old age homes
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2022 ◽  
Author(s):  
Vanessa Burholt ◽  
E. Zoe Shoemark ◽  
R Maruthakutti ◽  
Aabha Chaudhary ◽  
Carol Ann Maddock

Abstract Background: In 2016, Tamil Nadu was the first state in India to develop a set of Minimum Standards for old age homes. The Minimum Standards stipulate that that residents’ dignity and privacy should be respected. However, the concept of dignity is undefined in the Minimum Standards. To date, there has been very little research within aged care facilities exploring the dignity of residents. This study draws on the concepts of (i) status dignity and (ii) central human functional capabilities, to explore whether long term care facilities uphold the dignity of residents. Objectives: The study was designed to obtain insights into human rights issues and experiences of residents, and the article addresses the research question, “to what extent do old age homes in Tamil Nadu support the central human functional capabilities of life, bodily health, bodily integrity and play, and secure dignity for older residents?”Method: A cross-sectional qualitative exploratory study design was utilised. Between January and May 2018 face-to-face interviews were conducted using a semi-structured topic guide with 30 older residents and 11 staff from ten care homes located three southern districts in Tamil Nadu, India. Framework analysis of data was structured around four central human functional capabilities. Results. There was considerable variation in the extent to which the four central human functional capabilities life, bodily integrity, bodily health and play were met,. There was evidence that Articles 3, 13, 25 and 24 of the Universal Declaration of Human Rights were contravened in both registered and unregistered facilities. Juxtaposing violations of human rights with good practice demonstrated that old age homes have the potential to protect the dignity of residents.Conclusion: The Government of India needs to strengthen care home policies to protect older residents. A new legislative framework is required to ensure that all old age homes are accountable to the State. Minimum Standards should include expectations for quality of care and dignity in care that meet the basic needs of residents and provide health care, personal support, and opportunities for leisure, and socializing. Standards should include staff-to-resident ratios and staff training requirements.


Author(s):  
N. M. Reshma Rajan ◽  
Syed Imran

Purpose: To assess the level of self-health perception and self-esteem among elderly residing at old age homes and to determine the effect of reminiscence therapy on the level of self-health perception and self-esteem. Methods: Quasi-experimental pre-test post-test control group design was carried out on 80 elderly residing at old age homes selected by non-probability convenient sampling technique to test effectiveness of reminiscence therapy. The data was collected by using self-health perception scale consist 32 items and Rosenberg self-esteem scale consist 10 items. Results: The result showed thatthere was a significant difference in self-esteem in the intervention group after the intervention (p=0.03<0.05) and there was no significant difference in self-esteem of the control group (p=0.83>0.05), whereas in self-health perception there was no significant difference in both intervention and control group (p=0.18 & 0.95>0.05). Between the groups there was no significant difference (p>0.05) found in the protest score of self-esteem and self-health perception between intervention and control group, while there is a significant difference found in post-test of self-esteem (p=0.002) and self-health perception score (p=0.004) between the groups. The obtained p values of chi-square and likelihood ratio test were >0.05. Only a few associations were found between both self-health perception and self-esteem with demographic variables that are sex and previous occupation/job in the control group. Conclusion: Reminiscence therapy proved to be effective in improving self-esteem among elderly residing in selected old age homes at Mangaluru, whereas not shown effectiveness in improving self-health perception.


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.


2021 ◽  
Vol 11 (10) ◽  
pp. 72-87
Author(s):  
Madhurima Kumar ◽  
Shipra Modak

Age associated cognitive decline is an important human experience which differs in extent between individuals. Activities of daily living are linked to cognitive function. A descriptive study was conducted to identify correlation between the cognitive impairment (CI) and the performance of activities of daily living (ADL) among elderly people residing in selected old-age homes of West Bengal. The study aimed to determine the relationship between the CI and the performance of ADL among elderly people. Non experimental survey research approach was adopted to collect data from 150 subjects by simple random sampling technique with the help of Demographic Proforma, GPCOG Screening Test and Barthel Index. The study findings revealed that 43.33% of the respondents had cognitive impairment whereas 56.66% were cognitively intact. ADL assessment depicted that 43.33% were moderately dependent, 33.33% were independent, 14.66% were slightly dependent, followed by 8.66% of the respondents who were severely dependent. A strong positive correlation was found between CI and ADL (r = 0.87) and also between CI and age (r = 0.97) of the participants. Statistically significant association was found between cognitive impairment and gender (χ2 = 5.99, <0.05), education (χ2 = 8.81, <0.05), previous occupation (χ2 = 12.80, <0.01), self financial support (χ2 = 10.12, <0.01), family type (χ2 = 15.77, <0.001), presence of chronic disease (χ2 = 4.10, <0.05). Considering the findings some recommendations were offered for future research such as to conduct the study on large sample and different settings. Key words: Cognitive impairment, Activities of daily living, Elderly people, Correlation, Performance.


2021 ◽  
Vol 16 (3) ◽  
pp. 145-153
Author(s):  
Jallavi Panchamia ◽  
Bhavya Bhagat ◽  
Vishakha Bharati ◽  
Anushree Joshi ◽  
Dileep Mavalankar

Background: Coronavirus disease 2019 (COVID-19) has emerged as a public health crisis globally. Management of old age homes have been challenged during the ongoing pandemic crisis, as the elderlies are by far the most vulnerable population group in context to prone to infection of COVID-19 disease. Objective: The study intended to understand the effect of COVID-19 on western Indian elderly care homes, the actions taken by the administration, and the challenges faced during and post-lockdown period. Method: A total of 44 care homes across three states of western India were contacted for data collection during the period of September-December 2020. Semi-structured interviews of the administrators were taken to gather the required information to achieve the study objectives. Results:  Out of 44 care homes, ten care homes reported 169 cases of coronavirus infection and seven deaths. Hence, the rate of reported COVID-19 cases was found to be 1074 per 10,000 residents. Discussion: Results of the study indicated the significant steps taken by these old-age care homes to stave off the infection spread among the occupants. It was observed that an average of 26% of the occupants was sent back to their home/relative’s home before the lockdown to decongest the care homes. Care homes in western India seemed to have a very low infection rate and a very low number of deaths as compared to the Global Scenario. The present study also highlights the gaps in policy and calls for urgent action by the government for the regulation of old age homes in India.   


2021 ◽  
Author(s):  
Roger Clough
Keyword(s):  
Old Age ◽  

2021 ◽  
pp. 16-29
Author(s):  
Roger Clough
Keyword(s):  
Old Age ◽  

2021 ◽  
pp. 185-201
Author(s):  
Roger Clough
Keyword(s):  
Old Age ◽  

2021 ◽  
pp. 4-15
Author(s):  
Roger Clough
Keyword(s):  
Old Age ◽  

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