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Age Care Monthly Newsletter Himachal Pradesh - Helpage India ...

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December,2010<br />

<strong>Age</strong> <strong>Care</strong> <strong>Monthly</strong> <strong>Newsletter</strong><br />

<strong>Himachal</strong> <strong>Pradesh</strong><br />

Edition –27<br />

Help<strong>Age</strong> <strong>India</strong>,<br />

Lady Hardinge Cottage No. 2-3,<br />

Near High Court,Bamloe Shimla-<br />

171001 H.P.


Shimla Elder’s Toll Free<br />

Helpline<br />

Helpline:<br />

((<br />

1800-180-1253<br />

A helpline is an emergency phone<br />

service which links services and resources<br />

to older persons in need of care and<br />

protection. It has proved to be a very<br />

effective tool in empowerment of the poor<br />

& needy. The Help<strong>Age</strong> <strong>India</strong> helpline aims<br />

to respond to calls from older persons in<br />

distress, offering immediate assistance and<br />

linking them to resources for solution of<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

Help<strong>Age</strong> <strong>India</strong> Special Ambulance<br />

services to elders through Simla<br />

Sanatorium Hospital.<br />

Special discounts on treatment for<br />

Senior Citizens at various<br />

Private/charitable clinics and<br />

hospitals in Shimla.<br />

Special rebates on medicines for<br />

Senior Citizens at various chemists<br />

stores.<br />

Providing Ambulance services to<br />

senior citizens at subsidised rates<br />

in collaboration with local NGO’s<br />

and hospital.<br />

Rendering all possible timely<br />

support to the elders who are<br />

harassed and are in distress.<br />

All efforts for reconciliation and<br />

reunion.<br />

Enabling elders to fight for their<br />

rights.<br />

Rehabilitation at Old <strong>Age</strong> Homes.<br />

their problems on long term basis.<br />

Objectives:<br />

To provide social, economical, legal and<br />

financial counseling to senior citizens as<br />

and when required.<br />

The services & activities of Shimla<br />

Elders Helpline:<br />

<br />

<br />

<br />

For serious cases of harassment<br />

and minor crimes, police<br />

intervention and legal proceedings<br />

arranged.<br />

Advocacy and awareness building<br />

to help elders fight against crime<br />

and violence.<br />

Counseling:<br />

Trauma, Individual and Family.<br />

Active & Reflective Listening:<br />

Sharing concerns of lonely older<br />

persons with difficulties.


In the month of December 2010<br />

Shimla Elder’s Helpline has received total<br />

29 calls with different problems and<br />

enquiry about different information<br />

through our Helpline. Out of these calls we<br />

received most of the calls regarding<br />

information about ambulance services,<br />

Health services, social pension and<br />

Physiotherapy service by Help<strong>Age</strong> <strong>India</strong> in<br />

<strong>Himachal</strong>.<br />

Helpline Calls Statistics<br />

Help<strong>Age</strong> <strong>India</strong> Physiotherapy<br />

Services<br />

Physiotherapy is the treatment with<br />

physical modalities like heat, cold, mille<br />

ampere electric current and with<br />

therapeutic exercises for physical well<br />

being. Physiotherapy care is fundamental to<br />

ageing care. The physiological changes<br />

result in reduction of muscle power and<br />

tone, reduced range in motion and bone<br />

density. Symptoms include general<br />

weakness, faulty body postures, and<br />

decrease in cardiopulmonary endurance and<br />

reduced exercise tolerance. Apart from<br />

these, conditions like back pain, shoulder<br />

pain and other musculoskeletal conditions,<br />

paralysis and other neurological conditions<br />

which are common in geriatrics can be<br />

managed by physiotherapy. However,<br />

proper knowledge and awareness related<br />

diseases or degenerative diseases may<br />

minimize the time of occurrence and<br />

elderly can live a<br />

meaningful and happy life. Awareness and<br />

proper knowledge may also minimize the<br />

disability and dependency of the elderly.


