scholarly journals ASEAN Migrants: A Boon for Taiwan’s Aging Populace

2013 ◽  
Vol 1 (2) ◽  
pp. 161
Author(s):  
Hong-Ming Huang ◽  
Jenn-Jaw Soong
Keyword(s):  
Migrant Workers ◽  
Work Performance ◽  
Relevant Literature ◽  
Elderly Person ◽  
The Elderly ◽  
Southeast Asian ◽  
Labor Rights ◽  
Positive Effects ◽  
Care For The Elderly ◽  
The Government

Taiwan is home to a rapidly growing aging population as life expectancy rates increase and birth rates go down in this island. The government of Taiwan opted to bring in migrant workers to care for the elderly following a shortage in adequate domestic manpower who were willing to take on the positions of caregivers for the elderly. In time, eldercare in Taiwan switched hands: from the actual families of the elderly to migrant workers coming in from across the Southeast Asian region. Questions have arisen in light of this development. Is the government policy that allows for Southeast Asian migrants to care for the elderly in Taiwan a good one, or a bad one? Who benefits most from this deal: the elderly, their families or the migrant care workers? Is providing care for the elderly in their own homes by just one caregiver the only option? And can such a policy help both ends: the elderly person who requires safer care, and the migrant care worker whose labor rights require full protection? This paper, drafted out following the review of relevant literature and the conducting of interviews by Hong-Ming Huang and Jenn-Jaw Soon, analyzes the political-economic aspects of this policy and offers certain recommendations and conclusions. One conclusion is the fact that Southeast Asian workers take better care of the elderly in Taiwan when eldercare is provided through institutions, rather than if the care was provided by just one foreign caregiver engaged directly by families of the elderly. The positive effects of ‘institution-style’ workers are reflected in the work performance, life quality and management as well as labor rights protection. 

scholarly journals Life project and work as matter of exclusion/inclusion of the elderly person

2014 ◽  
Vol 31 (2) ◽  
pp. 215-223 ◽  
Author(s):  
Maria de Fátima Fernandes Martins Catão ◽  
Alice Fernanda Martins Grisi
Keyword(s):  
Social Inclusion ◽  
Population Aging ◽  
Elderly Person ◽  
The Elderly ◽  
Structured Interview ◽  
Project Work ◽  
Thematic Content Analysis ◽  
Life Project ◽  
Care For The Elderly ◽  
Textual Data

This study was developed based on the reality of population aging, the Aging Era, and the matter of exclusion and psychosocial suffering experienced by elderly people, with the aim of analyzing the meanings of the construction of the life project, work and exclusion/inclusion of this population. A semi-structured interview was performed with 25 participants of the Care for the Elderly Person Program. The lexical and contextual Thematic Content Analysis was performed using the Alcest program for the quantitative analysis of textual data. Three themes were recovered: The world and I: process of exclusion/inclusion - represented 27.77% of the statements; The Future as the present - foremost expressed with 44.44%; Work and the Life Project as a way of social inclusion - 27.77%. The need for conscious actions was highlighted, with reference to the ethics of citizens who are involved and interested in experiencing aging in a healthier way, in order to humanize the living/aging relationship.

scholarly journals Services for the Elderly in Israel: Privatization or Nationalization-An Unending Dilemma-A Reflection

2019 ◽  
Vol 7 (3) ◽  
pp. 54
Author(s):  
Avi Bitzur ◽  
Mali Shaked
Keyword(s):  
Old Age ◽  
Aging In Place ◽  
Elderly Person ◽  
The Elderly ◽  
Baby Boomer Generation ◽  
The World ◽  
Health Related ◽  
Basic Concepts ◽  
The Government ◽  
The One

