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Ageing with Dignity: How Technology is Changing Elderly Care in India

Ageing with Dignity: How Technology is Changing Elderly Care in India

Time of India11 hours ago
New Delhi: As India moves closer to a major demographic shift—with the elderly population expected to cross 350 million in the coming decades, ETHealthworld's inaugural edition FutureMedX Summit hosted a powerful discussion on 'Leveraging Technology for
Geriatric Well-being
.'
Healthcare leaders and policy experts came together to explore how tech can support elderly Indians in living healthier, more connected lives.
Captain Neelam Deshwal, Chief Nursing Officer at Fortis Healthcare, shared how mobile apps are becoming lifelines for seniors.'Many apps now come with features like large fonts, voice assistants, medication reminders, and emergency alerts. Some even help older people stay socially connected,' she said.
These tools don't just support health—they fight loneliness. 'Now, many seniors video call their families or join virtual groups from home. It helps them stay engaged and feel less isolated,' she added.
Still, she acknowledged the challenges: 'Complicated language, annoying pop-ups, and lack of support in regional languages often make these apps hard to use. Privacy concerns are also a big issue.'
Colonel Binu Sharma, Senior Director of Nursing at Max Healthcare, highlighted the inequality between urban and rural healthcare access.'In cities, we have teleconsultations, remote monitoring, and digital health dashboards. But rural India is still far behind,' she said.
'Eighty percent of our elderly live outside the metros. They need more than just access to tech—they need it to be truly usable and helpful," Sharma added.
Dr. Prasun Chatterjee, Chief of Geriatric Medicine at Artemis Hospital, emphasized the mental health side of ageing.
'Geriatric mental health is often overlooked. Early signs of cognitive decline are frequently missed—even by doctors,' he noted.
He shared how AIIMS, in partnership with DST, developed tools that assess mental well-being through voice and emotion analysis. 'We can now use telemedicine to diagnose, counsel, and offer therapy remotely,' he said.
Empowering Caregivers with Digital Skills
Captain Deshwal pointed out that elder care in India is still mostly family-driven. 'Caregivers need to be trained on how to use health apps and medical devices. If they don't understand the tools, the technology is useless,' she said.
She suggested more hands-on training, easy demo videos, and guides tailored for caregivers.
Col. Sharma added, 'Elderly care should be as simple as booking a cab—affordable, low-effort, and intuitive. We need to stop expecting bedridden seniors to travel across cities. Instead, tech should help healthcare reach them at home.'
Making Elderly Tech Affordable
While technology is advancing, affordability remains a big concern. 'Most health insurance policies stop covering people after age 75. Without financial support, the best tech solutions are out of reach for many,' Sharma warned. She called for more public-private partnerships to build cost-effective elder care systems.
Dr. Chatterjee highlighted how predictive tech could reduce emergency visits. 'Imagine if a system could alert families when a senior needs care—before things get serious. It saves money, reduces stress, and avoids last-minute panic,' he said.
All the experts agreed: India needs a public health roadmap for geriatric care. As the country ages, it's not just about living longer—it's about living better. The future of elder care lies not in hospital beds, but in homes filled with empathy, innovation, and accessible technology.
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PM Modi-led BJP govt provided vaccine to 130 crore Indians: Amit Shah
PM Modi-led BJP govt provided vaccine to 130 crore Indians: Amit Shah

