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Jariatric (Geriatric) Psychological Trauma Management Through Ayurveda by Ayurmitra, Nadi Bhishak Prof KSR Prasad on 20-02-2021 @ SHRI HINGULAMBIKA AYURVEDIC MEDICAL COLLEGE AND HOSPITAL KALABURGI, KANATAKA

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  1. 1. Jariatric (Geriatric)  Psychological Trauma Psychological Trauma  Management Through  A d Ayurveda Ayurmitra, Nadi Bhishak Prof KSR Prasad 20‐02‐2021  @ SHRI HINGULAMBIKA AYURVEDIC MEDICAL COLLEGE AND HOSPITAL  KALABURGI, KANATAKA Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  2. 2. Introduction Jariatric Psycho‐Trauma Management in Ayurveda Introduction • Jara is the old age or ageing process of the body tissue  sustenance and maintenance based upon the cell repair  p p and cell division – 90% of cell division takes place in the womb to make the  tissues and body shaping  – 9% of the cell division completes by 18 years of age or by the  time body is fully developed with functioning organs as Adult time body is fully developed with functioning organs as Adult – Only 1% remained maintains the body throughout the life till  death • The rapid cell division makes one to be AGED early and  as much as the cell division is delayed we get the  RASAYANA effect Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  3. 3. Sequential Loss of Biological Qualities in Aging Jariatric Psycho‐Trauma Management in Ayurveda Decades Years Losses (Vagbhata) Losses (Sharangdhara) oÉÉsrÉÇ uÉ×ήuÉïmÉÑqÉåïkÉÉ iuÉaSìÖ̹ zÉÑ¢üÌuÉ¢üqÉÉæ oÉÑή: MüqÉåïÎlSìrÉÇ cÉåÌiÉ eÉÏÌuÉiÉÇ SzÉiÉÉå ¾ûxÉåiÉç - zÉÉ.xÉÇ.mÉÔ.6/20 Sequential Loss of Biological Qualities in Aging  ( g ) ( g ) First 0-10 Balya (Boyishness) Balya (Childhood) Second 11-20 Vrddhi (Growth) Vriddhi (Developmant) Third 21-30 Prabha (Luster) Chhabi (Beauty) Fourth 31-40 Medha (Intellect) Medha Fifth 41-50 Twaca (Skin) Twaca Fifth 41 50 Twaca (Skin) Twaca Sixth 51-60 Sukra (Sexual Ability) Drsti (Vision) Seven 61-70 Drsti (Vision) Sukra (Sexual Ability) Eighth 71-80 Srotrendriya (Audition) Vikram (Strength) Ninth 81-90 Mana (Psyche) Buddhi (Wisdom) Tenth 91-100 Sparshanendriya Karmendriya (Locomotor 3 (Psychomotor function) Activity) Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  4. 4. Shate / saptame /Ashtame Hraset Jariatric Psycho‐Trauma Management in Ayurveda Shate / saptame /Ashtame Hraset • The Sharngdhara considered 10 year interval  for the loss of tissue ability and functions even  though Ayurveda said 120 years of life span – Today with the circumstances and industrialization  probably we need to reclassify the time duration  of 3 categories – Avara – Madhyama – Pravara Ayu or living with 6 7 8 years of span of intervals to or living with 6‐7‐8 years of span of intervals to  count instead of 10 years said by Sharngdhara Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  5. 5. Focus Jariatric Psycho‐Trauma Management in Ayurveda Focus  • As Sharngdhara evolved two psyche factors – – The first is loss of Intellect ‐ Medha in between 30‐40  years  – Second is loss of Wisdom – Buddhi / Psyche ‐ Mana in Second is loss of Wisdom  Buddhi / Psyche  Mana in  between 80‐90 years  • Today context refer the growth stoppage as early  as Avara 12 years and till 16 years as Pravara as Avara 12 years and till 16 years as Pravara – To get the intellectual and psychological depreciation  we need not wait till 70 years of ageing  • We are loosing our intellect at 24 – 32 and Mano dushti – psychological debility between 48 – 64  under present day circumstances under present day circumstances  5 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  6. 6. Jariatric Psycho‐Trauma Management in Ayurveda 10 visible signs of Ageing 1. Hair loss 2. Eyes (Visual disturbances) 3. Ears (Hearing loss) ( g ) 4. Lost Teeth 5. Wrinkled Facial skin 6 Dropped Breasts 6. Dropped Breasts 7. Dry loose Body skin 8. Thin Buttocks i d i 9. Raised Veins 10. Weak Muscles and  bones 6 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  7. 7. Prominent Seven Signs of Ageing Jariatric Psycho‐Trauma Management in Ayurveda Prominent Seven Signs of Ageing 1. Lines and wrinkles  2 U ki t t 2. Uneven skin texture  3. Uneven skin tone  4 Appearance of pores 4. Appearance of pores  5. Blotches and age spots  6 Dry skin 6. Dry skin  7. Dullness Most of the times all these are happening  pp g because of malnutrition or the pollution  surrounded by us  7 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  8. 8. Gender Differences of Ageing Jariatric Psycho‐Trauma Management in Ayurveda Gender Differences of Ageing doctorksrprasad@gmail.com /  09290566566 8 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  9. 