depressed mom  Final

It’s Not Easy for the Parents to Move On.

What mental/psychological impact does a child’s death have on parents, especially if it is an accidental death?

A death of a child is generally considered the worst kind of grief and it causes long-term impacts on the life of a parent. The circumstances around the death also matter and are a deciding factor. Grief is a process that must be allowed to happen. For instance, if the child has been ill for a prolonged period, parents may come to terms with the reality and it could have been something they anticipated and therefore a bit easier for them to grieve. On the other hand, a sudden death is expected to leave the parents more traumatised and will leave them in a state of shock or disbelief for a longer period of time. The age of the child is also an important factor. It is often believed that the older the child, the lesser the grieving – which is untrue. Losing a child by any means of abortion, miscarriage or death are all very painful and indescribable emotions.

The most common form of grieving includes anger, guilt, a sense of never being able to detach oneself from the sorrow, a feeling of disorientation and this feeling affects all aspects of life. There are mental and psychological impacts of the loss of a child on a parent. The most common physical symptoms of grief include loss of sleep, mood swings, anxiety, inability to concentrate etc. Other serious symptoms could be having nightmares, shortness of breath, etc. At times, parents become very strongly associated with their grief and disagree to let go. If any of the symptoms continue for more than a year or two it is important for the parent to consult a specialist.

How can parents stop blaming themselves for the death?

The death of a child can cause grief in parents and it is normal. They blame themselves for the death of the child, especially if it is an accidental death. Parents may go into depression and the self-blame is part of the guilt feeling caused by depression. Grief or depression up to six months can be considered normal. After six months if the depression still continues, they should get help from a specialist psychiatrist.

Parents need not blame themselves because the death of the child is not their fault. Once depression is cleared, the self-blame will be controlled.

Please share some tips on how the family can move on?

The time period of parents’ grief is uncertain and parents may at times have a very slow recovery. They are most likely to accommodate the loss of their child without long-term interruption of life, although ‘moving on’ is not a smooth process. How quickly parents get over the death depends on the pre-existing issues that they have. Although this may sound like a philosophical cliché, time will recover the loss. It may be difficult to reconnect with people immediately after a child’s death, but being social beings, parents will need to reconnect with the society be it work or any other purpose. Parents can visit a counsellor to begin the healing process. Getting professional help to assist them to understand their emotions and making positive changes in their life, is what the grieving parents should consider. There are also clinical approaches to help parents find meaning and a sense of purpose for their own life in order to gain a sense of well-being and lead a normal life.

Does the impact of the death spill on to all members of the family including other children?

A child’s death brings pain to everybody affected by it, along with incredible difficulties for grieving parents. The cultural beliefs of each family differ and the impact may depend on it. In some cases, parents do not seek concern from the extended family or choose not to seek support from them for various reasons. If the parents had only one child who passed away, having another child may sometimes help.

Dr. Mohammed Yousef 

Specialist Psychiatrist

Aster Clinic, Al Muteena(DMPC)

News Source – http://www.khaleejtimes.com/nation/its-not-easy-for-the-parents-to-move-on

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Increasing Number of Patients with GERD being detected, say experts from Aster Hospital and Clinic

Local experts urge early detection of GERD symptoms – a chronic digestive disease and encourage seeking appropriate medical attention to improve quality of life

  • On the occasion of Gastroesophageal Reflux Disease (GERD) Awareness Week, Aster Hospital and Clinic initiates a nationwide programme to increase awareness of symptoms and treatment in order to alleviate discomfort for people suffering from the disease.
  • Specialists at Aster Hospital and Clinic are receiving an increasing number of patients with this condition, with symptoms persisting for months. They often receive 2 to 3 patients a day with GERD. In the last 1.8 years, they have treated around 320 patients with the condition.
  • According to a 2014 report, by Emirates Gastroenterology Society, around 30% of the population in the UAE suffers from GERD .

