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Could geriatric hospitals ease pressure on healthcare? Maybe – but improving care for older people is key

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Australia is grappling with an increase in hospital admissions amongst older people. 2015–16 and 2019–20Hospitalizations amongst people aged 75–84 increased by a mean of three% per yr, the biggest increase amongst all age groups.

The increasing demand is putting significant pressure on the healthcare system, contributing to poor patient flow, longer stays in emergency departments (EDs), and even ambulance overruns. This happens when paramedics are forced to attend on the hospital entrance and can’t transfer a patient to the ED in a timely manner.

In response, some health system leaders have recently called for the creation of independent geriatric hospitals to specifically meet the needs of older patients.

But is this an excellent idea? While there could also be some advantages, the decision for specialist geriatric hospitals signals that Australia is failing to supply adequate care for older people.

Geriatric care in Australia

Across Australia, geriatric care is often provided in sub-acute hospitals, specialist units, wards and clinics, following the acute a part of the hospital stay.

One path is geriatric assessment and management serviceswhich aim to enhance the functioning of patients with age-related diseases, similar to frailty and cognitive decline, following surgery or other medical incidents.

In most states, geriatric evaluation and management services may additionally be available delivered to your property.

Looking at the info from public hospitals across the countrywe are able to see that service levels vary across the state. We calculate that in 2020–21, geriatric assessment and management services with a minimum of one night’s stay accounted for 45% of sub-acute care admissions in Victoria and 20% in South Australia, but only about 8% within the Australian Capital Territory and New South Wales.

These hospital-based services take a holistic approach to assessing multiple points of an older person’s health, similar to mobility, mental health, medication management, nutrition and social support, to tailor individual care plans that help older people live at home longerwith a greater quality of life.

On the opposite hand, lack of access to community-based geriatric care – similar to home care packages – is often seen as an element that increases the necessity for specialist geriatric care in hospitals and increases the length of hospital stay.

We know that current waiting time For a level 4 (highest) package, this era is between 9 and 12 months, although the federal government has committed to shortening this era with latest reforms to aged care.

Without adequate support at home, older people often find yourself in hospital, where they generally should spend weeks or months waiting to be transferred to a care facility.

Many older people stay in hospital for long periods of time while waiting for a spot in a senior care facility.
Gorodenkoff/Shutterstock

Pros and cons of geriatric hospitals

A specialist geriatric hospital may very well be designed across the needs of older patients. It could include specialist medical and support services, but also an adapted physical environment, similar to clear signage and quiet spaces.

It is necessary to think about who will staff these stand-alone geriatric hospitals. Geriatric patients will still need specialists aside from geriatricians, so cardiologists, for example, might want to concentrate on geriatric cardiology. Alternatively, separating care in this manner could mean that geriatric patients receive lower quality cardiology care (and other specialties).

Would additional capability in a stand-alone hospital help with healthcare system pressures? The easy answer is yes, but as with adding capability to the hospital system, if this unlocks unmet demand and draws much more patients into hospitals from the community and aged care, it is unlikely to assist with ED congestion.

It is also price considering whether an independent hospital could have its own geriatric emergency department. It is unlikely that an emergency department on this context would reach the patient volumes required by emergency departments to take care of quality and efficiency. However, without one, transfers from existing emergency departments would further strain limited ambulance resources.

So would a stand-alone geriatric hospital be cheaper than spending the identical budget to construct it otherwise? By focusing on specific populations where the impact can be biggest, we could make the marketing strategy work.

Dementia Care: A Potential Target for Specialist Hospitals

Psychogeriatric care – mental health care older adults – is a main example of where federal funding gaps are failing patients. This is particularly true for those with behavioral and psychological symptoms of dementia.

Families are usually not well supported locally to deal with the large burden of care, and social services are usually not equipped to supply adequate support for these people. As a result, patients find yourself trapped within the social safety net of a public hospital bed.

