13. Treatment of the Aged

Author(s):  
G. T. Laurie ◽  
S. H. E. Harmon ◽  
E. S. Dove

This chapter discusses some of the ethical and legal issues associated with the very difficult practice of treating the elderly, grounding the discussion in the tension between autonomy and paternalism. It is emphasised that this complex and fragmented field is still undergoing significant regulatory changes as a result of the Care Act 2014, the Social Services and Well-being (Wales) Act 2014, and the Public Bodies (Joint Working) (Scotland) Act 2014. It also covers the elder incapax and dying from old age.

Author(s):  
Verena Bernardin-Haldemann

AbstractFor the past two decades the issue of housing for the aged has caught the attention of many in the private as well as in the public sectors, and attempts have been made to improve the situation. If the problem persists today, gerontologists, among others, should be called to account, since they were instrumental in the formulation of many of the interventions. The problem has been approached generally in terms of adaptation to aging and adaptation to the environment. The ecological models currently used agree that happiness can be found at different states of equilibrium between the person and the environment and that the elderly arrive at this state of equilibrium through a special “docility” towards the environment; a “docility” which would be linked to aging. However, this docility would appear to be historically and socially contingent rather than being “natural”. It is thus important to explain the social production of old age and the docility which is tied to it.


2020 ◽  
Vol 9 (1) ◽  
pp. 65-73
Author(s):  
Muhammad Sudarsono ◽  
Bani Noor Muchamad

The Elderly Social Services is a community service institution under the auspices of the Social Service which is intended to improve the welfare of the elderly in their old age. The lack of this institution in the city of Banjarmasin has an impact on the low welfare of the elderly in the city of Banjarmasin. Designing Elderly Social Services in the city of Banjarmasin is expected to improve the welfare of the elderly in the city of Banjarmasin, to help achieve the goal of improving welfare of the elderly. The problem raised in the elderly social services is the design that requires it to be a comfortable home and gives the impression of kinship to its inhabitants. Research using behavioral architectural methods as a reference in designing, so as to produce a Homey concept in buildings to make the elderly feel comfortable and find the meaning of the word back home, in buildings that conceptualize the homey of the elderly will be directed to know each other and make a family impression between them.


Author(s):  
Triana Rosalina Noor ◽  
Isna Nurul Inayati

Islamic education is important to be given through the cultivation of religious values from prenatal to old age. This is because in old age, it is a time when man has a developmental duty to draw closer to God. Not all elderly people spend their old time together with their families at home, but there are elderly people who have to spend the rest of their life in a griya werdha. The social services provided in griya werdha are not only physical, but also spiritual. The research method used is the study of literature, namely conducting the process of studying books, theories that exist to be related to the topic of religious soul development in the elderly. The results of this study show that through Islamic religious education, the elderly will be helped to be able to heed the feelings of helplessness and waste felt through activities that increase the spirituality that exists. This means that even in the elderly stage, the elderly can still perform their functions and roles appropriately based on their status in the situation and conditions they face.


2020 ◽  
Vol 208 ◽  
pp. 04018
Author(s):  
Alexandra S. Shcheglova

Population aging is an objective global process that is characterized by an increase in the absolute and relative number of older people and a decreasing birth rate. The relevance of this study is that at the beginning of 2019, 146.781 million people lived in Russia, including 68.097 million men and 78.684 million women. Children aged 0 to 9 years - more than 18 million, teenagers from 10 to 19 years - more than 14.7 million people, young people from 20 to 29 years - more than 17.3 million people, 40-year-olds (40-49 years) - almost 20.3 million people, Rosstat calculated. There are 19.8 million pre-retirees aged 50-59 in Russia. In Russia, 60-year - olds and older-22%[15]. The increase in the number of elderly citizens leads to the fact that the state should look for new approaches to social services for the elderly in order to create the most comfortable living conditions for them and extend their period of active and independent longevity. The problem of social services for the elderly in the Russian Federation is particularly relevant at the present time, since the liberal reforms in Russia in the 1990s, associated with fundamental changes in the sphere of distribution relations and the transition to the market, radically changed the social conditions of Russian citizens. The current socio-economic situation in the country does not give confidence to the older generation. The increase in the retirement age and the low level of material pension provision add to modern Russian pensioners and people approaching this age category, worries about their social well-being[1].


2020 ◽  
Vol 4 (2) ◽  
pp. 67-75
Author(s):  
Ismaila Oloyede Orire

Our world is rapidly ageing. A process which exposes individuals to increasing risk of illness and disability of which quality lifestyle is crucial for promoting desired well-being and longevity. Certain objectives were examined, which are to: assess the socio-demographic structure of respondents; determine the social and, recreational lifestyles of the respondents; and determine the common/regularity of participation in socio-recreational activities in the state. Primary and secondary data were used. A multi-stage sampling technique was employed to sample 488 elderly respondents, from six of the 16 LGAs of Kwara State using copies of structured questionnaire. Thus, the result shows that majority of respondents (88%) are between ‘young old’ (60-74) age category. About 36% of respondents were with either primary, secondary or tertiary level education, while 30.1% had acquired only the quranic education. Praying and other religious activities are the major (41%) social activity engaged in, while 32.8% are engaged into farming and other commercial activities. Birthday events are the least attended function by respondents. Also, 38.5% see visitation to friends and relations as major recreational activity, while daily and weekly sporting exercises are engaged in by 40.5% and 42.9% of respondents respectively. The study recommends the establishment of modern and affordable recreational centers for the elderly in the state, encourage optimum utilization and overall enhancement of their health and wellbeing. Hence, appropriate policies and programmes to ensure their equal access to health care, basic social services and social safety nets to protect them from falling into poverty is essential and overdue.