Gastroesophageal Reflux Disease or GERD is a chronic digestive disease that occurs when acid from the stomach flows backwards into the esophagus, causing a burning, acidic feel in the throat and chest. On account of GERD Awareness Week, observed from November 20-26, Aster Hospital and Clinic has initiated a “GERD Awareness Campaign” to educate the residents of UAE on alarm symptoms or critical symptoms associated with the disease, which if noted, should prompt medical attention. Through dedicated programmes for the general population, Aster aims to encourage early diagnosis and proper treatment that can improve the quality of life of people suffering from the condition.

“Increasingly sedentary lifestyles, consumption of oily and spicy food, obesity coupled with a lack of regular exercise are the risk factors contributing to the rise of GERD. Therefore, it is essential to equip UAE residents with the necessary information to avoid such a condition. Our awareness programme which will run throughout GERD Awareness week across our Hospital and Clinic in UAE aims to help people suffering from GERD to consult a healthcare professional and seek medical assistance” said Dr. Amal Upadhyay, Consultant Gastroenterology, Aster Hospital Mankhool.

The most common symptom of GERD is a burning chest pain beginning from behind the breastbone, moving upwards to the neck and throat, leaving an acidic or bitter taste in the mouth. Difficulty in swallowing, a dry cough, hoarseness of voice and sore throat are also possible symptoms of GERD. Given the atypical symptoms of GERD, they are often mistaken for a heart condition or throat infection, leading to a delayed diagnosis. Other symptoms include regurgitation of food or sour liquid (acid reflux) as well as a sensation of a lump in one’s throat. GERD could also remain asymptomatic in some individuals. Although many people experience acid reflux every now and then, those who experience frequent and intractable symptoms should seek prompt medical attention. Rarely but importantly, in some patients, untreated GERD can lead to complications including cancer. Any such complications if diagnosed early can be controlled and treated.

A series of corporate and community talks under the GERD Connect Programs will focus on healthy eating habits, while radio talks organised by Aster will reach out to a wider audience across the UAE, educating residents about changes in lifestyle that can prevent GERD. In addition, Aster will distribute information booklets at Aster Hospital in Mankhool and all Aster Clinics across Dubai; create informative and educative articles and blog posts about GERD; and circulate live videos of specialist gastroenterologists, in order to spread awareness of the causes, myths, prevention, diagnosis and treatment available for GERD. The programmes also aim to motivate patients to adopt lifestyle changes that could help reduce the risk of suffering from GERD.

To further spread the message of awareness, Aster Hospital and Clinic will also be launching a risk assessment questionnaire targeting around 10,000 people across various corporates. The questions will allow participants to better assess themselves on the alarm symptoms of GERD and other symptoms which are usually disregarded.

Aster specialists follow best practices to decrease pain and alleviate the suffering of GERD patients. Although GERD symptoms are generally controlled with drugs, specialists recommend addressing the underlying cause of the disease. Doctors also encourage patients to adopt lifestyle changes that can help in managing the disease, including maintaining a healthy body weight, avoiding food and drinks that can trigger heartburn, quitting smoking, eating smaller meals and allowing enough time for meals and sleep. Other treatments available at Aster Hospital include endoscopic intervention, STRETTA procedure (FDA approved), and treatment of obesity. Aster also offers specialised tests as well as laparoscopic surgery for GERD (anti-reflux surgery) where required.

 

Dr. Amal Upadhyay,

Consultant Gastroenterology

Aster Hospital Mankhool.

 

News Source : www.godubai.com

 

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Influenza Virus Highly Active in the UAE

Dubai: A high incidence of influenza is being reported in the UAE as summer transitions to winter and doctors are advising residents to prevent infection by getting vaccinated.

Dr. Sandeep Pargi, a senior pulmonologist from Aster Hospital, Bur Dubai told Gulf News: “I have been signing at least two sick leave certificates per day for the last fortnight.”

He attributes the high incidence of influenza to the change in season.