The world in which we live is aging at a dizzying pace and expressions like “70 is the new 50” or the creation of concepts such as the “Silver Tsunami”, a nickname for the aging baby-boomer generation, have become an inseparable part of the reality in our society.On the one hand, the spread of aging is a welcome phenomenon – a sort of solution to the great human effort to reach immortality. On the other hand, however, old age can be perceived as a period burdened by economic, social and health-related challenges and it is becoming more and more clear that throughout the world, and in Israel in particular – the focus of this article - we must begin to prepare systems and services for the provision of rapid and comprehensive solutions for the tsunami of aging that befalls us. This stems from an understanding that the services we have in place today are not sufficiently prepared to handle the range of challenges and issues that will arise as a side effect of this phenomenon.The dilemmas that come hand in hand with the aging of our population are innumerable, however five particular issues stand out: the first is who should be responsible for the elderly and their care – the government or the person’s family? The second: Should all of the elderly receive the same care or should the treatment assistance vary differentially – meaning each elderly person should receive care according to his or her economic, social and health status and receive only according to their needs? The third is, should we provide assistance to the elderly directly (e.g. specific medications) or should the elderly receive financial assistance equivalent to the value of their needs and should we hope that they purchase the relevant medications, for example, and not something else instead? The fourth dilemma is: should we provide assistance for specific projects or should we work on long-term solutions through legislation to provide care and assistance to the elderly? Fifth, which is also the main questions, is should the services provided be privatized or should the treatment be the responsibility of the state and its institutions?The question of privatization or nationalization is the main focus of this article, and while we do not pretend to offer a firm stance on the issue, the authors offer to shed some light on the basic concepts associated with our aging population and how we as a society might handle these issues from the perspective of comparison between privatization versus nationalization of services rendered. The main focus of this article will be around the issue of the residential arrangements for the elderly: Mainly - should the elderly move into what are typically called “old age homes” or should we allow for “Aging in Place” – an approach that favors allowing the elderly to remain in their own homes for the remainder of their lives. Which is the most favorable solution? This issue also falls under the dilemma of whether or not homes for the aging as one possible solution should be a state-provided service or if “aging in place” will result in the privatization of the services granted to the elderly.The focus of this article is the situation in Israel, a country in which a significant portion of the population is elderly and where, by 2035, 15% of the population will be considered senior citizens. We will present the dilemma through the lens of the situation in Israel. The article shall begin with an introduction offering an in-depth examination of the dilemma presented. We will continue by presenting basic concepts from the general literature in the field of gerontology available today. We will then examine the situation in Israel between the years 2017-2019 and conclude by examining the concepts of privatization and nationalization in regards to services for the elderly, while once again emphasizing that comprehensive solutions to these dilemmas are unlikely to be reached in the near future.

scholarly journals VEJEZ ¿EDAD DE ORO O DE LATA?

2019 ◽  
Vol 11 ◽  
pp. 63-80
Author(s):  
YANETH OLAYA ◽  
Keyword(s):  
The Elderly ◽  
Natural Process ◽  
Natural Phenomenon ◽  
Parental Responsibility ◽  
Care For The Elderly ◽  
Care Giving ◽  
Living Things ◽  
The Face ◽  
The Government ◽  
The Moment

Aging is a natural process through which all living things pass. It has been defined as the sum of the alterations that occur in an organism with the passage of time, which can lead to functional and mental losses; It is also known as a natural phenomenon of the life cycle, starts from the moment of conception and ends with death, however, despite being identified as a process of being, it is difficult to accept it as a reality. Today, the population index of the elderly is high, added to this, the number of pathologies of old age generates an overflow of needs related to health services, in which Colombia has a deficit, which causes abandonment and neglect in the medical care, giving way to this becoming a national health issue. In the same way, the government and its res- pective entities are not prepared to assume the physical, psychological and health consequences that this implies, which is why social deterioration is evidenced in the face of comprehensive care for the elderly. On the other hand, the elderly are also victims of helplessness originating in their direct family nucleus, due to various factors that alter the emotional bond and their parental responsibility.

scholarly journals In Need of Care but Providers of Care: Grandparents Giving Fulltime Care to their Grandchildren in Rural Uganda

