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ADHD Not Just a Childhood Disorder
ADHD Not Just a Childhood Disorder

Attention-deficit/hyperactivity disorder (ADHD) is one of the most common neuro developmental disorders and is characterized by difficulty to pay attention and control impulsive behaviors.

Although its symptoms begin in childhood, the condition may continue through adolescence and adulthood.

As per a study published in the Indian Journal of Psychiatry, “Prevalence of Attention Deficit Hyperactivity Disorder in primary school children”, the prevalence of ADHD among primary school children was found to be 11.32% with a higher prevalence among the males (66.7%) than the females (33.3%).

KEY BEHAVIOURS OF ADHD:

1. Inattention or “Difficulty paying Attention”: People with ADHD lack persistence and often find it difficult to stay focussed. Such people seem disorganized and wander off their current task quite often to start something else.

2. Hyperactivity or “Being Overactive”: It means extreme restlessness, constant activity even in inappropriate situations or when not required.

3. Impulsivity or “Acting Without Thinking”: It involves instant actions that occur in a moment without even thinking about possible harms or long-term consequences.

These behavioral traits are normal but in people with ADHD, these behaviors are much severe, occur more often and interfere with their functioning or reduce the quality of how they function socially, at school, or in a job.

CAUSES:

Researchers at the National Institute of Mental Health (NIMH), National Institutes of Health (NIH) have studied that ADHD may be caused by genetic factors interacting with environmental factors or with other non-genetic factors.

The various factors contributing to the condition may include genetic factors, smoking, alcoholism, brain injuries, premature birth, low birth weight, or exposure to environmental toxins like lead (found in paints & pipes) during pregnancy or at an early age.

The findings of a study published in the PEDIATRICS Journal suggest “an exposure to prenatal tobacco smoke, possibly nicotine may have a prenatal programming effect on the risk of ADHD in children.

HOW CAN WE PREVENT ADHD?

Although the exact causes of the condition are unknown, it risks may be reduced in the following ways:

  • Reducing the exposure to environmental toxins and pollutants like tobacco, smoke, and lead.
  • Avoiding your child’s excessive exposure to the screens during the early years of life.
  • Avoiding exposure to all those things which could harm the fetus during pregnancy, such as smoking, alcoholism, etc.

DIAGNOSING ADHD

It is difficult to diagnose ADHD in very young children as there are no specific tests it becomes further inconvenient if the core symptoms don’t start at an early age i.e. before age 12.

Deciding if a child has ADHD may include the following series of steps:

  • Conducting medical exams, such as hearing or vision tests, to rule out other possible causes of the symptoms like ADHD.
  • Gathering information about the past and present medical issues or school records from parents, family members, teachers or sometimes, the child.
  • Collecting and evaluating the child’s information using a checklist for rating ADHD symptoms.

TREATMENT

Conventional treatment methods include the following:

  • MEDICATIONS, which help balance the levels of neurotransmitters. Also called “Psychostimulants”, these medications help alleviate the symptoms in a short period of time, it’s just a matter of finding the right medicine and dosage. The dosage may differ from patient to patient and may need to be adjusted afterward.
  • BEHAVIORAL THERAPY: Teachers and the parents may be provided behavioral therapy by a psychiatrist, psychologist, social worker or other mental health professionals. They may learn about behavior-changing strategies for dealing with difficult situations.

We @DattMediproducts recommend counseling a physician to help people and children with ADHD and enroll for additional behavioral therapies to not only help the patients but also to guide families to learn more and be able to help with the condition and associated everyday problems.

Visit www.dattmedi.com for more infomation.
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Common Wound Care Issues

Advanced Wound Care for the Elderly: Addressing Unique Challenges and Solutions

World Health Day reminds us of the importance of addressing health concerns across all age groups, particularly for the elderly. As people age, they often face unique challenges, including skin fragility and reduced mobility, which make wound care a crucial aspect of their health management. Advanced wound care tailored to elderly needs ensures better healing outcomes and improved quality of life.

Common Wound Issues in Elderly Patients

Skin Fragility & Chronic Wounds

Aging skin becomes thinner, less elastic, and more prone to damage. Studies indicate that skin tears affect up to 20-25% of elderly patients in long-term care facilities globally, highlighting the need for specialized wound management.  Source

Elderly individuals are particularly susceptible to:

  • Tears: Even minor trauma can cause significant skin injuries.
  • Pressure Sores: Prolonged immobility leads to pressure ulcers, especially in bedridden patients. A study in India reported that pressure ulcers affect nearly 8.3% of hospitalized elderly patients. Source
  • Diabetic Ulcers: Poor circulation and nerve damage increase the risk of chronic wounds, with diabetic foot ulcers affecting nearly 25% of diabetes patients in India at some point in their lives. Source
Limited Mobility & Circulation

Reduced physical activity affects blood flow, leading to slower wound healing. A study published in the Indian Journal of Plastic Surgery found that elderly patients with limited mobility take 30-50% longer to heal from wounds. Mobility limitations can also make it challenging to provide adequate care, increasing the risk of infections and complications.  Source

Specialized Dressings for Effective Care

1. Moisture-Retentive and Antimicrobial Dressings

These dressings maintain an optimal healing environment while preventing infections. Products like Velvert® Secure provide antimicrobial protection and promote faster recovery.

2. Non-Adhesive & Waterproof Options

Delicate aging skin requires gentle care. Non-adhesive dressings minimize trauma during changes, while waterproof options allow patients to maintain daily hygiene without compromising wound protection.

Orthopedic Support Products for Recovery

1. Compression Bandages/Stockings

For conditions like venous leg ulcers or swelling, compression products improve circulation and reduce edema, facilitating better healing.

