Psycho-social challenges of elderly

2018 ◽  
Vol 9 (01) ◽  
Author(s):  
Shalini Singh ◽  
Nishat Afroz
Keyword(s):  
Older Adults ◽  
General Population ◽  
Old Age ◽  
Demographic Transition ◽  
Older Persons ◽  
Population Aging ◽  
Demographic Changes ◽  
Social Challenges ◽  
The World ◽  
Care Of Elderly

The world's population is aging and all countries in the world are experiencing growth in the number and proportion of older persons. India is no exception to this demographic transition. With the rapidly increasing number of aged, the care of elderly has emerged as an important issue before the country. This change presents wide-ranging and complex health, social, and economic challenges, both current and future, to which this diverse and heterogeneous country must rapidly adapt. This paper is an attempt to review and discuss the context, scope, and magnitude of India's demographic changes. Further it elaborated the need and concerns of elderly, various psycho-social problems faced by them and impact of population aging on different sphere of country's resources. This paper also discussed the increasing inclination of elderly towards the old age homes and the possible reasons behind it. This chapter also presents an overview of several governmental, recent and ongoing efforts and initiatives, to adapt to population aging and provide support to older adults and their families. It concludes with recommendations that may serve as a productive next step forward, keeping in mind the need for urgent and timely action on the part of government, NGO's, researchers, and general population.

scholarly journals OLDER ITALIANS’ VIEWS OF AND EXPERIENCES WITH IMMIGRANT CAREWORKERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S703-S703
Author(s):  
Katia Vecchione ◽  
Anne Barrett
Keyword(s):  
Older Adults ◽  
Personal Experience ◽  
Population Aging ◽  
Nursing Home Residents ◽  
Willingness To Accept ◽  
Senior Center ◽  
Negative Attitudes ◽  
Cultural Discourses ◽  
Beliefs And Values ◽  
The World

Abstract Population aging has led, in many countries, to new care arrangements to meet the growing need. In Italy, with the second oldest population in the world, family members, especially women, provide the majority of care; however, paid immigrants are increasingly filling in where families cannot. Known as “badanti,” most of these careworkers are middle-aged women from Eastern Europe. Although some research examines this phenomenon, it focuses exclusively on careworkers – not those receiving their care. Addressing this gap, my paper examines older Italians’ attitudes toward and experiences with immigrant careworkers, using interviews with 20 nursing home residents and 20 senior center participants. Analyses reveal polarized views of “badanti, with more positive views found among those with personal experience receiving their care. I find that negative attitudes are shaped by three broader cultural discourses about aging, as well as immigration. Attitudes are influenced by views of independence and autonomy -- core values perceived to be threatened by badanti. Relatedly, attitudes are influenced by the centrality of space and home, which again are viewed as challenged by badanti’s presence. Negative views of badanti also are shaped by dominant discourses regarding immigrants, who are viewed as threats to security, particularly regarding one’s belongings. Such beliefs and values influence older adults’ willingness to accept help from careworkers and its effectiveness -- knowledge of which can help create better care scenarios.

scholarly journals PREPARATION FOR FUTURE IN OLD AGE: WHY AND WHY NOT?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S749-S749
Author(s):  
Helene H Fung
Keyword(s):  
Older Adults ◽  
Hong Kong ◽  
Old Age ◽  
Population Aging ◽  
Well Being ◽  
Future Research ◽  
Age Related ◽  
The Usa ◽  
Older Chinese ◽  
Using Data

Abstract With population aging, many people can expect to spend 30 or more years in old age. The five papers included in this symposium aim at shedding light on whether and how to make plans for old age, using data from the “Aging as Future” Project. First, Park and Hess used data spanning across adulthood from Germany, Hong Kong and the USA to examine how changes experienced in domains of functioning and the importance attached to these domains influenced preparations for old age. Next, de Paula Couto and Rothermund, examining Germans aged 40-90 years, pointed out that prescriptive age stereotypes might be the main drive for why people make preparations for age-related changes. The remaining three papers use qualitative data to qualify the above quantitative findings. Adamson and Ekerdt interviewed older Midwest US residents. They observed that SES greatly impacted how older adults perceived and made plans for their future. The final two papers examined how rural vs. urban contexts might affect preparations for future. Liou interviewed older adults in rural Tainan and found that their ideal old age was one about no future preparation, at least not about making plans for themselves (called “tranquil life”). Ho and colleagues, in contrast, found that for older Chinese residing in urban Hong Kong, not preparing for the future (called “time freeze”) was negatively related to physical and psychological well-being. The symposium will end with an overall discussion on future research directions on whether and how to make plans for old age.

