Involuntary Aged Clients: Ethical and Treatment Issues

1988 ◽  
Vol 69 (8) ◽  
pp. 518-524 ◽  
Author(s):  
Beth Burstein
Keyword(s):  
Elderly People ◽  
Family Members ◽  
Elderly Person ◽  
The Elderly ◽  
Treatment Techniques

Elderly people often reject help despite their apparent suffering. Family members may react to a client's pain or deterioration by imposing change on the elderly person. The author discusses the causes for these phenomena and suggests treatment techniques.

scholarly journals Family and social vulnerability: a study with octogenarians

2009 ◽  
Vol 17 (3) ◽  
pp. 374-379 ◽  
Author(s):  
Sofia Cristina Iost Pavarini ◽  
Elizabeth Joan Barha ◽  
Marisa Silvana Zazzetta de Mendiondo ◽  
Carmen Lucia Alves Filizola ◽  
José Fernando Petrilli Filho ◽  
...  
Keyword(s):  
Elderly People ◽  
Social Vulnerability ◽  
Family Members ◽  
Elderly Person ◽  
The Elderly ◽  
Vulnerability Index ◽  
Elderly Persons ◽  
Social Vulnerability Index ◽  
Ethical Guidelines ◽  
The Social

In order to guide the development of dementia-related public policies for the elderly, it is important to identify factors that vary together with the social vulnerability of this population. This study aimed to identify the relationship between the São Paulo Social Vulnerability Index (IPVS) and various indicators of family support for elderly people over 80 years of age, who presented cognitive alterations (N=49). All ethical guidelines were followed. Data were collected at the homes of the elderly people. A large majority of the respondents lived with family members (88%). In half of the cases, the respondents lived with one (41%) or two (9%) other elderly persons. On average, there was one more non-elderly person living in the high vulnerability family context (M = 3.6, sd = 1.70) than in contexts of very low vulnerability (M = 2.4, sd = 1.07), F(2.43) = 3.364, p < 0.05. However, the functionality of the support provided by these family members needs to be verified, in each of these contexts.

scholarly journals Wearable Fall Detector for Elderly People

2020 ◽  
pp. 108-111
Author(s):  
Meeradevi T ◽  
Swethika Ramesh ◽  
Vikash Kumar V ◽  
Sherli Subhiksa ◽  
Visnu Rajhan
Keyword(s):  
Elderly People ◽  
Family Members ◽  
Elderly Person ◽  
Smart Phone ◽  
The Elderly ◽  
Contact Number ◽  
The Family ◽  
National Safety Council ◽  
Fall Detector

Now a days, most of the elderly person live in home alone. In their day to day living, some activities likely to have some accidents, such as fall. If the fall is unobserved for a longer period, it may lead to severe health trauma or even leads to death. According to the insights announced in National Safety Council, they are the subsequent driving reason for unexpected passing assessing 424000 passing worldwide. The objective of this paper is to develop a device that detects the fall event of the elderly person and intimate to the family members about the event. A call will be made automatically to the contact number provided in the fall detector application installed in the smart phone. It can accompany elderly people both indoors and outdoors in contrast to ambient devices. Computation of this method is simple and it is possible to implement in small size, so it can be easily carried by the elderly people. It can be afforded by

scholarly journals A Context-Aware Accurate Wellness Determination (CAAWD) Model for Elderly People Using Lazy Associative Classification

Sensors ◽  
2019 ◽  
Vol 19 (7) ◽  
pp. 1613 ◽  
Author(s):  
Farhan Sabir Ujager ◽  
Azhar Mahmood
Keyword(s):  
Elderly People ◽  
Data Extraction ◽  
Contextual Information ◽  
Elderly Person ◽  
The Elderly ◽  
Sensor Nodes ◽  
Behavior Patterns ◽  
Context Aware ◽  
Classification Rules ◽  
Training Time

