scholarly journals Impacts of social distancing triggered by COVID-19 in the elderly residents from Long-Term Care Institutions of Brazil

2020 ◽  
Vol 9 (10) ◽  
pp. e6119108737
Author(s):  
Emília Pio da Silva ◽  
Simone Caldas Tavares Mafra ◽  
Francely de Castro e Sousa ◽  
Nicholas Joseph Mayers ◽  
Marli do Carmo Cupertino
Keyword(s):  
Elderly People ◽  
Long Term Care ◽  
Negative Impact ◽  
Well Being ◽  
The Elderly ◽  
Technical Note ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Social Distancing

Introduction: The Coronavirus disease (COVID-19) has a high lethality rate among the elderly people, who are more vulnerable to novel diseases, especially those kept in Long Term Care Institutions for the Elderly (LTCIs). Objective: To describe and discuss how the current social isolation imposed by the pandemic has impacted the senior citizens residing in Brazilian LTCIs. Methodology: Primary research was carried out employing the PubMed and SciELO databases, using the keywords “Coronavirus infection” and “Institutionalized elderly health” and with the keywords “COVID-19" and “Institutionalized elderly” and their respective correlatives in English to search for articles published until September 2020. Results and Discussion: Five Scientific Articles, one Research Note, one Epidemiological Bulletin, and one Technical Note were organized in a table to display their findings. Additionally, other applicable data was collated directly from the hands-on experience of one of the authors, who undertook preceptorship for Physiotherapy interns at a Brazilian LTCI. These institutions can possibly potentiate the propagation and dissemination of this viral disease, therefore, the presently enforced prophylactic strategies, (e.g. social distancing), are essential to help maintain the well-being of the population, even if this may be a detriment to their quality of life. Conclusion: The limitations imposed on social interactions by the pandemic have a negative impact on the cognitive and physical aspects of the elderly people at the LTCIs, who already experience conditions of exclusion and isolation.

scholarly journals Effects of Garden Visits on Long-term Care Residents as Related to Depression

2005 ◽  
Vol 15 (2) ◽  
pp. 298-303 ◽  
Author(s):  
Erja Rappe ◽  
Sirkka-Liisa Kivelä
Keyword(s):  
Elderly People ◽  
Long Term Care ◽  
Well Being ◽  
The Elderly ◽  
Subjective Well Being ◽  
Older Individuals ◽  
Term Care ◽  
Major Health Problem ◽  
Peace Of Mind

Depression is a major health problem among the elderly. Its prevalence is high among those in long-term care. Exposure to the garden environment may alleviate depressive symptoms, but there is little research evidence to confirm this hypothesis. In this study we investigated the perceived effects and meanings related to garden visits among older individuals living in long-term care and assessed whether there are associations between experiences from garden visits and self-rated depression. Data were gathered by surveying 30 elderly people living in Kustaankartano, a nursing home and service center for elderly people in Helsinki, Finland. Prevalence of self-rated depression was high; 46% of the participants were depressed. Both being in the garden and seeing it from the balcony and observing nature were of great significance for most of the participants. For more than half of the participants, visiting the garden improved mood, quality of sleep, and ability to concentrate; it generated feelings of recovery and promoted peace of mind. Affective effects of visiting the garden tended to be more pronounced among the depressed than among those not depressed. The depressed did not consider social interaction and participation in social activities very important for their well-being. Depression tended to be related to perception of the residents that they experienced hindrances and distresses associated with visiting the garden. Although there were indicative differences between the depressed and nondepressed participants in garden experiences, the results suggest that visiting the garden may affect the subjective well-being of both groups positively.

Status and Degree of Dysphagia in the Elderly-A Comparison Study of Long-Term Care Elderly People in an Outpatient Clinic

2003 ◽  
Vol 54 (4) ◽  
pp. 277-284 ◽  
Author(s):  
Masanori Komatsu ◽  
Kayoko Hirata ◽  
Idumi Mochimatsu ◽  
Kazuo Matsui ◽  
Hajime Hirose ◽  
...  
Keyword(s):  
Elderly People ◽  
Outpatient Clinic ◽  
Long Term Care ◽  
The Elderly ◽  
Comparison Study ◽  
Term Care

A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly

2002 ◽  
Vol 8 (2) ◽  
pp. 341-393 ◽  
Author(s):  
B.D. Rickayzen ◽  
D.E.P. Walsh
Keyword(s):  
United Kingdom ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
State Model ◽  
Rate Data ◽  
Term Care ◽  
Care For The Elderly ◽  
The United Kingdom

ABSTRACTThis paper develops a multiple state model to project the number of people with disabilities in the United Kingdom over the next 35 years, thereby identifying implications for demand for long-term care for the elderly in the future.The model requires three types of data: prevalence rate data, transition rate data and trends data. Recent trends in healthy life expectancy data are used to frame the assumptions made regarding changes in the disability rates of the U.K. population in the future.Although there will be a large increase in the number of elderly people in the U.K. over the next 35 years, the projections suggest that the implications for the number of elderly people requiring long-term care could be ameliorated by a reduction in the proportion of older people who are severely disabled.