Ageing

2021 ◽  
pp. 240-254
Author(s):  
Wadad Kathy Tannous ◽  
Kathleen Quilty
Keyword(s):  
Older Adults ◽  
Older People ◽  
Older Persons ◽  
Later Life ◽  
Technological Evolution ◽  
Technological Advancement ◽  
Emergent Technologies ◽  
The World ◽  
First Time

In 2019, the number of people in the world aged over 65 was 703 million. By 2050, this number is projected to be 1.5 billion. However, it is not only the number of older persons but the proportion that is changing. Italy was the first country to experience a demographic milestone known as the ‘Historic Reversal', reporting in 1995 that the population of people aged 65 years and older outnumbered children under the age of 15 for the first time ever. By 2050, this number is expected to reach 90 countries. This social ‘megatrend' collides with another shifting paradigm: technological advancement, accelerating every year at an extraordinary pace. While this trend of continuous technological evolution is not developing uniformly around the world, the scope of potential support that new and emergent technologies can bring to older adults is enormous. This chapter explores key areas of consideration to ensure that the promise of the digital future is realised for older people and that it is an enabling force, rather than a barrier to enjoying a longer, more supported later life.

scholarly journals Elderly and forced displacement in Colombia

2019 ◽  
pp. 52-66 ◽  
Author(s):  
Carmen Lucía Curcio ◽  
José Hoover Vanegas ◽  
María Cristina Palacio ◽  
Jairo Corchuelo Ojeda
Keyword(s):  
Older Adults ◽  
Older People ◽  
Old Age ◽  
Armed Conflict ◽  
Forced Displacement ◽  
Life Conditions ◽  
The World ◽  
Life Trajectory ◽  
Hostile Environments ◽  
Comprehensive Study

Objective: To describe the experiences of older adults around forced displacement due to the Colombian armed conflict. Methods: Interpretive-comprehensive study, with a hermeneutical approach; several types of sampling were carried out. The participants were 12 people aged over 60 years, who reported having being displaced and who participated in the SABE Colombia Survey. The data were encoded using the Atlas.ti software. A process of condensation of central analytical, support and emerging categories was made. Results: The displacement generated by the armed conflict has been decisive in the current life conditions of the participants. They know that they are survivors of someone else's violence; there is dislocation, loss of territory, de-anchoring, lack of protection and insecurity. To the stigma of old age, it is added being displaced and being strangers in a place where they don’t belong. They live the violent uprooting of their lands and the confusion of their identity; they found themselves in a foreign scene where they were the unusual and the strangers; from receiving threats, they passed to be labeled as ‘threatening’. This forced displacement stems from violence, but also from fear, and it marks the trajectory of life for older people who experience a prolonged struggle for survival in often hostile environments, living "permanently" displaced. Conclusion: When there is displacement, older people are not only shed of their land and their home, but also from their cosmos and their vital referents; in addition, it changes their life trajectory and their place in the world. Interventions should be designed based on specific particular and contextual analyses.

scholarly journals Disability and Long-Term Care in Singapore

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 705-705
Author(s):  
Cynthia Chen Huijun ◽  
Ngee Choon Chia
Keyword(s):  
Older Adults ◽  
Older Persons ◽  
Healthy Aging ◽  
Long Term Care ◽  
Population Aging ◽  
International Comparisons ◽  
Term Care ◽  
Life Lessons ◽  
The Impact

Abstract Public systems for long term care (LTC) redistribute resources between generations. Population aging is one of the most significant transformations in the 21st century, where the number of older persons aged 60 years and above is expected to double by 2050, rising to 2.1 billion. We used the Future Elderly Model (FEM) to project the impact of population aging in Singapore up to the year 2050. The FEM is a dynamic economic and demographic microsimulation model. By 2050, the total number of older adults with potential limitation in activities of daily living (ADL) was projected to increase to 275 thousand (18.9%). With the increasing prevalence of disability and chronic diseases, older adults might not have sufficient savings to meet future needs sustainably, despite the expansion of disability insurance from ElderShield to CareShield Life. Lessons and best practices for LTC could be transferred from our experiences to other aging cities globally. Part of a symposium sponsored by International Comparisons of Healthy Aging Interest Group.