Wireless Sensor Network (WSN) based smart homes are proving to be an ideal candidate to provide better healthcare facilities to elderly people in their living areas. Several currently proposed techniques have implementation and usage complexities (such as wearable devices and the charging of these devices) which make these proposed techniques less acceptable for elderly people, while the behavioral analysis based on visual techniques lacks privacy. In this paper, a context-aware accurate wellness determination (CAAWD) model for elderly people is presented, where behavior monitoring information is extracted by using simple sensor nodes attached to household objects and appliances for the analysis of daily, frequent behavior patterns of elderly people in a simple and non-obtrusive manner. A contextual data extraction algorithm (CDEA) is proposed for the generation of contextually comprehensive behavior-training instances for accurate wellness classification. The CDEA presents an activity’s spatial–temporal information along with behavioral contextual correlation aspects (such as the object/appliance of usage and sub-activities of an activity) which are vital for accurate wellness analysis and determination. As a result, the classifier is trained in a more logical manner in the context of behavior parameters which are more relevant for wellness determination. The frequent behavioral patterns are classified using the lazy associative classifier (LAC) for wellness determination. The associative nature of LAC helps to integrate spatial–temporal and related contextual attributes (provided by CDEA) of elderly behavior to generate behavior-focused classification rules. Similarly, LAC provides high accuracy with less training time of the classifier, includes minimum-support behavior patterns, and selects highly accurate classification rules for the classification of a test instance. CAAWD further introduces the ability to contextually validate the authenticity of the already classified instance by taking behavioral contextual information (of the elderly person) from the caregiver. Due to the consideration of spatial–temporal behavior contextual attributes, the use of an efficient classifier, and the ability to contextually validate the classified instances, it has been observed that the CAAWD model out-performs currently proposed techniques in terms of accuracy, precision, and f-measure.

scholarly journals МENTAL STATES AND THE PROBLEM OF SELF-REGULATION OF ELDERLY PEOPLE

2020 ◽  
Vol 64 (3) ◽  
pp. 127-131
Author(s):  
N. Auyelbekova ◽  
◽  
N. Akhtaeva ◽  
Keyword(s):  
Elderly People ◽  
Emotional State ◽  
Self Regulation ◽  
Elderly Person ◽  
The Elderly ◽  
Mental States ◽  
Inner Experiences ◽  
Initial Results ◽  
Research Analysis

The article touches upon the problem of self-regulation of mental states of the elderly. The features of the emotional state of elderly people are described. Variants of effective self-regulation are proposed, the causes of negative states and ways to overcome them are analyzed. Purpose of the research: analysis of the emotional state of people over 60 and a way to successfully overcome the internal crisis through self-regulation. The article describes the initial results of a study of 20 respondents. The total number is planned in the amount of 80 people, the methods used in the study are listed. The article identifies the fulcrum, thanks to which an elderly person can cope with his inner experiences and find peace and harmony

scholarly journals Study on depression among elderly people in an urban slum of Raichur

2019 ◽  
Vol 6 (5) ◽  
pp. 2116 ◽  
Author(s):  
Vandana Ganganapalli ◽  
Sujatha N. ◽  
Bhaskar Kurre
Keyword(s):  
Elderly People ◽  
Nuclear Family ◽  
Adult Population ◽  
Elderly Person ◽  
Depression Scale ◽  
The Elderly ◽  
Short Version ◽  
Ageing Population ◽  
Cross Sectional ◽  
Prevalence Of Depression

Background: Globally, more than 300 million people of all ages suffer from depression. With an ageing population, depression among the elderly is likely to increase in the coming years, with higher prevalence among the elderly people than that in the general adult population. This study was intended to know the prevalence of depression and factors associated with depression among elderly people.Methods: A cross-sectional study was conducted in the urban field practice area of Navodaya Medical College, Raichur. A pre-designed and pre-tested questionnaire was used to interview the elderly person, after taking verbal consent. Depression was assessed using geriatric depression scale (short version). The study duration was from 1st September 2018 – 31st December, 2018 with 360 sample size.Results: Out of 360 elderly people, the prevalence of depression was found to be 31.4 %. The prevalence of depression was more in females 31.9% (63 out of 197). Significant association of depression was noted with age, socio-economic status, marital status, type of family, education and occupation with p<0.05.Conclusions: Around 1/3rd of the study participants were found to be suffering from depression. Depression was significantly associated with age, illiteracy, nuclear family, dependent on family members. Family support to the elderly population may prevent depression.

