By Jehangir Hospital
India has close to 120 million elderly people with a multitude of physical, psychosocial, economic, and spiritual problems. While the functionally and cognitively fit elders can access the regular healthcare facilities offered by the government, they also need an active aging program to keep them independent. Health Ministry has created geriatric care centers and geriatric clinics in most of the states.
However, these centers may not serve the functionally and cognitively impaired elderly. There is a dire need for mobile units, day-care centers, and hospices, and the need for training of personnel in-home nursing. Routine care clinics are not capable to handle the burden of the geriatric population to address their multi-morbidity and several other age-related factors.
There is a need for a rapid training of health-care professionals of various disciplines in geriatric care. The government must support nongovernmental organizations and other agencies which provide daycare, home care, and palliative care so that these services become affordable to all the elderly.
Indian elderly confront several social issues such as lack of income security, elder abuse, loneliness, neglect, and poor access to healthcare. India also has a lack of policies on the advanced directive, palliative care, and end-of- life care for the elderly. These elderly people are classified into 3 groups –
Group 1 – Functionally and cognitively fit
Group 2 - Mild Functional Limitations or Mild Cognitive Impairment Group 3 - Severe Functional Limitations or Cognitive Limitations
The national policy on elderly people was announced in January 1999 to reaffirm the wellness of older people National Policy on Senior Citizens which is ready from March 30, 2011, is under the implementation stage. The major components of this policy included –
The sub-centers and clinics cater to the needs of the elderly who can access healthcare facilities. The majority of Group-1 and a small portion of Group-2 elderly who are fortunate to have the assistance from family members or neighbors can access these facilities. These centers are so crowded with other programs that the elderly do not get enough time to get a complete assessment. Hardly, any rehabilitative facilities such as occupational therapy are available even in district hospitals.
Thanks to the execution of Non-Communicable Disease (NCD) program, at least in some districts, elderly are getting tested for diabetes and hypertension regularly and getting free medications. NCD clinics are equipped with staff to advise on a healthy diet and exercise. However, vaccination for the elderly is still in its infancy and is an unmet need.
Even though some of the Non-Governmental Organizations (NGOs) such as Help Age India have started Mobile Healthcare Units including physiotherapy services, the Health Ministry is yet to provide care through mobile geriatric care units. Kerala Government has set up various palliative care units that have mobile services. However, at the national level, it is an unmet need.
National Institute of Social Defence (NISD) is giving training to the employees of the voluntary organizations caring for the elderly. However, the demand for home care personnel is so high that untrained persons are getting into jobs with no time for training. Various NGOs have developed home care facilities in Metros. However, these are too pricey and unaffordable to the common man.
The Group-3 elderly with severe functional and/or cognitive impairment cannot be managed at home unless they hire home nurses or trained home people are available. Currently, hospitalization becomes mandatory as they need palliative care. There is a need for hospices that provide palliative care. Albeit, palliative care homes exist in some places, they accept only cancer patients but not geriatric patients. There is a need to create more hospices that cater to the needs of the elderly. There is a need for separate facilities for dementia care.
If we have to keep our elderly full of life and independence, we need an active aging program for the elderly. Day-care centers for active aging may be used for group exercise, to provide at least one wholesome meal, for recreational activities such as adult learning, library, and development of new hobbies, and also for income-generating activities.
Healthcare of the elderly cannot be achieved unless we address total health, such as physical, social, economic, psychological, and spiritual aspects. Unless we address all these issues, geriatric health cannot be ensured. The governmental facilities alone may not be enough to cater to the needs of this huge population.
By 2050, India is going to have 20% of the Geriatric Population. NGOs have to step forward to generate assistance. The government should offer some aid to NGOs so that they provide affordable services. All the private healthcare institutions in confluence with the government should create geriatric healthcare facilities. The national program has to be implemented all over the country on an urgent basis. All the facilities addressing the unmet needs have to be implemented in every village and city across the country.
Jehangir Hospital offers holistic geriatric healthcare through its Geriatric Centre with an integrative, multi-disciplinary program exclusively created for the elderly. The program focuses on cognitive stimulation along with restoring and maintaining the physical function. It has also been proven that group-based psychosocial and physical activity programs help in improved attention and concentration, increased confidence, improved physical strength and ability to perform routine activities, encourages socialization, prevents falls and injuries, and enhances their overall quality of life.
“Thank you Jehangir Hospital. I can play with my children again.”
- Shilpa Sarangi, May 2017
“During the last two and a half years, I’ve survived serious illnesses by getting admitted to Jehangir Hospital. In fact, my very life was saved by doctors and the dedicated nursing staff. After having four surgeries, I am indebted to the complete nursing team. Compassion and efficiency were exemplified by most of the nurses. Thank you Col. Nirmala and your stalwart nursing staff.”
- M Thomas, Sep 2017
“I saw my child only after five days as I was recovering from my delivery. I was very scared but the doctors and nurses at Jehangir Hospital took very good care of my baby. They have been a constant support in the last two weeks.”