scholarly journals Outpatient Physical Therapists Should be Competent in Care of Older Adults: A Total Population Register-Based Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 173-173
Author(s):  
Solveig Arnadottir
Keyword(s):  
Older Adults ◽  
General Population ◽  
Total Population ◽  
Physical Therapists ◽  
Population Aging ◽  
Demographic Information ◽  
Continuous Growth ◽  
Time Period ◽  
Icelandic Population ◽  
Old Men

Abstract In Iceland, outpatient physical therapy (OPT) is traditionally not focused on older clients. Yet, the Icelandic population is aging as other populations in the world, and national policies endorse aging in place. The objective of this study was to explore 17 years of demographic information on OPT clients and to identify if this information reflects the total population aging. The research was built on 17 years (1999-2015) of complete data from: the Icelandic Health Insurances register with information on the total population of OPT clients (N=172071), and the Statistics Iceland register with demographic information on the total general population. The results revealed that in 1999, older adults comprised 18.3% of all OPT clients, and in 2015 it had increased to 23.5% Therefore, OPTs were 23% more likely to treat an older adult in 2015, compared to 1999 (Risk Ratio [RR] 1.23; 95% Confidence Interval [CI] 1.19-1.27). In the same time period older people became 15% more prevalent in the general population (RR 1.15; 95%CI 1.10-1.21). Linear modelling revealed a yearly 3.45% (95%CI 3.05-3.85) increase from 1999 to 2015 in the overall proportion of older OPT clients. This yearly trend, however, varied depending on age group and sex with the highest yearly increase in the ≥ 85 years old men (9.1%; 95%CI 7.90-10.35). This case of Iceland presents 17 years of continuous growth in older adults seeking OPT service. These findings reinforce an urgent need to enhance the geriatric competence of OPTs, who in their clinical practice frequently encounter older adults.

scholarly journals Alexander Kulischer on the demographic future of Russia

2017 ◽  
pp. 133-150
Author(s):  
Mark Tolts
Keyword(s):  
Population Dynamics ◽  
Demographic Transition ◽  
General Scheme ◽  
Demographic Changes ◽  
The World

In the late 1920s and early 1930s, Alexander Kulischer published three demographic articles in the most authoritative and widely read newspaper of the Russian post-revolutionary emigration – “Poslednie novosti” [The Latest News] (Paris). These articles were devoted to problems of population dynamics in some countries around the world. They were the first where the general scheme of demographic changes – now known as the concept of a “demographic transition” or “demographic revolution” – was used in predicting the demographic future of Russia. This publication provides these articles, which are now almost inaccessible to contemporary readers. A preface and helpful explanations have been added to the articles. The preface explains Kulischer’s articles in the context of the development of demography of that period and his interest in the demographic future of Russia.

POSITIVE SIDE OF OLD AGE HOMES

2021 ◽  
pp. 46-47
Author(s):  
Zeba Firdous Shaikh ◽  
Mangala Borkar Sonavani ◽  
hailaja V Rao ◽  
Kiran Nandedkar ◽  
Pankaj Mahajan
Keyword(s):  
Old Age ◽  
Care Home ◽  
Unmet Need ◽  
Care Homes ◽  
Geriatric Population ◽  
Western Countries ◽  
Positive Side ◽  
The World ◽  
Care Of Elderly ◽  
Old Age Homes

Background and Aims:The Geriatric population is growing throught the world . Care of elderly of society is an unmet need .In India, Old Age Homes (OAH) are looked upon rather negatively, and family is stigmatized if their elder is kept in OAH .This is unlike the situation in Western countries , where the care homes are considered a necessity and an asset for the aging population.Less is known about response of Indians about residing in care home , hence this study was conducted . Methods: We interviewed 26 inmates of an old age home using a questionnaire Results: We observed that 80 percent of inmates in the old age home that we studied were happy due to the pleasant ambience , caring attitude of employees , disciplined routine , appropriate entertainment and reasonable facilities. Conclusions: Instead of treating care homes as a stigma , we must accept them as a necessity and make it Geriatric friendly .It is better to look at the positive side of Old age homes as many of the aged may have to spend the last years of their lives in these facilities .