2. Support Braces & Pads

Braces and padding prevent pressure sores and provide stability, especially for patients with mobility challenges.

Tips for Caregivers in Elderly Wound Management

  • Daily Monitoring: Regularly inspect wounds for changes or signs of infection.
  • Hydration, Nutrition & Hygiene: Ensure patients stay hydrated, eat a balanced diet, and maintain clean skin to support healing.
  • Gentle Mobility: Encourage safe physical activity to improve circulation and prevent stiffness.
  • Collaborate with Professionals: Work closely with healthcare providers to develop and follow a tailored care plan.

Advanced wound care plays a vital role in elderly health and well-being. By addressing their unique challenges with specialized solutions and caregiver support, we can improve healing outcomes and enhance their quality of life.

In this World Health Month, let’s advocate for proactive care and ensure our elderly population receives the attention they deserve.

Managing Chronic Wounds

Choosing the Right Dressing for Chronic Wounds

Chronic wounds, such as diabetic ulcers, pressure sores, and venous leg ulcers, present unique challenges in wound care management. These wounds often resist healing due to underlying conditions such as poor circulation, increased infection risks, prolonged or excessive inflammation, and other patient-specific factors.

Selecting appropriate dressings tailored to the needs of chronic wounds is essential to promote healing and prevent complications.

Chronic wounds develop due to systemic issues that delay natural healing. Common types include:

  • Diabetic Ulcers: These ulcers result from reduced blood flow and nerve damage, often occurring on the feet. Proper care involves maintaining a balance between moisture and dryness, ensuring the wound does not become too dry or overly moist.
Stat Spotlight

In India, diabetic foot ulcers account for approximately 20% of all diabetes‑related hospitalizations. ~ Source
  • Pressure Sores: Caused by prolonged pressure on the skin, these wounds are common among bedridden or immobile patients. Managing pressure and ensuring the wound stays clean and protected are vital.
Stat Spotlight

In India, point‑prevalence studies report that approximately 5% of hospitalized patients have pressure ulcers, underscoring the importance of preventive care. ~Source
  • Venous Leg Ulcers: These ulcers result from chronic venous insufficiency, in which impaired venous return causes fluid to accumulate in the lower legs, increasing tissue pressure and leading to skin breakdown. Effective management typically centers on graduated compression therapy to improve circulation, alongside advanced dressings to control exudate, leg elevation, and skin care to protect the periwound area.

Managing these wounds involves addressing infection risks, ensuring patient comfort, and promoting effective healing using evidence-based dressing solutions. Selecting the appropriate dressing depends on the type of wound, its condition, and the specific challenges it presents.

Below are some general guidelines:

Diabetic Ulcers

Dressings should maintain moisture balance and provide effective infection control. Non-adhesive dressings are preferred to minimize skin damage during dressing changes. Velvert®, with its strong antimicrobial properties and excellent moisture management, is ideal for diabetic ulcers and wounds at high risk of infection.

Pressure Sores

These wounds require dressings that redistribute pressure and effectively manage exudate to prevent further tissue damage and support healing. Velfix®-S offers both cushioning and absorption, making it a reliable choice for pressure sores and wounds requiring enhanced comfort and protection.

Venous Leg Ulcers

Advanced dressings used in combination with compression therapy are essential for managing exudate and improving circulation. Velfour®, with its high absorption capacity, is well-suited for heavily exuding wounds, including venous leg ulcers.

Infected Wounds

Antimicrobial dressings are effective in managing bacterial growth and reducing the risk of complications. Silvel™ with its strong silver based antimicrobial action and Velvert™ with their strong silver-based antimicrobial action, are suitable for infected or high-risk wounds such as second-degree burns, necrotizing fasciitis, and traumatic wounds.

Here are some types of advanced dressings that address specific wound care needs:

Antimicrobial Dressings

Designed to manage infection risks, these dressings often contain agents like silver to inhibit bacterial growth. Silvel™ and Velvert™ are widely used for diabetic ulcers and pressure sores prone to infection, owing to their strong antimicrobial properties.

Foam Dressings

Highly absorbent, these dressings are ideal for wounds with significant exudate, such as venous leg ulcers. They also offer cushioning to enhance patient comfort. Velsap™ and Velfix®-S are designed for moderate to heavily exuding wounds, ensuring effective fluid management and reduced dressing change frequency.

Multi-Layer Dressings

These dressings provide both absorption and protection, making them effective for managing pressure sores and heavily exuding wounds. Velfour® is an excellent example, offering essential support for such wound types.

Real-Life Example

A 60-year-old diabetic patient in India developed a non-healing foot ulcer. Initially, traditional gauze dressings were used, leading to frequent infections. After switching to Velvert™ antimicrobial dressing, the wound showed significant improvement within four weeks, with reduced exudate and no further infections. This case highlights the importance of selecting the right dressing for chronic wounds.

Practical Tips for Managing Chronic Wounds

Effective wound care goes beyond dressing selection. Here are additional strategies to optimize healing:

  • Proper Cleaning and Debridement: Regularly cleaning the wound and removing dead tissue helps create an optimal environment for healing.
  • Adjunctive Therapies: Techniques like compression therapy for venous ulcers and offloading for diabetic foot ulcers can significantly improve outcomes.
  • Regular Monitoring: Chronic wounds require consistent evaluation to identify changes in size, depth, or signs of infection, allowing timely adjustments in care.
  • Consulting Professionals: Work with healthcare providers to ensure the care plan addresses the wound’s unique needs and aligns with the patient’s overall health condition.

Selecting the right dressing for chronic wounds can significantly improve healing outcomes and enhance patient comfort. By understanding wound characteristics and tailoring treatments accordingly, healthcare professionals can address even the most challenging cases effectively.

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