India Gazette

time3 hours ago

  • India Gazette

PM Modi-led BJP govt provided vaccine to 130 crore Indians: Amit Shah

Pune (Maharashtra) [India], July 4 (ANI): Union Home Minister Amit Shah, praised the PM Modi-led BJP government's handling of the COVID-19 pandemic, highlighting India's achievements in manufacturing vaccines and protecting its citizens. Speaking at the groundbreaking ceremony of Poona Lifespace International in Pune, Shah said, 'When we faced the biggest pandemic of the century, India was one of the first countries to manufacture a vaccine. PM Modi-led BJP government provided vaccine to 130 crore Indians and protected them.' Shah emphasised the importance of societal participation in addressing health issues, saying, 'No matter how much a government does, it cannot manage everything. By the time society takes part in it, health issues don't become a movement, no government can protect all the citizens of the country...' 'Today, I am delighted that at PHRC Life Science Organisation in Pune, people from the Marwadi and Gujarati communities have come together with a vision to start a new direction, a new perspective, and a new era. With this in mind, they have decided to advance medical services, medical education, and medical work on a 14-acre campus with 14 lakh (1.4 million) square feet.', Shah added. Earlier in the day, Union Home Minister Amit Shah attended the inauguration ceremony of the Jairaj Sports and Convention Centre, built by the Shree Poona Gujarati Bandhu Samaj in Pune. He praised the society for creating a modern and beautiful building that represents the Gujarati community in the country. In his address, Shah said, 'I was in Pune for a while during my early life. When I received the invitation, I was curious about it. But it all became clear when I saw your full catalogue along with the invitation,' Shah said. Amit Shah described the building as the 'most beautiful building representing Gujarati society in the entire country.' 'This is the Shree Poona Gujarati Bandhu Samaj, the most beautiful building representing Gujarati society in the entire country. When I was a minister in the Government of Gujarat, the then Chief Minister and today's Prime Minister, Narendra Modi, granted 5 crore for the development of buildings for the Gujarati community,' he added. The centre was constructed through contributions from members over 13 years, from 2012 to 2025, without controversy and with proper guidance. Shah appreciated the society's efforts in building a thoroughly modern structure with a business-oriented perspective, serving various types of enterprises. 'I had a vision in my mind about what the Pune Gujarati Bandhu Society might look like. But when I saw it in person, I realised that this is not just a public institution, it is a thoroughly modern structure built from a business-oriented perspective, serving us and various types of enterprises. I firmly believe that this building reflects the evolving dynamics of the society it represents. From 2012 to 2025, over 13 years, members of the society have come together, contributing according to their capacities. Whether through donations, time, or effort, everything was done without controversy and with proper guidance. That is how such a beautiful building has come into existence,' he said. Shah praised Pune, saying it has been a symbol of knowledge, nationalism, social awareness, and freedom throughout the country. Shah said, 'This city, Punya Nagari, has been a symbol of knowledge, nationalism, social awareness, and freedom throughout the country. It has led from the front at every stage in history. When India fought against the Mughals, it was Shivaji Maharaj who laid the foundation of 'Hindavi Swarajya' from this land. During the British era, it was here that Lokmanya Tilak roared, 'Swaraj is my birthright.' That one sentence became a mantra for youth and ignited the freedom movement across the country. Under the leadership of Mahatma Gandhi, we eventually achieved independence. This sacred city has been the birthplace of our Vedas and Upanishads, our literature and arts. At the same time, Maharashtra has also led the way in social reform. Many saints of the Bhakti movement have come from here.' Shah highlighted the significance of Gujarati culture, saying, 'Wherever a Gujarati lives, there will always be Gujarati culture'. 'The Shree Poona Gujarati Bandhu Samaj of Pune has been an integral part of Maharashtra and Pune since 1913, spanning over 112 years, and has grown in step with the region's progress. After joining the party, I travelled the country for 116 days. During that journey, a journalist in Nagaland asked me, 'Do you still remember Gujarati?' I told him, 'Wherever a Gujarati lives, there will always be Gujarati culture.'' Because wherever Gujaratis go, they are like sugar in a glass of milk; they mix in smoothly, enriching the place. Gujaratis never struggle to move forward; they help the entire region progress.' Earlier, Union Home and Cooperation Minister Amit Shah arrived in Pune for a two-day visit to Maharashtra. He was welcomed at the Pune airport by Maharashtra Deputy Chief Minister Devendra Fadnavis, along with senior BJP leaders and party workers. The visit is expected to include several high-level meetings, public addresses, and organisational reviews across the state. (ANI)

From Luck to Protocol: India's Emergency Care Gets Structure and the Golden Hour Its Due
From Luck to Protocol: India's Emergency Care Gets Structure and the Golden Hour Its Due

Time of India

time6 hours ago

  • Time of India

From Luck to Protocol: India's Emergency Care Gets Structure and the Golden Hour Its Due

