scholarly journals Assessment of the Financial Capacity in Elderly: Approach and Challenges in Indian Scenario

2021 ◽  
pp. 025371762110380
Author(s):  
Nellai K. Chithra ◽  
Vijaykumar Harbishettar ◽  
Guru S. Gowda ◽  
Preeti Srinivasa ◽  
Mahesh Gowda

The elderly population, with those individuals above the age of 60 years, is increasing exponentially, attributable to higher life expectancy as a result of improved health care, socioeconomic level, and quality of life. As they grow older (>80 years), it becomes difficult to manage their basic needs and daily living. A report on Decade of Healthy Ageing estimates that 14% of people aged 60 years and above cannot meet their basic daily needs which include the ability to manage finances. Some elderly people depend on others to manage finances because of their inability to make decisions resulting in conflicts and communication problems between siblings and other members of the family and lodging of civil lawsuits in India’s joint family unit. So, decision-making is an important area to assess in the elderly people, given its clinical, legal, and ethical aspects. Courts of law can refer to older persons for assessing their capacity to manage finances, though there are no structured clinical procedures to assess it in India. This article evaluates existing methods around the world, discusses the challenges associated with the assessment, and provides clinicians with guidance on assessing financial capacity from an Indian perspective.

2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Ana Patrícia Firmino ◽  
Andréa Carvalho Araújo Moreira ◽  
Francisco Wellington Dourado Júnior ◽  
Francisca Alanny Rocha Aguiar ◽  
Danielle Rocha Do Val

Objetivo: Descrever a qualidade de vida de idosos com doenças crônicas, acompanhados pela Estratégia Saúde da Família. Método: Estudo descritivo e transversal, realizado com 90 idosos acompanhados pelas equipes de saúde da família de um município do Ceará, Brasil, entre outubro e novembro de 2017. Os dados foram coletados nos domicílios dos idosos utilizando um questionário do perfil social e saúde e instrumentos validados sobre qualidade de vida de idosos, WHOQOL-BREF e WHOQOL-OLD. Para análise dos dados empregou-se estatística descritiva. Resultados: A autoavaliação da qualidade de vida obteve média de 48,75. Verificou-se maior escore para a qualidade de vida de idosos nos domínios das relações sociais (57,98) e intimidade (53,04). Houve menor escore para o domínio “atividades passadas”, presentes e futuras (37,23) e para o domínio meio ambiente (45,45), onde as facetas de maiores prejuízos foram recursos financeiros (35,00) e recreação e lazer (26,07). Conclusão: Idosos com doenças crônicas alcançam níveis medianos de qualidade de vida, sendo as relações sociais e intimidade os domínios que se apresentam com níveis mais satisfatórios, necessitando melhorar aspectos relacionados à assistência social e de saúde mental e física dos idosos.Descritores: Qualidade de Vida; Idosos; Doenças Crônicas.QUALITY OF LIFE OF ELDERLY PEOPLE WITH CHRONIC DISEASES MONITORED BY THE FAMILY HEALTH STRATEGYObjective: To describe the quality of life of elderly people with chronic diseases monitored by the Family Health Strategy. Methods: A descriptive and cross-sectional study, carried out with 90 elderly people monitored by health teams in the city of Ceará, Brazil, between October and November 2017. Data were collected in the homes of the elderly using a questionnaire of social and health profile and validated instruments on quality of life of the elderly, WHOQOL-BREF and WHOQOL-OLD. For data analysis, descriptive statistics is used. Results: An average self-assessment of quality of life of 48.75. There was a higher score in the domain of social relations (57.98) and a lower score in the domain of the environment (45.45) where the facets that point the most damage to the quality of life of the elderly were financial resources (35.00) and recreation and leisure (26.07). The intimacy domain used the highest score (53.04) and the past, present and future activities lowest score (37.23) domain by WHOQOL-OLD. Conclusion: Elderly people with chronic diseases reached average levels of quality of life, with social relationships and domains of intimacy presenting more satisfactory levels, needing to improve aspects related to health care and usage practices Descriptors: Quality of Life; Elderly; Chronic Disease.CALIDAD DE VIDA DE LAS PERSONAS MAYORES CON ENFERMEDADES CRÓNICAS MONITOREADAS POR LA ESTRATEGIA DE SALUD FAMILIARObjetivo: Describir la calidad de vida de las personas mayores con enfermedades crónicas monitoreadas por la Estrategia de Salud Familiar. Método: Estudio descriptivo y transversal, realizado con 90 personas mayores monitoreadas por equipos de salud en la ciudad de Ceará, Brasil, entre octubre y noviembre de 2017. Los datos fueron recolectados en los hogares de ancianos utilizando un cuestionario de perfil social y de salud e instrumentos validados en calidad de vida de los ancianos, WHOQOL-BREF y WHOQOL-OLD. Para el análisis de datos, se utiliza estadística descriptiva. Resultados: Una autoevaluación promedio de calidad de vida de 48.75. Hubo un puntaje más alto en el dominio de las relaciones sociales (57.98) y un puntaje más bajo en el dominio del medio ambiente (45.45) donde las facetas que señalaron el mayor daño a la calidad de vida de los ancianos fueron los recursos financieros (35.00) y recreación y ocio (26.07). El dominio de la intimidad utilizó el puntaje más alto (53.04) y el dominio del puntaje más bajo de las actividades pasadas, presentes y futuras (37.23) por WHOQOL-OLD. Conclusión: Las personas mayores con enfermedades crónicas alcanzaron niveles promedio de calidad de vida, con relaciones sociales y dominios de intimidad que presentan niveles más satisfactorios, que necesitan mejorar aspectos relacionados con la atención médica y las prácticas de uso. Descriptores: Calidad de Vida; Anciano; Enfermedad Crónica.  