“Every year the genetic make-up of viruses undergo changes. Just as our immune systems gets used to one strain, new strains appear. In addition to this, around this time, especially since a huge contingent of residents on vacation to their native countries return with new strains. The viral load gets high, and the changing season also has a high level of allergens in the atmosphere causing the onset of infections.”

Dr. Pargi added that infection was spreading because “People have been confined to closed air conditioned rooms for long owing to the heat and viruses were thriving in AC vents and spreading through it.”

The typical duration of an influenza bout is about 5-7 days. In a case of children the infection can last up to a fortnight and in cases of those who have a compromised immune system because of advancing age or diabetes or du to pre-existing respiratory diseases such as Chronic Obstructive Pulmonary Disease (COPD), asthma is more susceptible to catching the virus.

The vaccination approved by the Centre for Disease Control (CDC) is available at all government Primary Health Centres and private clinics and hospitals by the beginning of September which is the beginning of the influenza season in the UAE.

“It is advisable to get vaccinated to prevent flu right in the beginning of September. Anyone from the above the age of six months is advised to get this vaccination which gives an individual protection for a year.,” said Dr. Pargi who advised against any antibiotic treatment. “Antibiotics are only given when there is a secondary bacterial infection. Otherwise, paracetamol, antihistamines a strong dose of 1000 mg Vitamin C, some steaming, and complete rest are enough to get your immune system to respond.”

How to keep influenza away

Practice hand hygiene and always sanitize especially when using public places or even touching door knobs in offices or cabs

Get an influenza vaccination at the beginning of September

Keep your immune system strong with strong doses of Vitamin C

Take steam inhalation and keep yourself warm

Cover your mouth when you sneeze or a cough as a sneeze can transmit an infection droplet from six feet across.

Avoid visiting public places such as swimming pools, Turkish baths and even pubs which are crowded

If you are diabetic or suffer from any respiratory disease visit your GP for a preventive check.

 

Dr.Sandeep Pargi

Specialist Pulmonologist

Aster Hospital Mankhool

News Source – http://gulfnews.com/news/uae/health/influenza-virus-highly-active-in-the-uae-1.1917646
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Symptoms and Behavioral issues of Neuro – Development Disorders

On the occasion of World Mental health Day, we list out common symptoms that children with the above disorders show. While these have no direct relations with mental health, not managing the condition increases the risk of mental health problems.

If your child or children are showing any of the following, it is best to consult a paediatrician immediately. It may be nothing more than a phase, but knowing early can help you and more importantly, your child.

  • Communication disability and/or extreme social awkwardness
  • Rudeness due to lack of understanding of social cues- Inability to make eye contact,
  • Repetitive or obsessive compulsive behaviour and/or arranging things in continuous lines (with children getting extremely upset if the arrangement is disturbed),
  • Picky eating (with a strong tendency to get very upset and refusing to eat if food item is changed)
  • Lack of responsiveness (sensory)
  • Too sensitive to light, sound, noise and other sensory stimuli
  • Wanting to be alone or seeking out places to be alone
  • Hurting other children or adults with no provocation (repeated instances)
  • Lack of focus and extreme activity
  • Extremely averse to going to school despite showing signs of high intelligence.
  • Difficulty in handling cutlery and pens or pencils even after repeated help
  • Clumsiness and prone to falling frequently with no visible or significant trigger (after the age of 5)
  • Regular appearance of bruises from bumping into things at school or at home
  • Inability to understand jokes or social cues appropriate to age
  • Inability to read and write relative to age and level in school
  • Any other repetitive behaviour uncharacteristic to age or normal behavioural patterns

When the disorders are not diagnosed and children or young adults are left to handle them on their own, the risk of mental health issues becomes extremely high. Anger, anxiety, depression, inability to perform daily tasks and inability to be socially active are common in such cases.

These disorders and their symptoms vary from child to child. While some may exhibit very mild symptoms, others may be unable to function normally. Early diagnosis can help all children diagnosed with these disorders manage the symptoms effectively.

