Friday, June 30, 2023

Food Crisis Series 22 More and More People are Going for Natural Food

 Food Crisis Series 22

    More and More People are Going for Natural Food

Stand up healthy and strong against diseases.  Built-in resistance and immunity is the best defence, while effective medical treatment is necessary.   

Dr Abe V Rotor
Living with Nature School on Blog
avrotor.blogspot.com

 
Native food:  kamote, brown sugar, kapeng barako; bagnet or lechon kawali appears irresistible in spite of its high cholesterol.
Good health and good food go together, doctors all over the world tell us. Even our children quite often explain to us the importance of proper nutrition, balanced diet, fortification with vitamins and minerals. They tell us to take high protein food, or ask us if we are taking adequate calories. Lately such terms, beta-carotene and good cholesterol have come into the picture.

Now I hear a new term, probiotics. The way I understand these substances is that they keep our body always on the alert to fend off stress as a result of overwork and diseases. They are frontliners and act as defense shield, Now if probiotics and antibiotics (substances that directly kill germs) work together, can we then say we can have better health and longer life?


Apparently yes, confirmed a balikbayan United Nations official, Dr Domingo Tapiador,  who is working on a new food source from cyanobacteria or blue green algae. Again, this is a revolution in food and agriculture by the fact itself that we are now taking unconventional food such as Spirulina, an ancient organism probably the first kind of living thing that appeared on earth.

Going back to the main topic, I would like to see the other side of the fence. There are many reported ailments and abnormalities, which are traced to the food we take, and it is not only for the lack of intake. Cancer for instance, is often related to food. So with high uric acid which leads to kidney trouble. High blood pressure, high cholesterol, high sugar level. Aftatoxin causes cirrhosis of the liver. Ulcers are food related. So with many allergies.


Given these premises, I would like to discuss a new frontier of agriculture which I believe is also the concern of other sectors of the food industry. It is not only that we must produce enough food. We must be able to produce quality food, which ensures good health, reduces risks to diseases and ailments, and prolongs life. This is the topic that I would like to take up with you in this special occasion, the 50th founding anniversary of National Food Authority that I was once a part. I am going to talk about food, which should contribute to good health, long life, enjoyment, and peace of mind.


Here then are seven postulates to address this challenge to present day agriculture. We reckon the Green Revolution in the sixties which ushered production gains from improved varieties and techniques, followed by another wave in the seventies and eighties which was responsible in opening the fields of mariculture (farming the sea), and conversion of wastelands into farmlands. We soon realized that there is need “to go back to basics". Thus ecological farming was born. It is also farming with a moral cause: the enhancement of quality life, good health and long life on one hand, and the maintenance of an ecologically balance environment.


1. IT IS ALWAYS BETTER TO EAT FOOD GROWN UNDER NATURAL CONDITION THAN FOOD GROWN WITH CHEMICALS. This statement can be captured with one term "natural food". All over the world this is a label found on food grown without chemicals. People are afraid of becoming sick because of the chemicals introduced into food. They know that chemical fertilizers and pesticides go with the crops and are passed on to the body destroying our organs and systems.


 
Left, loaded salad serving; cultured mushroom. (Warning: there are poisonous mushrooms, specially in the wild.  There is no antidote of Amanita mushroom poisoning) 

2. PEOPLE ARE AVOIDING HARMFUL RESIDUES AND ARTIFICIAL ADDITIVES IN FOOD. A trace of certain farm chemicals is enough to condemn a whole shipment under the rules of the US Food and Drug Administration. One kind of residue that people are avoiding is antibiotics. Poultry and hog farms maintain high antibiotic levels to safeguard the animals from diseases. In so doing the antibiotics is passed on to the consumers. In the first place our body does not need antibiotics. But every time we eat eggs, chicken, pork chop, steak, and the like, we are taking in cumulatively antibiotics. This makes our immune system idle. This punishes certain organs like the kidney and liver. To others, antibiotics cause allergy.