2020 ◽  
Vol 4 (1) ◽  
pp. 1-8
Author(s):  
Neema Stella ◽  
◽  
Nankwanga Annet ◽  
Keyword(s):  
Food Insecurity ◽  
Economic Status ◽  
Elderly Person ◽  
The Elderly ◽  
Economic Benefits ◽  
Rural Elderly ◽  
Elderly Persons ◽  
African Countries ◽  
Systemic Factors ◽  
The Government

Background In most African countries, the elderly face challenges that affect their health and wellbeing and are more pronounced because of the systemic factors of inadequate health care, food insecurity and the general care. Increasing population of the elderly persons in Uganda is raising concern than ever before. The purpose of this paper to ascertain care available to the rural elderly persons and their role as carers for their grandchildren and implications on their wellbeing. Methods This was a qualitative study conducted among the rural elderly aged 60 years and above in eight purposively selected district that included Lira, Nebbi, Kampala, Luwero, Pallisa, Jinja, Mbarara, and Ntungamo. The study sample consisted of 101 elderly person from whom in-depth interviews were conducted. Data was analysed using qualitative thematic content analysis. Results Rural elderly in Uganda face a lot of constraints that include access to healthcare and information, poor economic status, food insecurity and poor nutrition, and poor accommodation and housing conditions. Two broader themes emerged inductively from the analysis that include care available for the rural elderly and providing care to grandchildren. These themes generated several subthemes. Taking care of grandchildren crippled the elderly and reduced the economic benefits. That said some rural elderly were happy and felt fulfilled to care of the grandchildren despite the lack of resources. Conclusion The rural elderly in Uganda are living in doleful conditions with limited care and support. They need care but are the providers of care to the grandchildren. They are frails and may not afford to provide adequate care. They care for grandchildren many of whom are orphans and vulnerable yet they themselves need care. It is important the government and the community re-enforce this care not to put strain on elderly. The rural elderly unique challenges necessitates special targeting and mobilization of resources at the household, local, district and national levels.

scholarly journals Masking Tape Art-Work May Provide Beneficial Positive Effects

2021 ◽  
pp. 5-8
Author(s):  
Shinji Nagahiro ◽  
Kei Tanaka ◽  
Hiroshi Bando ◽  
Masahiro Bando ◽  
Maki Nishizaki ◽  
...  
Keyword(s):  
Care Center ◽  
The Elderly ◽  
Medical Application ◽  
Future Research ◽  
Elderly Subjects ◽  
Adhesive Tape ◽  
Positive Effects ◽  
Care For The Elderly ◽  
Before And After ◽  
Vitality Test

Background: The authors and colleagues have been involved in treatment and care for the elderly with rehabilitation, Integrative Medicine (IM), art in hospitals for artworks using masking tape. Combined together, we conducted a pilot study for medical application of masking tape art-work for elderly subjects. Subjects and Methods: Subjects enrolled were 12 elderly patients with dementia regularly coming to day care center for rehabilitation (M/F 3/9, 78-100 years, 88.3±6.0 years). As methods, masking tape has been known as Washi Tape (wa=Japanese and shi=paper), which is adhesive tape easily to stick and peel off for decorative work. Protocol included i) working 2-3 times a week, ii) sticking masking tape on a rough sketch paper, iii) evaluation of several biomarkers before and after the intervention. Results: i) Artworks were performed satisfactory for each case, ii) grasping power (right) showed increasing tendency from 13.5±7.7kg to 14.8±6.8kg (p=0.11), iii) vitality test showed significantly increase (p=0.02). Discussion and Conclusion: Artworks of masking tape seem to be beneficial for improving grasping power and psychological condition. This study included other biomarkers such as Mini-Mental State Examination (MMSE), pinch power, language word test and Barthel index. We plan to develop further detail analyses in the future research.

scholarly journals Does the Conversion of Household Registration Actually Improve the Happiness of Migrant Workers in China?