1. Autism Spectrum Disorder (ASD)

ASD covers a wide range of disabilities and symptoms associated with an abnormality in brain development. Having a child with autism increases the probability of having another autistic child by 5 per cent.

2. Attention Deficit Hyperactivity Disorder (ADHD)

Inability to focus and pay attention, difficulty to control emotions and excessive activity. ADHD can lead to other mental health problems if not managed appropriately.

3. Dyspraxia or developmental co-ordination disorder

Affects co-ordination skills for tasks requiring balance, kicking and throwing a ball and fine motor skills (writing or using small objects carefully) in children and adults – National health Service, UK. October 9 to 15 is being celebrated as Dyspraxia Awareness Week to ensure the condition gets diagnosed as early as possible and for increasing awareness among parents.

4. Dyslexia or reading disorder

Causes difficulty in reading and impair fluent reading and comprehension. Despite being intelligent, children may be unable to read or decode reading as easily.

5. Dysphasia

Affects language and communication learning

6. Dysgraphia

Difficulty in writing including issues in handwriting, spelling and organisation skills

 

Talking about the subject, Dr. P.M.M. Sayeed, a specialist in Paediatrics at Aster Clinic said, “What ‘expected behaviour’ is to parents is what makes or breaks the identification of symptoms. If parents refuse to accept that their child is behaving differently, as observed by a teacher for example, the child suffers.”

News Source – http://gulfnews.com/leisure/health/i-don-t-want-to-go-to-school-1.1913281

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Aster’s new tech enables patients to control chronic disease from home

Aster DM Healthcare has launched an advanced technology for chronic disease (diabetes and hypertension) patients, as a part of its innovative remote monitoring programme called Aster Chronic Care@Home.

Inaugurated by Dr Layla Al Marzouqi, Director of Health Regulation at the Dubai Health Authority (DHA); Dr Azad Moopen, founder, chairman and managing director, Aster DM Healthcare, and Alisha Moopen, executive director and chief executive officer, hospitals and clinics (GCC); the integrated health service will empower patients to take control of their disease management through close monitoring of blood glucose and blood pressure reading, constant data management through a mobile app connected to a call centre and proactive patient outreach from Aster specialists for care. Envisioned to deliver a personalised healthcare solution that will strengthen the continuum of care by ensuring compliance to disease management regime and minimising complications associated with the conditions.

The technology would function through the introduction of smart monitoring devices for blood glucose and blood pressure. The readings or data captured by the devices would be automatically updated to a mobile application on the patient’s phone and health records maintained by the care provider. These health interpretations readings will be closely monitored by trained nurses and paramedics through a contact centre. In the case of fluctuations in the reading patterns, the patient would receive direct calls from Aster care specialists. The new service is based on the international concept of improving chronic disease care through regular monitoring and constant communication about disease management from the care provider to the patient.

“One of our constant efforts in the UAE is to ensure that all our residents have access to quality healthcare and undertake the appropriate measures necessary to minimise the challenges associated with highly prevalent chronic diseases like diabetes and hypertension. Personalised and customised health services need to be accessible, affordable, and responsive. We congratulate Aster DM Healthcare, for their continued efforts in initiating positive measures to help transform healthcare delivery in the country,” said Dr Layla Al Marzouqi.

“The Aster Chronic Care@Home programme aims to make disease management for patients a smooth and easy-to-use solution to make a positive difference in their lives. It is our constant endeavour to fulfil our commitment to improving the lives of the people that we serve every day, through innovative solutions, to achieve best health outcomes,” said Dr Azad Moopen.

“Healthcare is shifting its focus from hospital-based acute care towards prevention, promotion of wellness, and maintenance of function in the community as well as home-based facilities. In the era of constant connectivity, the solution enables people to interact with healthcare professionals for disease management at home or at work; patients can limit doctor visits to when an in-person clinical consultation is appropriate,” said Alisha Moopen.

News Source – http://www.khaleejtimes.com/business/local/asters-new-tech-enables-patients-to-control-chronic-disease-from-home

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