Another culprit is radiation. Traces of radiation can be hazardous. Many countries immediately took drastic action to avoid contamination following the Chernobyl nuclear plant accident ten years ago. Then we have toxic metals emitted from manufacturing and from vehicles. These are mercury, cadmium, and lead, to name the most common pollutants in our waters today.

Additives such as food colorings and fillers are looked upon with suspicion.


3. PEOPLE ARE BECOMING MORE CONSCIOUS OF THE NUTRITION VALUE OF FOOD RATHER THAN ITS PACKAGING AND PRESENTATION. Many people now reject junk foods, even if their packaging is attractive. Softdrinks have taken the backseat, courtesy of fruit juices and mineral water. People have even learned that plant varieties have different levels of food value even if they belong to the same species. To a lesser extent this is also true among the different breeds of an animal species.


4. FRESHNESS IS THE FIRST CHOICE CRITERION FOR PERISHABLE FOOD. Indeed there is no substitute to freshness, a function of handling and marketing. The farmer has the first and direct hand in enhancing this quality. If he keeps his plant healthy, their products will have longer shelf life. Products free from pests and diseases stay fresh longer.


5. FOOD PROCESSING MUST BE APPROPRIATE AND SAFE.

Processing such as drying, milling and manufacturing, is key to higher profit. The profit that is generated from it is referred to as value-added to production. Economists tell us that there is money in post-production and marketing.

6. FOOD MUST BE FREE FROM PEST AND DISEASES.

It is shocking to find certain pest in food. So with the possibility that food is a carrier of disease organisms. Reports about infested imported rice needs serious attention. Poor rice is an insult to the Filipino whatever his economic status may be.

There has been news of food poisoning too, as a result of food deterioration, or contamination. Remember mass food poisoning cases even in established institutions? For a reputable establishment, such an incident deserves something  deeper to investigate. What is the truth behind image building and advertisement?


7. FOOD PRESERVATION MUST ENSURE QUALITY, AND ABOVE ALL, SAFETY. Be aware of the fish that is stiff yet looks fresh. Be keen with formalin odor. Salitre is harmful, more so with Vetsin (MSG)*. Too much salt is not good to the body. I saw a puto maker use lye or sodium hydroxide to help in the coagulation of the starch. Sampaloc candles are made bright red with shoe dye. So with ube to look life real ube.


Now I am going to discuss in details each postulate as it applies to the farmer, and the condition of his farm. I will try to relate the issue with actual practices so that we can draw up innovations to improve them, as we explore technologies that would settle certain issues.


8. AVOID AS MUCH AS POSSIBLE FOOD FROM GENETICALLY MODIFIED ORGANISMS OR GMO.  There is an increasing awareness worldwide on the potential harmful effects of taking GMO products as food.  Bt corn for example carries a gene of the bacterium Bacillus thuringiensis,  golden rice carries the yellow gene of the daffodil, milk contains recombinant bovine growth hormone.  Other GMO food include soybeans, papaya, squash and zucchini, which carry "foreign" genetic material.  Here is a list of countries that have banned both GMO imports and GMO cultivation: Algeria, Kyrgyzstan, Bhutan, Madagascar, Peru, Russia, Venezuela, Zimbabwe.  EU members are selective in banning GMO. Most countries require labeling of GMO products, and are strict in their quarantine laws, and land use policy against GMO. 
----------------------------------------------
Six Potential Human Health Concerns about GMO Food
GE Food & Your Health - Center for Food Safety
Genetically engineered foods are different from other foods. Genetic engineering allows, for the first time, foreign genes, bacterial and viral vectors, viral promoters and antibiotic marker systems to be engineered into food. ... These are the new “unexpected effects” and health risks posed by genetic engineering.
1. Toxicity
2. Allergic Reactions
3. Antibiotic Resistance
4. Immuno-suppression
5. Cancer
6. Loss of Nutrition
-----------------------------------------------------