A Case Control Study of the Risks for Institutionalization of Elderly People in Nova Scotia

1994 ◽  
Vol 13 (1) ◽  
pp. 104-117 ◽  
Author(s):  
Katherine Glazebrook ◽  
Kenneth Rockwood ◽  
Paul Stolee ◽  
John Fisk ◽  
J. M. Gray
Keyword(s):  
Nova Scotia ◽  
Elderly People ◽  
Functional Impairment ◽  
Long Term Care ◽  
Case Control Study ◽  
The Elderly ◽  
Case Control ◽  
Term Care ◽  
Control Study

ABSTRACTFew studies of the risks of institutionalization of the elderly have had fully specified models using multivariate analysis, and several studies have examined highly selected populations, making their generalizability uncertain. We set out to examine the risks of institutionalization in elderly people in Nova Scotia. A case-control study, executed as part of the Canadian Study of Health and Aging examined 108 incident institutional cases and 533 community-dwelling elderly controls, using a standardized assessment interview conducted by trained interviewers. Multiple logistic regression analysis showed that advancing age, presence of dementia, functional impairment, poor self-rated health, recent hospital admission, and absence of a caregiver were important risks for entry into long term care. Institutions providing long-term care for the elderly need to be able to look after populations with a high prevalence of dementia and functional impairment.

scholarly journals Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

2019 ◽  
Author(s):  
Chia-Shan Wu ◽  
Jiin-Ru Rong
Keyword(s):  
Qualitative Study ◽  
Elderly People ◽  
Long Term Care ◽  
Care Facility ◽  
The Elderly ◽  
Living Environment ◽  
Theory Approach ◽  
Major Life ◽  
Term Care

Abstract Background Relocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively. Methods A qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach. Results Participants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts. Conclusions Relocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

scholarly journals Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study

2020 ◽  
Author(s):  
Chia-Shan Wu ◽  
Jiin-Ru Rong
Keyword(s):  
Qualitative Study ◽  
Elderly People ◽  
Long Term Care ◽  
Care Facility ◽  
The Elderly ◽  
Living Environment ◽  
Theory Approach ◽  
Major Life ◽  
Term Care

Abstract Background Relocation to a long-term care (LTC) facility is a major life change for most elderly people. Following relocation, many elderly experience difficulties in adapting to changes in the living environment. Taiwan is increasingly becoming an "aging society” and the numbers of those who relocate from family residences to long-term residential care facilities have increased over years. However, in-depth evidence on the experiences of the elderly of their stay in LTC facilities in Taiwan is relatively sparse. This study aimed to explore the relocation experiences of the elderly to a LTC facility to inform policy and practice to address their needs effectively. Methods A qualitative study, using semi-structured in-depth interviews, was conducted to explore the experiences of 16 elderly people who have relocated to and lived in a LTC facility in Taiwan for up to a period of 12 months. All interviews were recorded, transcribed, and analyzed using grounded theory approach.Results Participants’ accounts reflected four interrelated key themes: wish to minimize the burden, but stay connected with the family; perceived barriers to adaptation; valuing tailored care; and acceptance and engagement. Each theme included interrelated subthemes that influenced one another and represented the different stages in the relocation journey. Most participants viewed relocation as a way of minimizing the burden of their care from family members, but desired to keep a close connection with family and friends. Participants recounted experiences of psychological resistance while making the decision to relocate. Fear of losing autonomy and the ability to perform self-care was a major reason for resistance to adapt. Provision of tailored care was accorded much value by the participants. The decision to accept the relocation and to adapt themselves to the new environment due to their needs for constant care was explicit in some accounts. Conclusions Relocation to LTC facility is a dynamic process in the first year of moving into the facility, and involves a range of emotions, feelings and experiences. Adaptation of the elderly into the LTC facility can be maximized if the relocation is well planned with provisions for individually tailored care and family involvement.

scholarly journals Long-term care of the elderly: Current status, policies and dilemmas

