scholarly journals The Problems Faced by Homeless Older Adults in Nigeria: Implications for the Future Care of the Elderly

Author(s):  
Joseph Hellandendu

In the absence of a universal old age social security, the norm in Nigeria is for younger relatives to care for their aged parents and other older relatives. This was quite feasible in the agrarian economy, which is now being replaced by organized economy which is characterized by migration in search for jobs. This condition is further worsened by poverty among the youth. Some older citizens are rendered homeless in the present economic dispensation. They live on the streets and other public places and beg for sustenance. This paper brings to limelight the plights of the homeless older citizens in terms of their lives on the streets. The homeless older citizens are often grouped with able-bodied younger vagrants, arrested and confined in near total institutional settings when government wishes to rid the streets of vagrants. It is recommended that the National Population Commission, through its five yearly Demographic and Health Survey exercises should obtain reliable information on the number and locations of homeless older citizens and those who are likely to be homeless in the near future with the view to providing them with shelter and a universal welfare package.

Author(s):  
Caroline Pigeon ◽  
Evelyne Blais ◽  
Roxanne Grondin ◽  
Esther Bolduc-Rouleau ◽  
Laura Fontaine-Pagé ◽  
...  

AbstractThe cessation of driving is a difficult transition for the elderly, but it can be facilitated through interventions. The purpose of this study was to explore the satisfaction, usefulness and applicability of the CarFreeMe intervention in the French-Canadian context. A qualitative clinical research device was used on ten older adults aged between 61 and 90 years. The participants had stopped driving within the last twelve months or were planning to stop driving in the near future and did not have cognitive impairments. After the intervention, the participants were generally satisfied and reported on its usefulness and applicability in a French-Canadian context. In addition, they identified the positive impacts related to their social involvement as they re-engaged in or pursued their significant activities. Further research is required to assess the intervention’s effects and the practicability of implementing it in Canada.


2018 ◽  
Vol 5 (1) ◽  
pp. 1-4
Author(s):  
Sunita Menezes ◽  
Tissy Mariam Thomas

There has been a rapid ageing of the earth's population and in a few decades, Asia could become the oldest region in the world. In India, due to the reorganization of the family system, the traditional joint family system is on the decline. Due to the emergence of the nuclear family and the high cost of living, family members who previously cared for the elderly need to find employment outside the home. A rapid increase in nuclear families and an exceptional increase in the number of ‘older adults’ in the country have compelled them to live in old age homes. Literature has accentuated the difficulties and apprehensions experienced by older adults during the ageing process and the need for old age homes in order to create an environment that fosters a meaningful existence for them in their twilight years. India's old age homes are trying to uphold the needs, desires and values of older adults. There is a lack of studies that attempt to give older adults a chance to communicate their experiences in a care home. Older adults are an invaluable resource for younger generations and change is needed in society's attitude towards ageing. This review can help psychologists, social workers and caregivers gain insight into the needs of older adults in terms of mental wellbeing, economic and social security and elder abuse and create awareness among the people.   Int. J. Soc. Sc. Manage. Vol. 5, Issue-1: 1-4


Author(s):  
Fran Bennett

This chapter shows how the UK tackled the crisis. The UK was affected early and implemented a post-crisis stimulus package quickly. But from 2010, with a new government, austerity was the watchword, with cuts in social security expenditures prioritized over tax increases. Spending on education and health was shielded, as were old-age pensioners’ benefits, but those of families with children were reduced. From 2015 a Conservative majority government continued on a similar path, though also implementing tax cuts and a higher minimum wage. Under the new Prime Minister, the aim of balancing the public finances was postponed. Initially the pain of the crisis was shared more broadly. But financial hardship increased after 2012, especially for lone parents and disabled people, and benefit cuts affected women in particular. Whilst employment has increased, recovery has been slow. It seems unlikely positive welfare state developments can be expected in the near future.


1982 ◽  
Vol 6 (2) ◽  
pp. 227-232
Author(s):  
Gail Buchwalter King

Recent statistics indicate that 72% of the elderly poor are widowed, divorced, or never-married women. The fact that many of these women are left destitute in their old age can be looked at from several perspectives. My particular interest is in how Social Security policy contributes to the potential poverty of women. The area of investigation is that of dependency—the designated category through which most women collect Social Security benefits.