New Delhi: Emergency care in India is no longer a waiting game. It's transforming into a fast, tech-enabled, and protocol-driven system that puts the patient at the center. From trained ER doctors managing critical trauma independently to AI-assisted triage and ambulance alerts triggering in-hospital prep, the change is sweeping. What once relied on luck and specialist availability is now structured, timely, and increasingly seamless even in tier 2 and 3 cities. The golden hour is finally getting the urgency it deserves, informed top experts in emergency medicine . Speaking at ETHealthworld's inaugural FutureMedX Summit during a compelling panel discussion titled 'Revolutionizing Emergency Care: Patient-Centric Approaches in Trauma and Critical Care', experts addressed how emergency care in India is evolving from a fragmented, protocol-driven system to a more integrated, tech-enabled, and patient-centric approach. The session saw participation from Dr. Deepak Agrawal , Professor, Neurosurgery , AIIMS New Delhi; Dr. (Prof) Ajay Bahl, Chairperson and HOD, Emergency Medicine, Sir Ganga Ram Hospital; Dr. Sushant Chhabra , Cluster Head, Emergency Medicine, Manipal Hospitals North-West Region; and Dr. Sachin Chaudhry from the Armed Forces Medical Services shared their views. Moderated by Vikas Dandekar , Editor (Pharma & Healthcare), The Economic Times. Opening the session by highlighting the radical transformation in India's emergency care landscape over the past decade , Dr Agrawal said, 'Earlier, emergency departments across India were staffed by Casualty Medical Officers (CMOs) who were not specifically trained in emergency medicine. They could be orthopedic surgeons, trauma surgeons, or anesthetists. The most significant shift has been the emergence of dedicated emergency medicine departments staffed by trained professionals." According to Dr Agrawal, emergency care has evolved from mere triage-based systems to more holistic, protocol-based interventions. 'Today, emergency physicians manage the ABCs—airway, breathing, circulation—and initiate diagnostics like CT scans, with specialists arriving later in the care chain. This has made emergency care more consistent and less dependent on chance,' he explained. Underlining the increasing use of AI and machine learning in emergency settings, he said, 'We've installed cameras that use object detection to track critical steps—like when intubation is done or when pulse oximetry is applied. This data generates key performance indicators on how long each life-saving step took, helping us refine our processes." Dr Chhabra elaborated on the structured emergency response system adopted by Manipal Hospitals. 'Our model is built on strong clinical leadership, integrated systems, and seamless transitions of care. We follow a 'closed ER and closed ICU' model, where patients are continuously managed by trained emergency medicine doctors from triage to discharge,' he said. He added that protocols like Code Stroke and Code STEMI—standardised across their network—enable quicker diagnoses and timely interventions. 'If a chest pain patient presents, we perform an ECG within five minutes and activate Code STEMI if necessary. This has drastically reduced door-to-balloon times and improved outcomes.' Manipal has also invested in robust pre-hospital care through the Manipal Ambulance Response Service (MARS). 'If our field paramedic suspects a stroke, the hospital is alerted in advance, enabling faster triage and imaging the moment the patient arrives,' he added. On the technology front, Dr Chhabra noted the adoption of AI-based triage in global emergency departments. 'In Canada, AI-driven systems now categorise patients into red, yellow, or green zones automatically. AI is also being used in history-taking to ensure no critical questions are missed, especially when physicians are cognitively overloaded.' Dr Chaudhry, speaking from his experience at military and civilian hospitals, emphasized triage as the cornerstone of emergency care. 'It begins not just at the hospital but also in ambulances. Integration between departments is crucial. Once myocardial infarction is ruled in, the patient is directly moved to cardiology,' he explained. He stressed that trained emergency staff—certified in ATLS, ALS, and BLS—manage patients from initial assessment through to transfer. 'With the Ayushman Bharat Digital Mission, we can access past patient data immediately. This cuts down delays in treatment, which in emergency medicine, could mean the difference between life and death,' he said. Backing up his points with concrete statistics, Dr. Chhabra said, 'In the Manipal network, we manage around 1,200 STEMI cases annually. Our Code STEMI protocol has helped reduce mortality by 30 per cent. We have also brought down door-to-balloon time by 20 to 30 minutes well below the international standard of 90 minutes even in tier 2 and tier 3 cities,' he noted. Dr Agrawal shared insights on neurotrauma care and how the system has evolved. 'Ten years ago, we were operating on two to three severe head injury cases daily. Today, that number has dropped to one. Better infrastructure, safer vehicles, and emergency awareness have helped,' he said. However, he pointed out that Delhi still lacks a world-class ambulance system. 'Interestingly, 50 per cent of our emergency neurotrauma cases are brought in by Delhi Police, who have a scoop-and-run directive. While they're not medically trained, they get patients to us in under 10 minutes, often faster than ambulances,' he noted. He recounted how AIIMS was once accused of shunting patients to smaller hospitals, leading to a Supreme Court petition by Safdarjung Hospital. 'We took a call that any patient requiring intubation or ventilation would not be referred out. We would treat them regardless of bed capacity. That's when we built a dedicated trauma center with half of our 250 beds reserved for neurotrauma,' he said. 'Someone has to take responsibility and we did," Dr Agrawal mentioned. The Regulatory Setback Toward the end, Dr. Chhabra raised a serious concern on the fluctuating recognition of emergency medicine as a specialty. 'In 2009, the specialty was recognised. In 2022, NMC mandated every medical college to have an Emergency Medicine department. But in 2023, emergency medicine was shockingly removed as an essential specialty. That's a huge setback,' he said. He advocated for national protocols from the Ministry of Health or NABH, especially for golden hour conditions like STEMI and head injuries. 'If doctors across India follow standardized treatment protocols—even if they eventually refer to the case—they could still stabilise the patient and save lives,' he emphasised. In closing, moderator Vikas Dandekar reflected on the international context. 'In Canada, a student with a fractured finger waited 12 hours in the ER without even a painkiller—because he was low priority. Compare that to India, where doctors operate under immense pressure but still manage to deliver care with empathy and speed. That's our strength,' he said. Dr. Agrawal echoed the sentiment. 'We're lucky here. In India, if you need an MRI, you can get it done immediately. In many Western countries, you'd need to go through multiple referrals. While that system has its merits, our accessibility—despite resource constraints—is a huge advantage.' The session concluded with a unanimous call to institutionalise emergency medicine, invest in smart technologies, and uphold patient-centered values that make India's evolving emergency care ecosystem not only efficient but also humane.