Author(s):  
Rosiane Aparecida da Silva ◽  
Helenice Yemi Nakamura

The amount of elderly people who reported having some difficulty hearing according to the last Census in 2010 exceeds 21,6% (9.717.328 individuals). The impact of a hearing loss resulting from the aging process may prevent the elderly from fully exercising their daily living activities, their autonomy, the ability to communicate, it also affects family and social relationships and can lead to isolation. The purpose of this study was to discuss hearing health in the face of aging in Primary Care. The sample consisted of elderly individuals, users of a health center, in the city of Campinas-SP. The instruments used in the research were 3 questionnaires. In addition, the elderly underwent inspection of the external acoustic meatus - meatoscopy and the holding of five group meetings to discuss topics related to hearing. Twelve elderly people participated in the study. The ages ranged from 61 to 78 years old. One subject was referred for auditory evaluation following the flow of the auditory health network of the township and two for removal of wax stopper in the care unit. There was evolution in the medical records of all the subjects who participated in the research. Five 30-minute meetings were proposed and held, with specific themes at each meeting. The questionnaires used enabled the referrals to other services. It was possible to sensitize the family health team about how hearing corroborates the quality of life of the elderly people


2017 ◽  
Vol 6 (3) ◽  
pp. 63-70 ◽  
Author(s):  
T.F. Suslova

Reference of national and foreign scientists to the social activity of elderly people is the result of the process of global ageing of population. They mention many reasons for population ageing: the crisis of the family and marriage, which resulted in reduced fertility rates; increased quality of life of people, contributing to an increase in life expectancy, etc. In this regard, it is important for scholars and practitioners in the field of social psychology of old age and ageing to carry out research and practical design in the field of adaptive behavior of the elderly people and their involvement in the social life of the society. This article analyzes the foreign studies and experiences in the formation of adaptive behavior of the elderlypeople to conditions of retirement through involvement of people of late age in various kinds of social activity.