Author(s):  
Khathutshelo P. Mashige ◽  
Serela S. Ramklass

Background: Visual impairment (VI) increases with age and has been reported to be more prevalent among older adults living in old age homes than in the general population.Aim: To determine the prevalence and causes of VI among older adults living in low-income old age homes in Durban, South Africa.Setting: This study was conducted at low-income old age homes in Durban.Methods: This cross-sectional study of 118 residents aged 60 years and older, collected socio-demographic data, presenting visual acuities (VAs) for each eye, and binocularly. Anterior segment eye examinations were conducted with a penlight torch and a portable slit-lamp, while posterior segment evaluation was conducted with direct and indirect ophthalmoscopy. Objective and subjective refractions were performed, and the best-corrected distance and near VAs were measured in each eye. VI was defined as presenting VA 6/18 and included moderate VI ( 6/18−6/60), severe VI ( 6/60 –3/60) and blindness ( 6/120).Results: The mean age of the participants was 73.3 years and included 80.5% females and 19.5% males. The prevalence of VI and blindness was 63.6%. Optical correction significantly reduced the prevalence of VI and blindness by 19.5% (p 0.05). The main causes of non-refractive VI and blindness were cataract (54.5%), posterior segment disorders (25.5%) and corneal opacities (20%).Conclusion: The prevalence of VI and blindness is high among residents in low-income old age homes living in Durban. Refractive correction and surgical cataract intervention can significantly reduce the burden of VI and blindness among the elderly residents.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nemanja Ljubic ◽  
Bianca Ueberberg ◽  
Heinz Grunze ◽  
Hans-Jörg Assion

Abstract Background Old age bipolar disorder has been an orphan of psychiatric research for a long time despite the fact that bipolar disorder (BD)-I and II together may affect 0.5–1.0% of the elderly. It is also unclear whether aetiology, course of illness and treatment should differ in patients with a first manifestation in older age and patients suffering from a recurrence of a BD known for decades. This narrative review will summarize the current state of knowledge about the epidemiology, clinical features, and treatment of BD in the elderly. Methods We conducted a Medline literature search from 1970 to 2021 using MeSH terms “Bipolar Disorder” × “Aged” or “Geriatric” or “Elderly”. Search results were complemented by additional literature retrieved from examining cross references and by hand search in text books. Summary of findings Varying cut-off ages have been applied to differentiate old age from adult age BD. Within old age BD, there is a reasonable agreement of distinct entities, early and late-onset BD. They differ to some extent in clinical symptoms, course of illness, and some co-morbidities. Point prevalence of BD in older adults appears slightly lower than in working-age adults, with polarity of episodes shifting towards depression. Psychopharmacological treatment needs to take into account the special aspects of somatic gerontology and the age-related change of pharmacokinetic and pharmacodynamic characteristics. The evidence for commonly used treatments such as lithium, mood-stabilizing antiepileptics, antipsychotics, and antidepressants remains sparse. Preliminary results support a role of ECT as well as psychotherapy and psychosocial interventions in old age BD. Conclusions There is an obvious need of further research for all treatment modalities of BD in old age. The focus should be pharmacological and psychosocial approaches, as well as their combination, and the role of physical treatment modalities such as ECT.


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. 


2019 ◽  
Vol 4 (4) ◽  
pp. 81
Author(s):  
Juan Fernando Olloa Cuellar ◽  
Marcelo Barcia Briones

