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

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 5 (2) ◽  
pp. 65-72
Author(s):  
Siti Roziah Ria Famuji ◽  
Abdul Malik Setiawan ◽  
Achdiat Agoes

Hypertension affects approximately 26% of the adult population and it is a leading cause of death in up to 13.5% worldwide. Hypertension is a disease with the highest prevalence in Indonesia, so good treatment and prevention are needed. Several studies suggest that there is a correlation between hypertension risk factors and the disturbance of sleep quality. Therefore, it is necessary to develop preventive and promotive efforts to obtain optimum blood pressure in patients with hypertension to avoid complications or even death. This study aims to find out the correlation between sleep quality and the value of blood pressure in the elderly ?60 years old in Batu City. A cross-sectional study was conducted in Batu City in 2020. Stratified random sampling was performed to select the respondents. A validated PSQI questionnaire and sphygmomanometer were used to assess sleep quality and blood pressure, respectively. A Chi-Square test was used to test the hypothesis. There were 391 respondents involved in this study. Most of the respondents have poor sleep quality, 205 respondents (52,43%) of which 41 respondents (20%) have normal blood pressure, and 164 respondents (80%) have high blood pressure. The statistical analysis shows a significant correlation (p=0,000) between sleep quality and blood pressure. In conclusion, hypertension is associated with poor sleep quality in the geriatric population in Batu City.


2017 ◽  
Vol 70 (4) ◽  
pp. 719-725 ◽  
Author(s):  
Antonio Herculano de Araújo Neto ◽  
Anna Cláudia Freire de Araújo Patrício ◽  
Milenna Azevedo Minhaqui Ferreira ◽  
Brenda Feitosa Lopes Rodrigues ◽  
Thayná Dias dos Santos ◽  
...  

ABSTRACT Objective: To analyze the occurrence of falls in institutionalized elderly addressing the risks, consequences and antecedents. Method: Cross-sectional study carried out with 45 older adults in Long-Term Care Facilities for the Older adult in João Pessoa, Brazil, in June and July 2016. A socio-demographic questionnaire and the Berg Balance Scale were applied, classifying as risk of fall scores lower than 45. Descriptive statistics and tests were conducted: independent t-test, Anova (Tukey), Chi-square, Mann Whitney. Statistically significance was p <0.05. Data were processed in SPSS version 19.0. Results: A total of 66.7% (30) falls occurred, 20% (9) of them in the external area, with 66.7% (30) of the participants having hypertension as a previous disease and, as consequence, the fracture was highlighted with 11.2% (5). The Berg Scale had different scores when compared to the falls suffered by the elderly and previous diseases influenced the occurrence of falls (p <0.05). Conclusion: It is necessary to implement public financing policies or partnerships that allow environments adaptations aiming at reducing the risks of falls.


Author(s):  
Dugavath Geetha ◽  
M. A. Mushtaq Pasha ◽  
Afsar Fatima

Background: Geriatric age is one of the vulnerable phases of life. Geriatric population in India is faster growing share of population with more special needs for health-care and support. Objective was to study the socio-demographic factors and assess pattern of health care support among geriatrics residing in old age homes, Nandyal.Methods: This was a cross-sectional study among geriatric people aged more than 60 years residing in old age homes, Nandyal from October 15, 2019, to December 15, 2019.  One hundred eighty participants were included. Those who were not present during the analysis were excluded from the class using convenience sampling. Data was collected using a pre-designed, pre-tested, semi-structured questionnaire and analysing data using SPSS version-22.Results: Around 180 subjects, 76 (42%) of the elderly received treatment for their morbidities from private clinic and hospitals, while 37.8% from government hospitals. Children bear health care expenses for 32 (17.5%) of the elderly. Among 84 (46.7%) of elderly dependent on their social security schemes. while 30 (16%) had health insurance. Around 72 (40%) of elderly financially dependent on their children. Major complaints are Arthritis (47.7%) followed by hypertension (20%) and acid-peptic disease.Conclusions: A high prevalence of arthritis, hypertension and acid peptic disease were identified. It also highlighted that economic independence and the use of social security schemes among elderly is less. Based on these findings recommended that there is a need to develop financial assistance and social security schemes are needed to enhance health care facilities, economic independence and utilization services. 


