Family Care of the Elderly: Underlying Assumptions and their Consequences

Author(s):  
Jane Aronson

ABSTRACTThrough a review of the literature, this article explores the debate between the traditional perspective that conceives it as natural that families take care of their elderly members when frail or in need and an emerging critique of this view. The critique exposes the invisible divisions of caring work between men and women and between public and private arenas, and challenges the comfortable imagery of ‘family care.’ The implications of this analysis for the future are considered, both for constructive changes in social policies and for the reformulation of assumptions on which research and practice with the frail elderly and their families are based.

2008 ◽  
Vol 4 (4) ◽  
pp. 292-302
Author(s):  
Mallikarjun A. Konnur

According to the 2001 Census of India, there is the pyamidic structure of population that means, there are more proportion of young people.  However the projection for 2016 by way of demographic transition indicates larger number of elderly people.  Approaching 80 million in number, India has the second largest population of elderly people after China.  In India, research on examining the socio-economic dynamics of elderly well being is gradually gaining ground, but access to good data continues to be an obstacle. Conventionally, there are two processes considered to be involved in the ageing of a population, i.e., ageing at the base and ageing at the apex of the population. The former results from a decline in fertility, the latter, mortality reduction among the elderly. There are many types of elderly people, such as urban and rural, employed in organized and un-organized sectors and working in public and private sectors. The elderly men and women also constitute a separate group. The solutions to elderly problems in India require various types of arrangements.  For example, the old age homes (for the destitute), Day Care Centres, Rehabilitation Centres, Ashramas or Vishranti Dhamas


2019 ◽  
Vol 16 (42) ◽  
Author(s):  
Maria Helena de Jesus Bernardo

A proposta de aprofundar as reflexões críticas em torno do envelhecimento populacional e o impacto dos cuidados no universo das famílias instigou a problematização dos dispositivos de proteção social dirigidos ao segmento idoso. Nessa direção, o artigo discorre sobre os cuidados domiciliares, na lógica do trabalho reprodutivo, mediante a configuração familista das políticas sociais brasileiras e dos paradigmas hegemônicos nas áreas da geriatria e gerontologia. A principal ênfase desse estudo repousa sobre a naturalização da responsabilização familiar no cenário contemporâneo de aumento da população idosa com maiores probabilidades de perdas funcionais, aliado às mudanças socioeconômicas e aos novos arranjos familiares. Reafirma-se o quanto é elementar lançar luz sobre essas questões, contribuindo para que assumam maior transparência em momento histórico tão nebuloso. Além disso, situam-se as demandas de cuidados impostas às famílias da classe trabalhadora como um desafio a ser enfrentado por políticas efetivamente públicas.Palavras-Chave: envelhecimento; cuidado; família; políticas sociais. Abstract – The proposal to deepen the critical reflections about the aging population and the impact of caregiving in the universe of families instigated the problematization of the social protection devices directed to the elderly segment. In this sense, this article deals with home care in the logic of reproductive work, through the familistic configuration of Brazilian social policies and hegemonic paradigms in the areas of geriatrics and gerontology. The main emphasis of this study rests on the naturalization of family responsibility in the contemporary scenario of an increasingly older population with greater probabilities of functional losses along with socioeconomic changes and new family arrangements. It reaffirms how fundamental it is to shed light on these issues, helping to ensure greater transparency in such a nebulous historical moment. In addition, it places the demands of care imposed on working-class families as a challenge to be faced by effectively public policies.Keywords: aging; caregiving; family; social policies.


1984 ◽  
Vol 4 (4) ◽  
pp. 505-516 ◽  
Author(s):  
Jean Robin

ABSTRACTThe focus of this paper is on the part played by children and relatives in the care of the elderly in a Devonshire parish in the mid-nineteenth century. The cohort of men and women aged 50–59 years recorded in the 1851 census was divided into two groups, according to whether or not the parish registers or censuses showed members to have had offspring who survived childhood. Cohort members and their families were then traced through the 1861 and 1871 censuses in order to establish their residence patterns at different stages in the life cycle. It was found that children, whether married or single, played a considerable part in providing care for their elderly parents. By contrast, relatives living in the same household as the elderly were more likely to be receiving than providing care. The possibility that a proportion of the cohort members who left the parish during the period did so to join children elsewhere was investigated through an examination of those of comparable age coming into the parish.


