WHAT IT MEANS TO BE PROVIDING 24x7 EMERGENCY SERVICE

Introduction

On October 9th, this year, a day after Vijaya Dashami, around 7.30 am we received a call from Mr. Raju Baker (name changed). He spoke at a frantic pace. All that we could understand is that he needed Porosh’s help in providing Emergency Service. His ailing mother had collapsed on the floor. Raju was too perplexed to take a decision on his own.

Action Begins

Immediately upon receiving the phone call, Team Porosh swung into action. First, the Team quickly decided to send a trained nurse to address the immediate need of providing basic medical aid to Mrs. Baker. Being fully aware of the post Puja blues and city of Kolkata gradually limping back to routine life, the most dependable of nurses was contacted. She responded in the affirmative and within half an hour flat she was on her way to the client’s residence on Rawdon Street. She reached the spot in another half an hour from receiving the call. It was 8.30 am.

Almost parallel another team member contacted the service provider, empanelled with Porosh, for ambulance. The first person to be contacted had the mobile phone switched-off. The second person was a bit apologetic and said that the day after Durga Puja it is difficult to provide an ambulance service at 7.45 am. Although frustrating yet under such stressful situation one needs to maintain patience. Not to let loose of composure is the key. The third service provider promptly responded and AC ambulance with life support system was dispatched. By 9 am the ambulance reached the spot.

Meanwhile, the Team Porosh after arranging for the nurse and ambulance decided to pay visit to Raju and also meet his bedridden mother. By the time they arrived at the spot it was 9.45 am. The nurse was feeding Mrs. Baker after having removed her soiled clothes. Raju was still visibly perturbed, seated beside his mother. He informed Porosh that the family physician is unable to come and hence, she may have to be admitted to a nursing home.

When informed that the ambulance was already waiting he could not believe his ears. He was speechless for a moment and then thanked us profusely. A friend of his told Porosh that they had never expected such responsiveness and seamless execution when the Durga Puja had just got over.

Conclusion

The purpose behind sharing this incident is to highlight that having committed oneself to 24*7 Emergency Service calls for extreme alacrity, level headedness and also proactive thinking. The service providers cannot afford to be lax and nervous. Since time is of essence, decisions have to be taken and executed upon quickly. And this where Porosh stands out.

ROLE OF A CAREGIVER FOR ELDERS

Introduction

A few days ago we received a call around 8.30 am. A lady spoke hastily, “I need an ayah for 12 hours a day for a month for taking care of my ailing father.” She paused for a moment and then continued, “Well, you see, I feel a caregiver can also do the job. There is no need for an ayah even if it is going to be a tad expensive.” We were a bit confused and irritated. With due politeness we asked, “Madam, are you sure your father needs a caregiver and not an ayah?” Pat came the reply, “Dono same hi toh hai. I believe a caregiver is a more sophisticated version of an ayah.” We kept quiet for a moment and then explored with her the reasons for which she needed caregiver assistance. To cut the long story short, we realized the importance of conveying to our readers the role of a caregiver for the elderly.

Roles of a Caregiver

1. Assisting with personal care: bathing and grooming, dressing, toileting, and exercise

2. Basic food preparation: preparing meals, shopping, housekeeping, laundry, and other errands

3. General health care: overseeing medication and prescriptions usage, appointment reminders and administering medicine

4. Mobility assistance: help with getting in and out of a wheelchair, car or shower

5. Personal supervision: providing constant companionship and general supervision

6. Transportation: driving to and from activities, running errands, and help getting in and out of wheelchair-accessible vehicle

7. Emotional support: being a stable companion and supporter in all matters personal, health-related and emotional

8. Care for the elderly: orienting or grounding someone with Alzheimer’s disease or dementia, relaying information from a doctor to family members

9. Back-up care (or respite) services: providing other caregivers a break

10. Home organization: help with organizing, packing or cleaning for a trip, or general house care and cleaning

11. Health monitoring: following a care plan and noticing any changes in the individual’s health, recording and reporting any differences

Conclusion

Thus, it is quite evident that the role of caregiver requires specialized skills set which comes only through training and practice. It also calls for certain degree education preferably graduation, or how else is a caregiver is going to provide an elderly person necessary emotional support? The scope of caregiver’s role is quite vast as it encompasses not only assisting with personal care but also home organization. Obviously, in this context the role of an ayah is usually limited to assisting with personal care and mobility assistance.

DOES CONSUMPTION OF COFFEE CONTROL ALZHEIMER DISEASE

Introduction

Last weekend we met at a café in Hindustan Park (South Kolkata) for the weekly review meeting. For a change it was not our office in Diamond Park (Joka). While savouring the rich aroma of Colombian coffee our eyes fell on a statement displayed against a wall claiming consumption of coffee may help in arresting dementia and Alzheimer. We were intrigued and thus, decided to do a bit of study on our own and understand what has recent advances in the field of medicine has to offer to us. The following sections are an attempt to summarize the findings.

Findings

a) A research paper published in Nutrition (Volume 32, Issue 6, June 2016, Pages 628-636) on“Habitual coffee consumption and risk of cognitive decline/dementia: A systematic review and meta-analysis of prospective cohort studies” concluded by stating that the study suggested higher coffee consumption is associated with reduced risk for Alzheimer disease. However, it was added further, randomized controlled trials, or well-designed cohort studies are needed to determine the association between coffee consumption and cognitive decline, or dementia.

b) In yet another paper on “Coffee, tea, and caffeine consumption and prevention of late-life cognitive decline and dementia: A systematic review” in The Journal of Nutrition, Health & Aging (March 2015, Volume 19, issue 3, pp. 313–328| observed that given the very limited therapeutic value of drugs currently used in the treatment of Alzheimer Disease(AD) and dementia, preventing or postponing the onset of AD and delaying or slowing its progression are becoming mandatory. Among diet-associated factors, coffee is best known psychoactive stimulant resulting in heightened alertness and arousal and improvement of cognitive performance. Besides its short-term effect, study of some long-term effects on brain function provided evidence that coffee, tea, and caffeine consumption or higher plasma caffeine levels may be protective against cognitive impairment/decline and dementia.

c) A research article “Association between Coffee Consumption and Incident Risk of Disabling Dementia in Elderly Japanese: The Ohsaki Cohort 2006 Study”in Journal of

Alzheimer’s Disease(Vol. 50, No. 2, pp. 491-500, 2016)investigated the association between coffee consumption and incident risk of dementia in an elderly Japanese population. 23,091 subjects aged ≥65 y living in Ohsaki City, northeastern Japan, responded to the baseline survey in 2006. It was observed that overall, coffee consumption was significantly associated with a lower risk of incident dementia. In addition, this significant inverse association was more remarkable among women, non-smokers, and non-drinkers. Coffee consumption is significantly associated with a lower risk of incident dementia.

Conclusion

The above research papers have not drawn any conclusive evidence of coffee consumption reducing the debilitating impact of dementia and Alzheimer’s Disease on an individual. However, they have unequivocally indicated that it acts as protective against cognitive impairment/decline and dementia. Perhaps more research needs to be done in this domain before the clinching evidence can be drawn. It may also be noted that none of the research papers consulted by us seem to have included the Indian populace. Who knows the results may then then be quite different?