Physiotherapy<br />

Centres in<br />

<strong>Himachal</strong><br />

<strong>Pradesh</strong><br />

( Mandi, Kullu,<br />

Shimla and<br />

Solan)<br />

Few Case studies follows……<br />

Case Study Kullu<br />

Name –Mr. Raman Chand Sharma<br />

Reg. No. – 91<br />

Address – Bhangruttu (Mandi)<br />

Condition – B/L O.A Knee joint<br />

Mr. Raman, SWD session of treatment at<br />

Help<strong>Age</strong> physio centre at Bhangruttu.<br />

He is a retired govt employee and is living<br />

in Bhangruttu. He came to our centre with<br />

complaining of pain in both knees. He<br />

cannot able to walk properly and difficulty<br />

to climb the stairs.<br />

On observation, swelling and redness on his<br />

both knees. ROM is also affected.<br />

T= Total treatment session<br />

N= New patients<br />

On palpation, tenderness is present at the<br />

medial join line of both knees. He also has<br />

pain during walking .quadriceps Power also<br />

decreased.


Management:-<br />

SWD 15 min on both knees<br />

US 5 min each on medial joint line on both<br />

knees<br />

Quadriceps Isometrics Daily<br />

Home exercise programme<br />

Now patient feels better. He is coming<br />

regularly and following treatment<br />

programme. He is also doing exercises at<br />

home also.<br />

Case study<br />

Kullu<br />

Smt Shanti Devi came to our Physiotherapy<br />

centre last month with her neighbour for<br />

her treatment.She is very poor and living in<br />

a kacha house with her husband.Becouse of<br />

her poverty she did not took any treatment<br />

or medicine for herself. After diagnosis we<br />

come to know she is suffering from PA<br />

shoulder and severe Osteoarthritis of knee<br />

joint.She is not giving any history of high<br />

BP. There is no history of fall and<br />

traumatic injury.<br />

On observation stiffness, spasm and<br />

tenderness is found over shoulder joint.<br />

There is also Pain during shoulder<br />

movements.In knee joint during palpation<br />

oedema and tenderness is found .Right knee<br />

is more affected than left. Crepitus sound<br />

is also present. Pain is aggravated after<br />

walking, up stairs.<br />

According to sign and symptoms my aim is<br />

to reduce pain ,oedema,tenderness and<br />

regain mobility functions<br />

PHYSIOTHERAPY TREATMENT :<br />

( Shanti Devi during IFT treatment session )<br />

Name - Shanti Devi<br />

<strong>Age</strong> - 85 y<br />

Sex - Female<br />

Reg No -301<br />

C/c - Pain in right shoulder and in<br />

knee joints both sides from last 5-6 years.<br />

IFT ……………10 sessions<br />

SWD…………...10 sessions<br />

ADVICE : Avoid cross leg sitting Avoid<br />

squatting.,Hot water fermentation.<br />

Level walk for 10 minutes in routine.<br />

After completion of her treatment I<br />

taught her some some exercise to keep<br />

mobility


in shoulder and in knee joints. She recover<br />

almost 50% from pain ,oedema and<br />

tenderness<br />

and send her good blessings for HELP AGE<br />

INDIA.<br />

Case study<br />

Solan<br />

Name DR. A P Madhan<br />

<strong>Age</strong>/sex69/M<br />

Condition tennis elbow (R)<br />

by right hand. one day he was passing or<br />

traveling in a saprooon area and see that<br />

there is a physio centre at his nearby<br />

station then after a day he visit to<br />

Help<strong>Age</strong> <strong>India</strong> physio centre with his wife<br />

and told he is link withed us from last many<br />

years or also sending donation to Help<strong>Age</strong><br />

as for our good work in the field of elder<br />

all over the world..<br />

DR Madhan, during examination by Dr<br />

sunder chauhan at Help<strong>Age</strong> physio centre<br />

solan<br />

On observation, DR Madhan is a interesting<br />

person with full of knowledge and with all<br />

his past experience.<br />

As per routine examination there is<br />

tenderness and pain over right elbow and<br />

difficulty in wrist extension or<br />

supnation/prenation. So I start with TENS<br />

and US therapy as under<br />

TENS<br />

US therapy<br />

10 day<br />

10 days<br />

Dr Madhan is a retired principal<br />

from kurkushatra univesty and living at<br />

solan in a apartment with his wife happily.<br />

He is suffering from tennis last 3 years<br />

and taking differient medicine or injectable<br />

by orthopedation but there is no<br />

satisfactory response now he is finding<br />

difficulty in activity related to performing<br />

Compilation of above session then switch on<br />

exercise with alternate day US therapy for<br />

20 days. Patient is responding well to<br />

treatment and visiting regular to centre<br />

with feeling of goodness and strengthening<br />

bond or trust with Help<strong>Age</strong>. After that<br />

patient had donated 7 pack of wax to the<br />

centre as a purpose to work sociably in<br />

community along with Help<strong>Age</strong> <strong>India</strong>.