Covid Vaccine and sudden heart attacks: Delhi AIIMS says no connection
Covid Vaccine and sudden heart attacks: Delhi AIIMS says no connection

Time of India

time11 hours ago

  • Time of India

Covid Vaccine and sudden heart attacks: Delhi AIIMS says no connection

The Covid 19 pandemic was a mayhem that gripped the world from 2020 to 2022, resulting in millions of deaths. India specifically saw a deadly second wave from March 2021 to June 2021, resulting in many deaths, lack of oxygen tanks and beds. However, a glimmer of hope appeared with the Covid vaccine, which, even though did not give complete immunity against the virus, made the ailment much less severe. Of late, there have been talks about the vaccine's long term effects on health, in particular cardiac health, as more and more young Indians are dying of "sudden" heart attacks. However, recently, doctors and researchers at Delhi's All India Institute of Medical Sciences (AIIMS) have addressed these concerns. Their studies show there is no clear link between Covid vaccines and sudden cardiac arrest deaths in India. What started the worry After the Covid-19 vaccination, and even till now, some cases of young people dying suddenly from heart attacks or cardiac arrest were reported. These incidents led to fear and speculation that the vaccine might be causing these deaths. Social media posts and public figures added to the confusion, making many people anxious about vaccine safety, which was being seen as a precursor to cardiac events. by Taboola by Taboola Sponsored Links Sponsored Links Promoted Links Promoted Links You May Like Providers are furious: Internet access without a subscription! Techno Mag Learn More Undo What Did AIIMS Delhi Study AIIMS Delhi, in collaboration with the Indian Council of Medical Research (ICMR), launched a detailed study to find out if there was any connection between Covid vaccines and sudden cardiac deaths. The study focused on adults aged 18 to 45, a group where some of these sudden deaths were reported. How was the study carried out Researchers examined over 300 cases of sudden, unexplained deaths. Post-mortems were conducted to find the real cause of death. The study included people who had received one or more doses of the Covid vaccine. What Did the Results Show The main finding was on these lines: there is no evidence that Covid vaccines increase the risk of sudden cardiac arrest or heart attack deaths. Most of the sudden deaths were linked to coronary artery disease (CHD), which is often caused by poor lifestyle choices such as unhealthy diet, lack of exercise, smoking, and stress. Some deaths were due to genetic factors or pre-existing health conditions. The pattern of sudden deaths after vaccination was similar to what was seen before the pandemic. What Do the Experts Say Doctors at AIIMS Delhi have strongly stated that the benefits of Covid vaccines far outweigh any risks. Dr. Sanjay Rai, Professor of Community Medicine at AIIMS, explained that while every vaccine or medicine carries some risk, the overall benefit of vaccination in saving lives during the pandemic was huge. Dr. Karan Madan, Associate Professor at AIIMS, said, 'Covid vaccines were effective and played a crucial role in reducing mortality. A study was done on sudden cardiac deaths to review the vaccines used so far, but no clear association was found with sudden cardiac deaths'. Dr. Randeep Guleria, former Director of AIIMS, also pointed out that heart attacks in young people is more likely due to lifestyle, genetics, and other health issues, not the vaccine. What About Other Studies The findings from AIIMS Delhi are supported by other major studies in India: The ICMR's National Institute of Epidemiology conducted a large study across 47 hospitals in 19 states. It found no link between Covid vaccination and sudden unexplained deaths among adults. The Union Health Ministry and the Serum Institute of India (maker of Covishield) have also confirmed that the vaccines are safe and scientifically validated. Why do sudden cardiac arrests happen Sudden cardiac arrest can occur for many reasons, including Coronary artery disease (blocked arteries) Genetic factors (family history of heart disease) Unhealthy lifestyle (poor diet, lack of exercise, smoking, alcohol which over years weaknes the heart) Pre-existing health conditions (diabetes, high blood pressure) Stress and obesity What should one do: Regardless of this breather, one should take care of your heart health. For this Exercise often Consume heart healthy foods Keep your BP under check Quit smoking/reduce alcohol Ditch the junk Lose weight, if you are overweight Get yourself tested every year Sources AIIMS The Indian Council of Medical Research (ICMR) Union Health Ministry

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