These beds often provide non-specialist care for dementia patients. An unfamiliar and over-stimulating environment, coupled with staff who may misinterpret the behavior of those patients, only makes difficult behavior worseThis, in turn, makes it difficult for caregivers of older people to simply accept such an individual.

There are currently anecdotally 50 to 70 patients in South Africa with symptoms suggestive of dementia who’re stuck in hospital, with no pressing medical reason to be there, waiting for a spot where they could be safely discharged, similar to aged care. In our experience, the common length of stay for these patients is 50 to 60 days and contributes to bottlenecks within the ED. These numbers will only increase because the population ages.

A nurse looks at a smiling elderly woman sitting in a bed in a hospital or senior care facility.
One potential model for specialist geriatric hospitals may very well be hospitals for people with dementia.
We are MILA/Pexels

A stand-alone dementia hospital could link the states and the Commonwealth in caring for people with behavioral and psychological symptoms of dementia. It cannot replace residential care for older people, but it could help the transition by improving the hospital experience for people with special age-related needs.

However, it is essential to take care of existing multidisciplinary approaches, similar to geriatric assessment and management services, to avoid isolating or separating care from those that are already vulnerable.

Improving existing hospitals for the elderly

While there could also be some justification for the decision for stand-alone geriatric hospitals, ultimately it is a signal of Australia’s failure to supply adequate and integrated hospital and aged care.

Commonwealth Government recently announced significant changes to funding for older people’s care and latest support for home care. Existing hospital services will surely work higher if patients had more options to which they may very well be referred after their hospital stay.

Upcoming Commonwealth Aged Care Act is expected to reform many points of care for older Australians. However, without further detail and collaboration between the federal government and the states and territories, integrated service planning is impossible.

In the meantime, existing hospitals could begin to rework into places which can be higher adapted to the needs of older people.

This article was originally published on : theconversation.com
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Health and Wellness

I think my child is having panic attacks. What should we do?

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In the movie From inside to outside 2Riley, 13, who recently began puberty, has panic attack during a hockey game timeout.

Anxiety (the emotion accountable for the panic attack) becomes completely crazy and Riley looks like she is losing control. After some time, Anxiety calms down and Riley’s panic attack subsides.

The film does an ideal job of capturing the experience of a panic attack. But panic attacks (and anxiety) don’t just occur to teenagers – younger children can have them too.

It’s essential to know what to look out for and how you can respond when feeling anxious or panicked, as this may assist you and your child cope higher with these worrying symptoms.

What does a panic attack in a child seem like?

You might get the impression that something terrible is happening.
Rivelino/Pexels

A panic attack is a sudden, intense feeling of fear or discomfort accompanied by a minimum of 4 of the next symptoms:

  • feel very popular or cold
  • heartbeat
  • dyspnoea
  • feeling of tightness within the throat or chest
  • exploitation
  • tingle
  • dizziness.

Panic attacks in children can last from a number of minutes to half-hour.

Some children describe a panic attack as feeling trapped or threatened, that something terrible is happening to them, that they’re losing control of their body, having a heart attack, and even dying.

Often the child doesn’t realize that their symptoms are related to anxiety. This experience will be very frightening for kids and others around them who have no idea what is happening.

How common are panic attacks and at what age do they occur?

There is a typical myth that panic attacks only occur in teenagers and adults, but tests shows that this is not the case.

Although panic attacks are less common amongst teenagers, they do occur in children. Research shows around 3–5% of youngsters experience panic attacks.

They can start at any age, although normally occurs for the primary time in children and adolescents aged 5 to 18 years.

What causes a panic attack?

In some children, panic attacks can occur unexpectedly and for no apparent reason. These are referred to as “unannounced” panic attacks.

Other children could have ‘signaled’ panic attacks, meaning they occur in specific anxiety-provoking situations, equivalent to being separated from a caregiver or giving a speech in school.

Panic attacks with signals are inclined to more common Children usually tend to have panic attacks than unexpected attacks.