Meetings & Visits<br />

Workshop on Development<br />

of ESHG<br />

Chief Guest Honorable DC Mr. Rana<br />

Addressing participants<br />

J.S. Rana.He inaugurated the workshop<br />

. He distributed the checks to the 26<br />

ESHGs community memberof Rs1.75lac.<br />

These funds came from revolving fund.<br />

One of the main aim of the meeting was<br />

to review the SAGP running in the 7<br />

districts of <strong>Himachal</strong> and to facilitate<br />

the effective implementation of ESHG<br />

which reinforce family and community as<br />

the most suitable place for an elderly<br />

A meeting held was on 13<br />

December 2010 the workshop was<br />

basically on Development of Elders Self<br />

help group . In which Participant was<br />

Elders Self Help Groups members like<br />

community animator, Project manager<br />

etc . The workshop was organised by Mr.<br />

Banolata<br />

General Secretary of <strong>Himachal</strong><br />

Harijan Kalyan Sanstha. The significant<br />

or resource persons are Dr. Rajesh<br />

Kumar from Help<strong>Age</strong> <strong>India</strong> , Mr. A.K.<br />

Mahajan from NABARD ,Omkar Ji Distt.<br />

Welfare officer , Dr. Ramesh Gupta<br />

from Animal Husbandry , Mr. Baldari<br />

from KVIC , Mr. Narender from<br />

Horticulture. Our Chief guest was<br />

Honorable Deputy Commissioner Mr.<br />

lead a life of and dignity and self<br />

respect .We are using these meetings<br />

and gatherings for strengthening our<br />

network and setting up our strategy for<br />

our activities implementation for the<br />

coming days. From this exercise we feel<br />

that day by day we are so much more<br />

connected than before with senior<br />

citizens in the city.


At the end of the meeting Dr.<br />

Rajesh kumar gave the special thanks to<br />

the guest came from different<br />

departments and the valuable<br />

information of different schemes given<br />

to the elders.<br />

One Day Workshop for the<br />

Sustainability of MEU<br />

the supporters from different sites to<br />

finally take over the charge of MEU-DST<br />

Pilot Project w.e.f 1 April-2011 and run it<br />

smoothly with the support and co-operation<br />

of the Community under the control and<br />

supervision of Vridh Sewa Samiti,<br />

Basantpur. In this workshop 26 members<br />

from different MEU Sites i.e Basantpur,<br />

Gumma, Sunni and Mashobra along with<br />

members of Vridh Sewa Samiti Basantpur<br />

actively participated. In this one day<br />

workshop some guidelines were finalised<br />

and discussed , some targets were fixed<br />

and the next one day workshop /meeting to<br />

As per Minute of Meeting with Vridh<br />

Sewa Samiti Basantpur dated 11/11/2010<br />

Dr. Manoj Dass, Consultant Help <strong>Age</strong> <strong>India</strong><br />

