scholarly journals Cultural attitudes to the aged: An Indian perspective

1999 ◽  
Vol 55 (3) ◽  
pp. 3-5
Author(s):  
P. Gounden ◽  
T. Puckree
Keyword(s):  
Time Perspective ◽  
Extended Family ◽  
The Elderly ◽  
Cultural Practice ◽  
Cultural Attitudes ◽  
Indian Thought ◽  
Care Workers ◽  
Elderly Health ◽  
Indian Perspective

Institutionalization of elderly Indians seems to have been increasing with the aging of the twentieth century. This paper looks at Indian thought and cultural practice with regard to the elderly in time perspective.  Historically, although the main prescription to cultural practice and respect for the elderly came from the various Indian Scriptures, this was coloured by the specific needs of each society which changed when these societies were nomadic, settled farmers or were actively engaged in war. Later other factors like industrialization resulted in a breakdown of the extended family in which the father no matter how old or productive was the authority figure who demanded respect. This trend was also seen in published literature about the attitude of other nationalities towards their elderly. Health professionals have been grappling with the role of health care workers in achieving successful patients outcomes based on attitudes towards the elderly. More work needs to be done on this subject in this country.

scholarly journals HUBUNGAN PERAN KELUARGA TERHADAP KEAKTIFAN MENGIKUTI SENAM LANSIA

2018 ◽  
Vol 8 (2) ◽  
pp. 173-176
Author(s):  
Ayu Anggraeni
Keyword(s):  
The Elderly ◽  
Health Centers ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area ◽  
Elderly Health ◽  
Cross Sectional Design ◽  
Increased Activity ◽  
Area Health

The role of family at affective, socialization, health care affects the elderly inincreasing active in efforts improved health in physical, mental, social and efforts to increase lifeexpectancy that is free from distractions.Risert purpose to determine the role of the FamilyRelationships Following Gymnastics Against Elderly Motivation In Work Area Health CenterBuild Jaya in 2014.This study used a cross sectional design, engineering to get samples usingcluster random sampling the samples of 54 elderly health centers in the Work Area Jaya Build2014. Processed data using univariate and bivariate using Chi Square test.Most of respondents(75.9%) female, the majority of respondents (53.7%) had a poor family role and most of therespondents (61.1%) active follow gymnastics elderly. There is a relationship between the role ofthe family with the liveliness of the elderly with a p=0.001 CI: 95%. The role of family it will bevery influential to give a support on the increased activity of the elderly so that physicalfunctioning, mental, social get a good care anyway.

scholarly journals A multidisciplinaridade na visita domiciliar a idosos: o olhar da Enfermagem, Medicina e Psicologia

2018 ◽  
Vol 6 (2) ◽  
pp. 72
Author(s):  
Ibrahim Clós Mahmud ◽  
Carla Viero Kowalski ◽  
Bruna Thaise Lavagnini ◽  
Karina Laux Schutz ◽  
Claus Dieter Stobaus ◽  
...  
Keyword(s):  
Home Health Care ◽  
Home Visit ◽  
The Elderly ◽  
Home Health ◽  
Scientific Production ◽  
Search Tool ◽  
Elderly Health ◽  
The Subject ◽  
Management Of Care

INTRODUCTION: Home health care is a practice that goes back to the very existence of families as a unit of social organization. In Brazil, home care covers several aspects, actions of visits, visits and home hospitalizations.OBJECTIVE: To analyze the scientific production of the nurse, doctor and psychologist in the home visit of the elderly in Primary Care in Brazil.METHOD: This is a narrative review using the OMNIS search tool (PUCRS) and uses the following descriptors: “home visit” and “elderly” or “elderly health”. We included articles from the last 10 years (2008-2018), peer reviewed and available in English, Portuguese or Spanish.RESULTS: we found the following publications: 22 in Nursing, 19 in Medicine and 12 in Psychology. After the complete reading of the selected articles, we opted for the analysis of 10 studies in the area of Nursing, 8 in Medicine and 4 in Psychology.CONCLUSIONS: There was a lack of scientific material directly related to the subject in Medicine and Psychology. In the area of Nursing, the articles were more specific about the role of nurses in the management of care.

scholarly journals Optimal SARS-CoV-2 vaccine allocation using real-time attack-rate estimates in Rhode Island and Massachusetts

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Thu Nguyen-Anh Tran ◽  
Nathan B. Wikle ◽  
Emmy Albert ◽  
Haider Inam ◽  
Emily Strong ◽  
...  
Keyword(s):  
Rhode Island ◽  
The Elderly ◽  
Distribution Networks ◽  
Population Immunity ◽  
Risk Of Mortality ◽  
Care Workers ◽  
Elderly Health ◽  
Near Term ◽  
Vaccination Campaigns ◽  
Induced Immunity