NATURAL FARMING
CThe other name of natural farming as we all know is organic farming, that is the use of organic fertilizers instead of chemical fertilizer such as urea and NPK or complete fertilizer. In the US and Europe, people go for organically grown food. Lately in malls and big groceries, we find rice in package or bag labeled "organically grown rice". Let me point out that the use of organic fertilizer must be complemented by other factors.
   Community gardening, QC 
First, the organic fertilizer must be free from pathogen that causes diseases. 
Second, it must not carry toxic waste or metal as this kind of fertilizer is manufactured from waste materials.

And third, It must go hand in hand with no spraying, or if it can not be helped, at least the spray used is biodegradable, such as substances that are of botanical derivatives like derris, neem and chrysanthemum.


Let me give you scenarios of natural farming.

1.   Payatak method (Samar) - This is a local version of zero tillage. No plowing, no harrowing. A herd of carabaos trample of the soil until it turns puddle, then the one-month old seedlings are transplanted. No spray, no fertilizer. This is natural farming in the marginal sense, a carryover of traditional farming.

2.   Mixed orchard (Zambales) - A mixture of several kinds of trees, orchard, firewood trees, forest trees grow together without any apparent planning. Yet these trees follow a natural pattern of arrangement. They have no common pest, they need soil fertility differentially, they have their own space niche, they make up several storeys. Management is very little. Nature takes care of everything.

 3. Multiple cropping model (Sta. Maria. Bulacan) -  Here the farmer engages in the production of three commodities. For Narciso Santiago, national outstanding farmer,  his 2.5-ha farm produces frults, vegetables and rice. He has several heads of carabao and cattle grown on homelot, pastured between the orchard trees. A pond supplies irrigation, as it produces tilapia and mudfish. Why three commodities? It is because they are closely integrated. This is the key to natural farming where there are a number of products to be desired. First the animals produce, other than meat and milk, manure for the plants, the plants produce food for the family and market, and they together with their residues give feeds to the animals. The pond is source of irrigation for the plants, principally rice and vegetables. It is a waterhole for wildlife for biological control. Because of its integrated structure and management. the farm itself becomes a balanced system. This is the key to sustainable production. This is ecological. farming.

4.  Sloping agricultural land technology or SALT (Bohol) Call this natural farming even if the farm is a logged area. Precisely the idea is for the farmer to return the land to its natural state as much as possible. How does he do it? If one sees the model, the land has a grade of 20 to 40 degrees. The steeper the grade the more difficult it is to apply the system. Over and above 45 degrees the model may not work at all.) Here the contour of the slope is marked and outlined so that the sole of the plow, so to speak, will be level at all times. The contours are spaced uniformly, and the rows which follow the contour are planted at interval of annual and permanent crops.
                                                  Mushroom growing:  Auricularia (left) and  Pleurotus,

5.   The idea is for the permanent crops like fruit trees and firewood trees to sandwich
      the annual crops like peanut, rice, corn vegetable. The herbage of, say ipil-ipil, is
      used as organic fertilizer. Neem tree is used for pesticide. Lantana is a natural pest
      repellant, so with Eucalyptus. Legume intercropping and crop rotation replenish the
      soil of Nitrogen.

6.   Modified models (rice and corn areas).  Rice farming can be modified to suit the conditions of natural farming. There are farms today that rely entirely on homemade or commercial organic fertilizers. These are contracted farms to supply organically grown rice. 

An equally important aspect of successful farming is cleanliness.  This means no weeds, trimmed waterways, properly disposed farm wastes, efficient drainage, well arranged rows, properly scheduled farming activities, and the like.  All this requires but low technology that is also affordable, and contributes to good health to both producer and consumer, and the whole community.  