Sometimes a panic attack can occur when a child’s physical symptoms (feeling anxious) change into the main focus of their attention. For example, if a child notices a physical symptom (equivalent to shortness of breath) and starts to fret about it, this may make them feel anxious, resulting in more anxiety or a panic attack.

If children understand that their physical symptoms are an indication of tension fairly than a serious health problem, they’ll learn to not pay an excessive amount of attention to them and stop the vicious cycle.

What can parents do without delay to support their child?

If your child is respiratory in a short time or hyperventilating, attempt to stay calm and encourage them to breathe normally.

Tell your child that these feelings are temporary and never dangerous. Focusing in your child’s rapid respiratory or other symptoms can sometimes make things worse.

Try helping your child give attention to something else through the use of the 3-3-3 rule: “Tell me three things you can hear, three things you can see, and three things you can touch.” Ask your child to say them out loud.

Mother calms her son down
When attacking, try the 3-3-3 rule.
Kindel Media/Pexels

If your child is complaining of somatic symptoms but is not experiencing a full-blown panic attack, try to know and acknowledge the symptoms they’re experiencing.

Once you’re certain their symptoms are usually not a physical health issue, tell them the whole lot can be OK, after which move on to something else. This will help redirect their attention and keep their anxiety and symptoms from escalating.

What next?

Once your child’s panic attack has passed, you possibly can teach them about panic attacks. Explain that panic attacks are common and never dangerous, although they could seem scary and uncomfortable, and are a brief feeling.

An effective strategy for panic attacks is a cognitive behavioral therapy technique called “exposure,” which inspires children to face their fears. In the case of panic attacks, this may occasionally involve facing certain situations or objects that trigger the attack, or exposing them to the actual physical symptoms.

Exposure therapy is typically done with the support of a therapist, but there are an increasing variety of programs that help parents conduct exposure therapy with their child.

Does my child having a panic attack mean she or he has an anxiety disorder?

If your child has a panic attack, it doesn’t suggest they’ve an anxiety disorder. Panic attacks can occur to all children, with or without an anxiety disorder or mental health problem.

However, panic attacks are common occur in children with anxiety disorders or other mental disorders equivalent to depression or post-traumatic stress disorder.

Panic disorder is a selected kind of anxiety disorder wherein panic attacks are a core feature. Panic disorder is not quite common in childrenand occurs in lower than 1% pre-pubertal children. It normally appears in adolescence or maturity.

If your child has panic attacks continuously and unexpectedly, is persistently afraid (for a minimum of a month) of having more panic attacks, or avoids situations that may trigger panic attacks, this may occasionally indicate an anxiety disorder.

If your child has panic attacks in response to certain situations or fears, equivalent to separation from a caregiver, and these fears interfere with their each day life, this may occasionally indicate an anxiety disorder.

Where can I seek help?

If you’re concerned that your child has an anxiety disorder, consult with your GP or psychologist about it.

You don’t need a referral from your loved ones doctor to see a psychologist, but your loved ones doctor can issue one. mental health treatment plan allowing you to use for Medicare reimbursement for as much as ten sessions.

A spread of options are also available online resources.

This article was originally published on : theconversation.com
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Health and Wellness

Instagram Takes ‘Protect Your Peace’ to the Next Level by Creating Teen-Friendly Accounts

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Getty

Those who’ve been lobbying for Instagram to introduce higher rules for teens could be pleased to know that the social media platform has taken motion. The Meta-owned brand has over a billion energetic accounts and has created one for teens. Instagram Teen accounts are designed for teens aged 13 to 17 and are meant to be a safer platform for them to engage with social media. Starting today, all latest and existing account holders under the age of 18 might be transitioned to a teen account.

Anyone under 16 will need parental or guardian consent to open an account, and there are regulated supervision tools available. However, children aged 16 and over can adjust the settings themselves. While it is a thoughtful feature, there may be a risk that teenagers will lie about their age when opening accounts.