scholarly journals Dietary Variety Predicts Low Body Mass Indexand Inadequate Macronutrient and MicronutrientIntakes in Community-Dwelling Older Adults

2005 ◽  
Vol 60 (5) ◽  
pp. 613-621 ◽  
Author(s):  
Susan B. Roberts ◽  
Cheryl L. Hajduk ◽  
Nancy C. Howarth ◽  
Robert Russell ◽  
Megan A. McCrory
Keyword(s):  
Older Adults ◽  
Old Age ◽  
Energy Intake ◽  
Body Mass ◽  
Older Persons ◽  
Recommended Dietary Allowance ◽  
Micronutrient Deficiencies ◽  
Dietary Variety ◽  
Dietary Allowance ◽  
Low Bmi

Abstract Background. Low body mass index (BMI) and micronutrient deficiencies are associated with increased morbidity and mortality rates in old age. Whether adverse patterns of dietary variety predict both low BMI and low micronutrient intakes in older adults was investigated. Methods. A cross-sectional analysis of national survey data was conducted in 1174 healthy adult men and women (ages 21 to 90 years) who provided physiologically plausible dietary data in the 1994–1996 Continuing Survey of Food Intakes by Individuals. Measurements included reported energy intake, protein intake (percentage meeting Recommended Dietary Allowance), micronutrient intakes (percentage meeting Estimated Average Requirements for 14 micronutrients), and BMI. Results. Adults who were 61 years or older consumed a greater total variety of foods, chose foods from a wider range of food groups, had a greater variety of micronutrient-dense foods and energy-weak foods, and had a lower variety of micronutrient-weak foods compared with adults ages 21 to 60 years (p <.05 to.001). However, older adults with low BMIs (<22 kg/m2) consumed a lower variety of energy-dense foods compared with older adults with higher BMIs (p <.05). The variety of energy-dense foods predicted both energy intake and BMI at all ages in multiple regression models controlling for confounding variables (R2 =.124 for energy, R2 =.574 for BMI, p <.001). A higher percentage of older persons had inadequate micronutrient intakes compared with younger persons (p <.05), especially vitamin E, calcium, and magnesium, but consumption of a particularly wide variety of micronutrient-rich foods helped counterbalance these trends (p <.05). Older adults who had a low BMI and consumed a low variety of micronutrient-dense foods were particularly at nutritional risk, with only 65.4% consuming the Recommended Dietary Allowance for protein and none meeting the Estimated Average Requirements for all 14 micronutrients. Conclusions. In contrast to previous suggestions that older persons consume a monotonous diet, this study showed that adults who were 61 years or older consumed a greater total food variety, and a greater variety of micronutrient-dense and energy-weak foods, compared with adults who were 60 years or younger. Although consumption of a low variety of energy-dense foods may contribute to reduced energy intake and body weight at any age, the variety of micronutrient-dense foods consumed needs to increase in old age to prevent micronutrient deficiencies. These findings suggest that all adults need advice on the changing needs for dietary variety with aging to maintain health, and that older persons with low BMI are particularly vulnerable to dietary shortfalls.

scholarly journals The state of psychogeriatrics in different regions of the world: challenges and opportunities

2013 ◽  
Vol 25 (10) ◽  
pp. 1563-1569 ◽  
Author(s):  
Huali Wang ◽  
Lia Fernandes ◽  
Susan Oster ◽  
Masatoshi Takeda ◽  
Henry Brodaty ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Rapid Growth ◽  
Older Persons ◽  
Population Aging ◽  
Geriatric Mental Health ◽  
The World ◽  
Challenges And Opportunities ◽  
Global Population

Global population aging is pervasive, profound, and enduring, with the projected proportion of older persons reaching nearly 21% in 2050 (UNFPA and Help Age International, 2012). Accordingly, there is an increasing need for geriatric mental health services with the rapid growth of the aging population worldwide (Bragg et al., 2012).

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