmatalu; aushadha nirvahana; sweeya samrakshana saamarthyam; padipovadam, samatulyata, nadaka rugmatalu; vyaadhi yokka asaadhaarana pradarsana; upasamana samrakshana; peddalaku aasupatri samrakshana, mariyu aarogya samrakshana pranaalika mariyu pracharam. prati content domine moodu ledhaa anthakante ekkuva pariseelinchadagina, kolavagala saamardhyaalanu nirdesistundi.
parisoedhana.
vruddhaapyamtho paatu sareeradharma saastramlo maarpulu aneka aushadhaala shoshana, prabhavam mariyu dushprabhava profilenu maarchavacchu. eee maarpulu noti rakshana praticharyalu (lalajala grandhulu taggadam valla noti podigaa undatam), jeernasayaantara vyavasthalo (ghanapadaarthaalu mariyu dravaalanu aalasyamgaa khaalii cheyadam valana shoshana vegaanni parimitam cheyadam vantivi), mariyu shareera kovvu mariyu kandaraalu mariyu aushadhaala tolagimpuloo maarpulatoe mandula pampinheelo sambhavinchavachhu.
manasika parigananalalo vruddhulu (mukhyamgaa, gananeeyamaina ghnaapakasakti nashtam ledhaa itara rakaala abhignaa balaheenatanu edurkontunna vaaru) vaari swantha schedule chesina aushadha paripalananu taginantagaa paryaveekshinchagalaru mariyu kattubadi undaleru. oka adhyayanam (hutchinson mariyu itarulu., 2006) adhyayanam chesina paalgonevaarilo 25 saatam mandhi motaadulanu daataveyadam ledhaa vaatini sagaaniki tagginchadam chesinatlu angeekarinchaaru. paalgonevaarilo moodinta oka vanthu mandula scheduello kattubadi undataanni sweeya-nivedinchina sammatinchakapovadam nivedinchabadindi. motaadu nirvahana mariyu schedulingnu paryaveekshinchadaaniki mariyu niyantrinchadaaniki sahayapade paddhatula marinta abhivruddhi anedi shraddhaku arhamaina rangam.
maroka mukhyamaina amsam emitante, anuchitamaina paripalana mariyu anuchitamaina aushadhaala vadakam, mariyu pramaadakaramaina aushadha paraspara charyalaku daariteese lopaala avakaasam. polyformacy tarachugaa oka anchanaa karakam (phirangi mariyu itarulu., 2006). illu/samaja aarogya samrakshanapai chesina parisoedhanaloo "daadaapu 3 vaidya niyamaalalo 1 sambhaavya aushadha lopam kaligi untundi" (choyi mariyu itarulu., 2006).
naitika mariyu vaidya-chattaparamaina samasyalu.
vruddhulu konnisaarlu tama kosam nirnayaalu teesukoru. deerghakaalika chittavaikalyam vallana ledhaa jwaram nundi vachhe chittavaikalyam vanti swalpakaalika, sarididdadagina samasya vallana, tamaku emi jarugutundo ardham chesukolekapothe maargadarsakatvam andinchadaaniki vaaru gatamlo power off attarney mariyu mundastu aadesaalanu siddham chesi undavacchu.
vruddhaapya vaidyulu rogulaku tagina mariyu avasaramaina sevalanu andukuntunnarani gamaninchetappudu vaari gopyatanu gowravinchaali. chaalaa pratyaekatala kante, vaastavaalanu ardham chesukovadaniki mariyu nirnayaalu teesukoovadaaniki rogiki chattaparamaina baadhyata mariyu saamarthyam undaa anie vaaru pariganinchaali. vaaru samachara sammatiki maddatu ivvali mariyu oka paristhitiki niraasaajanakamaina rooga niruupana ledhaa intlo shastrachikitsa nundi kolukune avakaasam vanti samacharanni nilipiveyadam dwara rogini taarumaaru chese pralobhaanni nirodhinchaali.
vruddhula durviniyogam antey vruddhulapai aadhaarapadina vyakti saareeraka, aardhika, bhavodvega, laingika ledhaa itara rakaala durviniyogam. taginanta sikshana, sevalu mariyu maddatu peddavaari durviniyogam sambhaavyatanu tagginchagalavu mariyu saraina shraddha tarachugaa daanini gurtinchagaladu. tamanu taamu chusukoleni vruddhulaku, vruddhaapya vaidyulu aaa vyaktini ledhaa estatenu chusukovadaniki chattaparamaina samrakshakatvam ledhaa samrakshakatvaanni sifaarasu cheyavachu.
vruddha bandhuvula samrakshakulaku manasika anaaroogyam unnappudu vruddhula durviniyogam ekkuvagaa jarugutundi. manasika anaarogyamtho badhapaduthunna eee vyaktulanu manasika aarogya chikitsalo nimagnam cheyadam dwara eee durviniyoga sandarbhaalanu nivaarinchavacchu. adanamgaa, bandhuvulapai peddala aadharapadataanni tagginche lakshyamtho jokyam chesukovadam sangharshana mariyu durviniyogaanni tagginchadaaniki sahaayapadavachhu. manasika aarogya nipunulu nirvahinche kutumba vidya mariyu maddatu karyakramalu kooda vruddha rogulaku durviniyogaaniki daariteese sangharshanhalaku daariteeyakundaa manasika rugmatalato badhapaduthunna bandhuvulatho elaa parimitulanu nirnayinchaalo telusukovadaaniki prayojanakaramgaa undavacchu.