Abstract Background When three SARS-CoV-2 vaccines came to market in Europe and North America in the winter of 2020–2021, distribution networks were in a race against a major epidemiological wave of SARS-CoV-2 that began in autumn 2020. Rapid and optimized vaccine allocation was critical during this time. With 95% efficacy reported for two of the vaccines, near-term public health needs likely require that distribution is prioritized to the elderly, health care workers, teachers, essential workers, and individuals with comorbidities putting them at risk of severe clinical progression. Methods We evaluate various age-based vaccine distributions using a validated mathematical model based on current epidemic trends in Rhode Island and Massachusetts. We allow for varying waning efficacy of vaccine-induced immunity, as this has not yet been measured. We account for the fact that known COVID-positive cases may not have been included in the first round of vaccination. And, we account for age-specific immune patterns in both states at the time of the start of the vaccination program. Our analysis assumes that health systems during winter 2020–2021 had equal staffing and capacity to previous phases of the SARS-CoV-2 epidemic; we do not consider the effects of understaffed hospitals or unvaccinated medical staff. Results We find that allocating a substantial proportion (>75%) of vaccine supply to individuals over the age of 70 is optimal in terms of reducing total cumulative deaths through mid-2021. This result is robust to different profiles of waning vaccine efficacy and several different assumptions on age mixing during and after lockdown periods. As we do not explicitly model other high-mortality groups, our results on vaccine allocation apply to all groups at high risk of mortality if infected. A median of 327 to 340 deaths can be avoided in Rhode Island (3444 to 3647 in Massachusetts) by optimizing vaccine allocation and vaccinating the elderly first. The vaccination campaigns are expected to save a median of 639 to 664 lives in Rhode Island and 6278 to 6618 lives in Massachusetts in the first half of 2021 when compared to a scenario with no vaccine. A policy of vaccinating only seronegative individuals avoids redundancy in vaccine use on individuals that may already be immune, and would result in 0.5% to 1% reductions in cumulative hospitalizations and deaths by mid-2021. Conclusions Assuming high vaccination coverage (>28%) and no major changes in distancing, masking, gathering size, hygiene guidelines, and virus transmissibility between 1 January 2021 and 1 July 2021 a combination of vaccination and population immunity may lead to low or near-zero transmission levels by the second quarter of 2021.

scholarly journals Producing (im)mobilities in home care for the elderly: the role of home care agencies in Switzerland

2019 ◽  
Vol 13 (2) ◽  
pp. 23-50
Author(s):  
Huey Shy Chau
Keyword(s):  
Home Care ◽  
The Elderly ◽  
The European Union ◽  
Eu Accession ◽  
Private Care ◽  
Private Households ◽  
Care For The Elderly ◽  
Care Workers ◽  
Free Movement Of Persons

The Free Movement of Persons Agreement has fostered the emergence of a new market for live-in care in Switzerland. Private care agencies recruit women from the European Union (EU) accession states and place them as live-in carers for the elderly in private households. This paper focuses on how these agencies organise these live-in care arrangements.  Drawing on concepts of the politics of mobility, I analyse the production of (im)mobilities through the placement and recruitment practices of care agencies and the power relations that underlie live-in care arrangements. The findings show that live-in care is constituted both by mobilities, exemplified by care workers’ circular movements and need to be highly mobile, and by care workers’ immobilities once they start working in a household. The care workers’ mobility is in turn enabled by the agencies’ placement practices and by infrastructures specialised in their movements, which serve as moorings.

scholarly journals A Country-Level Empirical Study on the Fiscal Effect of Elderly Population Health: The Mediating Role of Healthcare Resources

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 30
Author(s):  
Bo Tang ◽  
Zhi Li
Keyword(s):  
Public Finance ◽  
Population Health ◽  
Elderly Population ◽  
The Elderly ◽  
Healthcare Resources ◽  
Mediating Role ◽  
Health Burden ◽  
Fiscal Balance ◽  
Elderly Health

Demographic shifts towards an aging population are becoming a significant fiscal challenge for governments. Previous research has explored the fiscal consequences of the expanding elderly population, but the impact on the elderly’s health quality is less mentioned. The balanced relationship between elderly population health and public finance is a major concern of the global political agenda on the aging society. This article used cross-country panel data from 2000 to 2019 to examine the fiscal effect of the elderly health burden and the mediating role of healthcare resources. The results are demonstrated: The elderly health burden has a negative impact on fiscal balance, especially in aged society and longevity countries. Moreover, the mediating effect of healthcare resources is significant, whereby various forms of healthcare resources such as funds, labor, and facilities all have significant effects. Thus, the conceptual framework of elderly population health, healthcare resources, and public finance is confirmed that the elderly health burden specifically leads to the growing consumption of healthcare resources, which reduces the fiscal balance. It is concluded that reducing the elderly health burden and improving healthcare resource efficiencies are two feasible strategies to enhance fiscal sustainability.

scholarly journals Welfare Technologies and Ageing Bodies: Various Ways of Practising Autonomy

