Ageing 5

Track 12
Sunday, October 29, 2023
2:00 PM - 3:15 PM
Meeting Room C4.4

Speaker

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Dr Cheridine Oro-Josef
National Board Of Trustee
Philippine Academy of Family Physicians

A quantitative-qualitative comparison of the biopsychosocial health of physically active elderly with and without intervention in Marikina

2:00 PM - 2:15 PM

Summary

The study aimed to determine if there is a difference between the biopsychosocial health of physically active elderly participants and non-participants of the Above 60 Academy, an intervention program in Marikina City that is directed towards senior citizens. The participants for the study are registered senior citizens, those aged 60 and above, who are still able to perform basic physical and functional activities such as walking, without the need of assistance or with little need of assistance.

The biopsychosocial health of the participants was measured using an interviewer-administered Comprehensive Geriatric Assessment survey that comprised of 5 tests namely, Nutritional Health Checklist, Geriatric Depression Scale, Activities of Daily Living, Mini-Mental State Examination, and Timed Up and Go. The biological component is measured by the NHC, ADL and TUG while, the psychological component is measured by the GDS and MMSE.

Results show that there were no statistically significant differences between the biological aspect of the two study groups. In terms of the psychological aspect, however, both GDS and MMSE were significant at p-value < 0.05 (GDS at p-value 0.013 and MMSE at 0.029). This shows that there is a significant difference between the two study groups. Further tests show, using Pearson’s Correlation, show that both GDS and MMSE (at 0.275 and at -0.245 respectively) has a weak correlation to the intervention.

In conclusion, there is evidence to show that the Above 60 Academy has an impact when it comes to the psychological health of the elderly. This impact can be attributed to the monthly lectures and consistent activities held by the program. In the end, the A60A is considered by the researchers as an intervention that initiates and advocates active aging.

Takeaways

1. The results of the study show that there is a significant difference with regards to the psychological health of the elderly between those who participate in the Above 60 academy program and those who do not.
2. Well-being of the elderly is maintained through the consistent presence of a source of support. (For the participants of the Above 60 Academy, it shows that an intervention that functions as a source of support in terms of health is significant.)
3. The Above 60 Academy program can be used as a model for an intervention that has an impact on the health of the elderly.

Biography

Dr. Cheridine Oro- Josef is a practicing Geriatric Medicine and Family Medicine Specialist in Marikina and surrounding areas. She finished Medicine and Surgery at the Royal and Pontifical University of Santo Tomas, did her Residency Training in Family and Community Medicine in the same institution and went into Fellowship in Geriatrics with the Philippine College of Gerontology and Geriatrics, Inc. She then went on to earn a Masters Degree in Management, Major in Hospital Administration. After her Residency Training, she joined several multispecialty and HMO clinics as a Family Medicine Specialist. However, she decided to go into private practice and has established her own name in Marikina. She started in a small clinic in Nangka and Sto. Nino where her patients rapidly grew in number in a short period of time. During this time, she volunteered her services to the City Health Office, Senior Citizens Clinic and in 2010, organized the Above 60 Academy which now has more than 200 members attending her monthly educational programs and lectures. Dr. Josef would go to several communities and even organized a Seniors for Seniors program where the older persons find time to visit those who are bedridden or abandoned older persons. She empowers senior citizens and helps them understand their aging process. Thanks to her, older persons are more aware of their health concerns and the physiologic changes of aging. In 2016, the need to educate the younger population regarding care for the elderly gave rise to the Teen Academy which is a partnership program with DepEd Marikina. Student Council leaders of public and private schools in Marikina were educated on the plight of the older persons. Training programs and mentoring was established. Public school teachers also benefitted from the expertise of Dra Josef. Teleconsultations were set up especially during the pandemic. Retired and retiring teachers were given lectures on what to anticipate in the coming of years. Dr. Josef now holds several clinics in Marikina: St Ignatius Multispecialty and Health Care Services, St. Vincent General Hospital and Marikina Doctors Hospital and Medical Center. She attends to her patients daily. She practices both Family and Geriatric Medicine. Seventy percent of her patients are elderly but as a primary care provider, she attends to all cases and does proper referral to other specialists when necessary. Dr. Josef also manages patients in the hospital as well as their homes. She schedules home visits to patients who are bedridden and unable to visit her clinic. She also has teleconsultation schedule for those who are in need of such. She has also regularly made multiple on screen appearances across many notable tv and radio networks such as GMA, DZMM, CNN and DZRV-AM (better known on air as Radio Veritas). Aside from clinic practice, Dr Josef is a part time Faculty and Special Lecturer for Ateneo School of Medicine and Public Health as well as the Miriam College, College of Arts and Sciences and College of Psychology. She handles modules on Geriatric Care and Healthy Aging Certificate Courses. Dr. Josef is an active member of the Marikina Valley Medical Society. She does community projects with the society especially the partnership with DepEd Marikina where she encouraged MVMS members to help in managing teachers and staff of the department. She would also join activities as volunteer physician, as member or as speaker. In the community, she has joined and initiated projects as an Inner Wheel Club officer and as a wife of a Rotarian. She is also an active parent coordinator for her children’s school, Ateneo Senior High School and PAREF Rosehill School.
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Prof Constance Dimity Pond
Convenor
Wonca SIG Ageing And Health

Social prescribing: new paradigms for meeting the needs of older patients

2:20 PM - 3:15 PM

Summary

NOTE: THIS IS THE OFFICIAL PRESENTATION FOR WONCA SIG AGEING AND HEALTH

Aim
To explore the ways in which social prescribing programs work in a range of countries, in particular for the needs of older patients

Background: Older patients would benefit from better integration between their medical and social care. Social prescribing is a term used to describe the provision of social care, which is seen as addressing the social determinants of health, and may be prescribed by a medical practice. However, such schemes can be challenging because of the complex and wide ranging issues they seek to address. There is as yet no generally accepted evaluation for such projects. The SIG Ageing and Health has collaborated with the new SIG Social Prescribing to present this workshop.

Content: A series of short presentations will explore models of social prescribing in a range of countries. Louise Robinson will present a review of the outcome measures used to evaluate social care, Lee Kheng Hock will present on development of a competency framework for family physicians in social prescribing and Joyce Kenkre will present on collaboration in social prescribing, across communities, health systems and cultures.
Following the presentations, attendees will be invited to join tables for discussion about how these presentations and models might be adapted to their own practices.
A plenary will follow in which table findings will be presented and further discussed.

Goals: To explore a range of models for social prescribing that attendees could take back to their home countries for further development and adaptation to their local environment

Takeaways

At the conclusion of this presentation attendees will take away
1. A better understanding of social prescribing
2. An understanding of how social prescribing might be used in care of the elderly
3. Some ideas about how social prescribing could be used in their own countries and settings

Biography

Professor Pond is a GP in active clinical practice. She also works as an academic with a particular interest in aged care and dementia.

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