En el ciclo de vida del ser humano cuando se llega a la etapa de la vejez o adultos mayores, muchas veces estos son víctimas de violencia por parte de su familia o cuidadores, disminuyendo la calidad de vida de las personas en la etapa de vejez y que también afectara a su familia cercana. En este estudio se determina la prevalencia de la violencia intrafamiliar en el adulto mayor y que miembro de la familia ejerce esta violencia. Consiguientemente se realizó un estudio de tipo cualitativo, descriptivo de corte transversal. La muestra escogida fue de 50 adultos mayores de ambos sexos. Para la recolección de datos se utilizó una encuesta con 20 preguntas cerradas y una entrevista psicológica. Los resultados muestran que existe violencia intrafamiliar hacia el adulto mayor en el 26%indica que es la violencia económica, seguida del 22% que manifiesta que existe negligencia y abandono de sus familiares, el mismo porcentaje de 22% se obtiene en violencia física, mientras que el 20% es psicológica y 10% de violencia sexual. Por lo tanto, se puede determinar que en el adulto mayor se ejerce la violencia intrafamiliar en todas sus formas, siendo la económica la que prevalece sobre el resto de violencias, así mismo se determina que los agresores son en la mayoría de veces un familiar cercano entre los cuales se encuentran los hijos/as, esposo/sa, Se prevé que la tendencia de la violencia hacia el adulto mayor continúe porque según las estadísticas a nivel mundial el grupo etario de los adultos mayores va en aumento por motivo del envejecimiento de la población. PALABRAS CLAVE: Adulto mayor; violencia intrafamiliar; vejez. INTRAPHAMILIARY VIOLENCE IN THE OLDER ADULTS ABSTRACT In the life cycle of human beings when they reach the stage of old age or older adults, these are often victims of violence by their families or caregivers, diminishing the quality of life of people in old age and also affecting their close family. This study determines the prevalence of domestic violence in the elderly and which family member uses this violence. A qualitative, cross-sectional, descriptive study was carried out. The sample chosen was 50 older adults of both sexes. A survey with 20 closed-ended questions and a psychological interview were used to collect the data. The results show that there is intrafamily violence towards the elderly in 26% indicates that it is economic violence, followed by 22% who state that there is negligence and abandonment of their relatives, the same percentage of 22% is obtained in physical violence, while 20% is psychological and 10% sexual violence. Therefore, it can be determined that domestic violence is perpetrated in all its forms in older adults, with the economic form prevailing over other forms of violence. It is also determined that the aggressors are in most cases a close relative, including their children and spouse. KEYWORDS: Older adults; domestic violence; old age.


Author(s):  
Indra Malakar ◽  
Hom Nath Chalise

With the worldwide increase in life expectancy, insecurities in life are increasing generally to old aged people which have never been known before. Universal Old Age Allowance distributed in cash to the elderly 70 years and above is the main social security system provided by Nepal Government to the Nepalese elderly. The main objective of this article is to explore the perception of the elderly on old age allowance in Nepal. This study has used both quantitative and qualitative data for the study purpose. Data for this purpose was gathered from Kirtipur Municipality of Kathmandu district. Total sample was 47 senior citizens receiving Social Security Allowance. For the qualitative purpose few case studies were also included. Mean age of the respondents was 77.21 (±4.73) years. Age ranged from 70 years to 96 years. 55.3% of the participants were female, 65.9% of the participants were illiterate. This study found Old Age Allowance (OAA) is the main source of income of the elderly and this money is used for multiple purposes: buying daily consuming food and clothes (87.2%), health related expenditure (51.1%), with offspring (14.9%) and travelling (6.4%). This study found 61.7 percentage of the elderly expressed that the old age allowance was insufficient. Further, receiving OAA was not easy as they have to wait for a longer period to receive such benefits in the office, irregularities from government to provide such allowance on time. People who were satisfied from this allowance reported it was an honour from government and they can use this money on their own. This finding based on sample of small population cannot be generalized to whole population but the issues explored in this study may give some idea how elderly allowance is perceived in Nepal. A detailed in depth study related to OAA is required and government should take some initiative for the better management of OAA with alternative way other than cash which leads to sustainability of the program.


2020 ◽  
pp. 379-384
Author(s):  
Hester Colboc ◽  
Sylvie Meaume

AbstractDespite the aging of the population, little attention is paid to the development of specific care protocols appropriate to the skin and even less to the scars in the elderly. The purpose of this chapter is to highlight common clinical problems with scar and scarring in older adults and provide appropriate advices on protocols for managing them. The literature review was carried out to look for the evidence-based elements, but, if the subject of scars is sometimes found, the elements relating specifically to scars in old age are nonexistent. Unsurprisingly, practices vary widely and are carried out according to habit rather than science. Based on our clinical experience of dermatologist and geriatrician and some literature data, some pathways for future research on scars in elderly are proposed.


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