Romania

2019 ◽  
pp. 231-238
Author(s):  
Adriana Mihai ◽  
Geanina Ilinoiu ◽  
Silvia Trandafir
Keyword(s):  
The Elderly ◽  
Dementia Care ◽  
Psychotherapeutic Treatment ◽  
Public And Private ◽  
Delay In Diagnosis ◽  
Care For The Elderly ◽  
Appropriate Treatment ◽  
Inappropriate Treatment ◽  
Changing Attitudes ◽  
Collaborative Efforts

In Romania, dementia care has gradually improved in the last decade. Accessibility of psychiatric services and availability of psychiatric and/or psychotherapeutic treatment have been significantly enhanced by new legislations and regulations. Public and private sectors of home care for the elderly have also been developed. Despite these changes, the management of dementia remains challenging because of delay in diagnosis and/or inappropriate treatment. Dementia care in the future in Romania should adopt a professional approach by improving education and training, as well as changing attitudes, not only among doctors (general practitioners, psychiatrists, neurologists, etc.), but also among all those involved in care (nurses, social assistants, relatives, etc.) and the general population. Reducing stigma and discrimination will contribute to early diagnosis and appropriate treatment. Collaborative efforts from a medico-social and community perspective, with the support of government authorities, could provide a source of new funding, which should be distributed according to the needs of each county in Romania.

scholarly journals Experiences with the privatization of home care: evidence from Denmark

2011 ◽  
Vol 2 ◽  
Author(s):  
Barbara Fersch ◽  
Per H Jensen
Keyword(s):  
Welfare State ◽  
Home Care ◽  
Central Government ◽  
Elderly Care ◽  
The Elderly ◽  
Care Providers ◽  
Public And Private ◽  
Political Actors ◽  
Financial Responsibility ◽  
Care For The Elderly

Processes of privatization in home care for the elderly in Denmark have primarily taken the form of outsourcing public-care provisions. The content and quality of services have in principle remained the same, but the providers of services have changed. The welfare state has continued to bear the major responsibility for the provision of elderly care, while outsourcing has allowed clients to choose between public and private providers of care. The major aim of outsourcing has been to empower the frail elderly by providing them with exit-opportunities through a construction of this group as consumers of welfare-state provisions. The central government in Denmark has produced the public-service reform, but the municipalities bear the administrative and financial responsibility for care for the elderly. Further, national policymakers have decided that local authorities (municipalities) must provide to individuals requiring care the opportunities to choose. With this background in mind, this article analyses how national, top-down ideas and the ‘politics of choice' have created tensions locally in the form of municipal resistance and blockages. The article draws on case studies in two Danish municipalities, whereby central politicians and administrative leaders have been interviewed. We have identified four areas of tensions: 1) those between liberal and libertarian ideas and values versus local political orientations and practices; 2) new tensions and lines of demarcation among political actors, where old political conflicts no longer holds; 3) tensions between promises and actual delivery, due to insufficient control of private contractors; and 4) those between market principles and the professional ethics of care providers.

scholarly journals Incentives and Deterrents to the Supply of Long-term Care for the Elderly in England: Evidence and Experience in Two Local Authorities

2021 ◽  
pp. 1-12
Author(s):  
Stephen Allan ◽  
Robin Darton
Keyword(s):  
Long Term Care ◽  
Qualitative Interviews ◽  
The Elderly ◽  
Local Authorities ◽  
Term Care ◽  
Public And Private ◽  
Local Council ◽  
Stakeholder Relationships ◽  
Care For The Elderly

This article reports on a study assessing the incentives and deterrents to long-term care (LTC) supply in two local markets in England. The supply of LTC in many countries is facing the issues of rising demand, (lack of) workforce and the interaction of the public and private sectors. Findings from qualitative interviews of local council and provider stakeholders exploring barriers and enablers faced by LTC providers in two local authorities (LAs) are presented and discussed. The interviews provided insight in three main areas: staffing, demand and stakeholder relationships. Staffing, in particular, is crucial and we found that there are many difficulties for providers in maintaining their workforce. Consistent with previous research, we also found that public spending levels on LTC puts pressure on providers striving to maintain a good quality service, including improved remuneration of staff.

Aged Care Services in India

2021 ◽  
pp. 114-143
Author(s):  
Wadad Kathy Tannous ◽  
Divya Ramachandran
Keyword(s):  
Filial Piety ◽  
Elderly Care ◽  
The Elderly ◽  
Aged Care ◽  
Geriatric Care ◽  
Term Care ◽  
Public And Private ◽  
Care Services ◽  
Care For The Elderly ◽  
The Government

India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.

scholarly journals Robotic Assistive Technology Augmenting Dementia Care: Technology Design and Preliminary Acceptability

2021 ◽  
Vol 7 (1) ◽  
pp. 1-5
Author(s):  
Arshia Khan ◽  
Keyword(s):  
Assistive Technology ◽  
Nursing Staff ◽  
Aging Population ◽  
The Elderly ◽  
Dementia Care ◽  
Technology Design ◽  
Staff Shortage ◽  
Care For The Elderly ◽  
Care Technology ◽  
Provision Of Care

The growth in the aging population and nursing staff shortage is driving the need for provision of care for the elderly.

Pharmacology Issues Related to Dementia Syndrome of Depression in Elderly Residents of Long-Term Care Settings

2015 ◽  
Vol 25 (2) ◽  
pp. 61-69
Author(s):  
Angel L. Ball ◽  
Adina S. Gray
Keyword(s):  
Depressive Symptoms ◽  
The Elderly ◽  
Environmental Communication ◽  
Pharmacological Intervention ◽  
Team Approach ◽  
Discussion Paper ◽  
Term Care ◽  
Anticholinergic Medications ◽  
Inappropriate Treatment ◽  
Dementia Syndrome

Pharmacological intervention for depressive symptoms in institutionalized elderly is higher than the population average. Among the patients on such medications are those with a puzzling mix of symptoms, diagnosed as “dementia syndrome of depression,” formerly termed “pseudodementia”. Cognitive-communicative changes, potentially due to medications, complicate the diagnosis even further. This discussion paper reviews the history of the terminology of “pseudodementia,” and examines the pharmacology given as treatment for depressive symptoms in the elderly population that can affect cognition and communication. Clinicians can reduce the risk of misdiagnosis or inappropriate treatment by having an awareness of potential side effects, including decreased attention, memory, and reasoning capacities, particularly due to some anticholinergic medications. A team approach to care should include a cohesive effort directed at caution against over-medication, informed management of polypharmacology, enhancement of environmental/communication supports and quality of life, and recognizing the typical nature of some depressive signs in elderly institutionalized individuals.

Sign in / Sign up

Export Citation Format

Share Document