HIV and the Elderly

Author(s):  
Nathan L. Linsk

A substantial and increasing number of people have developed HIV infections in their later years, most associated with male-to-male sexual contact or blood transfusions, although transmission also occurs through substance users and unsafe heterosexual activity. Human service practitioners need to become sensitive to the needs of elderly people and their families who are affected by HIV/AIDS. Prevention may be incorporated as part of initial engagement and assessment of elderly persons, and service packages may be developed for older persons who are infected or provide care for HIV-infected persons. Issues of confidentiality, social support, family care, and nondiscrimination are critical concerns in serving this population.

1980 ◽  
Vol 47 (3_suppl) ◽  
pp. 1055-1061 ◽  
Author(s):  
Edward F. Raymond ◽  
Timothy J. Michals ◽  
Robert A. Steer

A sample of 504 elderly persons living within a metropolitan area were questioned about their socio-medical characteristics and administered the Wakefield Self-assessment Depression Inventory. The distribution of depression scores indicated that 34.5% were depressed. Stepwise regression analysis was next used to examine the relationships between the characteristics and depression scores. Total number of self-reported symptoms and being partially housebound were positively associated with depression. Recommendations were made that health care providers for the elderly be alerted that older persons with physical complaints and those who are partially restricted to their homes may tend to develop levels of depression which might require psychiatric intervention.


2016 ◽  
Vol 19 (4) ◽  
pp. 661-669
Author(s):  
Thaynara Rocha de Souza ◽  
Maria Aparecida Vieira ◽  
Fernanda Marques da Costa ◽  
Cássio de Almeida Lima

Abstract Objective: To investigate polypathology among elderly persons treated at a referral center in the state of Minas Gerais, Brazil. Methodology: An analytical documentary study with a cross-sectional quantitative approach was performed. The records of referral and care of 668 elderly persons who were treated at the referral center were analyzed. Bivariate and multivariate analysis was performed using logistic regression. Results: 278 medical records were analyzed. Polypathology was the main reason for seeking care in 114 (41.0%) cases. There was a statistically significant association between the characteristics of being male and less educated and polypathology. In multivariate analysis, polypathology was higher among men and lower among elderly persons with a high school or higher education. Conclusion: The findings identify a situation with a predominance of polypathology among the elderly. This is at a worrying level among elderly men and less educated older persons, and should be addressed carefully by health professionals, in the search for more specific and appropriate care.


2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
D. Oladeji

This study examined family care, social services, and living arrangements factors influencing the psychosocial well-being of the elderly from selected households in Ibadan, Nigeria. The participants for the study consisted of 280 elderly persons randomly drawn from selected households in five local government areas of Ibadan metropolis. A descriptive survey design was employed in collecting the data from the respondents. Data collected were analyzed using chi-square () statistics. Results obtained indicated that significant relationships existed between family care (, df = 12, ), social services (, df = 12, ), and living arrangements (, df = 6, ) and psychosocial well-being of elderly. The results implicate the need for the framework on the complex system of the elderly services. These areas of service include economic services, attitudes toward aging, roles played by the elderly, and health care services.


2012 ◽  
Vol 20 (4) ◽  
pp. 677-684 ◽  
Author(s):  
Tábatta Renata Pereira de Brito ◽  
Sofia Cristina Iost Pavarini

The objective of this study was to identify the relationship between social support and the functional capacity of elderly persons with cognitive alterations. It is a descriptive, cross-sectional and quantitative study. The subjects were 101 elderly persons registered in Family Health Centers whose performance in the Mini-Exam for Mental Status was below a certain specified level in a previous study. The Medical Outcomes Study questionnaire, Katz Index and Pfeffer Questionnaire were applied. The dimensions of material, affective, emotional, informational and positive social interaction support resulted in an average final score of 74.32 points, indicating a better level of material and affective support in relation to the other dimensions of support. There was a statistically significant correlation between emotional support and the Katz Index. Knowledge about this relationship favors the development of a nursing care pathway for the elderly which is capable of maintaining their functional capacity and ensuring satisfactory social relations.


Author(s):  
Benjamin H. Gottlieb

RÉSUMÉCet article traite des différentes facettes du support social dans le contexte de l'aide familiale aux personnes âgées. Il met l'accent sur la nécessité de faire preuve d'une plus grande précision empirique et théorique lorsqu'on rapporte les types spécifiques de réponses symboliques et concrètes aux exigences des aidants familiaux confrontés à de lourdes tâches. Cet article, en outre, met en lumière trois sujets vitaux pour la recherche futur: (1) examiner de quelle façon le soutien social et familial est affecté par ceux qui vivent un stress chronique (et comment il les affecte à leur tour); (2) examiner les déterminants du support familial réel ou possible; (3) établir le cadre général des interventions conçues pour amplifier l'aide assurée aux aidants familiaux et enfin procéder à l'évaluation de ces interventions.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259697
Author(s):  
Sorawit Boonyathee ◽  
Katekaew Seangpraw ◽  
Parichat Ong-Artborirak ◽  
Nisarat Auttama ◽  
Prakasit Tonchoy ◽  
...  

