Ageing and Elderly Care in Kerala

China Report ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 354-373
Author(s):  
S. Irudaya Rajan ◽  
Aneeta Shajan ◽  
S. Sunitha
Keyword(s):  
Elderly Care ◽  
The Elderly ◽  
Social Contexts ◽  
Ageing Population ◽  
Care For The Elderly ◽  
Basic Care ◽  
Care Response ◽  
Suitable Environment

This article presents an overview of the elderly in Kerala and describes various dimensions of elderly care and concerns, based on data from the Kerala Ageing Survey (KAS) 2013, conducted by the Centre for Development Studies (CDS), Thiruvananthapuram, Kerala. The article looks into the main issues, policies and programmes related to ageing and elderly care practices in Kerala and also addresses the basic care response at three levels: household, institutional and society. The ageing process in Kerala is witnessing an increase in the ratio of elderly population along with fundamental changes in families and communities. Hence, in order to accommodate the needs of the ageing population in society, various systems need to be reconstructed. The concerns and issues surrounding the ageing population requires long-term attentiveness and forward planning, where policies must be adopted with consideration for cultural and social contexts. Care for the elderly should focus on a holistic combination of health care, socio-economic protection and provision of a suitable environment for better quality of life.

scholarly journals Osteoporotic Hip Fractures: The Burden of Fixation Failure

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
J. M. Broderick ◽  
R. Bruce-Brand ◽  
E. Stanley ◽  
K. J. Mulhall
Keyword(s):  
Hip Fractures ◽  
Length Of Hospital Stay ◽  
Fragility Fractures ◽  
The Elderly ◽  
Osteoporotic Bone ◽  
Ageing Population ◽  
Fixation Failure ◽  
Implant Anchorage

Osteoporotic hip fractures are a major cause of morbidity and mortality in the elderly. Furthermore, reduced implant anchorage in osteoporotic bone predisposes towards fixation failure and with an ageing population, even low failure rates represent a significant challenge to healthcare systems. Fixation failure in fragility fractures of the hip ranges from 5% in peritrochanteric fractures through to 15% and 41% in undisplaced and displaced fractures of the femoral neck, respectively. Our findings, in general, support the view that failed internal fixation of these fragility fractures carries a poor prognosis: it leads to a twofold increase in the length of hospital stay and a doubling of healthcare costs. Patients are more likely to suffer a downgrade in their residential status upon discharge with a consequent increase in social dependency. Furthermore, the marked disability and reduction in quality of life evident before salvage procedures may persist at long-term followup. The risk, of course, for the elderly patient with a prolonged period of decreased functioning is that the disability becomes permanent. Despite this, however, no clear link between revision surgery and an increase in mortality has been demonstrated in the literature.

Measuring the productive efficiency and clinical quality of institutional long-term care for the elderly

2004 ◽  
Vol 14 (3) ◽  
pp. 245-256 ◽  
Author(s):  
Juha Laine ◽  
Miika Linna ◽  
Unto Häkkinen ◽  
Anja Noro
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Productive Efficiency ◽  
Term Care ◽  
Clinical Quality ◽  
Care For The Elderly

scholarly journals The Quality of Caregivers for the Elderly in Long-Term Care Institutions in Zhejiang Province, China

2019 ◽  
Vol 16 (12) ◽  
pp. 2164 ◽  
Author(s):  
Yuhang Zeng ◽  
Xiaoqian Hu ◽  
Yuanyuan Li ◽  
Xuemei Zhen ◽  
Yuxuan Gu ◽  
...  
Keyword(s):  
Elderly Care ◽  
The Elderly ◽  
Zhejiang Province ◽  
Related Factors ◽  
Term Care ◽  
Employment Training ◽  
Knowledge And Attitude ◽  
Positive Effect

China is facing challenges in caring for older adults. This paper aimed to understand knowledge, attitude, and practice (KAP) regarding the quality of caregivers for the elderly in long-term care institutions in Zhejiang Province, and also to find related factors to improve the quality of caregivers. A cross-sectional survey was conducted from April to June 2016 in Zhejiang Province. In total, 84 caregivers were interviewed face-to-face with questionnaires on KAP towards elderly care. Multiple linear regression was used to find the related factors to KAP. A conceptual model was made to process path analysis among KAP and influencing factors using structural equation modeling. The study found that most caregivers in Zhejiang Province were middle-aged, female, and with a diploma below middle school. Many caregivers had not received any pre-employment training. Their salary was low although they undertook high-intensity work. Education and working years had a positive effect on knowledge and practice scores, and pre-employment training had a positive effect on knowledge and attitude scores. Knowledge and attitude regarding elderly care could positively affect elderly care practices. The quality of caregivers in Zhejiang Province was at a low level compared to developed countries. Continuous and regular elderly care training should be provided for caregivers to improve their elderly care knowledge and hence the quality of elderly care.

scholarly journals Phenomenology Study : Family Experience in Elderly Care In Depok Jawa Barat

2020 ◽  
Vol 7 (3) ◽  
pp. 177-185
Author(s):  
Yati Sri Hayati ◽  
Asti Melani Astari
Keyword(s):  
Health Workers ◽  
Elderly Care ◽  
The Elderly ◽  
Phenomenological Approach ◽  
Structured Interviews ◽  
Term Care ◽  
Care For The Elderly ◽  
The Family ◽  
At Home