9. R l S P iti Si f b Jariatric Psycho‐Trauma Management in Ayurveda Real Seven Positive Signs of observance  1. Emotional maturity appears 2 Wi d lf fid lf d l 2. Wisdom, self‐confidence, self‐esteem develops 3. Owning your own house fulfills 4 S f ti lif i li 4. Sense of perspective on life inclines 5. Sexual confidence deprives 6 Career develops 6. Career develops  7. Financial security obtains This is one side of coin – the other side is dark and This is one side of coin – the other side is dark and  terrible with blowing psyche and depressed  mind 9 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  10. 10. The Realit of A ein Jariatric Psycho‐Trauma Management in Ayurveda The Reality of Ageing  • In humans, ageing represents the accumulation of  h h b d changes in a human being over time and can  encompass – Physical – Physical,  – Psychological, and  – Social changes. Social changes.  • Ageing or aging is the process of becoming older.  – Reaction time, for example, may slow with age, while  , p , y g , knowledge of world events and wisdom may expand. • Other wise, Ageing is a continuous process of  transformation and depreciation of Body and Mind  10 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  11. 11. Facts of A ein Jariatric Psycho‐Trauma Management in Ayurveda Facts of Ageing • Between 2015 and 2050, the proportion of the Between 2015 and 2050, the proportion of the  world's population over 60 years will nearly  double from 12% to 22%. • By 2050, 80% of older people will be living in  low‐ and middle‐income countries and groups. low and middle income countries and groups. – The pace of population ageing is much faster than in  the past. • All countries face major challenges to face this  demographic shift. 11 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  12. 12. Aged condition in India Jariatric Psycho‐Trauma Management in Ayurveda Aged condition in India • Most common psychiatric illnesses in the Indian  elderly population are – elderly population are  – Depression,  – Dementia and  – Anxiety disorders.  • 43% of elderly Indians are facing psychological issues R il bl t t t th d f ld l i • Resources available to cater to the needs of elderly in  the country are – – Government and private psychiatric hospitals,  p p y p , – Non‐governmental organizations and  – The family as caregivers. 12 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ https://www.livemint.com/Politics/g1bVF6quRKldSxL6HljnzI/43‐of‐elderly‐Indians‐are‐facing‐psychological‐issues‐stud.html
  13. 13. M ths related to a in in India Jariatric Psycho‐Trauma Management in Ayurveda Myths related to aging in India • Age is an illness Age is an illness • Most elderly are depressed, demented, or  dependent dependent • Loss of social ties leaves the older adult alone  d i l d and isolated • In a chronic illness, social factors are less  important in late life • The older the patient, the greater the cost. p , g 13 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  14. 14. The 4 t pes of a eism Jariatric Psycho‐Trauma Management in Ayurveda The 4 types of ageism 1. Personal ageism is an individual’s attitudes, ideas,  practices, and beliefs that are biased against older  persons 2. Institutional ageism involves rules, missions, and 2. Institutional ageism involves rules, missions, and  practices that discriminate against older individuals or  groups based on age 3 Intentional ageism is attitudes rules or practices that 3. Intentional ageism is attitudes, rules, or practices that  are implemented knowing they are biased against  older people 4 U i i l i i id i d l 4. Unintentional ageism is ideas, attitudes, rules, or  practices carried out without the perpetrator knowing  these are biased against older persons. 14 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Cavanaugh J, Blanchard‐Fields F. Adult Development and Aging. UK: Nelson Education; 2014. 96. Cruikshank M. Learning
  15. 15. Health Unhealth A ein Jariatric Psycho‐Trauma Management in Ayurveda Healthy – Unhealthy Ageing • Healthy ageing includes – Comfortable Healthy ageing includes  Comfortable  environment includes Home, Financial  security caring relatives & friends Social security, caring relatives & friends, Social  relations, name and fame, etc. • Unhealthy ageing is noted with neglected by • Unhealthy ageing is noted with – neglected by  family & friends or pending over burdened  responsibilities of family social humiliation responsibilities of family, social humiliation,  financial issues, depression, etc.  15 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  16. 