Hypertension is becoming increasingly prevalent among the elderly. Family caregivers play an important role in caring for elderly people and empowering them to care for themselves. This study’s goal was to see how social support training for family caregivers affected changes in hypertension, total cholesterol, and high-density lipoprotein (HDL), and how such support led to the prevention of hypertension behaviors among the elderly in rural areas. This was a quasi-experimental study with 268 elderly people at risk of hypertension and their caregivers. Sixty seven pairs of elderly people and their caregivers were assigned to the intervention and control groups. Baseline data were collected in November 2020. The intervention group received the Social Support Family Caregiver Training Program (SSFCTP), while the control group received a regular program from the local health authority. The activity lasted 12 weeks, with home visits and telephone check-ups along the way, and data collection took place after the program ended. The final data were collected three months after the end of the intervention. An analysis of repeated measures ANOVA showed the overall effect of the SSFCTP on knowledge, self-efficacy, health care behaviors, and blood pressure among elderly people during three different time periods (p<0.05). Furthermore, the intervention program had a time-dependent effect on knowledge, blood pressure, and total cholesterol levels (p<0.05). In terms of caregiver outcomes, there was an overall difference among the degrees of knowledge, self-efficacy, and behaviors toward health care displayed by elderly hypertensive patients during the three different time periods (p<0.05). The average knowledge and self-efficacy of the participants improved after the intervention. As a result, better self-care behaviors and lower blood pressure and total cholesterol levels were observed among the elderly participants after the intervention. The programs emphasized the importance of caregivers’ roles in providing social support, boosting confidence, and encouraging participation in caring, monitoring, and assisting the elderly in controlling blood pressure and other health issues.


Author(s):  
Marcelo Caetano de Azevedo Tavares ◽  
Márcia Carréra Campos Leal ◽  
Ana Paula de Oliveira Marques ◽  
Rogério Dubosselard Zimmermann

Abstract Objective: The present integrative literature review aimed to verify the scientific knowledge produced about social support for elderly persons with HIV/Aids. Method: A search was carried out in the Lilacs, Medline, Scopus and Web of Science databases for studies published in the last ten years. The final analysis consisted of seven articles. Results: It was found that social support is extremely important in the life of the elderly with HIV/Aids, and a real need for this support was identified. Such support can both contribute to quality of life in many ways, as well as impair the care of those who live with the disease, as the diagnosis, treatment and the entire stigma surrounding this chronic condition directly influence the type and quality of support provided. Conclusion: It is hoped that the results of this review will contribute to are flection on health practices for the elderly with HIV/Aids.


2013 ◽  
Vol 25 (6) ◽  
pp. 1038-1049 ◽  
Author(s):  
Qi An ◽  
◽  
Yusuke Ikemoto ◽  
Hajime Asama

Standing up is fundamental to daily activities of the elderly. It is necessary both to enhance muscle strength and to strengthen muscle coordination for improvement of their motor function. In this paper, we extract important data related to muscle coordination, called synergy, to perform standing motion by young and elderly participants. The contribution of muscle synergy to body kinematics is calculated through neural networks that estimate joint torque and body kinematics. To explain deficient motor function in elderly persons, extracted synergy is classified into 4 clusters based on how synergy contribute to body kinematics. Cluster analysis explains that elderly participants have weaker synergy than young persons in bending their backs to generate momentum. Compared to younger persons, older persons require additional muscle coordination to stabilize posture after standing-up in order to avoid falling.


1991 ◽  
Vol 23 (3) ◽  
pp. 169-179 ◽  
Author(s):  
Gerald L. Euster

While there is considerable evidence that many older persons decline in interpersonal and physical functioning following spousal or sibling losses, little is known about customary forms of support to facilitate the management of bereavement. This study explores the importance of the widely used ritual of “In Memoriam” contributions as a remembrance of deceased elderly persons and support for bereaved family and friends. Answers to two research questions were sought. First, what types of memorial contributions were requested by the bereaved on behalf of deceased elderly South Carolinians during an eight-month period, as published in statewide newspaper obituaries? Second, how do religious, social agency, health care, and educational leaders and administrators perceive the importance of memorial contributions as they impact upon the bereaved following funerals of elderly persons? The findings indicated that in 2, 198 obituaries, 68.2 percent of the families designated contributions to religious institutions and 22.1 percent to health associations/foundations. Rankings by study respondents and additional written comments indicated that memorials were most helpful to the extent that they offered comfort and support to bereaved family, reconfirmed friendship ties, and helped to continue funding for religious and other community programs valued by the deceased. The findings suggest that memorials help in the grief work of many families and provide some tangible repayment for expressions of concern and generosity extended to the deceased and bereaved.


Author(s):  
Philippe Landreville ◽  
Philippe Cappeliez

ABSTRACTThere is great interest in identifying psychological and social variables associated with depressive symptoms in older adults. The goal of this article is to review the literature on the relationship between social support and depressive symptoms in the elderly and to identify the mechanisms involved in this relationship. The review indicates that both structural and functional dimensions of social support are inversely related to depressive symptoms in elderly persons. In addition, there is evidence supporting both the main effect model and the buffering effect model of social support. It is unclear, however, whether observation of these effects depends on the type of measure used to assess social support. A better understanding of the relationship between social support and depression requires the consideration of more precise dimensions of social support as well as the nature of the Stressors experienced by older people.


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