Ramachandra Adiga

Age : 86

Ramachandra Adiga, now 86, was unexpectedly admitted to the care facility without prior notice. The usual procedures, such as assessments, setting care goals, and developing a care plan, were not followed. His daughter Renuka, on the verge of tears, shared the story. Ramachandra had been living with her brother after losing their mother to cancer. Strained relations with her sister-in-law, particularly concerning father’s pension and savings, led to an untenable living situation. Refusing her demand for a substantial sum to start a business, Ramachandra faced hostility, making his life miserable in that household.

Ramachandran endured verbal abuse and lacked proper care. Renuka, residing in the US, had a strained relationship with her only brother regarding their father’s well-being. Recognising the severity of the situation, Renuka urgently visited India to relocate her father to a safer and more comfortable care facility. Ramachandran, weakened by malnutrition, suffered chronic chest infection too. As a type II diabetic, dependent on insulin, he also battled chronic bronchitis. Due to the absence of recent clinical evaluations, there had been no medication review for many years.

Following admission to the care facility, a comprehensive evaluation by social gerontologists and the facility physician took place. A care plan was devised and implemented, incorporating preventive measures such as nutrition reviews and sugar level monitoring. Medication review aimed at avoiding polypharmacy. Through improved nutrition and care, Ramachandran regained mobility, granting him a renewed lease on life. Preventive care effectively prevented hospitalisation, allowing him to remain in the care facility for over seven years without any hospital admissions except for annual check-ups. Ramachandran’s case serves as a prime example of how adopting preventive care can preserve the quality of life, steering clear of hospitalisation and associated iatrogenic complications.


As you age, the likelihood of health issues rises. Taking proactive measures to prevent problems or detecting them early increases the chances of leading a longer, healthier, and more fulfilling life. This approach aids in averting chronic diseases, co-morbidities, and the decline in function among older adults, ultimately enhancing their overall health and quality of life.