16. Ps cholo ical tra ma Jariatric Psycho‐Trauma Management in Ayurveda Psychological trauma  • Longer life gives opportunities to the family and Longer life gives opportunities to the family and  society but brings much psychological problems  to the elderly  y • Instead of using elderly experiences they are  being neglected and being thrown out as waste being neglected and being thrown out as waste • Beyond biological ageing, retirement and  relocation adoptions and psycho‐social situations relocation adoptions and psycho social situations  related to financial commitments brings more  vulnerable psychological trauma  p y g 16 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  17. 17. What to do? Jariatric Psycho‐Trauma Management in Ayurveda What to do? 1. Strengthen the physical ability through regular  g p y y g g agreeable workouts 2. Following universal health care measures  according to Agni and Dosha influences according to Agni and Dosha influences  3. Create Age‐friendly environments to be active  physically and mentally physically and mentally  4. Keep yourself friendly every where but offer  advise only when asked 5. Following Yoga, Panchakarma, Ayurveda Diet  schedule along with Diava Vyapashraya Chikitsa  + Satwavajaya Chikitsa + Satwavajaya Chikitsa  17 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  18. 18. Understanding Mental Health Issue Jariatric Psycho‐Trauma Management in Ayurveda Understanding Mental Health Issue • Anxiety Disorders (5% of the  household population) p p ) • Depression and Bipolar  Disorder (11.3% prevalence  of depression and 2.6% for of depression and 2.6% for  bipolar disorder) • Eating Disorders • Obsessive Compulsive • Obsessive Compulsive  Disorder (OCD) • Phobias and Panic Disorders P t T ti St • Post‐Traumatic Stress  Disorder (PTSD) • Schizophrenia (affects 1% of  h l i ) the population) 18 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  19. 19. P t ti l t i f t l ill i ld l Jariatric Psycho‐Trauma Management in Ayurveda Potential triggers for mental illness in elderly • Physical disability or loss of mobility y y y • Dementia‐causing illness (e.g., Alzheimerʼs disease) • Loss of a loved one • Long‐term illness (e.g., cancer or heart disease) M di ti i t ti • Medication interactions • Chronic pain • Alcohol or substance abuse • Alcohol or substance abuse • Emotional or memories and thoughts • Poor diet or malnutrition Poor diet or malnutrition 19 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  20. 20. Warnin si ns of Mental Health Jariatric Psycho‐Trauma Management in Ayurveda Warning signs of Mental Health 1. Changes in appearance or dress,  2. Confusion & Disorientation,  3. Depressed mood lasting longer than two weeks. 4. Problems with concentration or decision‐making 5. Memory loss, especially short‐term memory loss (STML) y , p y y ( ) 6. Feelings of worthlessness,   7. Inappropriate guilt & Helplessness; 7. Inappropriate guilt  & Helplessness;  8. Social withdrawal 9. Thoughts of suicide 9. Thoughts of suicide 20 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  21. 21. Warning signs of Mental Health Jariatric Psycho‐Trauma Management in Ayurveda Warning signs of Mental Health 10. Physical problems that can't otherwise be explained:  aches constipation etc aches, constipation, etc. 11. Problems in maintaining the home or yard. 12 T bl h dli fi 12. Trouble handling finances  13. Trouble working with numbers f i i hi h d b j bl 14. Loss of interest in things that used to be enjoyable. 15. Decrease or increase in appetite; changes in weight. 16. Unexplained fatigue  17. Energy loss 18. Sleep changes 21 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  22. 22. Assess to determine Assistance Jariatric Psycho‐Trauma Management in Ayurveda Assess to determine Assistance • Life tasks and self‐care ‐ activities such as  dressing, preparing meals, or using the phone • Safety ‐ including  financial safety and driving • Physical health ‐ include pain or uncomfortable  symptoms, hospitalizations, or loss of appetite • Mood and brain health such as feelings of • Mood and brain health ‐ such as feelings of  hopelessness, loss of interest in activities they  used to enjoy, or isolation • Medication safety ‐ including skipping  medications, and worrisome side effects or  symptoms related to medications symptoms related to medications 22 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  23. 23. Most common Dementia Jariatric Psycho‐Trauma Management in Ayurveda Most common – Dementia  • The most common mental health issue among  e ost co o e ta ea t ssue a o g the elderly is severe cognitive impairment or  dementia.  • About 5 million adults 65 and older have  Alzheimerʼs disease — about 10% of seniors • Depression and mood disorders affect up to 5%  of seniors 65 and older living in the community O l 13 5% f ld d lt i i h • Only 13.5% of older adults are receiving home  healthcare or are hospitalized / sent to old age  homes with care homes with care 23 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  24. 