AIIMS Rishikesh

geriatric_medicine

Photo Name  Designation Area of interest Orchid Id
Prof. (Dr.) Minakshi Dhar Professor and Head Clinical: General Geriatrics, Frailty and multimorbidity

Research: Sarcopenia, nutrition, alternative medicine

 https://orcid.org/0000-0001- 6336- 5179
Dr. Monika Pathania Additional Professor Clinical: -

Lifestyle diseases- hypertension, metabolic syndrome, dyslipidemia, integrative medicine, mind body medicine

Research: -

Lifestyle diseases- hypertension, metabolic syndrome ,dyslipidemia,integrative medicine, mind body medicine

 https://orcid.org/0000-0003-3609-1162

https://www.researchgate.net//profile/Monika_Pathania/info

CLINICAL SERVICES:

Outpatient services at present:

  1. Department is providing outpatient services daily (5 days in the Institute) along with one-day community outreach clinic.

General Geriatric OPD Schedule: 8.30 am to 2.00pm

Day of Week/ Time Consultants
Monday Prof. Minakshi Dhar,
Tuesday Dr. Monika Pathania
Wednesday Prof. Minakshi Dhar
Thursday Dr. Monika Pathania
Saturday Outreach clinic

 

  1. Currently, specialized clinic in Lifestyle/Integrative Medicine, Fall clinic, Memory clinic and Heart Failure are being run.

Specialty Clinics/ services (Diagnostic and/or Therapeutic)

Schedule- day and consultant wise:

Day of Week/time Specialty Clinic Consultant in charge Consult, if you have following issues…
Wednesday/ 2-4PM Heart Failure Clinic Prof. Minakshi Dhar Patients diagnosed with Heart failure with or without any other co morbidity
Thursday/2-4PM Lifestyle Clinic Dr. Monika Pathania Patients requiring diagnosis, treatment and/or management of high blood pressure i.e BP > 139/89 with or without complications.

Patients who are over Wight, i.e BMI – 23 – 24.9, obese class 1- BMI -25-29.9.

Patient with metabolic syndrome (obesity, hypertension, hyperglycemia ,dyslipidemia)
Friday / 09 AM to 12 PM Lifestyle Clinic (Integrative Medicine) Dr. Monika Pathania
Wednesday/ 2-4PM Fall clinic Prof. Minakshi Dhar Giddiness, History of unintentional fall, Problem with balance, fear of fall
Tuesday/ 9 AM-1 PM Memory Dr. Monika Pathania  

 

  1. Yoga therapy Room is available in the OPD area to provide Yoga therapy to patients.
  2. Allied specialty services are being utilized for referral. including Ophthalmology, ENT, Urology, Psychiatry, Orthopedics, Dental and PMR.

Inpatient services at present:

  1. A 20 bedded inpatient service with medical ward having 14 beds, 4 Acute Care beds, and 2 long-term care beds. In addition, separate beds have been earmarked for elderly in different specialties like urology, neurology, ENT, Ophthalmology, cardiology, PMR departments.
  2. We have Yoga and physiotherapy room for inpatient therapy.

Other Facilities available:

  1. General parameters: Anthropometric measurements (height, weight, BMI, Hip, Waist Circumference) Vital sign: Pulse, Blood pressure, Temperature and other vitals monitoring. Blood glucose charting.
  2. Counselling about treatment plan, investigations, Health education
  3. Dietary Services: The department provides dietary opinion in the OPD area by trained dieticians. Both inpatients and outpatients are provided dietary advice. This service is really helpful for patients with diabetes, hypertension, IBS,malabsorption syndromes, renal disease, liver disease and other conditions requiring specific diets.
  4. Telemedicine Services: The department provides telemedicine services on working days. This helps patients living in remote areas and those who can’t access healthcare because of the ongoing COVID pandemic. Specialty clinics also provide their services via telemedicine. Services are available both on call and via WhatsApp messages. Patient complaints are evaluated and they are advised regarding further management. This has helped reduce need for physical OPD visits.

Month wise OPD Census w. e. f. 01/04/2023-31/03/2024

 

Month Number Of Patients
General OPD Lifestyle Disease Clinic Heart Failure Clinic Integrative Medicine clinic
अप्रैल 2023 1216 54 15 21
मई 2023 1499 41 13 21
जून 2023 1164 29 16 9
जुलाई 2023 1118 17 8 14
अगस्त 2023 1184 38 12 19
सितम्बर 2023 1343 14 10 36
अक्तूबर 2023 1295 14 8 24
नवम्बर 2023 1029 36 8 12
दिसम्बर 2023 1141 43 1 27
जनवरी 2024 990 29 3 7
फरवरी 2024 1205 13 3 23
मार्च 2024 1143 4 4 15
Total 14327 332 101 228

 

 

 

 

Department of Geriatric Medicine April 2023 to March 2024 (Overall Admitted Patient Data)

 

Monthly Admission Discharge Data 364 Geriatric Medicine Ward
Month Admission Total Admission
OPD Emergency
अप्रैल 2023 36 18 54
मई 2023 27 18 45
जून 2023 33 9 42
जुलाई 2023 32 26 58
अगस्त 2023 32 21 53
सितम्बर 2023 28 23 51
अक्तूबर 2023 33 19 52
नवम्बर 2023 40 21 61
दिसम्बर 2023 39 12 51
जनवरी 2024 20 28 48
फरवरी 2024 26 26 52
मार्च 2024 33 32 65
Total 379 253 632

 

 

Courses run by the department:

  1. Post Graduate Course:
  2. Department is already running a post graduate course in geriatric medicine with annual intake of 2 candidates/ year.
  3. Proposal is to start the Diploma course in Geriatric Medicine for in service doctors of State of Uttrakhand.
  4. Post-Doctoral courses:
  • PDCC Geriatric Medicine-The department has started post-doctoral certificate course in Geriatric Medicine in January 2019. Two residents have successfully completed the course.
  • PDCC Lifestyle Diseases. -The department has started PDCC course in Lifestyle diseases and is running a lifestyle clinic in the department. One candidate has got the degree and other is presently pursuing the course.
  • PhD Course: -There are Three PhD students presently in the department.
MD, Geriatrics 3 Years 10 Student  
PDCC , Geriatrics 1 years 0 Student  
PDCC in lifestyle disease management 1 YEAR

 

 ( Students-0)

2 STUDENTS PER YEAR APPROVED-

 Course details:

1. Name of the course: Post-Doctoral Certificate Course (PDCC) in lifestyle disease management

2. Duration: One year

3. Number: Two students per year

4. Eligibility: The course is open for candidates holding MD Medicine/MD Community and Family Medicine/MD Pharmacology

Age limit: 35 years (as on 1st January of admission year),

Learning objectives:

1. To bring desirable and positive change in knowledge, skills, attitude in the learner, in managing common lifestyle related diseases

2. Inculcate evidence based research among the doctors in lifestyle diseases to provide best available care to patients affected by lifestyle disorders.

3. Take the lifestyle disease care from hospital door to community with an integrative approach.

4. To provide well trained, complete, basic medical doctor with a holistic and scientific approach to the health care system.

5. Lay the foundation of trained doctors for “wellness clinic “ proposed by the government for prevention of non-communicable diseases
PhD   Three Two - Under Prof. Minakshi Dhar

One - Under Dr. Monika Pathania

 

 

SESSION No. of JR (Geriatric Medicine) No. of SRs (PDCC Geriatric Medicine) No. of SRs (PDCC Lifestyle Disease) No. of PhD students
JAN 2020 1 (completed) 1 (completed)    
JULY 2020 2 1(completed)    
JAN 2021 2 2(completed)    
JULY 2021 - -    
JAN 2022 1   1 (completed) 1
July 2022 1   1  
JAN 2023 1      
JULY 2023 3      
JAN 2024 2     2
JULY 2024 2     1

 

 

  1. TOT workshops:

Various workshops for Training the trainers will be organized for state doctors and nurses.

 

 

 

RESEARCH ACTIVITY:

  1. Various research activities are already being ongoing both at Institute level and community level
  2. We have good integration in AYUSH Department and also carrying out research projects with them.

 

Title Site-Investigators Principal Investigator Collaboration, if any (Department and institute) Funding Agency Projects Status
Harmonized Diagnostic Assessment of Dementia (DAD) for Longitudinal Aging Study of India (LASI WAVE 1) -  LASI is a Ministry of Health & Family Welfare project Dr. Minakshi Dhar,

Dr. Vikram Rawat

 Dr. AB Dey, AIIMS delhi Multicentric National Institute of Aging, USA Completed
Effectiveness of covaxin and covishield vaccine against severe COVID 19: multicentric hospital;l based case control study. Dr. Minakshi Dhar, Dr. Samita, Dr. vartika, dr. monika   Multicentric ICMR Completed
HTA of National stroke Care registry Programme development of hospital based Stroke Registries (HBSR) in different regions of India Dr. Minakshi dhar, Dr. Niraj Kumar AIIMS delhi Multicentric ICMR Ongoing
IMPETU Stroke: IMPlementation of an Evaluation and Treatment Package for Uniform Stroke Care and outcomes in the Medical Colleges in India. An Implementation Research Study Dr. Minakshi dhar, Dr. Niraj Kumar AIIMS delhi Multicentric ICMR completed
A randomized, double blind, placebo controlled, multi-centric, trial to determine the therapeutic efficacy of Ayush medicine NOQ19 in treatment of symptomatic COVID-19 patients along with standard allopathic treatment Dr. Minakshi Dhar. Dr. monika pathania   Multicentric Funded by SSIAR completed
Effect of Yoga therapy on elderly patients with fear of fall- An open label randomized controlled trial Dr. Krithartha, dr. monika pathania, dr. Yogesh bahurupi Dr. Minakshi Dhar Single center CCYRN completed
Harmonized Diagnostic Assessment of Dementia (DAD) for Longitudinal Aging Study of India (LASI WAVE 2) -  LASI is a Ministry of Health & Family Welfare project Dr. Minakshi Dhar,

Dr. Vikram Rawat, Dr. monika pathania

 Dr. Shrimistha  Dey, AIIMS delhi Multicentric National Institute of Aging, USA To be started
Sentinel surveillance of disease with covid vaccine Dr. Minakshi dhar, Dr. Yogesh Bahurupi   Multicentric ICMR ongoing
To assess the beneficial effect of adjuvant growth hormone therapy in elderly individuals with chronic congestive heart failure- multicentric study Dr. minkashi dhar, dr. monika pathania Dr. saurabh Srivastava GIMS, AIIMS bathinda ICMR To be started

 

 

Outpatient (for future plans):

  1. Specialized Geriatric Clinics like Incontinence Clinic, Dementia/Memory Clinic, Osteoporosis Clinic, pain & Palliative Clinic, etc.

In patient plans:

  1. Dedicated Geriatric ICU, and increase in long term care beds, with better rehabilitation services.

 

Clinical:

  1. To establish a regional geriatric center at AIIMS Rishikesh
  2. To Start Intergrative Medicine services along with AYUSH Department

Academic:

  1. To start various training courses in Geriatric Medicine for doctors and paramedical staff.
  2. To start training programme in Integrative Medicine

Research:

  1. To do collaborative Research in various aspects of Geriatrics covering preventive, preventive and social aspects.
  2. Do research in aging process.
  3. Research in alternative Medicine.

 

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