Author(s):  
Rajesh Kumar Seth

Background: Ageing is a universal process and it affects every individual, family, community and society. It is a normal, progressive and irreversible process. Ageing is generally defined as a process of deterioration in the functional capacity of an individual that results from structural changes, with advancement of age. Population ageing is a global phenomenon. Aim of the study was to study the morbidity profile and their psychosocial problems of the elderly in a rural population in the state of Uttar Pradesh, India.Methods: This was a cross-sectional community based descriptive study. People of either sex, more than 60 yrs of age residing in the field practice areas of department of community medicine constituted the study population. Socio-demographic information like name, age, sex, religion, education, occupation etc. and other information like housing, ventilation, overcrowding were collected in semi-structured and pretested proforma, after obtaining informed consent. The multi-stage sampling methodology was adopted for the selection of study unit.Results: A total of 272 elderly with 173 male and 99 females were interviewed in this study. About one fourth of the elderly belonged to age 60-61 years (25.7%). More than half of the elderly had a fall within last 12 months (66.2%). Not much difference was observed in the percentage of fall within 12 months in male (64.7%) and females (68.7%). The majority of the males (64.7%) and females (81.8%) had pain in joints as the presenting symptom. The second most common symptom was found to be weakness. Only 45.6% of the elderly were satisfied with their life. There was similar percentage of male (45.7%) and female (45.5%) elderly who were satisfied with their life. However, 51.8% felt empty in their life and 45.2% preferred to stay in the house.Conclusions: The need for the hour is to set up special health services for geriatric population in accordance with the common existing problems. Providing screening services as well as curative, rehabilitative services and convalescent homes to provide long term care is also a priority.


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. 


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.


Author(s):  
Dur-e- Nishat

Background: Family medicine is a field in which complete and detailed set of healthcare services are provided to the patients and their families. In developed countries, freshly graduated students choose family medicine as a priority for their career. However, in Pakistan it is not the case. The present study is undertaken to determine the perceptions of final year medical students’ about Family Medicine as a viable career. Methods: A total number of 504 students participated in the study. This was a cross-sectional study. The study participants were in their final year of medical college. Data was collected using a preapproved questionnaire. Data was entered and analyzed via SPSS version 17 and Chi-Square test was used post-stratification. Results: Only 14.3% (n=72) medical students had heard about Family Medicine. Only 18% (n=92) would select family medicine as a profession. The most frequent rationale for choosing the field of Family Medicine was the variety of patients seen in general practice (55.4% n=51). Conclusion: There is a dire need to focus on increasing awareness about the field of family medicine among medical students. The students should be counseled on the advantages along with the disadvantages of choosing this field as a medical profession.


1970 ◽  
Vol 4 ◽  
pp. 129-142 ◽  
Author(s):  
Raj Kumar Subedi

Insomnia is one of the major and unsolved problems in older people. Most of the sleep studies report that the different forms of insomnia like Difficulty Initiating Sleep (DIS), Difficulty Maintaining Sleep (DMS) and Non-Restorative Sleep (NRS) are common among the elderly that are associated to many factors. The objective of the study was to measure the prevalence of insomnia and the factors associated to it among the elderly people. A cross-sectional study was conducted among 142 elderly people of and above 60 years of age in Sarangdanda VDC of Panchthar District of Eastern Nepal. The presence or absence of insomnia and the associated factors were assessed on them by the help of interview schedule. The results were analyzed using chi-square test in SPSS (version 11.5). DMS was the most common reported form of insomnia among the elderly followed by DIS and NRS. Association between insomnia and each of factors like use of tobacco before sleeping hours, eating too close to bedtime, use of tea/coffee before sleeping hours and use of alcohol before sleeping hours were statistically significant at 95% level of confidence. Insomnia affects a large proportion of elderly and is triggered by many factors like use of tobacco before sleeping hours, use of tea/coffee before sleeping hours, eating too close to bedtime and use of alcohol before sleeping hours. Keywords: Alcohol; tea/coffee; difficulty initiating sleep (DIS); difficulty maintaining sleep (DMS); non-restorative sleep (NRS); tobacco DOI: 10.3126/dsaj.v4i0.4517 Dhaulagiri Journal of Sociology and Anthropology Vol.4 2010 pp.129-142


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