Genetically resistant varieties are chosen. Proper time of planting and harvesting is needed. We should know that clean farms, healthy plants and good management, are basic. What we are saying is that the use of chemicals is dispensable. To a single farmer, this is easier said than done. There is a need for collective and community effort, in which case farming , especially if it intends to shift to organic, likewise becomes more efficient as cost of production can be brought down.

Coconut farms (Southern Tagalog and Bicol). Seldom do we hear of coconut cultivation that follows the agronomic practices of other major crops like sugar cane or corn. 

Perhaps there is no plant more resistant than coconut. It is because it perfectly fits our soil, climate and latitude. It is indigenous to us. In fact it evolved with our islands and our culture. Evolutionarily and historically what I am saying is that natural farming is not new. And more importantly, it is a product of long years of development. It is not just acclimatization. It is co-evolution.

The message is that let us explore the richness of our biodiversity and our culture as a people to be able to understand the working of nature. Nature shows us the way. Nature, the way our ancestors knew then, is the nature we know today, except that we have embraced many changes in farming as well as in life style. Many of these changes had not passed the test of time.

In Laguna and Quezon, coconut is the dominant species of an ecosystem. The presence of man in the ecosystem has modified it to suit to his needs. For example, he has chosen only the trees and plants that grow between the coconut trees. Unknowingly he raises animals, which reduce the richness of plant species diversity.

We still see around well-established, stable coconut areas where man's intervention is kept low, but my fear is the current practice of logging old coconut trees for lumber.

Natural farming then is important as a way of farming.  It is also important in sustaining economic production, and above all, the continuity of our ecosystems that we have placed in our hands. Given these premises the farmer today faces a new challenge worthy of the title, "the backbone of the nation." ~

Visit related articles on natural food and organic farming in this Blog: avrotor.blogspot.com

Lesson on former Paaralang Bayan sa Himpapawid  Dr Abe V Rotor and Ms Melly C Tenorio 738 DZRB AM Band, 8 to 9 evening class, Monday to Friday
This article published in this Blog avrotor blagspot.com in 2022, re-printed on popular request. 

Thursday, June 29, 2023

FOOD CRISIS Series: 40 Advocacies to Curb the Global Food Crisis

FOOD CRISIS Series 

40 Advocacies to Curb the Global  Food Crisis 

These articles were published in this Blog avrotor blogspot.com in 2021 and 2022 at the onset of food shortages worldwide at various critical levels. 

Even to the present, there is crisis in local sugar supply affecting many industries, services and products, from beverage to bakery products.  Rice supply is critically low and the price, in spite of government intervention, is hardly within the means of ordinary citizens.  So with onions, selected vegetables, meat, poultry, fish, and other food products, which continue to spiral with the current inflation rate, exacerbated  by the Russian war in Ukraine, and conflicts in many parts of the globe,  COVID-19 pandemic, and global warming. 

At one time, the world had just 10 weeks’ worth of wheat left. In less than three weeks, wheat could disappear from store shelves, suggested a food insecurity expert to the United Nations. 05/29/2022 / By Ethan Huff (Sources of news Insider.com; NaturalNews.com

Easy Access to these articles: Search FOOD CRISIS, or print each title in this Blog - view screen, read, and print. Practice these advocacies within your capacity and share them with your  family and community. - avrotor


Dr Abe V Rotor
avrotor.blogspot.com

1 - Food Crisis Series 1 to 4:  People's Green Revolution in 5 Parts, 
     including a Self-administered Test on Green Revolution  
5 - Love the Bahay Kubo (Nipa Hut) - Bastion of Food Self-Sufficiency

 
                                         Acknowledgement with thanks,  Internet photos

            6 - Food Crisis Series 7:  Farmers' Museum (NFA Grains Museum) 
                 Re-opened  After 30 Years. In honor of the Filipino Farmer
            7 - Save Rice: Let's Cut Down Rice Wastage and Develop Rice Substitutes. 
                 Don't waste food, don't. 
            8 - Genetic Engineering (GMO) is not the Solution to Food Shortage
            9 - Can the Philippines Regain its Fame in the 70s as Rice Exporter?
           10 - Men Behind Food Self- Sufficiency and Rice Exportation

