Familial Support of the Elderly in a Rural Mennonite Community

Author(s):  
John B. Bond ◽  
Carol D.H. Harvey ◽  
Elizabeth A. Hildebrand

AbstractWith an increasing number of persons entering old age and having longer life expectancies, there has been a consequent alteration of family dynamics, such that middle aged individuals frequently provide support to their older parents. At the same time, the middle aged person is often in the midst of raising his or her own children, attending to personal aspirations, and enacting the role of spouse.This study investigated support from middle aged offspring to elderly parents in a rural Mennonite community. Information on the expectation for and consequences of support to parents was gathered from pastors and middle aged family members in two Mennonite conferences, as well as from a Lutheran sample with a similar historical background.Pastoral interviews showed no differences in doctrinal beliefs regarding familial care of parents, although the institutional church responses varied. Middle aged offspring in the Lutheran congregation reported less involvement in religious practice than did members of either Mennonite congregation. Burden of caring for elderly parents felt by middle aged people showed no statistically significant differences between congregations; however, greater reported religiosity was associated with lesser burden.

2020 ◽  
Vol 25 (2) ◽  
pp. 97-100
Author(s):  
A. K. Iordanishvili ◽  
V. A. Guk ◽  
A. A. Golovko

Relevance. The success of treatment of periodontal diseases directly depends on the patient’s response to the therapy, therefore, the characteristics of the person’s personal characteristics can affect both the effectiveness of treatment and the prevention of relapse of the disease.Purpose. To study the features of the internal picture of the disease in the process of complex treatment of adult patients suffering from chronic generalized periodontitis.Materials and methods. The generally accepted comprehensive treatment of chronic generalized periodontitis in 69 middle-aged and elderly men was carried out taking into account the personal response of patients Solovyov «Psychosensory-anatomical-functional maladaptation syndrome».Results. When patients were discharged from the hospital, there was a difference in the phenomena of maladaptation among the elderly and middle-aged: in middle-aged people, sufficient adaptation to the conditions of existence was determined; in elderly people, due to the existing comorbid pathology, a state of maladaptation was diagnosed, which was caused by the presence of complaints of defects in the dentition.Conclusion. In elderly people, as soon as possible after completion of treatment in a hospital, dental rehabilitation cannot be considered completed, which requires the adoption of organizational measures for their timely provision of dentures.


