scholarly journals Elderly Care Ethics: A Glance on Principlism

2016 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Abu Sadat Mohammad Nurunnabi ◽  
Shaorin Tanira ◽  
Sadia Akther Sony

Being a low-income country of South Asia region, Bangladesh has been struggling with its health budget for increasing elderly population over the decades. However, concerns regarding the aging population and its impact on country’s socio-economic status have come to the forefront in the policy making and implementation towards national development in recent years. This paper is intended to discuss ethical issues, in context of principlism, that are likely to arise and the means to deal with ethical dilemmas in healthcare of elderly people involving seniors themselves and their service providers whether professionals or family members.  To provide the highest level of care, the entire caregiving team needs to form a partnership having the best interest of the elderly people as their focal point while providing loving, appropriate care to enhance their quality of care, their quality of life and their happiness in the latter days of their lives which is coined as ‘healthy ageing’.  

2021 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
Sumalee Sungsri

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.


2008 ◽  
Vol 14 (7) ◽  
pp. 363-367 ◽  
Author(s):  
Doan Hoang ◽  
Elaine Lawrence

We propose a technique in which elderly people can be monitored non-intrusively. The information is kept in an ‘active’ health record which becomes alive when attention or action is necessary concerning the condition of the elderly person. The proposed system consists of three main components: a sensor/actor loop, sensor records and associated active services, and a Grid middleware platform. Information is captured in realtime within a collaborative health-care Grid. The Grid connects elderly people, caregivers and medical service providers in ways that reduce unnecessary calls on expensive medical services through an intermediate local service centre (which can be virtual) assisted with Internet communications and monitoring technologies. The proposal should support preventive health-care programmes for reducing the cost of caring for the elderly.


2018 ◽  
Vol 21 (4) ◽  
pp. 480-487
Author(s):  
Esmeraldino Monteiro de Figueiredo Neto ◽  
José Eduardo Corrente

Abstract Objective: the aim of the present study was to evaluate the quality of life of elderly people enrolled in specialized elderly care centers in Manaus and compare the findings with the results of already published studies. Method: a cross-sectional study was conducted with 741 elderly people enrolled in three of the centers in the city, from November 2015 to March 2017 using a socioeconomic and demographic questionnaire and the Flanagan Quality of Life Scale (FQLS). Interviews were carried out by previously trained physiotherapy students of the Federal University of Amazonas. Results: the majority of the elderly were female, with a mean age of 69±6.6 years, married, retired but still working, with a low income and low educational level. When they assessed their quality of life, however, they appeared satisfied. When compared to populations in other countries and regions of Brazil, despite their low socioeconomic profile, they demonstrated a higher quality of life than populations of developed countries. Some domains of the scale were inverted in relation to the original scale. Conclusion: the results allow us to conclude that even elderly persons with low socioeconomic status are satisfied with their quality of life.


Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Vhudivhusi J. Singo ◽  
Rachel T. Lebese ◽  
Thelma X. Maluleke ◽  
Livhuwani H. Nemathaga

Background: HIV and AIDS have a devastating impact on the lives of elderly people, particularly so because they are often expected to take care of their terminally ill children and assume the responsibility of looking after children orphaned by AIDS - in most cases with very little resources.Objectives: The study sought to achieve to describe the views of elderly people regarding the impact of HIV and AIDS on their lives, to determine the challenges that elderly people living with HIV or AIDS (EPLWHA) face in their daily lives, and to gain a sense of the coping strategies they use to overcome the obstacles they face in relation to HIV and AIDS. Ethical issues, such as permission to conduct the study, informed consent, confidentiality and anonymity, withdrawal of participation and measure to ensure trustworthiness, were ensured.Design: This was a qualitative, explorative, descriptive study. Participants were interviewedusing an interview guide. Information provided by the participants was captured on a taperecorder and analysed using open coding, and thereafter collated into themes, categories andsub-themes.Results: The study findings revealed that HIV and AIDS have serious negative impacts on the lives of elderly people, particularly those living in poverty. The following key areas in relationto EPLWHA were established: psychological or emotional health, as well as household and socio-economic burdens. Considering the role that elderly people play in the community in so far as HIV and AIDS are concerned, primary health promotion and social welfare programmes should be directed at educating all elderly people and their service providers on how to cope with the health and social problems related to HIV and AIDS.