24. Depression Jariatric Psycho‐Trauma Management in Ayurveda Depression  • Almost all people feel at times during their  li h i d di i t t lives unhappiness, sadness or disappointment.  – The incidence of depression is higher in the  elderly elderly.  • Factors associated with the occurrence of  depression are of two types: depression are of two types:  – those related to elderly living environment that  causes pressure and stress, and  p , – those related with the elderly and more  specifically with its biological functions.  24 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  25. 25. Depression Jariatric Psycho‐Trauma Management in Ayurveda Depression  • The effect of an unhappy event in an elderly  person with lack of these neurotransmitters  can cause depression.  – Suicide is the leading risk for depressive patients.  • Maintenance of a depressed elderly in a  p y desired operating level depends on the  politeness, the kindness and the sympathy  p , y p y cultivated between the elderly and the nurse 25 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  26. 26. Social e cl sion Jariatric Psycho‐Trauma Management in Ayurveda Social exclusion  • Elderly people with age discrimination, who  de y peop e t age d sc at o , o reduce or eliminate entirely and encounter major  obstacles in achieving their plans.  • Withdrawal of the elderly from the society is  common.  • Elders avoid social contacts because of the  reduction of functions, Prolonged bed rest,  sedation and unavoidable immobilization etc sedation and unavoidable immobilization, etc. • A psycho intellectual dimension helps elderly to  achieve the greatest goals achieve the greatest goals 26 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  27. 27. An iet and phobias Jariatric Psycho‐Trauma Management in Ayurveda Anxiety and phobias • Stress is the dominant symptom of neurotic  St ess s t e do a t sy pto o eu ot c disorders and shows both psychological and  physical signs and symptoms. • Anxiety in the elderly are the agony for  apparently insignificant events and the agonizing  ti i ti i d l l ll ith anticipation in everyday level as well as with  loneliness and self‐care inability.  • Physical and social changes are many and as a • Physical and social changes are many and as a  result the fears of the elderly do require  psychological support  p y g pp 27 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  28. 28. Loneliness Jariatric Psycho‐Trauma Management in Ayurveda Loneliness • Loneliness is a sad feeling of isolation from other  people, usually accompanied by mental fatigue, people, usually accompanied by mental fatigue,  bitterness, or even despair. • Inability to daily life adjustment in new conditions most  often leads to melancholia often leads to melancholia  • Other conditions includes – remembrance of lost loved  ones ‐ Children, parents, etc. or weakened relationships,  ki l di working at long distances, etc. • Antidote to loneliness is – – 1) the cultivation of self‐esteem, 1) the cultivation of self esteem,  – 2) elimination of negative thoughts and traumatic  experiences of the past. – 3) Create and strengthen relationship with people – 3) Create and strengthen relationship with people  28 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  29. 29. Psycho‐social problems Jariatric Psycho‐Trauma Management in Ayurveda Psycho social problems • The close bond inside the family can help and  support people by showing them that they are  ll f il really a family • Family can give elderly an appropriate stimuli to  adjust himself in order to remain independent and adjust himself in order to remain independent and  active • Family can keep the elderly occupied with things  that make them pleasure such as guarding and  caring for their grandchildren, etc.  • Even a simple phone call can offer to these people • Even a simple phone call can offer to these people  maximum joy and gives them consolation that  someone cares for them 29 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Kourkouta L.1*, Iliadis Ch.2, Monios A.3 , Prog Health Sci 2015, Vol 5, No1 Psychosocial issues in elderly 
  30. 30. GENERAL CHALLENGES FOR Jariatric Psycho‐Trauma Management in Ayurveda GENERAL CHALLENGES FOR  GERIATRIC MENTAL HEALTH IN INDIA The demography of aging in India • India has a total population of 1.31 billion and the  h f i di id l d 60 d growth rate of individuals aged 60 years and  older is three times that of the population as a  whole may reach 20% of the total population by whole may reach 20% of the total population, by  2050 – Women in old age are more prone to social insecurity,  g p y, health problems, and greater emotional/financial  insecurities 30 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/ Lodha P, De Sousa A. Geriatric mental health: The challenges for India. J Geriatr Ment Health 2018;5:16‐29.