           11 - Promote Agribusiness and Biotechnology on the Village Level
           12 - Make Your Own Organic Fertilizer for your Home Garden
           13 - Let's Stop Generic Pollution - Littering of Engineered Genes
           14 - Home Gardening - Buffer Against Spiraling Prices of Food and 
                  Other Commodities 
           15 - The Garden - Microcosm of the Living World and Humanity

           16 - Let's Save Our Deteriorating Planet Earth - 20 Vital Issues
           17 - Garden Pond: Source of Food and Recreation
           18 - Food Poisoning - Look Out!
           19 - Herbals for Medicine, Culinary and Pest Control
           20 - Simplify Food Preparation for Good Health, Enjoyment and Economy

           21 - Thirty (30) Native Vegetables Resistant to Global Warming and Pest
           22 -  More and More People are Going for Natural Food
           23 - Kitchen Garden - Practical Hydroponics
           24 - Sustainable Productivity - Key to Profitable Agriculture and 
                  Balanced Environment
           25 - Food Crisis Series 25 Yes, we can grow wheat in the Philippines
                  Let's revive the local wheat production program.

           26 - Palay-isdaan (Rice-Fish Culture)  An Agro-Ecology Model 
           27-  Let's develop the less popular Philippine fruits.  
           28 - Non-cash technology for small farms
           29 - The  Noble Practice of Gleaning
           30 - Be Sure the Food You Eat is Safe 

           31-  Golden Homesite Plan of Ed Nanquil 
           32 - Are you living an austere life?  A Self-evaluation, 25 items
           33 - Farming is a Way of Living, a Mode of Life 
           34 - Farming the Sea (Sea Vegetables)
           35 - A Happy Couple and the Kurong-kurong

 
                                                                                                                 Internet photos

           36 - The world goes for Organic Farming- a turnaround in Green Revolution
           37 - Stop pests from robbing your food: Practical Pests Control and Integrated 
                  Pests Management (IPM) 
           38 - Backyard Garden - Food Bank and Living Laboratory 
           39 - Five Trends in Agriculture Today
           40 - Agro-Ecology: Balancing Agriculture and Ecology for Sustainable
                  Productivity
            
Dr Rotor is a retired Director of the National Food Authority (1976-1989); consultant on Food and Agriculture,  Senate of the Philippines (1992-95); Professor,  Graduate School University of Santo Tomas; De La Salle University-D, SPU-QC and UPH-R, and presently, a gentleman farmer in San Vicente, Ilocos Sur.
--------------
  
 
2021 Global Report on Food Crises 

The 2021 Global Report on Food Crises (GRFC 2021) highlights the remarkably high severity and numbers of people in Crisis or worse (IPC/CH Phase 3 or above) or equivalent in 55 countries/territories, driven by persistent conflict, pre-existing and COVID-19-related economic shocks, and weather extremes. The number identified in the 2021 edition is the highest in the report’s five-year existence. The report is produced by the Global Network against Food Crises (which includes WFP), an international alliance working to address the root causes of extreme hunger.

Earlier this month, the humanitarian organization Oxfam released alarming statistics that measured the state of the food crisis after one year of the pandemic. Every minute, eleven people on the planet die of hunger. The number of people experiencing famine-like conditions globally has increased by six times in the past year.