2020 ◽  
Vol 17 (8) ◽  
pp. 2661
Author(s):  
Xin-hao Liu ◽  
Li-min Han ◽  
Bin Yuan
Keyword(s):  
Low Income ◽  
Migrant Workers ◽  
Migrant Worker ◽  
Educational Background ◽  
System Reform ◽  
Household Registration ◽  
Registration System ◽  
Positive Effects ◽  
The Government ◽  
The Impact

Migrant workers are an important human resource for economic and social development. Considering the government’s goal of serving and improving people’s livelihoods, improving the happiness of migrant workers is necessary. This study investigates in-depth the impact of the conversion of household registration on migrant workers’ happiness, which is represented by a multi-dimensional comprehensive index based on the propensity matching score model and data from the China Migrants Dynamic Survey (CMDS) in 2017. Moreover, this study explores the different effects of conversion among the groups divided by the characteristics of migrant workers. The results show that from an overall perspective, although the conversion of household registration could improve the happiness of migrant workers, the degree of this improvement is minor. Further, the characteristics of the different groups, including age, educational background, contracted land, collective dividends, and income significantly affect the improvement of happiness. The conversion of household registration has obviously improved the happiness of migrant workers with low educational backgrounds, low income, and contracted land. Based on these findings, the government should take more targeted actions to improve the positive effects of household registration among different migrant worker groups due to the different characteristics in the process of household registration system reform.

scholarly journals Predicting Caregiver Burden in Informal Caregivers for the Elderly in Ecuador

2020 ◽  
Vol 17 (19) ◽  
pp. 7338
Author(s):  
Pablo Ruisoto ◽  
Marina Ramírez ◽  
Belén Paladines-Costa ◽  
Silvia Vaca ◽  
Vicente Javier Clemente-Suárez
Keyword(s):  
Social Support ◽  
Informal Caregivers ◽  
Elderly Person ◽  
The Elderly ◽  
Functional Independence ◽  
Eysenck Personality Questionnaire ◽  
Convenience Sample ◽  
Standardized Measures ◽  
Care For The Elderly ◽  
Male Caregivers

Informal caregivers are the main providers of care for the elderly. The aim of this study is to examine the predictive value of different variables regarding caregivers and their elderly patients with respect to the caregiver’s burden. A convenience sample of 688 informal caregivers and 688 elderly people from Ecuador was surveyed. Only households with one caregiver and one elderly person were considered for the study. For informal caregivers, the following standardized measures were obtained: burden (Zarit Burden Interview), neuroticism (Eysenck Personality Questionnaire Revised-Abbreviated, EPQR-A), caregiver’s general health (GHQ-12), and social support (modified Duke-UNC Functional Social Support Questionnaire, FSSQ11). For the elderly, we employed standardized measures of cognitive function (short portable mental status questionnaire, SPMSQ), Pfeiffer’s test, and functional dependency (Barthel scale/Index, BI). Females were over-represented in caregiving and reported significantly higher burden levels than those of males. In both male and female caregivers, the burden was best predicted by the time of caring, neuroticism, and elderly cognitive impairment. However, some predictors of burden were weighted differently in males and females. The functional independence of the elderly was a significant predictor of burden for male caregivers but not females, while caregiver competence was a significant predictor for females but not males. These variables accounted for more than 88% of the variability in informal caregivers.

Universal Health Insurance Reform in China

2018 ◽  
Vol 2 (2) ◽  
pp. 1-24
Author(s):  
Sabrina Ching Yuen Luk
Keyword(s):  
Health Insurance ◽  
Medical Insurance ◽  
The Elderly ◽  
Health Coverage ◽  
Term Care ◽  
Insurance Reform ◽  
Care For The Elderly ◽  
Health Insurance Reform ◽  
The Government ◽  
Universal Health

This article uses a refined version of historical institutionalism to critically examine the complex interplay of forces that shape the health insurance reform trajectory in China since the mid-1980s, problems that plague the current multi-layered social medical insurance system and solutions to these problems. It shows that achieving universal health coverage (UHC) requires the government to ensure financing equity between urban and rural insured participants, access to affordable health care and the financial sustainability of medical insurance funds. Facing the challenges of rapidly aging population, the government implements a pilot scheme that integrates medical and nursing care for the elderly and a pilot long-term care insurance scheme for disabled elderly. It is expected that these two pilot schemes can provide better financial protection and quality of medical services for the elderly.

