WELCOMEWELCOME

A PARADIGM SHIFT?Questions for thought?

Cardiovascular risk factors have been identified and subsequent patient education and behavior modification have positively impacted on pts. Can we similiarly intervene and decrease the burden of skin disorders ?

Can we move away from terms such as Elderly, Senior, Old Geriatric (US Census age 65 plus) to discuss Dermatologic needs for the Evolving, Aging aka Generational patient?

My Practice address

Wendy E. Roberts MD

35280 Bob Hope Drive

Rancho Mirage California

and Oldest Patient

THE FACE OF GENERATIONAL DERMATOLOGY

In One Century the rate of growth of the 65 plus yo per, has increased by a factor of > 11

3 million in 1900 to 35 million in 2000.

By 2030 about 1 in 5 Americans will be labeled “elderly”

The “elderly’’ is the fastest growing poulation in the United States”....because

HAPPY BIRTHDAY!!The leading edge of Baby Boomers just turned 65 in January 2011.

With Increased longevity new dermatologic issues arise because skin has to last longer.

Many Generationals want their skin to reflect “how they feel, not their numeric age”

Some Generationals are choosing to remain or renter the workforce until the 7th and 8th decade. There is an understanding that healthy and youthful skin gives them value in what can be a competitive yourh oriented workforce

Generational BOOMOver 76 million babies were born in USA between 1946-1964, (US Census Bureau)

Landon Jones coined the term”baby boomer” in his book Great Expectations: America and the Baby Boom Generation

80% of personal financial assets

> 50% of all consumer spending

61% of OTC medications

77% of all prescription drugs

Dermatologic disorders in the Generational (Geriatric) patientAlopecia

BCC, SCC, MM

Varicose & spider veins

Foot ulcers

Rosacea

seborrheic keratosis

solar lentigines

xerosis

stasis dermatitis

Hyperkeratosis & nail dz.

Pruritus

Cosmetic issues

Preventative Dermatology

The total estimated annual cost of the 22 skin-disease categories analyzed in this study is $39.3 billion in 2004 US dollars, including the value of medical costs and lost productivity. The total direct and indirect costs for each of these categories range from $157 million for cutaneous drug eruptions to $12 billion for skin ulcers and wounds.

Techniques and strategies for medical intervention and treatment of aging generational skin can be categorized into a new paradigm using nomenclature from the broader house of medicine., The Integumnet or Skin undergoes an Aging process similar to the other major organs of the Human Body, It is the goal of this meeting to focus on interventional strategies JAAD volume 21 issue 3

Primary prevention - Reduction of risk factors before a disease or condition has occurred.

Secondary prevention - Early detection of disease, potentially while still asymptomatic, to allow positive interference to prevent, postpone, or attenuate the symptomatic clinical condition.

Tertiary prevention -Treatment of an existing symptomatic disease process to ameliorate its effects or delay its progress These treatments can further be classified in a manner similar to other medical interventions based on the type of clinical evidence used to demonstrate their efficacy

The practice of Geriatric/Generational Dermatology supports the concept that we are experts in disorders of skin, hair and nails throughout a patient;s lifetime and we are positioned to insure “Organ Sucess” for our patient’s duration.

Generational Generational PhotodamagePhotodamage

Seventy years Young

WELCOME