Areas where corruption, inequality, and suffering have finally boiled over into war experience the worst aspect of the food crisis. In those areas where distribution and supply lines are severed, the food crisis has perpetuated beyond any semblance of control. In mid-June 2021, the number of people falling into the most acute phase of the famine stood at 521,814 across Ethiopia, Madagascar, South Sudan, and Yemen – up from 84,500 last year, an increase of more than 500 percent, according to the global report on Food Crises 20

 
                                                                                                                     Internet photos

A July report from Oxfam states 155 million people worldwide now live at crisis levels of food insecurity or worse – some 20 million more than last year. About two-thirds of them face hunger because their country is in military conflict. In the 55 food-crisis countries under review, almost 16 million children under age five were acutely malnourished, while 75.2 million children under age five experienced stunted growth. ~

"Covid-19 pandemic risks worst global food crisis in decades." -  New Scientist

Tuesday, June 27, 2023

TATAKalikasan Lesson: How's my grooming? A self examination (WITH ANSWERS)

                             Lesson on TATAKalikasan, Ateneo de Manila University

87.9 FM Radyo Katipunan, every Thursday 11 to 12 a.m.
How's my grooming? A self examination

Dr Abe V Rotor
Co-host, TATAKalikasan 

Quite often on the road I read from the rear of a bus or van, “How’s my grooming?” printed bold and clear. Below it is written a telephone number or two you can call. It is a discreet message. If the driver of the vehicle you are following is reckless, you may call the attention of the owner of the vehicle or the government regulatory office.

Anna, daughter of the author, poses with a prize orchid, symbol of grace and beauty.  

Corollary one may ask the same question, “How’s my grooming?” Here is a set of questions to find it out. (True or False)

1. We are judged the way we talk as much as they way we look. T


2. It’s all right to cause embarrassment on another as long as it is not your real intention. F

3. Pronounce words properly, use correct grammar, follow correct logic and syntax, and refrain from mumbling. T


4. It’s all right to be talking about yourself after you have done a great job. F


5. It’s all right to ask personal questions from a friend even without first asking permission. F


6. There are times you have to ask “intrusive” questions as host of a program to add spice or give more light. F


7. It is old fashion to say Please and Thank you. Smile is enough these days. F


8. One can be clean and yet untidy, and vice versa. T


9. In fashion and cosmetics, “Excess can be a mess.” T


10. Good teeth and fresh breath always go together. F


11. Keep your mouth closed when chewing. Take small bites. Eat quickly. T


12. Say excuse me when you have to go the restroom without telling you are going there, or to answer the call of nature.  T/F


13. Sit and walk straight. Maintain good posture always even at home. T


14. Dressing appropriately means you have to be in fashion. F


15. Try to make as little noise as possible in all situations – when eating, walking, talking, working, etc. – even in your home. T


16. Mobile phone etiquette is chiefly not disturbing others with it. T


17. Laugh, smile, giggle, cry with dignity. Do not make a scene. T


18. Be interested with people and things around you but be discreet. T


19. Grooming is applicable only in formal occasions and places, not in your leisure and privacy. F


20. Grooming distinctly separates men and women. It’s gender distinction. It gives dignity to being a gentleman or a lady. T

21. One may be fashionable but not well groomed. T


22. When one is in his advanced senior years, grooming does not apply to him anymore. F


23. People with gender problem find it difficult to adjust with proper grooming. Often grooming result to mere attraction. T


24. Never touch another person’s belongings without asking permission. T


25. Never assume anything about anyone. Caution, caution. T

ANSWERS: 1t, 2f, 3t, 4f, 5f, 6f, 7f, 8t, 9t, 10f, 11t, 12f, 13t, 14f, 15t, 16t, 17t, 18t, 19f, 20t, 21t, 22f, 23t, 24t, 25t.

RATING:
24 - 25 You are a model
21 - 23 You are well groomed, no doubt.
18 - 20 More finesse, please.
17 and below 
 Learn more, and remember "Practice makes perfect."