scholarly journals Transition of care for the elderly after cerebrovascular accidents - from hospital to the home

2013 ◽  
Vol 21 (spe) ◽  
pp. 216-224 ◽  
Author(s):  
Rosalina Aparecida Partezani Rodrigues ◽  
Sueli Marques ◽  
Luciana Kusumota ◽  
Emanuella Barros dos Santos ◽  
Jack Roberto da Silva Fhon ◽  
...  
Keyword(s):  
Cerebrovascular Accident ◽  
Care Delivery ◽  
Elderly Person ◽  
The Elderly ◽  
Care Process ◽  
First Episode ◽  
Elderly Persons ◽  
Transition Of Care ◽  
Care For The Elderly ◽  
Field Notes

OBJECTIVE: to examine the transition of care in families caring for elderly persons who suffered the first episode of a cerebrovascular accident. METHODOLOGY: an instrumental ethnographic case study was used. The sample comprised 20 subjects: 10 caregivers and 10 elderly persons aged 65 or over, of both sexes, with diagnoses of first episode of cerebrovascular accident, capable of communicating, and requiring care from a main carer in their family. The data was collected through interviews, observation, existing documentation and field notes. Qualitative analysis techniques were used to codify and classify the data and to formulate significant categories, which generated typologies of care. RESULTS AND DISCUSSION: The central idea was the Transition of Care and showed the context in three typologies: The care process for the dependent elderly person, Strategies for the care process and Impact and acceptance of the limitations. CONCLUSION: The data indicates that caring for an elderly person after a cerebrovascular accident is a challenge for the family. The data permitted it possible to elaborate a proposal for a model for the organization of the work, with a view to holistic care delivery in the health services, forming a care network, which constitutes an advance for the area of nursing.

scholarly journals Analysis of medication use by elderly persons with supplemental health insurance plans

2017 ◽  
Vol 20 (3) ◽  
pp. 374-386 ◽  
Author(s):  
Elaine Cristina Salzedas Muniz ◽  
Flávia Cristina Goulart ◽  
Carlos Alberto Lazarini ◽  
Maria José Sanches Marin
Keyword(s):  
Health Plan ◽  
Elderly Person ◽  
The Elderly ◽  
Medium Size ◽  
Elderly Persons ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Adherence To Medication ◽  
Care For The Elderly ◽  
Elderly Users

Abstract Objective: To analyze the socio-demographic and pharmacotherapeutic profiles of elderly users of a private health plan. Method: A cross-sectional and descriptive study was conducted with 239 elderly users of a private health plan in a medium-size city in the state of São Paulo, Brazil. A structured questionnaire was used for data collection and absolute and relative frequencies were obtained. The pharmacotherapeutic survey estimated the prevalence and average number of medicines used in the 15 days prior to the interview, as well as adherence to treatment. Results: Of the respondents, 79% were female, with a mean age of 73 years. The main health problems reported were: arterial hypertension, rheumatism/arthritis, dyslipidemia and diabetes. A total of 97.1% of the elderly persons used medicine, and the most frequently used classes were for the cardiovascular and digestive systems. An average of 5.9 drugs/elderly person were used and 62.8% of the sample were undergoing polymedication. A total of 11.7% of the sample used medications that were unsuitable for the elderly, 51% had average adherence to medication and 12.1% had poor adherence. Conclusions: The majority of elderly people in the sample were female, lived with relatives and had a higher-level education. Despite the use of polymedication and the presence of multiple comorbidities, the percentage of elderly persons with low adherence to treatment was lower than that found in other studies. A high level of education and purchasing power, which facilitated the access to medication of the elderly patients under study, may be important predictors of adherence to treatment. The results support maintaining a model of care for the elderly centered on the treatment of diseases and pharmacotherapy.

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