scholarly journals Dignity and the Provision of Care and Support in ‘Old Age Homes’ in Tamil Nadu, India: A Qualitative Study

2022 ◽  
Author(s):  
Vanessa Burholt ◽  
E. Zoe Shoemark ◽  
R Maruthakutti ◽  
Aabha Chaudhary ◽  
Carol Ann Maddock
Keyword(s):  
Human Rights ◽  
Old Age ◽  
Tamil Nadu ◽  
Bodily Integrity ◽  
Term Care ◽  
Training Requirements ◽  
Minimum Standards ◽  
Functional Capabilities ◽  
Care Facilities ◽  
Old Age Homes

Abstract Background: In 2016, Tamil Nadu was the first state in India to develop a set of Minimum Standards for old age homes. The Minimum Standards stipulate that that residents’ dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has been very little research within aged care facilities exploring the dignity of residents. This study draws on the concepts of (i) status dignity and (ii) central human functional capabilities, to explore whether long term care facilities uphold the dignity of residents. Objectives: The study was designed to obtain insights into human rights issues and experiences of residents, and the article addresses the research question, “to what extent do old age homes in Tamil Nadu support the central human functional capabilities of life, bodily health, bodily integrity and play, and secure dignity for older residents?”Method: A cross-sectional qualitative exploratory study design was utilised. Between January and May 2018 face-to-face interviews were conducted using a semi-structured topic guide with 30 older residents and 11 staff from ten care homes located three southern districts in Tamil Nadu, India. Framework analysis of data was structured around four central human functional capabilities. Results. There was considerable variation in the extent to which the four central human functional capabilities life, bodily integrity, bodily health and play were met,. There was evidence that Articles 3, 13, 25 and 24 of the Universal Declaration of Human Rights were contravened in both registered and unregistered facilities. Juxtaposing violations of human rights with good practice demonstrated that old age homes have the potential to protect the dignity of residents.Conclusion: The Government of India needs to strengthen care home policies to protect older residents. A new legislative framework is required to ensure that all old age homes are accountable to the State. Minimum Standards should include expectations for quality of care and dignity in care that meet the basic needs of residents and provide health care, personal support, and opportunities for leisure, and socializing. Standards should include staff-to-resident ratios and staff training requirements.

A Comparison of Wandering Behavior in Nursing Homes and Assisted Living Facilities

2005 ◽  
Vol 19 (2) ◽  
pp. 181-196 ◽  
Author(s):  
Elizabeth R. A. Beattie ◽  
JunAh Song ◽  
Shane LaGore
Keyword(s):  
Nursing Homes ◽  
Assisted Living ◽  
Challenging Behavior ◽  
Long Term Care ◽  
Assisted Living Facilities ◽  
Term Care ◽  
Training Requirements ◽  
Care Facilities ◽  
Staffing And Training

Wandering, a challenging behavior associated with dementia, affects many residents of long-term care facilities and can result in elopement, injury, and death. Most studies of wandering have taken place in nursing homes (NH). Expansion of the long-term care sector over the last 2 decades has resulted in a surge in options such as assisted living facilities (ALF). This study compared wandering behavior of residents (N = 108) in 21 long-term care facilities (15 NH, 6 ALF). Staff used the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) to quantify wandering. While there were some differences in demographic variables (i.e., race, motor ability) between NH and ALF participants, no significant differences were found in either RAWS-NH overall or any of the 6 subscale scores. This suggests that the expression of wandering is similar in long-term care residents across all dimensions of the RAWS-NH regardless of facility type. Findings are of concern for those involved in the safe management and protection of residents at risk for wandering, particularly in long-term care facilities with underregulated staffing and training requirements.

scholarly journals OLD AGE HOMES: ARE THEY ACCEPTABLE TO PAKISTANI GERIATRIC POPULATION? RESULTS OF A SURVEY OF ELDERLY OUTPATIENTS VISITING TEACHING HOSPITALS IN KARACHI, PAKISTAN

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Term Care ◽  
Old Age Homes

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.

scholarly journals Old age psychiatry services: long-stay care facilities in Australia and the UK

2002 ◽  
Vol 26 (1) ◽  
pp. 24-26 ◽  
Author(s):  
John Snowdon ◽  
Tom Arie
Keyword(s):  
Old Age ◽  
Long Term Care ◽  
Focus Attention ◽  
Old People ◽  
Term Care ◽  
What Works ◽  
Care Facilities ◽  
Old Age Psychiatry ◽  
The Uk

We are old age psychiatrists; T.A. based in Britain, J.S. in Australia. A return visit by T.A. to Australia allowed us to focus attention on differences between the two countries in their provision of long-term care for old people with mental disabilities. What works well? What constrains development?

scholarly journals Perceptions on service quality: A study of old age homes in Kerala and Tamil Nadu

2018 ◽  
Vol 172 ◽  
pp. 05003
Author(s):  
Devika Anil ◽  
K Hemamala
Keyword(s):  
Service Quality ◽  
Old Age ◽  
Tamil Nadu ◽  
Total Population ◽  
Living Standards ◽  
Indian States ◽  
Face To Face ◽  
Depth Analysis ◽  
Old Age Homes