To Assess the Fall Risk among the Elderly in selected Urban Area Kachery, Thrissur

2021 ◽  
pp. 295-298
Author(s):  
Ann Mariya P.R ◽  
Delna Mary George ◽  
Elsamol Francis ◽  
Thasni R.A ◽  
Twinkle Joseph ◽  
...  
Keyword(s):  
Risk Assessment ◽  
High Risk ◽  
Urban Area ◽  
Elderly People ◽  
Fall Prevention ◽  
Fall Risk ◽  
Elderly Person ◽  
The Elderly ◽  
Previous Knowledge ◽  
Fall Risk Assessment

To assess the fall of risk among the elderly in selected urban area of Thrissur. Objectives a) To assess the fall risk among the elderly people in selected urban area of Kachery, Thrissur. b) To associate fall risk score with selected demographic variables. c) To correlate fall risk assessment questionnaire score and modified fall prevention checklist for personal risk factors score among elderly individuals. d) To teach the elderly people about fall prevention exercise. Methodology: Non-experimental descriptive research design is adopted in this study. We selected 60 samples through random sampling technique. Standardized fall risk assessment questionnaire built by national aging research institute and modified fall prevention checklist for personal risk factors built by Hamilton county was used to collect the data. Tool was administered by interview method for assessing fall risk. Fall preventive intervention module developed, validated and administered following data collection. The data collected were analyzed by using descriptive and inferential statistics. Result: The demographic profile of elderly people shows that 46.66% belongs to age group between 60-70 years and most of them 58.33% were females. The majority 73.33% of elderly person are at low risk for fall and 26.66% are at high risk for fall in questionnaire and 81.67% of elderly are low risk for fall, 18.33% are risk and there is no elderly person high risk for fall in checklist. The overall fall risk is high among elderly individual alone in home and low in elderly in nuclear families. The risk for fall among elderly based on previous history of fall shows that elderly with visual impairment those who don’t have previous knowledge about fall prevention and elderly age between 91-100 is high risk for fall. The risk for fall based on ability to perform ADL in elderly shows those who living alone in the home high risk for fall. There is significant association between score with selected variables like age, previous knowledge about fall prevention, elderly residing in their home alone. We found that there is perfect positive correlation r=1 between fall risk assessment, questionnaires and checklist score. Discussion: At the end of the study the investigator found that the risk for fall based on the assessment of fall history among elderly people shows that, there is significant association between age (p=0.0273) that is, age group between 91-100 years are high risk for fall. Previous knowledge about fall prevention shows that, elderly without previous knowledge about fall prevention is at high risk for fall (p= 0.03074). In sensory impairment that is, elderly having visual impairment (p=0.998) having risk for fall. The risk for fall among elderly people based on their ability to perform activities of daily living shows that, elderly residing in their home alone shows more risk for fall.

scholarly journals Meanings attributed by family members to the act of caring for elderly people with stroke sequels

2017 ◽  
Vol 39 (1) ◽  
pp. 65
Author(s):  
Rogério Donizeti Reis ◽  
Elaine Cristina Pereira ◽  
José Vitor Da Silva
Keyword(s):  
Content Analysis ◽  
Data Collection ◽  
Elderly People ◽  
Family Members ◽  
Elderly Person ◽  
Structured Interview ◽  
Male And Female ◽  
Role Change ◽  
Elderly Individuals ◽  
Main Ideas

The objective of this study was to identify meanings that family members attribute to the act of caring for elderly individuals with stroke sequels. The participants were family members that were taking care of a senior with stroke sequels, both male and female. The sample was composed of 15 family members. The instruments used for data collection were: a questionnaire referring to the participants’ personal and family profile, in addition to a semi-structured interview script. For extraction of main ideas, Bardin’s content analysis was used. The categories that emerged from the ‘Meaning of caring’ theme were: ‘A lot of love and support’, ‘Hard because of the person’s dependence’, ‘Caring is not hard’, ‘Responsibility’ and ‘Role change’. The conclusion is that caring for an elderly person with stroke sequels involves a variety of aspects and situations. 