2021 ◽  
pp. 1-8
Author(s):  
Maria Gayatri

BACKGROUND: Quarantine and social distancing are important to avoid spreading the coronavirus. Being active, healthy and happy is a central part of managing daily challenges. OBJECTIVE: The objective of the study was to improve understanding regarding the wellbeing of the elderly during COVID-19 pandemic. METHODS: For the literature review, keywords such as wellbeing and COVID-19 were searched for associations with terms such as elderly, ageing and old people. Only research published in peer-reviewed journals and written in English was considered in this study. The studies included in the analysis were only those published between the start of the pandemic and April 2021. RESULTS: From a total of 75 searches, eight studies fit the inclusion criteria. Elderly people are the population group most vulnerable to COVID-19, which threatens their lives and wellbeing. Technology such as artificial intelligence can maintain the wellbeing of the elderly. Lockdown, the lack of social interaction and the limited access to medications and health facilities can worsen the physical and mental health and the psychological wellbeing of the elderly. Conclusion: It is important to highlight elderly care and mitigation programmes related to physical activities and cognitive psychology to prevent mental and functional decline in older people. Further studies should focus on their quality of life and the wellbeing.


2021 ◽  
pp. 270-278
Author(s):  
Tatyana Borisovna Berestok

This article deals with the issue of self-preservation of elderly people when learning to work on a computer from the point of view of information and psychological security. The necessity of solving new socio-psychological problems is indicated: to develop the ability to give a correct assessment of a specific information threat, to prevent the negative impact of the information environment, to resist negative factors, and to contribute to improving the quality of life. The purpose of counseling elderly people is to develop their ability to understand the problem of the negative impact of the information environment on psychological and physiological health, to be able to apply methods to ensure information and psychological security. Consulting and educational work with the elderly and employees of social institutions engaged in professional activities directly related to the above category should be aimed at preventing cases of fraudulent activities. Consulting work with them should not only meet the general principles of building psychological contact, but also cause an understanding of the importance of compliance with security in the digital sphere. Elderly people develop the ability to assess correctly a specific information threat and prevent the negative impact of the information environment by providing adequate resistance to negative factors and contributing to improving their quality of life. It is increasingly difficult for older people to navigate threats, unmotivated anxiety increases, depressiveness appears and becomes fixed, and asocial personality traits are formed. At the present time, it is necessary to consider the formation of information and computer literacy as a mechanism to counteract the negative impact of the information environment and a necessary condition for developing an effective strategy for the social adaptation of elderly people.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Nagesh Jamwal

Background – Elderly people face many psychological, physical and socio economic morbidities due to ageing. Institutional settings have been opened for those elderly people who are neither able to take care of themselves nor is there any person to look after them. Objectives- The present research work was conducted to study the quality of life, loneliness and psychological distress of the elderly males and females living in institutions and non-institutional settings in urban Jammu district. Methods –The study was conducted using purposive sampling on 40 elderly living in institutional settings and 40 elderly living in non- institutional settings in the age range of 60-80 years. Tools used – GHQ  by Gautam, Nuhawan and Kamal ,UCLA loneliness scale(Russell, 1996)  and WHO (QOL-BREF, 1998),  was used. Results – The results revealed significant differences on loneliness and quality of life between those living in institutional settings and those living with their families.


2021 ◽  
Vol 14 (1) ◽  
pp. 53-57
Author(s):  
Tomasz Wiatr ◽  
Piotr Chłosta

Lower urinary tract symptoms, including urgency, urgency incontinence, pollakiuria and nocturia are common in the elderly people and has significant impact on quality of life. Pharmacological treatment is recommended when conservative management, such as fluid intake normalization or bladder training, does not alleviate symptoms. Antimuscarinics were often used as the I line treatment for OAB, as these drugs block the activity of the muscarinic M2/M3 receptors in the bladder and provide a significant clinical benefit for OAB symptoms in the elderly people, but their side effects are common, often leading to treatment discontinuation. Mirabegron, a β3-adrenoceptor agonist, shows similar efficacy to antimuscarinic drugs without the risk of anticholinergic effects.


2014 ◽  
Vol 50 (2) ◽  
pp. 269-284 ◽  
Author(s):  
Fabiana Rossi Varallo ◽  
Fernanda Mariana de Oliveira ◽  
Patrícia de Carvalho Mastroianni

Certain medicines are considered potentially inappropriate (PIM) for elderly people as they increase the risk of adverse drug events (ADE) and because safer alternative therapies are available on the market. In this context, in order to identify the instruments that assess the quality of medical prescriptions for elderly and to determine which drugs are considered PIM, a bibliographic survey was conducted in PUBMED, LILACS and PAHO databases, in February and March/2010. The search strategy included the use of health descriptors and a manual search in the references cited by selected papers. During the period of data collection, 15 instruments were identified. In 2012, with the publication of the update of Beers criteria, this instrument was included in the study. We identified 163 PIM of 25 therapeutic classes, of which 125 (76.7%) are marketed in Brazil. Of these, 31 (24.8%) are essential medicines (RENAME 2012), of which 13 have safer therapeutic equivalents and 19 (15.2%) are over-the-counter drugs. Data suggest the need for inclusion of safer alternatives for the elderly in the national list of essential medicines and the pharmaceutical care for early detection of ADE in this age group, in order to contribute to the safe use of medicines.


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