2021 ◽  
Vol 19 (1) ◽  
pp. 083-114
Author(s):  
楊國柱 楊國柱 ◽  
吳金奇 Yang, Kuo-Chu

<p>嘉義縣民雄鄉山中村1(舊稱牛斗山或牛稠山),因牛稠溪域流經村莊而得此名,早期是全鄉人口最大村。山中村宗教信仰普遍為民間信仰,村莊主廟為廣濟宮,以奉祀池府王爺、媽祖、鄭成功為主,但村莊發展及信仰主體係圍繞池府王爺。本文採用文獻分析、田野調查及立意取樣後進行深度訪談,以探討山中村祭祀圈之形成,以及村民如何理解不同神靈之內涵,進而有助於山中村之社區發展與文化資源保存。</p> <p>藉由祭祀圈概念切入,以理解山中村社區各神靈祭祀圈的範圍與分布,進而探討地方社區信仰中心發展,與山中村民對不同神靈認知及意義之解讀。經研究發現:(一)隨著人口增加及集居地擴大,主廟的祭祀圈變大;由於廟務活動增加,牛斗山土地公廟的祭祀圈擴大;五營中的東、西兩營,未隨著社區的新增而往外遷移,因此祭祀圈無明顯變化。(二)山中村神靈祭祀圈的分布,「五營」與居民輪祀居住的地理範圍有關,原具有分群概念的輪祀傳統逐漸模糊:老者對此模糊;中年人認知些許;青年則不明白為何奉祀,宗教信仰傳承出現斷層的可能。(三)山中村民對不同祭祀圈神靈解讀有所異同,普遍難闡述神靈的由來及背景,較理解者屬老年人;其次為中年人;青年人則對神靈認知不清楚。(四)不同祭祀圈神靈意義與山中村民早期生活環境較有其關聯性,老年人多數提及身體健康及平安;中年人求財運、事業;青年人求課業順利。據此,就結論提出建議以供參考。</p> <p>&nbsp;</p><p>Shanzhong Village (formerly known as Niudou Mountain or Niuhou Mountain) in Minxiong Township, Chiayi County, got its name because the Niuhou Stream passed through the village. In the early days, it was the village with the largest population in the township. For the Guangji Palace, it is mainly dedicated to the worship of Lord Chifu, Mazu and Zheng Chenggong (Cheng Ch&rsquo;eng-Kung), but the village development and belief system surrounds Lord Chifu. This paper uses literature analysis, field investigations, and intentional sampling to conduct in-depth interviews to discuss the formation of the mountain village sacrificial circle and how the villagers understand the connotation of different gods, which can help the community development and cultural resource preservation of the mountain village. </p> <p> Through research, the concept of the religious field was cut in to understand the scope and distribution of the religious fields of the various deities in the Shanzhong Village community, and to discuss the development of local community faith centers and the understanding and meaning interpretation of the different deities of the Shanzhong villagers. The research found: (1) The religious realms become bigger because the population of village was increased;on the other side, Shanshang Viallage&rsquo;s religious realms become wilder due to the increase of temple actives. However, for the &quot;five camps&quot;, the east and west side of the deities&rsquo;s emissary did not extend so the Religious Realms can not protect the new village, (2) The distribution of the spiritual field in the Shanzhong village, the &quot;&quot;five camps&quot;&quot; are more closely related to the geographical scope of the residents&rsquo; rotation worship. The tradition of rotation worship with the concept of grouping is gradually blurring, and the old people are blurring; Understand why there is a possibility that there is a fault in the inheritance of religious beliefs; (3) Villagers in the mountains have different interpretations of deities in different religious fields, and it is generally difficult to understand the origin and background of deities, older than those who understand; older than middle-aged; more young Unrecognizable to the gods; (4) The significance of the gods in different religious fields is more related to the early life environment of the villagers in the mountains. The elderly have significant health and safety; the middle-aged people seek wealth and career; the young people seek smooth schooling .Then refer to the above research results to make research suggestions.</p> <p>&nbsp;</p>


Designs ◽  
2019 ◽  
Vol 3 (3) ◽  
pp. 35
Author(s):  
Yeh Po-Chan

Body function begins to decline in middle age, with changes becoming increasingly noticeable over time. With the popularization of educational and information technology, people know more about healthcare and are becoming accustomed to self-testing using health equipment. Technological changes are reflected in products, which present innovations including the switch from traditional to touch-controlled interface designs. This can cause difficulties in the interpretation and interface operation for older adults, who may be facing physiological and psychological alterations. Understanding users’ physiological limitations has become an important aspect of product design. This study explored the effects of physiological limitations on touch-screen operation in middle-aged and elderly people, specifically regarding button type, display position, and button size. A total of 64 participants were included in the study: 32 middle-aged people (aged 45–64 years) and 32 elderly people (65 years of age and older). Each participant was asked to complete 32 tasks (two button categories × four button sizes × four presentation positions). The results revealed no differences between the elderly and the middle-aged groups with regard to the interpretation of image buttons and text buttons; however, button size affected the operation and interpretation time. Middle-aged participants demonstrated good interpretation performance when the buttons were displayed in the upper or lower part of the screen, whereas elderly participants only had a good interpretation performance when the buttons were in the upper part. For both groups, the ideal image button size was 16 mm with a text font size of 22.