Author(s):  
Niken Setyaningrum ◽  
Andri Setyorini ◽  
Fachruddin Tri Fitrianta

ABSTRACTBackground: Hypertension is one of the most common diseases, because this disease is suffered byboth men and women, as well as adults and young people. Treatment of hypertension does not onlyrely on medications from the doctor or regulate diet alone, but it is also important to make our bodyalways relaxed. Laughter can help to control blood pressure by reducing endocrine stress andcreating a relaxed condition to deal with relaxation.Objective: The general objective of the study was to determine the effect of laughter therapy ondecreasing elderly blood pressure in UPT Panti Wredha Budhi Dharma Yogyakarta.Methods: The design used in this study is a pre-experimental design study with one group pre-posttestresearch design where there is no control group (comparison). The population in this study wereelderly aged over> 60 years at 55 UPT Panti Wredha Budhi Dharma Yogyakarta. The method oftaking in this study uses total sampling. The sample in this study were 55 elderly. Data analysis wasused to determine the difference in blood pressure before and after laughing therapy with a ratio datascale that was using Pairs T-TestResult: There is an effect of laughing therapy on blood pressure in the elderly at UPT Panti WredhaBudhi Dharma Yogyakarta marked with a significant value of 0.000 (P <0.05)


2017 ◽  
Vol Ano 7 ◽  
pp. 26-36
Author(s):  
Gilberto Sousa Alves ◽  
Felipe Kenji Sudo ◽  
Lucas Briand ◽  
Johannes Pantel

O transtorno afetivo bipolar (TAB) é uma condição potencialmente grave, caracterizada por mudanças de humor e disfunção cognitiva e funcional. O presente artigo revisa as evidências atualizadas das intervenções farmacológicas e não medicamentosas direcionadas ao TAB em idosos. Diretrizes baseadas em evidências, embora sejam úteis na promoção de uma terapia racional e eficaz, ainda são relativamente reduzidas no TAB em idosos. As recomendações atuais para mania aguda incluem o uso de antipsicóticos atípicos (por exemplo, risperidona, quetiapina, olanzapina), lítio (de maneira criteriosa) e a eleição de valproato como terapia padrão ouro. Na depressão aguda do TAB, os agentes de primeira linha em monoterapia podem incluir lítio, lamotrigina, quetiapina e quetiapina de liberação prolongada. No que se refere à escolha do estabilizador de humor ideal, o maior potencial de efeitos colaterais relacionados ao lítio vem desestimulando sua prescrição em indivíduos idosos. A eletroconvulsoterapia, embora limitada pela evidência, pode ser uma opção para casos graves/refratários.


2019 ◽  
Vol 25 (28) ◽  
pp. 3005-3010
Author(s):  
Georges Samouri ◽  
Alexandre Stouffs ◽  
Lionel V. Essen ◽  
Olivier Simonet ◽  
Marc De Kock ◽  
...  

Introduction: The monitoring of the curarisation is a unique opportunity to investigate the function of the neuromuscular junction (NMJ) during cancer surgery, especially in frailty-induced and age-related sarcopenia. Method: We conducted a comprehensive literature review in PubMed, without any limit of time related to frailty, sarcopenia, age and response to neuromuscular blockers in the context of cancer surgery. Results: Several modifications appear with age: changes in cardiac output, a decrease in muscle mass and increase in body fat, the deterioration in renal and hepatic function, the plasma clearance and the volume of distribution in elderly are smaller. These changes can be exacerbated in cancer patients. We also find modifications of the NMJ: dysfunctional mitochondria, modifications in the innervation of muscle fibers and motor units, uncoupling of the excitation-contraction of muscle fibers, inflammation. : Neuromuscular blocking agents (NMBAs) compete with acetylcholine and prevent it from fixing itself on its receptor. Many publications reported guidelines for using NMBAs in the elderly, based on studies comparing old people with young people. : No one screened frailty before, and thus, no studies compared frail elderly and non-frail elderly undergoing cancer surgery. Conclusion: Despite many studies about curarisation in the specific populations, and many arguments for a potential interest for investigation, no studies investigated specifically the response to NMBAs in regard of the frailty-induced and age-related sarcopenia.


1999 ◽  
Vol 1 (1) ◽  
pp. 78-86 ◽  
Author(s):  
Hyunsook Yoon ◽  
Heung-Bong Cha
Keyword(s):  

2016 ◽  
Vol 6 (1) ◽  
pp. 70-85
Author(s):  
Nicole Horáková ◽  
Jan Kajfosz

The European society is getting older and nobody knows how to deal with this problem. There are different models from family care, special housing for elderly to professional institutional care, which has the disadvantage of being very expensive. In Germany we have noticed in the last two or three years a special trend to send old people suffering from dementia to foreign countries, because these people need intensive care and the social services for example in Poland have a high standard. The aim of our survey is to dismantle, by the example of the private care institution situated in Poland, Upper Silesia which specializes on German customers, the social practices associated with placing the elderly in such institutions and also the methods of constructing meanings of these practices providing clarity in the various groups that take part in this process. To reach this aim we used qualitative field research, including discourse and narrative analysis of various materials (interviews, promotional texts, websites), which beside other things allowed us to reconstruct the media image of the surveyed residences for the elderly and show it in a wider context.


2020 ◽  
Vol 11 ◽  
Author(s):  
Matteo Briguglio ◽  
Riccardo Giorgino ◽  
Bernardo Dell'Osso ◽  
Matteo Cesari ◽  
Mauro Porta ◽  
...  
Keyword(s):  

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