Psychological Autonomy, Subjective Well-Being, and Activities of Daily Living in the Elderly at Home

2014 ◽  
Author(s):  
Yuko Fukase
Author(s):  
María Antonia Parra-Rizo ◽  
Gema Sanchis-Soler

Studies about the influence of physical activity on life satisfaction, functional ability and subjective well-being in physically active older adults without cognitive impairment are very few for the moment. Therefore, the aim of this research was to evaluate the life satisfaction, functional skills and subjective well-being of physically active older adults based on the level of activity practiced. The IPAQ (International Physical Activity), CUBRECAVI and LSIA (Life Satisfaction Index) scales were tested for a sample of 397 Spanish older adults between 61 and 93 years of age (M = 69.65; SD = 4.71). The results showed that those who performed high physical activity obtained higher scores in functional skills (p < 0.01) and in the activities of daily living (p < 0.01). In addition, subjective well-being (p < 0.01) and the functional autonomy of older adults (p < 0.01) were related to the level of physical activity that they practiced. In conclusion, it could be said that the older adults with a high level of physical activity have more functional skills and less difficulties performing the activities of daily living, and that they value their autonomy and health better.


2021 ◽  
pp. 1-5
Author(s):  
Richard Schweid

This introductory chapter provides an overview of home health care in the United States. Most Americans over sixty-five want to grow old at home, but the reality is that to do so, the majority of them will eventually need someone to help with what are called activities of daily living, those things basic to maintaining life, like eating, bathing, and using the toilet, and with the instrumental activities of daily living, such as cooking and cleaning. The millions of women employed as aides to help the elderly with these tasks in the United States are treated as menial laborers, paid minimum wage, often with no benefits, although the job they are doing is critically important to both our personal well-being and that of society as a whole. Given the low pay and stressful work, it is not surprising that home health aides have one of the highest turnover rates of any job. This book then analyzes what is wrong in the current system of providing home care to the elderly and how those deficiencies might be remedied.


2018 ◽  
Vol 21 (5) ◽  
pp. 570-578 ◽  
Author(s):  
Priscila Maria Stolses Bergamo Francisco ◽  
Priscila de Paula Marques ◽  
Flávia Silva Arbex Borim ◽  
Sarina Francescato Torres ◽  
Anita Liberalesso Neri

Abstract Objective: to characterize the sociodemographic profile of elderly persons with arthritis/rheumatism in relation to gender, as well as to estimate the prevalence and factors associated with functional disability for the performance of instrumental activities of daily living (IADL). Method: a cross-sectional population-based study with a sample of 1,136 elderly persons (≥65 years old) from seven Brazilian municipal regions was carried out. Functional capacity was assessed by the self-reports of the elderly in terms of the performance of IADL, using the Lawton Scale. Differences between the genders, according to sociodemographic variables, were verified by the chi-squared test (p<0.05). The prevalence of inability to perform IADL was calculated and the independent associations were verified through multiple logistic regression. Results: the mean age was 72.4 years, 79.1% of the sample were women, and 45.9% of the elderly with arthritis/rheumatism were dependent for the performance of IADL. Differences were observed between the genders in relation to age, marital status, income and household arrangements (p<0.05). A higher prevalence of disability was observed among older elderly persons, those with no schooling and lower incomes, who lived in multigenerational households and who were frail. In the evaluation of the performance of specific activities, elderly persons with arthritis/rheumatism had greater difficulty taking medication (OR: 1,90; CI 95%: 1.19 - 3.06), after adjusting for gender and age. Conclusion: associations were found between functional disability and sociodemographic variables and frailty. Independence in daily activities such as those evaluated in this study is one of the primary conditions for the well-being of the elderly, even in conditions of frailty or chronic diseases.


Author(s):  
Nadine Andrea Felber ◽  
Félix Pageau ◽  
Athena McLean ◽  
Tenzin Wangmo

AbstractWith robots being introduced into caregiving, particularly for older persons, various ethical concerns are raised. Among them is the fear of replacing human caregiving. While ethical concepts like well-being, autonomy, and capabilities are often used to discuss these concerns, this paper brings forth the concept of social dignity to further develop guidelines concerning the use of robots in caregiving. By social dignity, we mean that a person’s perceived dignity changes in response to certain interactions and experiences with other persons. In this paper, we will first present the concept of social dignity, and then identify a niche where robots can be used in caregiving in an ethical manner. Specifically, we will argue that, because some activities of daily living are performed in solitude to maintain dignity, a care recipient will usually prefer robotic assistance instead of human assistance for these activities. Secondly, we will describe how other philosophical concepts, which have been commonly used to judge robotic assistance in caregiving for the elderly so far, such as well-being, autonomy, and capabilities, are less useful in determining whether robotic assistance in caregiving is ethically problematic or not. To conclude, we will argue that social dignity offers an advantage to the other concepts, as it allows to ask the most pressing questions in caregiving.


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