The family has an important role in elderly care at home, where the majority of assistance and long-term care for the elderly is provided by the family. The nurse is responsible for assisting the family in caring for the elderly, so that in the end the family is able to provide elderly care independently at home. This study aims to explore family experiences in caring for the elderly at home. Researchers used qualitative research methods with a phenomenological approach. Data obtained through semi-structured interviews with 6 (six) participants. The research produced 5 themes: care for the elderly is a form of devotion to parents, care for the elderly requires physical and mental readiness, care for the elderly requires knowledge related to the elderly and how to care for the elderly, care for the elderly requires support from extended families, and feel the importance of supporting cadres and health workers. For conclusion, elderly families have a responsibility to meet the needs of the elderly, so that efforts are needed to improve the knowledge and skills of the family in order to properly care for and meet the needs of the elderly.

The Cost Efficiency and Clinical Quality of Institutional Long-Term Care for the Elderly

2005 ◽  
Vol 8 (2) ◽  
pp. 149-156 ◽  
Author(s):  
Juha Laine ◽  
Miika Linna ◽  
Anja Noro ◽  
Unto Häkkinen
Keyword(s):  
Cost Efficiency ◽  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Clinical Quality ◽  
Care For The Elderly ◽  
The Cost

scholarly journals Care and management demands of long-term care facilities for the elderly in Brazil: an integrative review (2004-2014)

2017 ◽  
Vol 20 (2) ◽  
pp. 286-299 ◽  
Author(s):  
Fátima Ferreira Roquete ◽  
Carolina Campos Ricci Frá Batista ◽  
Rodrigo Caetano Arantes
Keyword(s):  
Long Term Care ◽  
Quality Care ◽  
The Elderly ◽  
Integrative Review ◽  
Elderly Persons ◽  
Term Care ◽  
Care For The Elderly ◽  
Care Facilities ◽  
Care Demands

Abstract Objective: to analyze the care and management demands of Long-Term Care Facilities for the Elderly (LTCFs) in Brazil. Method: an integrative review of literature was carried out, organized into six stages: a) elaboration of a guiding question; b) online search of LILACS, SciELO, PubMed, the CAPES Portal and the Brazilian Society of Geriatrics and Gerontology databases; c) article selection, following the exclusion and inclusion criteria, with the sample composed of 17 articles; d) commented analysis of the selected articles; e) deliberation on the results obtained, formulated from the synthesis and interpretation of the selected studies; f) presentation of the results of the review. Results: the care demands identified are related to the process of caring and assume a working team with geriatric and gerontological knowledge, while the management demands include the means and resources needed so the care can be provided effectively. However, the LTCFs were found to rely on professionals who are unprepared to provide care or to assume an organizational management role, meaning care for the elderly is restricted to the essentials for their basic needs. Conclusion: the care demands were easily identified in the analyzed publications, however, there is a lack of research that evaluates management demands in a broader and more in-depth manner. It is suggested that studies aiming to broaden theoretical knowledge of the care and management demands of LTCFs are carried out, to stimulate effective and positive actions in the practices of these institutions, seeking to offer top quality care to elderly persons that live in these facilities, that responds to the real needs of their current stage of life.

scholarly journals TESTING THE EFFECTIVENESS OF INTEGRATED ELDERLY CARE MODEL ON QUALITY OF CARE AND HEALTH OUTCOMES AMONG HOSPITALIZED ELDERLIES IN WEST BANK

2020 ◽  
Vol 20 (1) ◽  
pp. 82-89
Author(s):  
Atef H. Khatib ◽  
Ayman M. Hamdan- Mansour ◽  
Hamza F. Ratrout ◽  
Atallah Alenezi ◽  
Tala R. Chahien
Keyword(s):  
Time Series ◽  
Quality Of Care ◽  
Integrated Care ◽  
Older Patients ◽  
West Bank ◽  
Elderly Care ◽  
Multiple Time ◽  
Ageing Population ◽  
Care Model

The rapid increase in the ageing population and health conditions are imposing a higher challenge to the health care system that requires multidisciplinary teamwork utilizing coordinated care approach. This study examined the effects of integrated care model on quality of care received by older hospitalized patients in West Bank. A quantitative interrupted time series design (pretest and posttest multiple time series, quasi-experiment design) was used. The study examined the effects of integrated care model on admitted older patients (n=32) in the West Bank measuring ten dimensions of quality of care and four health indicators. There was a significant improvement in the dimensions of quality of care: dimensions: nurses’ communications with patients, physicians’ communications with patients, staff response to patients’ needs, pain management, explanations on medications, amount of information given on discharge plan, patients' area cleanliness, patients' area quietness, rating of the hospital, and willingness to recommend the hospital. Incidence of falls and incidence of pressure ulcer improved after implementing the model, while readmission rate and average length of stay did not improve. This study contributed to the limited body of knowledge related to the effect of integrated care model on hospitalized older patients’ quality of care in Palestine/ West Bank. Integrated care has the potential to improve care outcomes among hospitalized older patients.

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