LESSON on former Paaralang Bayan sa Himpapawid
People's School-on-Air, DZRB 738 KHz AM Band

 

TATAKalikasan Lessons: Obesity and Practical Geriatric Care Management


Lesson on TATAKalikasan, Ateneo de Manila University
87.9 FM Radyo Katipunan, every Thursday 11 to 12 a.m.
Part 1. A Litany of Obesity*
Today's Pandemic of "The Good Life"

"If the childhood obesity epidemic remains unchecked, it will condemn many of our kids to shorter lives, as well as the emotional and financial burdens of poor health." - Richard Carmona

                                            Dr Abe V Rotor
Co-Host TATAKalikasan with Fr Jomari V. Manzano, SJ 
Living with Nature School on Blog 
avrotor.blogspot.com 

Obesity is often camouflaged seemingly by happy disposition, plumpness as an indicator of good health promoted by media and commerce.  Jokes of being obese are dismissed easily, missing the message for the sake of the subject and potential victims. The truth is, obesity deprives one of true happiness in life and living.  Internet photo. 
Appetite is induced by too many kinds of food 
and food preparations  

 Consuming a single kind of food but unlimited. 

Multistory sandwich, a giant serving   

A Litany of Obesity 
    • Obesity and sedentary living
    • Obesity and affluence
    • Obesity and psychological appetite 
    • Obesity and genetic tendency
    • Obesity and junk food
    • Obesity and protein-rich food
    • Obesity and depression 
    • Obesity and culinary art
    • Obesity and middle age
    • Obesity and uncontrolled urge
    • Obesity and company 
    • Obesity and pampered childhood
    • Obesity and false health indicator
    • Obesity and lack of regular exercise
    • Obesity and introversion 
    • Obesity and disease/infirmity
    • Obesity and personality 
    • Obesity and happy-go-lucky living
    • Obesity and vices
    • Obesity and bahala na attitude
This litany serves in self evaluation. Are you a victim of obesity? Or are you predisposed to this postmodern epidemic? Draw your bodyscape. Make a series of selfie photos and study carefully. 

* Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. A body mass index (BMI) over 25 is considered overweight, and over 30 is obese. - World Health Organization

"Close to a billion people - one-eighth of the world's population - still live in hunger. Each year 2 million children die through malnutrition. This is happening at a time when doctors in Britain are warning of the spread of obesity. We are eating too much while others starve." - Jonathan Sacks

Lesson on former Paaralang Bayan sa Himpapawid (People's School-on-Air) with Ms Melly C Tenorio 738 DZRB AM Band, 8 to 9 evening class, Monday to Friday.  Acknowledgement: Internet photos

 Lesson on TATAKalikasan, Ateneo de Manila University
87.9 FM Radyo Katipunan, every Thursday 11 to 12 a.m.

Part 2. Practical Geriatric Care Management
Dr Abe V Rotor 

Professional geriatric care management center is a holistic, client-centered approach to caring for older adults or others facing ongoing health challenges. National Institutes of Health, Centers for Disease Control and Prevention (CDC)

Rotor-Sta Maria Family:  three generations

A· Make healthful lifestyle choices—

1. Don't smoke, eat right, practice good hygiene, 
  and reduce stress in your life

2. Have a positive outlook

3. Stay as active as possible—mentally and physically

4. Take safety precautions

5· See your health care provider regularly and follow 
    his or her recommendations 
   for screening and preventative measures

B. Try these tips to help deal with difficult changes:

1· Focus on being thankful. Appreciate and enjoy your life 
    and don't take people or things for granted.

2· Acknowledge your feelings and express them. 
    Talk to a friend, family member or health care professional, 
    write in a journal or join a support group.

3· Embrace your spirituality.

4· Accept that some things are out of your control.

5· Try to keep your sense of humor.

C. If you’re having problems sleeping, talk to your health care provider. These good sleep hygiene tips might be helpful:

1· Make sure your bedroom is dark and quiet and that it's not too warm.

2· Adjust your bedtimes. Go to bed when you feel tired and get up 
    at the same time each day.

3· Turn off the TV at least one hour before going to bed.

4· Wind down before bed by taking a bath or listening to soft music.