“We know that some teens will try to lie about their age to get around these protections,” Antigone Davis, Meta’s global head of security, told The Verge. “So we’re going to be building new capabilities to verify teens’ ages.” One way they’ll try this is by using AI to search for clues that an account holder is under 18.

Other features include automatic privatization of adlescent accounts. Account holders is not going to have the opportunity to receive messages from people they don’t follow or should not connected to.

“It really standardizes a lot of the work we’ve done, simplifies it, and makes it available to all teens,” Davis said. “It basically provides a set of safeguards that are already in place and already populated.”

There can also be the issue of teens being exposed to inappropriate content via Explore. The latest platform addresses this issue with sensitive content controls that be sure that content that appears on Explore and Reels has limited sensitive content. Additionally, the feature allows teens to select topics that interest them, so that they see more of that content on Explore. Offensive words and phrases might be filtered out in comment sections and DM requests via the hidden words feature.

Some studies show social media use in adolescence is related to poor sleep quality, depression, anxiety and low self-esteem. Meta tries to solve the sleep problem by adding a time management tool like Sleep Mode, which silences notifications at night and sets each day limits and reminders.

 

This article was originally published on : www.essence.com
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Health and Wellness

‘Preventable’ death of black mother after complications first linked to abortion ban

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Amber Thurman, Roe v. Wade, theGrio.com

A Black mother died in Georgia after a strict state law banning abortion caused an almost 24-hour delay in her care.

In August 2022, 28-year-old Amber Nicole Thurman went to a North Carolina clinic to have an abortion, People Magazine reportedShe couldn’t get the procedure in Georgia, where she lived, because she was six weeks pregnant — and after Roe v. Wade was overturned in 2022, the state banned abortions after six weeks of pregnancy.

The clinic gave her the pregnancy-terminating pills, mifepristone and misoprostol, which she took home to Georgia. A number of days later, Thurman developed a rare complication during which she didn’t expel all of the fetal tissue, according to ProPublicathe editorial office that first reported on her case.

Thurman, a medical assistant and mother of a 6-year-old boy, began experiencing heavy bleeding and pain before she eventually collapsed at home. Her boyfriend called an ambulance and she or he was taken to Piedmont Henry Hospital in Stockbridge. The remaining tissue caused her to develop a highly dangerous infection often called sepsis.

However, due to Georgia’s anti-abortion laws, doctors didn’t perform a D&C (dilation and curettage). Despite losing consciousness within the hospital room and rapidly deteriorating, she didn’t receive treatment for nearly 24 hours.

ProPublica reports that an official state commission found that doctors waited 20 hours before the surgery while monitoring Thurman’s infection status — during which era her blood pressure dropped to dangerous levels and her organs shut down.

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After her death, a state investigation concluded it was “preventable” — and ProPublica said Thurman’s case is the first known “preventable” case involving an abortion.

The publication notes that it should likely take one other two years to fully understand the impact of Roe v. Wade’s defeat, as many hospitals have a two-year delay in reporting the cause of patient deaths. But it’s not surprising that the first public story is a few black woman. The maternal health crisis continues to disproportionately affect black moms.

What happened to Thurman isn’t only one of the risks of abortion. It may occur in cases of miscarriage, vaginal delivery or cesarean section, according to Mayo ClinicWhen many warned that overturning Roe v. Wade and letting states resolve could have negative impacts on women’s health overall, this is strictly what many feared.

“We actually have proven evidence of something we already knew — that abortion bans kill people,” said Mini Timmaraju, president of the abortion rights group Reproductive Freedom for All. Mother Jones on Thurman’s case. “This can’t go on.”

Meanwhile in Georgia, Dr. Krystal “KR” RedmanSPARK co-founder, told the outlet: “Amber’s case is just one example of the ongoing systemic neglect that continues to claim the lives of Black people.”

Redman added: “Reproductive justice is not just about access to abortion, but also about the broader right to high-quality, comprehensive, full-spectrum, culturally modest, life-saving health care for all of us.”

This article was originally published on : thegrio.com
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