  31. 31. The heterogeneity of clinical Jariatric Psycho‐Trauma Management in Ayurveda The heterogeneity of clinical  presentations in geriatric mental health – There are incomplete clinical pictures where  diagnostic criteria are not satisfied, but the diagnostic criteria are not satisfied, but the  problems are severe enough to warrant  treatment.  – The patient being on multiple medications and  multiple doctors treating the patient need to work  in synergy for best results 31 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  32. 32. The challenge for dementia care in India Jariatric Psycho‐Trauma Management in Ayurveda The challenge for dementia care in India – In 2010, there are 3.7 million Indians with  dementia and the total societal costs is about  14,700 crores. – Research indicates that up to 90% of the time,  challenging/psychiatric behaviors (agitation,  irritability restlessness sleep disturbance and/or irritability, restlessness, sleep disturbance, and/or  emotional distress) that occur in persons with  dementia may be caused by either factors in the dementia may be caused by either factors in the  environment or by a caregiver approach.[ 32 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  33. 33. Social factors that play a role in Jariatric Psycho‐Trauma Management in Ayurveda Social factors that play a role in  geriatric mental health problems • Along with the typical life stressors common to all people,  many older adults lose their ability to live independently  because of limited mobility, chronic pain, frailty, or other  mental or physical problems. – A majority (80%) of them are in the rural areas – Feminization of the elderly population (51% of the elderly  population are women)[ – Increase in the number of the older‐old (persons above 80  years) A l t (30%) f th ld l i b l th t li – A large percentage (30%) of the elderly is below the poverty line 1) Retirement:  2) Housing issues: 3) Financial issues:  4) Lack of transport:  5) Parents in India and Children Abroad: 33 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  34. 34. A r eda Care Jariatric Psycho‐Trauma Management in Ayurveda Ayurveda Care • Ayurveda offers treatments of Rasayana & Ayurveda offers treatments of Rasayana &  Vajikarana as the standard modes of  protecting physical Ageing • The psychological ageing effects are well  addressed through Satwavajaya Chikitsa and  Daiva Vyapashraya Chikitsa  • The most important modality to neutralize the  adverse effects of ageing is Yoga and  Panchakarma  34 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  35. 35. Sat a aja a Chikitsa Jariatric Psycho‐Trauma Management in Ayurveda Satwavajaya Chikitsa  • Ardhebhyo – Ahitebhyo ‐ Mano Nigraha ‐ Ardhebhyo Ahitebhyo Mano Nigraha Controlling mind generating – – Jnana – self Knowledge experience – Jnana – self Knowledge experience  – Vijnana – affirmative knowledge understanding  Dhairya courage to face – Dhairya – courage to face  – Smrithi – recollection of goods  S dhi ithd l f – Samadhi – withdrawal of senses  35 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  36. 