Preventive medicine

Preventive, Predictive, Personalized and Participative

The mission of so called 4P Medicine is to implement cutting edge, evidence based methods and procedures able to facilitate the management of the effects of chronic inner and environmental stress at any age.

Stress is an etiologically multifactorial condition with a large pallet of symptoms, whose management requires a multi-interventional approach. Moreover, people facing chronic stress must equally assume the role of an active component in the multidisciplinary team of specialists that means to equally cooperate to  manage stressful stimuli and to counteract their effects.

  1. Can we encourage and support one’s collected and productive life ?
  2. Can we counteract and “cure” the effects of stress?
  3. Can we reset the genes affected by chronic stress, back to their normal functioning?

The good news here is: YES! WE CAN!

This news is supported by recent acquisition of scientific knowledge. The services provided by our Centre belong to the four fields of action described below.

PREVENTION

The diagnosis of personal vulnerability to stress.

The evaluation of demanding stimuli and detection of those that may overpass the capacities of the organism to provide an efficient adaptive answer to their action:

  • Natural history of the person
  • Evaluation of personality features (Rorschach test)
  • Preventive clinical evaluation
  • Preventive biomedical evaluation (laboratory tests)
  • Preventive psychometric and behavioral

Relational evaluation:

  • Familial
  • Professional
  • Social

 

PREDICTION

Early/just in time diagnosis of stress

The processing of results provided by the holistic-integrated clinical, biomedical, psychological, behavioral and nutritional evaluation, together with information related to familial, professional and social performances, will assure the detection of stress before the onset of any stress effects, and will facilitate the prediction of possible future evolution.

PERSONALIZATION

In daily life we are not dealing with difficulty, disequilibrium or disorientation as abstract, scientific or philosophical notion, but with persons facing various difficulties, disequilibria and disorientation states.

All individuals are unique from biomedical, psychological, behavioral, spiritual and social point of view.

The battery of interventions designed for managing stress and recovery can only be highly efficient if that battery of interventions is tailored on the particular, personal features of the person.

THE PERSONALIZED PLAN OF INTERVENTIONS puts together those methods and practices selected from the interventional arsenal, proper to each individual’s UNIQUENESS.

PARTICIPATION
In fact, the principles of Participatory Medicine operate in any situation when a difficulty must be handled – the team of specialists and the person in need are complementary factors of the actions to be undertaken for solving his/her problem. Instead of being a passive “object” of work for specialists, the assisted person learns how to actively cooperate in solving his own problems. That means how to become a true member of that caring team.

Ana Aslan International Foundation has be actively involved in the medical coordination of more than 20 European projects. These included projects for innovation, research and technology for clinical assistance. They are mainly aimed at the elderly with special cognitive needs, living at home, in care centers or in institutions.

As an advocate of the international movement in the field of innovative medicine and ICT assisting solutions for the elderly, and as the first institution to implement this movement in Romania, Ana Aslan International Foundation in ranked third in Europe for design of intelligent innovative projects and software for European citizens that enable both healthy and cognitively impaired seniors to live independently.

The software applications developed in cooperation with international partners within Active and Assisted Living (AAL) projects () are valuable instruments for prevention and for the personalized assistance of both healthy and dependent elderly patients.

These new innovative solutions aim to cover a wide range of needs and are based on Participative Medicine principles. According to these, the patient is no longer just the subject of professional care services but an active decision maker and participant in the act of socio-medical care. The ICT-based applications facilitate self –management of one’s health status, assisted by intelligent devices that can provide important information related to:

  • Changes in clinical symptoms
  • Best practices in personalized care interventions
  • Overall image on symptom progression and caregiver level of burden

These devices are meant to reduce carer and family burden, to facilitate communication between different categories of health professionals and between formal and informal carers, to foster mutual support between informal carers and health professionals (MDs, medical specialists, psychologist, nutritionist, physiotherapists, etc.) which are involved in monitoring the health of the elderly.

AAL solutions can also benefit volunteers association that make considerable efforts in  supporting the often understaffed community care system.

Innovative medicine provides real support in programs for diagnosis and treatment of memory impairment, depression, professional stress, hearing, sight or loco-motor impairment as well as in programs dealing with social abandonment.

AAIF research team, as part of CONFIDENCE project consortium, was awarded the AAL 2014 European Commission award for best medical design of intelligent software meant to increase safety and quality of life for seniors, as well as spatial-temporal orientation deficits, common in neurodegenerative disease.

Longevity medicine is based on the most advanced methods for early detection, prevention and early therapeutic interventions of age-related pathologies.

This medical specialty, which deals with longevity and prevention of pathological brain ageing, is focused on:

  • early evaluation of individual predisposition to either a slow, normal or to an accelerated ageing process,
  • evaluation of individual risk factors (genetic and environmental)
  • prediction based on early assessment (starting at the age of 40) with a set of premium assessment instruments.

Considered one of the fastest-growing medical specialties in the world, over the last 5 years, longevity medicine is considered “the medicine of the future”. We all need to learn how to love our age, and to take care of both our mind and body so as to be able to fully enjoy our lives, in a productive and vital manner. In order to age well and live a long and normal life, it is very important to find out, as early as possible, how fast we age.

Clinical and statistical data on memory disorders emphasize the importance of prevention and early diagnostic in managing this pathology which has significant negative impact and poses an important burden on geriatric care costs.

Over 40% of elders worldwide and 34% of people in the 55 to 80 age group in Romania are affected by memory impairments. The raising number of people with memory disorders poses great medical, ethical and socio-economic problems.

AAIF made a priority out of accomplishing longevity medicine objectives in the medical, academic and scientific research domains, such as :

  • medical and scientific research on medico-social aging
  • scientific research projects with international funding
  • professional education for health personnel on hospital, ambulatory and home healthcare services for elderly with special psychical and physical needs disabled
  • initiation, organizing and financing of:
  • Programs for the development of medical holistic services in the domain of longevity medicine, prevention and identification of individual risk factors for brain ageing; development of home care services for elderly with physical and/or psychological deficits;
  • Socio-medical programs for people with low income, in order to prevent social exclusion and foster re-qualification and professional reintegration;
  • Medical centers, healthcare units and clinics providing multidisciplinary investigation services by highly qualified personnel: doctors, psychologists, social workers, rehabilitation and kinesiotherapy specialists, etc.;
  • Programs focused on medical recovery and social reintegration of the elderly; on increasing elderly participation in economic, social and cultural activities, supporting retired people that still want to use their skills and abilities, administrative counselling for elders in difficulty;
  • Home care services for the healthy elderly and for those with special physical and cognitive needs;
  • Programs focused on geriatrics-gerontology and longevity medicine education;
  • Educational and qualification projects and programs for individuals that specialize in these fields, for people that provide and are in need of counselling;
  • experimental and applied research on brain ageing; transfer of knowledge between universities and research centers worldwide;
  • study and research scholarships in Romania and abroad for doctors, students, PhDs;
  • campaigns to promote cooperation with education, research, medical and socio-medical institutions in Romania and abroad.