scholarly journals Assessment of facilities and reasons for settlement in old age homes of Himachal Pradesh, India

Author(s):  
Sanjay Kumar ◽  
Anmol Gupta ◽  
Salig Ram Mazta ◽  
Deepak Sharma ◽  
Ankit Chaudhary ◽  
...  

Background: Ageing though a physiological phenomenon has massive implications on health status of an individual. Once a nation of joint families, India has also seen increase in nuclearization of families. This in-turn has led to increase in old age homes (OAHs) in our country and also increased number of admissions in such institutions. The present study evaluated such facilities in state of Himachal Pradesh and the reasons for the settlement among the occupants.Methods: A descriptive cross sectional study was conducted to capture socio-demographic variables, reasons for settlement, facilities available in such institutions, medical facilities provided and overall satisfaction level among the occupants of all seven OAHs of the state. After taking ethical considerations into account, data was collected and analyzed using appropriate statistical techniques.Results: A total of 145 inmates were included in the study. About 86.2% inmates belonged to rural area and about three fourth of the elderly were illiterate. About 53.8% of the inmates had no children with about 45.5% of participants having lost their spouse. About 19.3% individuals had no source of income. Most common cause for settlement in OAHs was the non-availability of a care giver. About 85% of inmates had satisfaction level of average and above.Conclusions: Considering the increase in elderly population in the country there is a need for increase in number of facilities for elderly too. Moreover there is a need for standardizing such institutions in term of infrastructure, staff and facilities, with more emphasis on medical aspect. 

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.


2021 ◽  
Vol 19 (2) ◽  
pp. 97-102
Author(s):  
Marina Vaidya Shrestha ◽  
Sunil Kumar Joshi

Ageing is a natural process. The elderly population is increasing in Nepal.When there is presence of diseases, physical inability, and financial harshness, the elderly in Nepal have to face many problems. This study was thus conducted to assess the socio-economic milieu and spectrum of gynaecological problems among women living in old age homes of Kathmandu valley. For this a cross sectional study was conducted in 21old age homes of three districts of Kathmandu valley. In this study, they were 234 particants. Privacy and confidentiality of information about the individual were strictly maintained. One-third of the aged women living in the old age homes belonged to 70-80 years.50.9% were from outside Kathmandu valley, while 49.1% were from the valley. The elderly were mostly not visited by their relatives and friends. Most of them (74.4%) were interested in praying than other activities. Out of the total Urine samples (190), 68.4% were normal, and 9.4% had a urinary tract infection. There were only 15.6% uterine prolapse cases. Out of total, 70.9% of Pap smear report was normal, while 25.1% had inflammatory smear. This study revealed that the old age homes have become a shelter for most of elderly women. The socio-economic condition was poor. Gynaecological probems like UTI, Urinary incontinence were not high but the prolapse cases (uterine proplase, cystocele, rectocele) were remarkably high. Cervical cancer screening through Pap smear showed negative results.


2019 ◽  
Author(s):  
Mira Adhikari Baral ◽  
KC Bhagwati ◽  
Pramila Bhandari

AbstractElder abuse is a common social problem in developed and developing countries and it imposes a huge impact in the physical and mental health of the elderly. With the changes in the socioeconomic aspect of Nepalese society, many elderly are relocating from their homes to old age homes. This study was conducted to assess the status of abuse among the elderly before they enter to old aged homes.A cross sectional study was conducted to assess the status of abuse among elderly before they enter to the old age homes. Consecutive sampling technique was used and semi structured interview schedule was used to collect the data from 109 elderly residing in 6 old aged homes in Pokhara. Collected data was analyzed descriptive and inferential (chi square) statistics using SPSS version 16.The findings from the study showed that that 97.2% of the elderly experienced some forms of abuse before they were brought to the old Age home. Majority of them reported that they experienced neglect (83.5%) followed by verbal abuse (34.9) while least of them (5.5%) reported that they suffered physical abuse(2.8%) and financial abuse(2.8%). However, no significant association could be seen between abuse of elderly with age, education, marital status, place of residence, having children and adequacy of income. It is recommended that the nation develop and implement necessary plans to strengthen the social security of the people at their old age.


2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 777-785 ◽  
Author(s):  
Vivian Carla de Castro ◽  
Leidyani Karina Rissardo ◽  
Lígia Carreira

ABSTRACT Objective: to identify the prevalence of physical aggression and neglect and abandonment in the hospitalizations of Brazilian elderly people for violence and assault from 2008 to 2013 and the association of these causes with socio-demographic variables related to hospitalization. Method: quantitative, descriptive, cross-sectional study with elderlies hospitalized for assault. Inclusion criteria: to be 60 years old or over, to have been hospitalized in the Unified Health System (SUS) for assault or neglect and abandonment, between 2008 and 2013. The data were collected in February 2016, in Datasus database and descriptive and inferentially, using the Chi-square distribution, in the Epi Info 3.5.4 program. Results: the prevalence of hospitalizations due to assaults and violence prevailed among 60 and 69 years old men in the public sector. For abandonment and neglect, there was a higher prevalence in women, over 80 years old, in the public sector. Conclusion: nurses must be able to identify and prevent violence against the elderly.


PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0251016
Author(s):  
Richa Shah ◽  
Rogie Royce Carandang ◽  
Akira Shibanuma ◽  
Ken Ing Cherng Ong ◽  
Junko Kiriya ◽  
...  