36. Dai a V apashra a Chikitsa Jariatric Psycho‐Trauma Management in Ayurveda Daiva Vyapashraya Chikitsa  • Daiva Vyapashraya Chikitsa is  d d f mentioned in Ayurveda for  regulating and strengthneing Psyche Psyche  • Out of – – Mantra – recitation of Mantra – Swastayana – chanting auspicious  hymns – Niyamana – observance of spiritual Niyamana observance of spiritual  rules  – Pranitapata – observance of Godly  places places  36 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  37. 37. Yo a Chikitsa Jariatric Psycho‐Trauma Management in Ayurveda Yoga Chikitsa • Out of Ashtanga Yoga – g g – Asana – Physical  Musculoskeletal toning  g – Pranayama – Neuro respiratory exercise – Dhyana – Meditation ‐ Psycho concentration  37 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  38. 38. Panchakarma Chikitsa Jariatric Psycho‐Trauma Management in Ayurveda Panchakarma Chikitsa • Ayurveda Panchakarma role in  elderly psychosocial & physical elderly psychosocial & physical  management is most important as it  can regulate and alter the situation  • Associated Rasayana management  with Panchakarma is a better  modality when an elderly is properly modality when an elderly is properly  counseled and cared  • The role of Family or Care takers is  foremost valued and undoubtedly  extrodernary 38 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  39. 39. Panchakarma Sched le for elderl Jariatric Psycho‐Trauma Management in Ayurveda Panchakarma Schedule for elderly – Abhyanga & Sarvanaga sweda – once in 7 days  y g g y – Virechana – once in 15 days – Yoga Vasti – once in 40 days for 8 days  – Shirodhara – once in 3 months for 7 days  – Sansarjana Krama • Ayurveda Dosha Based diet that suits the diseases already • Ayurveda Dosha Based diet that suits the diseases already  existing  – Advised to follow Satsanga or Goshti with like minded  and friends – Adaptation of visiting Temples and Public places is  also required also required   39 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  40. 40. qÉåkÉÉMüUuÉaÉïqÉç Jariatric Psycho‐Trauma Management in Ayurveda qÉåkÉÉMüUuÉaÉïqÉç – xÉiÉiÉÉkrÉrÉlÉÇ uÉÉS: mÉUiÉl§ÉÉuÉsÉÉåMülÉqÉç iÉ̲±ÉcÉÉrÉïxÉåuÉÉ cÉ oÉÑήqÉåkÉÉMüUÉå aÉÑ(aÉ)hÉ iÉ̲±ÉcÉÉrÉxÉuÉÉ cÉ oÉÑήqÉkÉÉM UÉ aÉÑ(aÉ)hÉ: xÉÑ ÍcÉ 28/24 AÉrÉÑwrÉuÉaÉïqÉç – Ç ã Ç Ï åï å Ç Ì AÉrÉÑwrÉÇ pÉÉãeÉlÉÇ eÉÏhÉåï uÉåaÉÉlÉÉÇ cÉÉÌuÉkÉÉUhÉqÉç oÉë¼cÉrÉïqÉÌWÇûxÉÉ cÉ xÉÉWûxÉÉlÉÉÇ cÉ uÉeÉïrÉåiÉç – ¼ W W ç xÉÑ ÍcÉ 28/24 40 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  41. 41. Concl sion Jariatric Psycho‐Trauma Management in Ayurveda Conclusion  • Jara or Ageing is not a sin or crime and it is a Jara or Ageing is not a sin or crime and it is a  natural process in life • Looking at the present day situations one has Looking at the present day situations one has  to make a proper arrangements for his future  life with – financial and comfort living  • Following the Ayurveda Dinacharya – Ratricharya –Ritu charya – Ahara Vihara along  with suitable Panchakarma makes the  individual Happy – Healthy – Ageing  41 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/
  42. 42. 01 Thank You Jariatric Psycho‐Trauma Management in Ayurveda 01 Thank You Ayurmitra‐ Nadi Bhishak KSRPrasad (Technoayurveda) 9290566566 /9503227966 42 Dr. K. Shiva Rama Prasad, at http://www.technoayurveda.com/

Jariatric (Geriatric) Psychological Trauma Management Through Ayurveda by Ayurmitra, Nadi Bhishak Prof KSR Prasad on 20-02-2021 @ SHRI HINGULAMBIKA AYURVEDIC MEDICAL COLLEGE AND HOSPITAL KALABURGI, KANATAKA

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