The Care© Approach to Enabling Independence

1993 ◽  
Vol 56 (4) ◽  
pp. 120-122 ◽  
Author(s):  
Jackie Pool
Keyword(s):  
Occupational Therapy ◽  
Elderly People ◽  
Social Services ◽  
Elderly Person ◽  
The Elderly ◽  
Mnemonic Device ◽  
Care Approach ◽  
Training Programmes ◽  
Therapy Service

In piloting an occupational therapy service in Hampshire Social Services' homes for elderly people, it became evident that the occupational therapy philosophy of enabling independence was perceived by the staff of the homes to be contrary to their role as carers. An approach was required which could demonstrate that the concept of care was not incompatible with that of independence and the CARE© approach was developed. This uses a mnemonic device to show that there are four factors that combine to result in the act of caring: Communicating, Assisting, Rehabilitating and Empathising. When all four factors are present, independence is promoted by enabling the elderly person to function to his/her maximum potential. The CARE approach is currently being used in Hampshire Social Services' homes for elderly people in training programmes for staff. The approach is appropriate to anyone who is involved in caring for others. It is used as a framework that assists the carer to make the transition to the role of an enabler.

Gender, Household Composition and Receipt of Domiciliary Services by Elderly Disabled People

1988 ◽  
Vol 17 (2) ◽  
pp. 153-175 ◽  
Author(s):  
Sara Arber ◽  
G. Nigel Gilbert ◽  
Maria Evandrou
Keyword(s):  
Elderly People ◽  
Elderly Person ◽  
Household Survey ◽  
The Elderly ◽  
Single Women ◽  
Household Composition ◽  
Personal Health ◽  
Disabled Elderly ◽  
Informal Carers ◽  
Using Data

ABSTRACTUsing data from the 1980 General Household Survey, differences in the provision of statutory domiciliary services to disabled elderly people are explored. Domiciliary services vary in their degree of ‘substitutability’, that is, in the extent to which the care may be performed either by state services or by other members of the elderly person's household. Domestic support services are substitutable by any available carer; personal health and hygiene services are partially substitutable depending on the relationship between the carer and the cared for; and medical services are not substitutable by informal carers. The paper shows that discrimination by statutory services against women carers is dependent primarily on the household composition of the elderly person rather than on gender per se. Taking into account the level of disability of the elderly person, younger ‘single’ women carers receive no less support than ‘single’ men carers, but carers who are married women under 65 obtain the least domestic and personal health care support. Carers who are elderly receive more support than carers under 65. Among disabled elderly people who live alone, men receive somewhat more domestic and personal health services than women.

Why suicide? Elderly people who committed suicide and their experience of life in the period before their death

2009 ◽  
Vol 22 (2) ◽  
pp. 209-218 ◽  
Author(s):  
Ildri Kjølseth ◽  
Øivind Ekeberg ◽  
Sissel Steihaug
Keyword(s):  
Elderly People ◽  
Qualitative Interviews ◽  
Functional Decline ◽  
Elderly Person ◽  
The Elderly ◽  
Elderly Persons ◽  
Psychological Autopsy ◽  
Autopsy Study ◽  
Family Doctors ◽  
Home Based

ABSTRACTBackground: The objective of this study is to acquire an understanding of the suicides among a group of elderly people by studying how they experienced their existence towards the end of life.Methods: This is a psychological autopsy study based on qualitative interviews with 63 informants in relation to 23 suicides committed by persons aged over 65 in Norway. Informants who knew the deceased persons well describe what the elderly person communicated to them about their experience of life in the period before the suicide and how they as informants saw and understood this. The informants comprise relatives, family doctors and home-based care nurses. The analysis of the interviews follows the systematic text condensation method.Results: The descriptions are divided into three main elements: the elderly persons' experiences of life, their perception of themselves, and their conceptions of death. “Experience of life” has two sub-topics: this life has been lived and life as a burden. Everything that had given value to their life had been lost and life was increasingly experienced as a burden. Their “perception of themselves” concerned losing oneself. Functional decline meant that they no longer had freedom of action and self-determination. “Conceptions of death” involve the following sub-topics: acknowledgement/acceptance and death is better than life. Life had entered into its final phase, and they seemed to accept death. For some time, many of them had expressed the wish to die.Conclusions: The results lead us to argue that their suicides should be considered as existential choices. The sum total of the different forms of strain had made life a burden they could no longer bear. Age meant that they were in a phase of life that entailed closeness to death, which they could also see as a relief.

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