The Janaseva Foundation has led annual celebrations of this day. This year the celebration will be held on October 9th in Pune and is expected to bring over 2500 seniors from the city! This is one working meeting that I had the opportunity to participate in. The day long program will include breakfast and lunch, entertainment, group physical activity, education seminars and a fair to exhibit services available to older adults in Pune.
Here are some leaders who will participate in the annual celebration, including the Janaseva Foundation, Help Age India and the Navchaitnya Hasyayog Pariwar.
I finally had the opportunity to observe a laughing club in action! I had heard about this concept but had not experienced it until now. I was up at 6am to make it to the 6:30am gathering.
The club had a few leaders who took charge of encouraging range of motion exercises for everyone. The latter half of the hour focused on practicing different kinds of laughs- some prompts included: a welcome laugh, the belly laugh, and the "I ate something spicy" laugh.
This club benefits from the philanthropic support of its members. For example the space provided for for meeting is donated by a member.
These leaders helped to create the club which now has multiple locations all across the city of Pune!
At the end of the session I had the opportunity to talk about geriatric medicine and framed my presentation around the 5Ms.
Thanks to Dr. Karnitgar at Dr. DY Patil Medical College and Dr. Tamane of the Geriatrics Society of India/Pune Chapter, I participated in the CME course and presented Geriatric Palliative Care to both faculty and medical students.
Faculty had the opportunity to thank the medical college leadership for supporting this CME course for Geriatric Medicine. As part of the program, a famous Marathi poet eloquently shared his perspectives on aging.
I visited MadhurBhav, another privately owned senior living facility. I learned about the range of services provided, including intergenerational activities, home care, subacute care and longterm care. I was particularly impressed by their initiatives to help care for older adults with dementia.
MadhurBhav recruits some of its caregivers from villages in Maharashtra. In addition to promoting employment, this program also helps to fill the demand for more caregivers.
Older adults living at MadhurBhav can maintain a routine that includes meditation, exercise, arts and crafts and music. The facility also encourages its residents to participate in the numerous festivals and celebrations that occur throughout the year in Pune.
This palliative care center was established in 1997 and has been providing palliative care to the Pune community. The center has a true interdisciplinary model, with nursing, physicians, physical therapists, social workers, nutritionists and volunteers.
Dr. Dighe and I met during a panel discussion last week and through discussion about our interests and experiences, found out that we both participated in the faculty development course at Harvard, the Palliative Care Education and Practice Program.
As I walked around the campus, I was impressed by the beautiful courtyards and patient accessibility to the outdoors.
In addition to patient care, I learned that the palliative care center hosts the ELNEC nursing training and has a research arm.
This Tree of Memories reminded me of the work that my colleagues do at NYP. Cipla Palliative Care Center has also created a space to share stories about patients and families that they have provided care to.
The Janaseva Foundation held its One Day Sensitization Program on Intergenerational Bonding on August 22 at SNDT College in Pune. The goal of this program is to educate the youth about the role of family and the unique needs of the growing elderly population in India. This program is supported by the government of India.
The Janseva team, led by Shri Jaydev Naik and Adv Balwant Nisal met with Dr. Muktaja V. Mathkari, principal of the of SNDT College of Home Science. She shared her eagerness to collaborate with Janaseva and bring this unique program to her students.
The program began with an overview of the changing population demographics in India. I had the opportunity to discuss ageism and myths in aging as well as introduce the concept of intergenerational activities and programs. This was followed by a discussion about ageing with dignity and legals aspects related to aging in India.
I tried out some audience participation with true and false questions to engage the crowd as we discussed ageism in India.
I had the opportunity to present at a Geriatric Society of India CME program. The Geriatric Society of India/Pune Chapter collaborated with Cipla Palliative Care Training Center.
I organized my presentation around the 5Ms. Ending with a discussion about "what matters most" worked well with the rest of the sessions that focused on palliative care in India.
I learned about how palliative care is integrated into an inpatient and outpatient setting at Deenanath Mangeshkar Hospital, a private institution in Pune.
This was a fascinating overview of the legal aspects related to palliative care in India. For example, instituting a health care proxy and then being able to use that proxy requires multiple steps.
The CME session ended with an engaging panel session where we fielded multiple questions from the audience regarding geriatrics and palliative care.
Dr. Vinod Shah, the heart of the Janaseva Foundation organized a panel discussion to discuss all of the activities that this NGO is directing, with particular focus on the aging population.
The participants included professors and other interdisciplinary providers who have collaborated or plan to collaborate with the Janaseva Foundation
My dad stumbled into geriatrics when he moved to the US and had to give up his ENT experience to complete a medical residency. Over the past 40 years he has worked in and directed a few long term care facilities. He spoke about his experiences.
I had the opportunity to share the work being done at Weill Cornell and NYP. I also presented the 5Ms in Geriatrics.