Stanovnistvo ◽  
2012 ◽  
Vol 50 (1) ◽  
pp. 1-18 ◽  
Author(s):  
Gordana Matkovic
Keyword(s):  
Home Care ◽  
Elderly People ◽  
Long Term Care ◽  
The Elderly ◽  
Elderly Persons ◽  
Community Based ◽  
Term Care ◽  
Cash Benefits ◽  
The Government

In Serbia, the long-term care as a system does not actually exist. One part of the system is regulated through cash benefits, one part through institutional social care and community-based social services, and one part is just being established under the health care system. The linkages among these segments are not strong and there is insufficient awareness of the need to regard the different parts of the system as being interdependent and interconnected. According to the different surveys, home care is needed for the daily functioning of more than 80,000 elderly people, especially for around 27,000 of those who are completely immobile. More than 300 thousand elderly persons have indicated that they are in need of some type of self-care support. By tradition, elderly people in Serbia rely primarily on family support. Some are getting the state support as well. Research shows that 62 thousand elderly persons (5 percent) receive attendance allowance; 9,000 elderly are accommodated in institutions (0.7 percent), while 11.7 thousand (1 percent) persons received some type of support through home care community based services. In addition, in Belgrade there are also 2,000 elderly who are beneficiaries of medical and palliative care at home. The government expenditures for these purposes can be very roughly estimated at 0.55 percent of GDP, largely for cash benefits (0.37 percent). Considered over a medium and longer term, the government expenditures on longterm care in Serbia will inevitably increase significantly, primarily due to an increase in the number and share of elderly people and the increase in additional life years spent in ill health or in need of assistance. An increase in the expenditures will also be influenced by a change in the family models and the increasing number of elderly that will be living alone, as well as the diminishing possibilities for reliance on the closest family members, especially due to emigration flows both at local and national levels. Finally, it is important not to neglect the effect of emulating more developed countries, as well as the EU?s pressure to adequately respond to the needs of the elderly. Therefore, the state and society must promptly prepare a systematic, comprehensive, timely and fiscally responsible response. This response must recognize the capacities of all stakeholders, from family to state and non-state and match the capacities with the appropriate roles in the system of long-term care provision.

scholarly journals Factors associated with the institutionalization of the elderly: a case-control study

2016 ◽  
Vol 19 (6) ◽  
pp. 1004-1014 ◽  
Author(s):  
Ezequiel Vitório Lini ◽  
Marilene Rodrigues Portella ◽  
Marlene Doring
Keyword(s):  
Cognitive Impairment ◽  
Elderly People ◽  
Daily Living ◽  
Long Term Care ◽  
The Elderly ◽  
Case Control ◽  
Term Care ◽  
Factors Associated ◽  
Care Facilities

Abstract Objective: to identify the factors associated with the institutionalization of the elderly. Method: a case-control, population-based study was performed with 387 elderly people. The study considered cases of elderly people (n=191) living in long-term care facilities, and a control group (n=196) who lived in homes in urban areas of the city. Both groups were identified from the records of the Family Health Strategy and were randomly selected. Institutionalization was considered a dependent variable, and sociodemographics, clinical factors, functional status, and cognitive impairment were considered independent variables. Comparison between groups was analyzed using the Chi-squared and Pearson tests and the logistic regression model was used in adjusted analysis, with measurements of effect expressed as odds ratio with a 95% confidence interval. Variables with p≤0.20 were considered for entry in the multiple model. Results: variables that remained associated with institutionalization in multiple analysis were: not having a partner (OR=9.7), not having children (OR=4.0), presenting cognitive impairment (OR=11.4), and depending on others to perform basic activities of daily living (OR=10.9). Conclusion: cognitive impairment and dependency for basic activities of daily living were more strongly associated with institutionalization. Home care strategies and preventive actions for risk factors should be stimulated to delay the referral of elderly people to Long Term Care Facilities for the Elderly, and to develop strategies that allow the elderly to remain socially active.

Why so Little Interest in Whether or Not Old People Talk: A Review of Recent Research on Verbal Communication among the Elderly

1979 ◽  
Vol 9 (3) ◽  
pp. 237-245 ◽  
Author(s):  
Rosemary B. Lubinski
Keyword(s):  
Social Interaction ◽  
Long Term Care ◽  
Chronically Ill ◽  
Well Being ◽  
The Elderly ◽  
Old People ◽  
Term Care ◽  
Vital Component ◽  
Fertile Area

This paper is concerned with the spoken communication of chronically ill and aging residents of long term care institutions. Social gerontologists and speech pathologists have investigated areas related to spoken communication, however, there has been almost no investigation of communication from the patients' and staff perspective. Spoken communication is a vital component of social interaction and psychological well being and underlies such concepts as isolation, integration, and adjustment, and is a fertile area for investigation and analysis.

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