2021 ◽  
Vol 5 (3) ◽  
pp. 403-415
Author(s):  
Muso Urinov ◽  
Nigora Alikulova ◽  
Dilfuza Zukhritdinova ◽  
Mekhriddin Usmonov ◽  
Rakhimjon Urinov

280 patients with COVID-19 were examined (average age 53.9±8.1 years; gender index 1.37:1.0 (162 men and 118 women). It was revealed that young people (especially women) were more common with a mild course of the disease (64.2%), middle – aged people-with a moderate-severe variant of COVID-19 (54.8%), In the group of patients with a severe course of coronavirus infection, female patients prevailed among the elderly, and among middle –aged men – 47.8% and 48.4%, respectively. The comorbid background before the disease CAVID-19 and the neurological complications that appeared on the background of CAVID-19 in the percentage ratio prevailed in males. There were no significant differences in the frequency of complications from the severity of the COVID-19 disease. It was revealed that at the time of hospitalization, all the studied markers of coagulation activity were changed and statistically significantly differed from the reference interval, which indicated the activation of the procoagulation potential. In the group of female patients, these indicators were more pronounced. CT examination revealed that the percentage of damage to both lungs was significantly higher in female patients compared to male patients.


1988 ◽  
Vol 8 (3) ◽  
pp. 321-335 ◽  
Author(s):  
Jane Synge

ABSTRACTThis paper draws on a 1980 sample survey of middle-aged and elderly residents of a medium-sized Canadian city (N = 464). Few parents and grown-up children discussed in advance what might happen should parents become seriously ill or unable to look after themselves. However, most respondents did feel these matters should be discussed in advance, and most felt that parents should be the ones to raise these issues. This was true for both the middle-aged and the elderly. Elderly men rarely discussed their wives' futures with their children. Both the middle-aged and the elderly rarely talked with siblings or friends about the possibility of their own or their parents' dependency. Discussions that took place were often precipitated by illness. However, children expressed a great deal of concern for parents, especially for older parents. A variety of possible contributing explanations are suggested. These range from unwillingness to acknowledge changing family structure and mortality to parents' view on non-family-provided services.


Sociologija ◽  
2016 ◽  
Vol 58 (suppl. 1) ◽  
pp. 287-305
Author(s):  
Sladjana Dragisic-Labas

A good relationship between older parents and adult children is an important part of active aging. This relationship is being transformed in different ways through all stages of life. Closeness, support and care of elderly parents by children and the other way around of descendants, both children and grandchildren by their parents and grandparents definitely facilitates and reduces the amount of care to be delivered from the community and wider society as such. However, the state often conveys its own part of responsibility to the elderly or the children, whereas the traditional culture presupposes a reciprocal care to be a moral norm, hence we get the so called ?nonsense? situation i.e., overloaded and exhausted adult children or burdened parents on the one side and preserved ?state? of well-being, on the other. In this work, we will consider the relationship between older parents and adult children using the collected data from 52 interviews (with content analysis method applied) conducted with people over 65, from Belgrade. It becomes clear that this relationship marks the everyday life - work, reproductive activities, leisure, health, i.e., the most relevant aspects of our respondents? lives. The so called ?distant closeness? proved to be efficient in Western societies and referring to our research, it is described as desirable but not always feasible. . It is also more preferable for female than for male respondents. The male respondents have higher expectations from their children when it comes to care and help. Sharing of more responsibility over needs of elderly and their children by society, could significantly enable the realization of what we here labelled ?distant closeness?.


2021 ◽  
Vol 5 ◽  
pp. 14-27
Author(s):  
Chandra Upadhyay

Elderly care in the present day Nepali society is affected with the changes in the family arrangements. The old age situations without children, children away from home, and out migration of children create impacts on the maintenance and care of the elderly parents. The major issues of apprehension with the elderly population are their health status including their social, psychological and emotional conditioning, and elderly support activities. Based on focused group discussions and analysis of the selected narratives collected through personal interviews in Province-1, this paper finds, more or less, a common perspective of the elderly parents that their life situations become lonelier and difficult as they become older and feel helpless in absence of their children. Social inclusion and integration of senior citizens have been two major aspects in the state policy interventions while the daily life issues and activities of the elderly are of equal concern. The initiatives for elderly care shall be based on their interest, choices and needs.


Author(s):  
О.А. Осипова ◽  
Н.И. Клюшников ◽  
Е.В. Гостева ◽  
О.Н. Белоусова ◽  
Н.И. Жернакова ◽  
...  