D. Safety is a serious issue for many seniors—especially those who are living alone and experiencing varying degrees of physical and/or mental decline. In addition to falls and choking hazards, concerns include the following:

1· Driving safety (Giving up driving means giving up a measure of independence. Seniors may be unwilling to stop driving, even though continuing to drive can pose a safety risk for themselves and for others.)

2· Fire/smoke safety (Memory lapses, which are more common in older adults, increase the risk for household fires caused by cooking, candles or smoking. It's important to have working smoke detectors and carbon monoxide detectors in your home.)

3. Comfortable home for the aged. Extremely hot or cold weather. (Seniors are at increased risk for health problems caused by hot or cold temperatures, especially when the cooling or heating systems in their homes aren't functioning properly.) 

E. Physical elder abuse is the non-accidental use of force against an elderly person that causes injury or pain. It includes hitting, shoving and kicking, as well as misusing drugs, restraints or confinements on a person who is elderly.

 Emotional or psychological elder abuse can be verbal or non-verbal. It includes intimidation (e.g., through yelling or threatening), humiliation and ridicule, as well as ignoring, terrorizing or isolating the elder from family and friends.

 Sexual elder abuse involves sexual contact with a senior without his or her consent, as well as forcing the elder to view pornographic material, watch sexual acts or undress.

 Neglect and abandonment are the most common type of elder abuse. They involve failing to fulfill care-taking obligations—either intentionally or unintentionally.

 Financial exploitation elder abuse involves the unauthorized use of the elder’s assets—funds or property. It also includes health care fraud and abuse, which is carried out by unethical health care providers and involves charging for health care services not provided, overcharging for services, over- or under-medicating, and insurance fraud.

F. According to the Centers for Disease Control and Prevention (CDC), these are indicators that can be used to help assess health in older adults. These indicators are related to health status, health behaviors and compliance with preventative care recommendations and include the following:

1· Number of physically unhealthy days reported per month (due to illness or injury)


2· Frequent mental distress (depression, stress, anxiety or emotional problems reported on 14 or more days per month)

3· Complete loss of natural teeth

4· Current smoking status (smoker or non-smoker)

5· Lack of leisure time/physical activity

6· Regularly eating fewer than 5 fruits and vegetables per day

7· Obesity (body mass index [BMI] of 30 or greater)

8· Reported disability (physical, mental or emotional) that limits 
    activity or requires special equipment (cane, walker, wheelchair,
    hearing-impaired telephone)

9· Hip fracture

10· Receiving a yearly flu vaccine

11· Following routine health care / screening procedure
      recommendations (cancer, high cholesterol)
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G. General health care recommendations in your 70s and older include the following:

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University of Santo Tomas Hospital
· Blood pressure screening—every 2 years or as recommended
· Bone mineral density test—as recommended
   to screen for osteoporosis (bone loss)
· Cholesterol screening—every 5 years or as recommended
· Colorectal cancer screening—as recommended
· Dental exam—every 6 months or as recommended
· Diabetes screening—every 3 years or as recommended
· Eye exam—every 1 – 2 years or as recommended by an ophthalmologist
· Hearing test—yearly or as recommended
· Immunizations—yearly flu vaccine, herpes zoster vaccine (to prevent shingles; if not
  previously vaccinated), pneumonia vaccine (as recommended, if not previously
  vaccinated), tetanus (every 10 years)
· Mammogram (women)—as recommended by your health care provider
· Pelvic exam (women)—yearly or as recommended
· Pap test (women)—as recommended by your health care provider (Most women
  over the age of 65 usually do not need this test.)
· Prostate cancer screening (men)—as recommended by your health care provider
· Thyroid test (TSH)—as recommended by your health care provider. 

 Sources: National Institutes of Health, Centers for Disease Control and Prevention (CDC), Helpguide.org; Remedy Health Media.  Acknowledgement: Internet