2019 ◽  
Vol 11 (1) ◽  
pp. 51-56
Author(s):  
RIANI PRADARA JATI ◽  
Sekar Farah Nabila

  Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia.   Kata kunci : Peran family caregiver, qualitas hidup, lansia.   ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly   Keywords: Role of Family Caregiver, Quality of Life, Elderly


2021 ◽  
pp. 270-278
Author(s):  
Tatyana Borisovna Berestok

This article deals with the issue of self-preservation of elderly people when learning to work on a computer from the point of view of information and psychological security. The necessity of solving new socio-psychological problems is indicated: to develop the ability to give a correct assessment of a specific information threat, to prevent the negative impact of the information environment, to resist negative factors, and to contribute to improving the quality of life. The purpose of counseling elderly people is to develop their ability to understand the problem of the negative impact of the information environment on psychological and physiological health, to be able to apply methods to ensure information and psychological security. Consulting and educational work with the elderly and employees of social institutions engaged in professional activities directly related to the above category should be aimed at preventing cases of fraudulent activities. Consulting work with them should not only meet the general principles of building psychological contact, but also cause an understanding of the importance of compliance with security in the digital sphere. Elderly people develop the ability to assess correctly a specific information threat and prevent the negative impact of the information environment by providing adequate resistance to negative factors and contributing to improving their quality of life. It is increasingly difficult for older people to navigate threats, unmotivated anxiety increases, depressiveness appears and becomes fixed, and asocial personality traits are formed. At the present time, it is necessary to consider the formation of information and computer literacy as a mechanism to counteract the negative impact of the information environment and a necessary condition for developing an effective strategy for the social adaptation of elderly people.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Nagesh Jamwal

Background – Elderly people face many psychological, physical and socio economic morbidities due to ageing. Institutional settings have been opened for those elderly people who are neither able to take care of themselves nor is there any person to look after them. Objectives- The present research work was conducted to study the quality of life, loneliness and psychological distress of the elderly males and females living in institutions and non-institutional settings in urban Jammu district. Methods –The study was conducted using purposive sampling on 40 elderly living in institutional settings and 40 elderly living in non- institutional settings in the age range of 60-80 years. Tools used – GHQ  by Gautam, Nuhawan and Kamal ,UCLA loneliness scale(Russell, 1996)  and WHO (QOL-BREF, 1998),  was used. Results – The results revealed significant differences on loneliness and quality of life between those living in institutional settings and those living with their families.


2021 ◽  
Vol 14 (1) ◽  
pp. 53-57
Author(s):  
Tomasz Wiatr ◽  
Piotr Chłosta

Lower urinary tract symptoms, including urgency, urgency incontinence, pollakiuria and nocturia are common in the elderly people and has significant impact on quality of life. Pharmacological treatment is recommended when conservative management, such as fluid intake normalization or bladder training, does not alleviate symptoms. Antimuscarinics were often used as the I line treatment for OAB, as these drugs block the activity of the muscarinic M2/M3 receptors in the bladder and provide a significant clinical benefit for OAB symptoms in the elderly people, but their side effects are common, often leading to treatment discontinuation. Mirabegron, a β3-adrenoceptor agonist, shows similar efficacy to antimuscarinic drugs without the risk of anticholinergic effects.


2014 ◽  
Vol 50 (2) ◽  
pp. 269-284 ◽  
Author(s):  
Fabiana Rossi Varallo ◽  
Fernanda Mariana de Oliveira ◽  
Patrícia de Carvalho Mastroianni

Certain medicines are considered potentially inappropriate (PIM) for elderly people as they increase the risk of adverse drug events (ADE) and because safer alternative therapies are available on the market. In this context, in order to identify the instruments that assess the quality of medical prescriptions for elderly and to determine which drugs are considered PIM, a bibliographic survey was conducted in PUBMED, LILACS and PAHO databases, in February and March/2010. The search strategy included the use of health descriptors and a manual search in the references cited by selected papers. During the period of data collection, 15 instruments were identified. In 2012, with the publication of the update of Beers criteria, this instrument was included in the study. We identified 163 PIM of 25 therapeutic classes, of which 125 (76.7%) are marketed in Brazil. Of these, 31 (24.8%) are essential medicines (RENAME 2012), of which 13 have safer therapeutic equivalents and 19 (15.2%) are over-the-counter drugs. Data suggest the need for inclusion of safer alternatives for the elderly in the national list of essential medicines and the pharmaceutical care for early detection of ADE in this age group, in order to contribute to the safe use of medicines.


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