Introduction Frailty is a state of being vulnerable to adverse health outcomes such as falls, delirium, and disability in older people. Identifying frailty is important in a low-income setting to prevent it from progressing, reducing healthcare costs, increasing the chances of reversibility, and implementing effective interventions. The factors affecting frailty in older people living in old age homes could differ from those living in the community. This study was conducted to identify the factors associated with frailty in older people residing in old age homes and communities in Kathmandu Valley, Nepal. Methods This is a cross-sectional study conducted from April to June 2019 in three districts of Kathmandu Valley, Nepal. Data were collected from 193 older people residing in old age homes and 501 residing in communities aged 60 and above using convenience sampling. Frailty was measured using the Groningen Frailty Indicator. Data were collected via face-to-face interviews. Multiple linear regression analyses were used to examine the association between independent variables and frailty. Results Frailty was more prevalent among older people in old age homes (71.5%) compared to those in the community (56.3%). Older people who were satisfied with their living environment had lower frailty scores in both old age homes (β = -0.20, p<0.01) and the community (β = -0.15, p<0.001). Those who had self-rated unhealthy lifestyle had higher frailty scores in both old age homes (β = 0.45, p<0.001) and the community (β = 0.25, p<0.001). In the community, those over 80 years of age had higher frailty scores (β = 0.15, p<0.01) and those with higher education had lower scores (β = -0.13, p<0.05). Conclusion The living environment and lifestyle are key modifiable risk factors of frailty, both in old age homes and the community. The findings suggest a need for lifestyle modification and reforms in building standards, especially in old age homes, to promote age-friendly communities.


2021 ◽  
pp. 003022282110543
Author(s):  
Sibel Şentürk ◽  
Alev Yıldırım Keskin ◽  
Şule Sarızayim

This study was carried out to determine the relationship between the fear of COVID-19 in the elderly aged 65 years and over and their levels of adaptation to the “new normal.” This descriptive cross-sectional study was completed with 623 elderly individuals. It was determined that the individuals who adapted well to the “new normal” had high levels of adaptation to old age, while their levels of fear of COVID-19 were slightly above average ( p < 0.01). Elderly individuals have tried to adapt to the “new normal” while also experiencing fear of COVID-19. In order to minimize the fear experienced by the elderly during COVID-19, adequate support and psychological support should be provided.


2013 ◽  
Vol 22 (1) ◽  
pp. 30-33
Author(s):  
Mahjabeen Sultana Begum ◽  
Mohammad Zaid Hossain ◽  
Sudip Ranjan Deb ◽  
Md Mosaraf Hossain Khan ◽  
Mostafizur Rahman ◽  
...  

Objective: The study was carried out to find out the health care seeking practice among the elderly women attending a selected hospital in Dhaka city. Materials and methods: This was a cross sectional study and included 164 women aged 60 years and above. The study was carried out from March to June, 2001, at Prabin Hitayishi Hospital, Bangladesh Associated of Aged and Institute of Geriatric Medicine (BAAIGM), Agargaon, Sher E Bangla Nagar, Dhaka. Results: In the present study, 58.5% women were aged less than 65 years, 51.2% were illiterates, 65.9% were married, only 7.3% were living with their spouse, 86.6% were housewives, only 9.8% had self income, 25.6% were earning between Taka 10,001 and 15,000 per month, and 41.5% were staying in families with 7 8 members, 90.2% had regular daily bath, 80.5% with soap, 90.2% brushed their teeth at least once a day, only 12.2% were taking regular exercise, 70.7% had knowledge about self health care, however, only 22% were on regular health check up, 12.2% women thought egg, milk, fish, meat and fruits were good for health. Regarding old age diseases, 43.9% knew about diabetes, 39% high blood pressure, 36.6% heart, 17.1% respiratory and 2.4% orthopaedic diseases. Most common diseases were eye (26.8%), cardiovascular and orthopaedic (19.5%) and ENT (14.6%). Other diseases were gastrointestinal (9.8%), respiratory (7.1%), dental and endocrine (4.9%). Conclusion: Old women of our society should be made aware on old age diseases and self health care practices. DOI: http://dx.doi.org/10.3329/jdmc.v22i1.15602 J Dhaka Medical College, Vol. 22, No. 1, April, 2013, Page 30-33


Author(s):  
Khathutshelo P. Mashige ◽  
Serela S. Ramklass

Background: Visual impairment (VI) increases with age and has been reported to be more prevalent among older adults living in old age homes than in the general population.Aim: To determine the prevalence and causes of VI among older adults living in low-income old age homes in Durban, South Africa.Setting: This study was conducted at low-income old age homes in Durban.Methods: This cross-sectional study of 118 residents aged 60 years and older, collected socio-demographic data, presenting visual acuities (VAs) for each eye, and binocularly. Anterior segment eye examinations were conducted with a penlight torch and a portable slit-lamp, while posterior segment evaluation was conducted with direct and indirect ophthalmoscopy. Objective and subjective refractions were performed, and the best-corrected distance and near VAs were measured in each eye. VI was defined as presenting VA 6/18 and included moderate VI ( 6/18−6/60), severe VI ( 6/60 –3/60) and blindness ( 6/120).Results: The mean age of the participants was 73.3 years and included 80.5% females and 19.5% males. The prevalence of VI and blindness was 63.6%. Optical correction significantly reduced the prevalence of VI and blindness by 19.5% (p 0.05). The main causes of non-refractive VI and blindness were cataract (54.5%), posterior segment disorders (25.5%) and corneal opacities (20%).Conclusion: The prevalence of VI and blindness is high among residents in low-income old age homes living in Durban. Refractive correction and surgical cataract intervention can significantly reduce the burden of VI and blindness among the elderly residents.


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