The proportion of old age citizens (above 60 years) in India constitutes 8.6% of the total population (60 million). 1% of this population currently resides in old age homes across India due to various reasons. The present living conditions of elderly in old age homes are not commendable. It has been found from research that the setting of old age homes and the employees influence the welfare of the residents and their health care. Despite various services provided, researchers have concluded that service gaps exist among staff and residents of old age homes. In the present scenario, it is the need of the hour to understand the living standards of the older generation in old age homes, to study the various services offered by them and how the residents spend their lives there in order to better their conditions of living. The purpose of this paper is (i) to draw insights from an in-depth analysis of old age homes and (ii) to study the perceptions in service quality of old age homes; by studying old age homes in the Indian states of Kerala and Tamil Nadu. Data for the study was collected through a face to face interview with its residents. Analysis of the collected data shows that ‘responsiveness’ and ‘empathy’ are the dimensions that are to be improved in both the states to increase overall satisfaction levels and meet the expectations of residents. The quality of the attributes, ‘Cleaning services for rooms’, ‘freedom to plan own time’ and ‘respect for residents’ privacy’ shall be improved by old age homes in order to improve the perception of service quality by residents.

scholarly journals Implementation of an educational programme for caregivers of the elderly in Windhoek and Rehoboth, Namibia

2015 ◽  
Vol 3 (2) ◽  
pp. 56
Author(s):  
Joan.M Kloppers ◽  
Agnes Van Dyk ◽  
Lucia N. Nelumbu
Keyword(s):  
Old Age ◽  
Interpersonal Relationships ◽  
Frail Elderly ◽  
Long Term Care ◽  
The Elderly ◽  
Educational Programme ◽  
Second Phase ◽  
Term Care ◽  
Old Age Homes

<p>In many instances care for the frail elderly, especially in long-term care institutions, is provided under minimal supervision by caregivers who lay people. This can lead to poor-quality care or neglect of the frail elderly. Therefore, caregivers have a major role in coordinating comprehensive long-term care.</p><p>One of the objectives of the study “Caregiving in old-age homes in Windhoek: A practice-orientated enquiry into caregiving education” was to implement the educational programme for caregivers in old age homes in Windhoek. A qualitative, explorative, descriptive, contextual and phenomenology design was used to perform this study.</p><p>The study was conducted in three phases. Firstly, a situational analysis was carried out to explore and describe the experiences and needs of the caregivers and the elderly. The situation analysis revealed themes in terms of interpersonal relationships that could be positive or negative regarding the elderly, with the sub-themes like communication, support and caring for elderly people. These themes and sub-themes include the following: Interpersonal relationships were viewed as an important aspect of the caring process. Lack of regular in-service training sessions for caregivers, with a sub- theme of a lack of adequate knowledge of procedures. Lack of human resources, equipment and policies</p><p>In the second phase, a conceptual framework was derived from the results of phase 1, using the activities prescribed by Dickoff, James and Wiedenbach (1968). In the third phase, a programme was developed from the findings of the previous phase. Finally, the educational programme was implemented and evaluated in old-age homes in Windhoek.</p>

scholarly journals Prevalence of hypertension and its association with psychosocial factors among old age home inmates in an urban area of Kancheepuram district, Tamil Nadu

2017 ◽  
Vol 4 (10) ◽  
pp. 3712
Author(s):  
Anantha Eashwar V. M. ◽  
Gopalakrishnan S. ◽  
Umadevi R.
Keyword(s):  
Psychosocial Factors ◽  
Old Age ◽  
Tamil Nadu ◽  
Uncontrolled Hypertension ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Government Health ◽  
Health Centres ◽  
Psychosocial Morbidity ◽  
Old Age Homes

Background: Among the non-communicable diseases prevalent among old age home inmates, hypertension is one of the diseases which if not diagnosed and treated adequately, could lead to high mortality and morbidity due to limited resources. The objective of this study is to find out the prevalence of hypertension among the old age home inmates and also its association with psychosocial morbidity among them. Methods: This community based cross sectional descriptive study was done among 250 inmates of selected old age homes in Kancheepuram district. A total of 8 old age homes were randomly chosen and universal sampling was done in each old age home to obtain the required sample size. Structured questionnaire was used to collect data and psychosocial morbidity among the inmates was assessed by Depression, Anxiety and Stress scale (DASS 21). Data analysis was done by SPSS software version 21. Results: The prevalence of hypertension and prehypertension was found to be 72.8% and 10% respectively and the prevalence of psychosocial morbidity was found to be high among the study participants (depression– 68.4, anxiety–46.8, stress– 50.4). Statistically significant association was found between uncontrolled hypertension and psychosocial factors (anxiety and stress). About 27% of the hypertensive was unaware of free medication offered for hypertension at Government health centres. Conclusions: This study highlights the need for setting up of specialized geriatric clinics at Government Health Centres to provide speedy medical services and supply of medication for the elderly. Health education has to be given to both the inmates and care takers about chronic diseases like hypertension. 

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