(Four X 4 )visited MEU-DST Pilot Project<br />

evaluate the progress was fixed on 6th<br />

Fe.2011 at 10AM to 4Pm in Community hall<br />

Basantpur. Some of the Photographs of the<br />

workshop are as attached below.<br />

Basantpur and held one day Work shop as<br />

fixed on 5th Dec.2010 in Community Hall<br />

Basantpur. The workshop was held to<br />

discuss in details and finalize the main<br />

objectives, targets, decide the operational<br />

areas to be covered by MMU in future,<br />

methods and ways to be followed to raise<br />

funds ,sources of prospective funds and<br />

donors with a view to equip the MMU<br />

Managing Committee`s Members as well as


and 148 patients (66 male & 82 female)<br />

referred to Physiotherapy Section and<br />

conducted different Lab Tests i.e. sugar,<br />

Hb, Urine, ECG etc. and provided different<br />

physiotherapy treatments as per their<br />

requirements.<br />

Above Dr.Manoj Dass addressing MEU-DST Pilot<br />

Project different Sites MEU Managing Committees<br />

members i.e from Basantpur,Guma,Sunni,and<br />

Mashobra on 5 th Dec.2010 in Community hall<br />

Basantpur.<br />

Above Dr. Balwant Singh, MEU-DST Medical Consultant<br />

diagnosing patient during routine weekly visit in MEU site<br />

Basantpur<br />

During the month of December –<br />

2010 all the MEU Sites i.e. Vikas Nagar,<br />

Basantpur, Sunni, Gumma & Mashobra were<br />

regularly visited once in a day every week<br />

and 1686 patients i.e. (760 Male & 926<br />

Female) were attended in general OPD and<br />

Above Mr. Ankur detailing the use of online software<br />

provided free Medical consultations and<br />

medicines as per their requirements. Out<br />

of 1686 patients in general OPD only 167<br />

patients (72 male & 95 Female) were<br />

referred to MEU-DST Clinical laboratory<br />

Mr. Ankur Pratap I.T Expert from Four 4<br />

X 4 along with Mr. Gopal Chohan visited<br />

MEU-DST Pilot Project Basantpur and had<br />

been in Basantpur w.e.f 5/12/2010 to


7/12/2010 to finalize the process of online<br />

reporting Software. They had rounds of<br />

meetings with MEU Operational Staff both<br />

in office as well as in MEU-Site Vikash<br />

Nagar and Basantpur to improve reporting<br />

on Software to finally submit it for<br />

approval and put in routine operation.<br />

GENERAL HEALTH CHECK-UP<br />

CAMP ON 18 Dec.2010<br />

A small but very attractive multi facilities<br />

General free Health Check Up Camp was<br />

held on 18th Dec.2010 at Mata Sheetla<br />

Mandir in Village Sayari about 85km away<br />

from Basantpur .This Camp was organized<br />

with the co-operation and support of HP<br />

State Sr. Citizen Forum, Shimla and Sr.<br />

Citizen Association Sayari . Mr. M.R<br />

Thakur, President HP State Sr. Citizen<br />

forum Inaugurated the camp .The General<br />

Secretary Mr. D.R. Verma and Secretary<br />

Mr. Ratneshwar of the forum along with<br />

all the Executive Body Members of Sr.<br />

Citizen Association Sayari were also<br />

present. Sound arrangements for<br />

refreshment and Community lager for<br />

patients was also made by local community.<br />

Patient from various Villages/Panchyats i.e<br />

Kala, Chinog, Dhamun Satrol and Patta<br />

Bushahri has come from surrounding areas.<br />

During camp our whole medical team<br />

reached at Sayari around 9:35 AM.<br />

MEU-DST Pilot Project Medical<br />

Consultant Dr. Balwant Singh along with Dr.<br />

Ms Nomita Medical Officer Govt.<br />

Community Primary Health Centre Sayari<br />

and Dr Anil Mehta, Medical Officer, Govt.<br />

Ayurvedic Dispensary, Sanket Mochan<br />

Dispensary ,Shima attended 206 (117<br />

Male& 89 Female ) patients in Medical OPD<br />

. Allopathic as well as Ayurvedic medicines<br />

were provided as per wishes of the<br />

patients. Out of 206 patients 49 (21<br />

Male&28 Female) patient were referred to<br />

MEU-DST Lab. Section and their different<br />

free Lab. Tests were conducted. ECG of 7<br />

(4 Male& 3 Female) patient was also<br />

conducted. Besides above 13 (5 Male&8<br />

female) patient were referred to MEU-<br />

DST Physiotherapy section and free<br />

Physiotherapy treatments were provided to<br />

them as per their requirements. Counseling<br />

services to the needy patient were also<br />

provided. People were found praising Help<br />

<strong>Age</strong> <strong>India</strong> for its remarkable services in<br />

the vicinity of Shimla and nearby villages.<br />

Many villagers demanded such health camps<br />

at their doorsteps more frequently.


The issue regarding continuation of<br />

the MEU-DST Project was also discussed<br />

with all the renounced persons of the area<br />

as well as the Sr. Citizen Forum and the<br />

Association of Sayari. They all assured to<br />

raise funds for the same. Many local people<br />

pledged to do so for the cause and help of<br />

the elderly of the area. The Health Camp<br />

Registration in progress<br />

was closed at 4:30.The details of Camp<br />

were also highlighted by local Press Medias.<br />

Some of the Photographs and News Paper<br />

clippings of the camp are as under.<br />

Media Coverage<br />

Dr. Balwant consulting patients<br />

Dr. Mehta Consulting patients

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