2016 ◽  
Vol 23 (1-2) ◽  
pp. 66-77
Author(s):  
Björn Albin ◽  
Christina Siwertsson ◽  
Jan-Olof Svensson

Informal care of the elderly (often given by a relative or a spouse) plays an important role in most societies. This article describes the situation and support for carers that exist in Sweden today and how this may develop in the future. The description is partly based on the results from the evaluation of a government supported project (‘Anhörig 300’) aimed to develop support for carers in the county of Kronoberg as well as from information and documents. Four different typical situations for carers are identified and indicate how very different situations for carers can be. During the 21st century the Swedish Government has given great attention to support for carers, mainly through changes in the legislation and through economic grants to the municipalities. In the future the support for carers must be given even greater attention and be developed further. The National Development Plan for Nursing and Care of the elderly in Sweden, from 2005, suggested increased support for carers as a complement to the public sector elderly care. From 2009 the Social Services Act has been changed in accordance with this plan. A key issue is to involve voluntary organisations to alleviate isolation and loneliness among carers. An earlier version of the following article was first published in Japanese in Chiiki Fukushi Kenkyu (Studies of Community Welfare), 2008; 36; 72-83. It has since been revised and updated for publication in an English language journal. 


2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Abdul Azeez. E.P

Social Capital is the most crucial asset which significantly influence the efficacy and resilience of any community. Social capital is a dependent variable that depends upon the competence and coherence of the individuals in the community and mode of social relationships, trust and networks they maintain. It is one of the most sustainable social resources that originate from human relations and results on the mutual support of people. Utilization of Social capital has a wide applicability in the process of social inclusion, especially in dealing with the vulnerable and disadvantaged sections in the community itself. Voluntary organizations are very keen to utilize the social capital for community/social services and community development in a sustainable manner. Community based de-institutionalized Palliative Care is one of the foremost among such organizations that made social capital in a strategic way for social inclusion and community well being. This paper analyses the extent to which different elements of social capital helps in initiating the sustainable community based palliative care movement by assessing the unique intervention strategies carried out by the palliative care. This paper explores conceptual questions of how social capital and voluntary community based services are correlated. A case study method was adopted for the study in which ten palliative care units were analyzed. The results show that a number of social capital elements are playing a vital role in the sustainability of community palliative care movement in Kerala.


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 30 (Supplement_5) ◽  
Author(s):  
T Gemeli ◽  
H Silva ◽  
M Kato

Abstract This work arose from the need to broaden the therapeutic approach and offer a differentiated health intervention proposal based on the understanding that the illness process has repercussions on all integrated systems of Being. Since 2019, the Health Center for the Elderly in Blumenau (SC-Brasil), specialized multi-professional service, offering support for biopsychoenergetic transformation with the practice of Yoga and Meditation, through a holistic and comprehensive view of health. It begins with the Multidimensional Assessment of the Elderly, with a guideline in welcoming and qualified listening, which considers the subject and all subjectivity. From there, the expanded diagnosis and the Singular Therapeutic Project are built and the consultations with the team and the 'Re-Conhecer group' begin. The activity is weekly, aimed at the elderly and their family, takes place in an appropriate place and lasts two hours. Welcoming, pranayama, mantras, kriyas and meditation are made, as well as reflections on free themes. The professionals who conduct the practice are the dentist, trained in yoga, and the social worker, the welcoming process continues individually after the activity. Due to subjectivity, results are routinely collected in a qualitative way from the participants' report. There is a perception on the part of the participants, therapists and members of the multidisciplinary team that this work provides improvement in cognitive abilities, self-care, well-being, self-confidence, creativity, improved sleep, autonomy, balance, strengthening bonds, joy, vitality. Key messages This initiative builds new models of health care, transcending the traditional biomedical model, according to the operational guideline for comprehensiveness, universal access and equity. Provokes reflections and builds a new perspective of life with quality and participation of the elderly as subjects of their health.


Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 173
Author(s):  
Davide Gori ◽  
Chiara Reno ◽  
Daniel Remondini ◽  
Francesco Durazzi ◽  
Maria Pia Fantini

While the SARS-CoV-2 pandemic continues to strike and collect its death toll throughout the globe, as of 31 January 2021, the vaccine candidates worldwide were 292, of which 70 were in clinical testing. Several vaccines have been approved worldwide, and in particular, three have been so far authorized for use in the EU. Vaccination can be, in fact, an efficient way to mitigate the devastating effect of the pandemic and offer protection to some vulnerable strata of the population (i.e., the elderly) and reduce the social and economic burden of the current crisis. Regardless, a question is still open: after vaccination availability for the public, will vaccination campaigns be effective in reaching all the strata and a sufficient number of people in order to guarantee herd immunity? In other words: after we have it, will we be able to use it? Following the trends in vaccine hesitancy in recent years, there is a growing distrust of COVID-19 vaccinations. In addition, the online context and competition between pro- and anti-vaxxers show a trend in which anti-vaccination movements tend to capture the attention of those who are hesitant. Describing this context and analyzing its possible causes, what interventions or strategies could be effective to reduce COVID-19 vaccine hesitancy? Will social media trend analysis be helpful in trying to solve this complex issue? Are there perspectives for an efficient implementation of COVID-19 vaccination coverage as well as for all the other vaccinations?


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