MEDICAL AND SOCIAL STATUS OF PATIENTS OVER 80 YEARS OLD SUBJECT TO SINGLE OR JOINT RESIDENCE

2021 ◽  
pp. 446-453
Author(s):  
М. Л. Сиротко ◽  
М.Б. Денисенко ◽  
И. А. Золотовская ◽  
М.В. Комарова
Keyword(s):  
Social Services ◽  
Social Care ◽  
Pain Syndrome ◽  
The Elderly ◽  
Household Composition ◽  
Living Alone ◽  
The Family ◽  
Changes Over Time ◽  
The Relationship ◽  
Elderly Living

Изучение условий жизни пожилых людей, проживающих отдельно или вместе с другими родственниками в семье, имеет важное значение для координации работы между медицинскими и социальными службами. Проведено обследование 1 261 человека 80 лет и старше, получающих медицинскую помощь в амбулаторных условиях, из которых 40 % жили одни и 60 % в семье. Доля одиноких жителей увеличивается с возрастом. Было определено несколько социально-демографических характеристик пациентов, включая возраст, пол и состав домохозяйства, рассчитана распространенность синдрома старческой астении и основных хронических неинфекционных заболеваний у одиноких и семейных пациентов, выявлены гендерные различия. У одиноких мужчин при скрининге Возраст не помеха чаще выявляли старческую астению и более выраженный болевой синдром по сравнению с мужчинами, проживающими в семье. В отличие от мужчин, старческую астению и суммирование болей чаще регистрировали у женщин, живущих в семье, чем у одиноких. При организации медико-социальной помощи важно учитывать взаимосвязь пола и семейного положения, а также то, как эта взаимосвязь меняется с течением времени. The study of the living conditions of the elderly living alone or together with other family relatives is relevant to the organization of medical and social care and the strengthening of coordination between medical and social services. We analysed information of 1 261 people aged 80 years and older in ambulatory care settings, of whom 40 % lived alone and 60 % lived in the family. The proportion of single residents increases with age. It was determined several socio-demographic characteristics of patients, including age, gender, and household composition, calculated the prevalence of senile asthenia syndrome and the main chronic non-infectious diseases for single and family patients, and identified gender differences. Single men in the Age is not a hindrance screening more often revealed senile asthenia and had more severe pain syndrome compared to men living in a family. In contrast to men, senile asthenia and pain summation were more frequently registered for women living in a family than for women living alone. For the organization of medical and social care, it is important to consider the relationship between gender and marital status, as well as how this relationship changes over time.

Equity and Efficiency in the Allocation of the Personal Social Services

1983 ◽  
Vol 12 (3) ◽  
pp. 309-329 ◽  
Author(s):  
A. C. Bebbington ◽  
Bleddyn Davies
Keyword(s):  
Social Services ◽  
Rural Areas ◽  
Married Couple ◽  
Sex Discrimination ◽  
The Elderly ◽  
Living Alone ◽  
Home Help ◽  
Equity And Efficiency ◽  
Normative Criteria ◽  
Elderly Living

AbstractThis paper investigates two issues of equity in the receipt of the home help service, one about territorial justice, the other about sex discrimination. It uses GHS data for 1980. An argument is developed about the efficiency with which services are targeted on persons who by normative criteria would appear to have most need of them. Efficiency is of two types: horizontal efficiency, the proportion of persons judged in need who receive services; and vertical efficiency, the proportion of services allocated to persons judged in need. The findings are that there is evidence of inequity both between different areas and between the sexes. Metropolitan areas are advantaged compared with rural areas, and this cannot be explained by differences in social support nor by the availability of other domiciliary services. Among the elderly living alone, neither sex is advantaged, but in elderly married couple households the home help service is more frequently provided in the case of a husband caring for a disabled wife than in the case of a wife caring for a disabled husband.

scholarly journals The family in face of the elderly's reality of living alone

2017 ◽  
Vol 70 (2) ◽  
pp. 235-241 ◽  
Author(s):  
Marcelo Geovane Perseguino ◽  
Ana Lucia de Moraes Horta ◽  
Circéa Amalia Ribeiro
Keyword(s):  
Thematic Analysis ◽  
Family Life ◽  
The Elderly ◽  
Qualitative Approach ◽  
Living Alone ◽  
Care Plans ◽  
The Family ◽  
The Individual ◽  
Elderly Living

ABSTRACT Objective: to understand the family dynamics in face of the reality of the elderly living alone. Method: study of qualitative approach with theoretical reference of symbolic interactionism that involved interviews with families. Data were analyzed by thematic analysis. Results: six families participated in the study. The discourse analysis originated the following categories: The family respecting their decision making; The family organizing itself to the process of living alone after the age of 80 years; The family experiencing the freedom of living alone. Conclusion: in this study, it was possible to identify the facilitation of the possibility of living alone with preparation and agreements between the family during the family life cycle, leading to the feeling of freedom and quality of life of all members. Nursing, as a science responsible for elaborating care strategies, should work together with families to assist in the planning of care plans based on the individual social reality of the family.

scholarly journals Nutrition Study People over 80 Years

2012 ◽  
Vol 2 (3) ◽  
pp. 77-89
Author(s):  
Javier Benítez ◽  
Nieves Perejón ◽  
Marcelino Arriaza ◽  
Pilar Bellanco
Keyword(s):  
Quality Of Life ◽  
The Elderly ◽  
Blood Chemistry ◽  
Living Alone ◽  
Age Group ◽  
Nutrition Study ◽  
Geriatric Evaluation ◽  
The Mean ◽  
Elderly Living

Loneliness has always been associated and reported as a risk factor of malnutrition in the elderly. People over 80 who live alone have deserved this study to detect their situation and potential for action to improve their quality of life. Objectives: To determinate the nutritional status of people over 80 living alone in the area of “La Laguna”, Cádiz. Material and method: In PIAMLA`80 program analyse those parameters and their possible correlations in a group of 342 elderly living alone over 80 years old. Different parameters were measured: Integral Geriatric Evaluation, Barthel, Lawton-Brody, Lobo, Gijon, specific analytical blood chemistry and MNA. Results: In a population of 984 people, were selected 342 initially, but finally the group decreases to 247 people. The mean Barthel was 80.42 points, 5.76 Lawton and Gijon from 11.3 Lobo 26.48. The MNA for the whole population was 24.25/30 detecting only a risk age group in women of 85-95. Correlation between nutrition and the biochemical test values showed positive for haemoglobin (0.19), total protein (0.26), Fe (0.32) and albumin (0.46). Conclusions: In our research we have not detected malnutrition in any age group or gender. The use of nutrition test MNA and its MINI version must be generalized as an accurate, clear, quick and easy tool to use.

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