Цель исследования - изучение роли цитокинов, соотношения нейтрофилов и лимфоцитов в развитии постинсультной депрессии (ПД) у больных пожилого возраста. В исследование были включены 110 больных с острым ишемическим инсультом, из них 60 человек среднего возраста (52±5 лет) и 50 - пожилого возраста (66±4 года). Контрольную группу составили 20 человек среднего возраста без инсульта в анамнезе. Через 3 мес наблюдения ПД в пожилом возрасте развилась у 28 (56 %) больных, в среднем возрасте - у 26 (43,3 %). Больные пожилого возраста с ишемическим инсультом, у которых развилась ПД, были достоверно старше (7,9 %, р<0,05), чаще имели артериальную гипертензию (12,4 %, р<0,05), уровень гликемии выше на 16,1 % (р<0,05), триглицеридов - на 14 % (р<0,05), ЛПНП - на 12,8 % (р<0,05). Больные среднего возраста с ПД имели ИМТ выше на 8,1 % (р<0,05), уровень гликемии - на 9,6 % (р<0,05), триглицеридов - на 10,9 % (р<0,05), ЛПНП - на 9,7 % (р<0,05), чем больные без депрессии. Пожилые больные с ишемическим инсультом и ПД имели более высокий уровень цитокинов - IL-1β был выше на 35,4 % (р<0,01), TNF-α - на 27 % (р<0,01), INF-γ - на 18 % (р<0,01), чем у больных без ПД. У больных пожилого возраста с ПД соотношение нейтрофилов и лимфоцитов (Н/Л) было на 46 % (p<0,001) выше, чем у больных без ПД. В группе больных пожилого возраста при наличии ПД соотношение Н/Л было на 50 % (p<0,001) выше, чем в аналогичной группе среднего возраста. Таким образом, у пожилых больных с ишемическим инсультом уровень маркеров воспаления может иметь прогностическое значение в развитии постинсультной депрессии. The aim of the study was to study the role of cytokines, the ratio of neutrophils and lymphocytes in the development of post-stroke depression in elderly patients. The study included 110 patients with acute ischemic stroke, including 60 middle-aged people (52±5 years) and 50 elderly people (66±4 years). The control group consisted of 20 middle-aged people without a history of stroke. After 3 months of follow-up, post-stroke depression (PSD) developed in the elderly in 28 patients (56 %), in the middle age in 26 patients (43,3 %). Patients with ischemic stroke in the elderly who developed PSD were significantly older (7,9 %, p<0,05), more often had arterial hypertension (12,4 %, p<0,05), the level of glucose was 16,1 % higher (p<0,05), triglycerides by 14 % (p<0,05), LDL-C by 12,8 % (p<0,05). In middle age, patients with post-stroke depression had a body mass index higher by 8,1 % (p<0,05), a glucose level by 9,6 % (p<0,05), triglycerides by 10,9 % (p<0,05), LDL-C by 9,7 % (p<0,05) than patients without PSD. Elderly patients with ischemic stroke and PSD had higher levels of cytokines - IL-1β was 35,4 % higher (p<0,01), TNF-α by 27 % (p<0,01), INF-γ by 18 % (p<0,01) than in patients without PSD. In elderly patients with PSD, the ratio of neutrophils and lymphocytes (N/L) is 46 % (p<0,001) higher than in patients without PSD. In the elderly, in the presence of PSD, the N/L ratio was 50 % (p<0,001) higher than in the same middle-aged group. Thus, in elderly patients with ischemic stroke, the level of inflammatory markers may have a prognostic value in the development of post-stroke depression.


2020 ◽  
Author(s):  
ZHONGNENG XU

In USA, middle-aged people might be evaluated as having a low risk of Covid-19 death, but if the natural mortality is considered, the age distribution of death risk from Covid-19 changes. The proportions of Covid-19 deaths in total deaths among middle-aged and elderly people are in the same cluster. This shows that the increase rates in deaths caused by Covid-19 to middle-aged people is similar to that of the elderly, and it is necessary to pay the same attention to the risk of Covid-19 death in middle-aged people.


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