- Ashwini Dhobale, Jan 2018
“I was in Jehangir Hospital from 29th Jan to 2nd Feb and my daughter Shai from 12th to 16th Feb. We were well attended to by all the staff and that includes the sisters, brothers and the floor staff. Call bells were immediately responded to at all times and every effort was made to keep us comfortable during our respective stays! Thank you Maya Mahale & Gina Ali Khan for ensuring no let up in the service.”
- C A Heredia, Feb 2018
“With the Grace of Almighty, I have been blessed with a baby boy on the 9th of August. Thanks to Nina Mansukhani and the sweet staff at Jehangir Hospital for making this very special for me. Nina Ma\'am... your positive attitude gives us courage. Thanks again for all the advice and support.”
- Sadaf Kachchwa, Aug 2018
“A big thank you to a super doctor Nina Mansukhani who helped me complete my family. Only due to your support and motivation I could deliver two twin angels normally. Thank you to your team, Dr Mehak, Dr Kalyani and all the support staff of Jehangir Hospital who helped me with the delivery of my MCDA twins normally.”
- Priyanka Sharma, Aug 2018
“I went through the most fabulous experience of my life and it was made so comfortable because of Dr. Nina Mansukhani. Her vibrancy and assurance kept me going throughout the 9 months. Today, I delivered a baby boy and the last phase of my experience in labor ward will remain a sweet memory due to the gentleness, caring and encouraging attitude of Dr Nina and her team. They boosted my motivation level and led me through a wonderful labor experience. Everything was perfect. Last but not the least, I was absolutely impressed by the manner in which Dr. Pawan and Dr. Pragati expanded my knowledge about the reason behind each and every step that we took which was very inspiring.”
- Vidhi Kapoor, Aug 2018
“The doctors associated with Jehangir Hospital are excellent. Special thanks to Dr Nilesh Kamat, Dr Sachin Vaze, and Dr Karanjit Singh. I felt extremely happy with the professionalism. Special Thanks to Sachin Mali who was excellent with the food, and made my stay enjoyable with his culinary expertise. Also, special mention to Sister Supriya Archana and the head sister who took excellent care.”
- Cyrus Paymaster, Aug 2019
“I had a good experience here, the staff here is very friendly and helpful. The food is good and hygienic. Housekeeping facilities and staff is very proactive, polite, and understanding. Nurses here are too good and helpful.”
- Shivank Patti, Nov 2019
“Excellent services of mama and sisters. Our doctor, Dr. Sanjay Patel, is an excellent doctor. He saved our patient\'s life we are thankful to him.”
- Mr Anil Katti, Dec 2019
“Nursing and cleaning staff and doctors are well experienced. Thank you to all members for excellent services.”
- Mr Shabbir Sayyed, Dec 2019
“Prajakta Sister was a star in her counselling and services.”
- Mrs Fulwanti Pujara, Dec 2019
“All staff members are compassionate and dedicated towards their work. Thanks”
- Mr Parag Somvanshi, Dec 2019
“I highly appreciate the service provided by the hospital staff.”
- Mr Madhusudan Khajuria, Dec 2019
“The hospital is very good. The service and staff was very good and the housekeeping guy did a great job taking care of the patient.”
- Mr Fayyaz Warunkar, Dec 2019
“Sister Priyanka is very compassionate and polite. On bell response time is very good and staff is very knowledegeable about patient and treatment.”
- Mr Pramod Agarwal, Dec 2019
“Experience was very good, satisfied with all services and all staff was good.”
- Mr Dilip Mutha, Dec 2019
“There was a dengue emergency. When I contacted Ruby Hall Clinic, they said they cannot help, as it was Christmas night. When I contacted Jehangir Hospital, they said come, we will provide all assistance. There is leaps and bounds in improvement in Jehangir Hospital. Very clean premises, soft spoken staff, very good food and service, I am really impressed!”
- Koinoorh Sinha, Dec 2019
“I cannot describe with words, how grateful i am for Dr Mayur Kardile\'s guidance, help and approach. Thank you for everything that you have done for me as well as for saving my legs so i can walk without any problem. Excelent outstanding performance with the spine surgery. Thank you million times - Peter Skol (March 2020)”
- Peter Skol, Apr 2020
“Expressing my gratitude with a humble heart and extend a warm thank you to Dr Chaitanya Kopikker for all you did with precision, skill and expertise. I would like to appreciate & Acknowledge the difference you made each & every day with care and compassion. I\'m truly grateful to the Jehangir Hospital services and utility rendered by the supporting staff. - Dr Dilip M.Jain [Medico Legal Consultant] (April 2020)”
- Dilip M Jain, Apr 2020
“Thank you Dr Mayur Kardile for your excellent work while performing surgery on my father for spine injury. Your hands are skilled as my incision is very small and my father’s pain has been minimal during recovery. I will be recommending you to everyone I know who also as spine related challenges. Sachin Aher (Jan 2020)”
- Sachin Aher, Apr 2020
“My baby was born in Mid of June in Jehangir Hospital which is also a Covid treatment center. Since the day he was born, he has been under consultation/supervision of Dr Shilpa Yadav. Be it while being inside hospital or after discharge, she has always been there to guide us. Even in this COVID situation, she helped as much as possible by being available as a professional health-care provider”
- Amita Singh, Aug 2020