This was the first time I saw a Geriatrics Clinic in a hospital! I met with the one doctor here who is leading the geriatric initiatives at this hospital. We talked about the variety of opportunities for future collaborations.
I participated in a Geriatrics Symposium which highlighted the importance of multidisciplinary care.
I had the opportunity to present an overview of both the geriatric assessment and palliative medicine.
Participating in this symposium also provided the opportunity to meet prominent medical providers in Mumbai. I continued to learn about the Indian medical system as well as the expanding interest in Geriatric Medicine.
I was invited to speak at the 4th Annual Respirare Conference at BJ Medical Center in Pune. This is a multi-day student-led initiative!
Prior to my presentation, I had the privilege of taking a tour of this prestigious government hospital. I met some of their HIV researchers.
The people that I have collaborated with have been kind and generous. The Respirare team thanked me with this plaque.
As I spoke to the medical students, I surveyed their exposure and interest in geriatric medicine.
Here is the team behind this year's conference.
My visit reminded me of my own residency experience at a city hospital. Lots of great patient care being provided here.
Amer fort was one of the first sites we visited when we arrived in Jaipur. The road leading to the fort is cobblestone and was used by elephants and other animals to carry materials like marble and sandstone to build the fort. This is where I began to think about other visitors like my dad who may have trouble navigating the steps and uneven roads.
Within the fort is a grand palace where we observed its detailed design. I was most struck by the resilience of the fort over time.
The main courtyard at the entrance of the fort is grand. The views are stunning and the kids enjoyed the space!
This was the ramp leading to the top of the main courtyard.
Here is the example of the mechanism used to transport the queen throughout the palace.
The fort looks across a vast valley and the views are stunning after dark.
If you look closely you can see that the center opens from 6am to 7:30am and then again from 4pm to 8pm. Residents pay a nominal monthly fee to be a part of the center.
I thought it would be nice to take the kids to visit the center as well! They were excited to see the ping pong table.
In addition to ping pong, center members were playing cards and carrom.
Carrom is a popular game in India and I remember playing it during my summer vacations. Two to four players can play together. The game requires good hand range of motion and can become very competitive!
I had the opportunity to sit down with the center's leadership and some of its members, There are so many activities that the center has led over the past 19 years, from health seminars, to day trips and medical check ups. The center even has on site physical therapy.
I learned that the ALF I visited compared most to a long term care facility in the US. The ALF here had a doctor in house, nurses, nursing aids and could support a wide variety of residents from functionally dependent to independent.
I practiced my skills in reading Marathi as I looked over the week's menu.
One of the activities that the residents can participate in is art class. This is an example of artwork done by some of the more independent residents.
I took my aunt on a visit to Athashri, a senior living community on the outskirts of Pune. We met with site representatives who shared an overview of their offerings. I even found out that they are now developing a community in northern California
We met a group of women who referred to themselves as Athashrians. They were choreographing a dance for an upcoming celebration. They were kind enough to sit down with us to share their experiences in the senior living community thus far.
In addition to grab bars in the bathroom, some rooms have beds that can be elevated.
This facility is located on the outskirts of Pune and has views of the surrounding landscape.
Although there is a dining room, each apartment is also equipped with a kitchen for those who enjoy cooking.
Here is a glimpse of their gym.
Two faculty members gave me a tour of the hospital. I learned that the hospital has over 1000 beds. I was so impressed by how the hospital was organized. There were separate male and female wards as well as teaching spaces. The space above is used for medical education.
On this auspicious day of Guru Purnima, a special Hindu tradition, where teachers are revered, I had the opportunity to meet some senior faculty mentors at the institution all of whom are supporters of geriatric education.
The physical therapy team had a unit divided into med/surg PT and neuro PT. This is a glimpse of one of their rooms.
This large space was designated for both inpatient and outpatient patient registration.
I had the opportunity to present to medical students, physical therapy students and faculty. During our discussion session there were great questions about caregiver stress, geriatric myths and importance of geriatric medical education.
The rainy season created a luscious green backdrop for this beautiful Old Aged Home campus.
I visited four units and had the opportunity to speak with some of the residents here. This is a picture of one of the female wards.
Through philanthropic support, the Old Aged Home at Ambi has been able to expand over the past 20+ years.
The residents are able to come together in the Solarium for events such as poojas and yoga sessions.
I also had the opportunity to talk to medical students who were making their bimonthly visit to the long term care unit. We talked about the growing need for geriatric care.
This week, Dr. Vinod Shah and Mrs. Meena Shah introduced me to a whole host of people. I met geriatricians, educators as well as the Janaseva Foundation trustees and staff.
Dr. Shah and his team have also introduced me to a variety of geriatric leaders and providers in the city, from mental health to medical providers. I am now in the midst of scheduling site visits and presentations during my stay in Pune.