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Anne Marie Dahler
Keyword(s):  
Elderly People ◽  
Life Story ◽  
The Elderly ◽  
Welfare States ◽  
Service Package ◽  
Science Technology ◽  
Care Workers ◽  
Welfare Technology ◽  
Elderly Citizen

Contemporary policy strategies frame welfare technologies as a solution for welfare states facing the challenges of demographic change. Technologies are supposed to reduce or substitute the work of care workers and thereby reduce attrition among their ranks, reduce costs, and at the same make elderly people self-reliant and independent. In this paper, it is suggested that this way of framing how welfare technologies work with elderly people holds an instrumental view of technologies as well as of bodies and needs to be challenged. Drawing on an STS (Science Technology Studies) understanding of the constituting role of technology in people’s lives, the guiding question in this study is how autonomy is practised in the lives of elderly people using welfare technologies. The study is based on interviews with eight elderly citizens in a Danish municipality who have been provided with a wash toilet and often also other technologies as part of their welfare service package. The study shows how autonomy is practised in various ways, how autonomy is practised in specific areas of life linked to the specific life story and body of the elderly citizen, how autonomy is situational as it is practised in specific situations during the day/week, and how autonomy is relational as it is practised in relation to specific persons and things and with specific persons and things. Implications of these findings are discussed in relation to the implementation of welfare technology as well as forms of governance appropriate for embodied elderly citizens and technologies.

Evoking a shared past by enforcing nostalgia? On the role of media in nursing homes

2019 ◽  
Vol 9 (1) ◽  
pp. 25-37 ◽  
Author(s):  
Christa Lykke Christensen
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Observational Studies ◽  
Well Being ◽  
The Elderly ◽  
Social And Emotional ◽  
Everyday Activities ◽  
Shared Spaces ◽  
Care Workers

Media serve different practical, social and emotional purposes in everyday life at nursing homes. Based on observational studies and interviews with care workers at Danish nursing homes for older people, this article describes how media are integrated in everyday activities in shared spaces at nursing homes with the intention to create a safe and comfortable atmosphere where the residents feel at home. In particular, the concept of mediated nostalgia is used to consider how care workers, to the benefit of the well-being of the elderly residents, screen popular comedies. In this way they aim to stimulate residents emotionally, to evoke their memories and to create a shared past among them.

scholarly journals OFICINAS SOBRE QUEDAS E ACIDENTES DOMÉSTICOS GERAIS EM PESSOAS IDOSAS NO PROGRAMA UniversIDADE

2016 ◽  
Vol 7 (2) ◽  
pp. 75-81
Author(s):  
Jane Kelly Oliveira Friestino ◽  
Denise Cuoghi de Carvalho Veríssimo Freitas
Keyword(s):  
Life Quality ◽  
The Elderly ◽  
Sao Paulo ◽  
São Paulo ◽  
Calidad De Vida ◽  
Palabras Clave ◽  
Elderly Health ◽  
Institutional Relations ◽  
The Individual

O envelhecimento é um processo normal do desenvolvimento do ser humano, caracterizado por mudanças fisiológicas (senescência) ou patológicas (senilidade). Com o avançar da idade, as comorbidades podem estar presentes no idoso. O desempenho das atividades de vida diária fica prejudicado e, devido a alterações sensório-motoras, cognitivas e psicossociais, aumenta a vulnerabilidade para a ocorrência de quedas e acidentes domésticos, comprometendo a capacidade funcional e podendo levar à morte. O objetivo deste trabalho é apresentar o relato de experiência do oferecimento de oficinas intituladas: “Acidentes domésticos com pessoa idosa: prevenção e ação” a um grupo de idosos participantes de um programa específico para essa faixa etária. As oficinas foram ofertadas como parte do Programa de Extensão Universitária–UniversIDADE de uma Universidade pública do interior de São Paulo. Os encontros da oficina foram realizados entre maio e agosto de 2015, com duração de uma hora cada encontro, totalizando sete encontros. Uma enfermeira e uma fisioterapeuta foram mediadoras voluntárias. Os temas abordados foram: quedas, alterações sensoriais, estratégias de prevenção e ação em acidentes domésticos, queimaduras e hemorragias. Quanto aos resultados das oficinas destacaram-se a participação ativa dos idosos nas discussões dos temas abordados e a relevância dos mesmos para a prevenção dos acidentes domésticos e da ocorrência de queda. Considerou-se importante a atuação dos idosos como agentes multiplicadores das informações adquiridas nas atividades, com extensão aos seus familiares, a outros idosos de seu convívio e para sua própria qualidade de vida. Palavras-chave: Extensão Universitária, Relações Comunidade-Instituição, Acidentes domésticos, Prevenção, Saúde do Idoso.   Workshops on falls and general domestic accidents in elderly people in the UniversIDADE Program Abstract: Aging is a natural process of human development characterized by normal physiological (senescence) or pathological (senility) changes. As old age advances comorbidities may impact the individual. The performance of daily activities might be compromised by sensory-motor, cognitive and psychosocial impairments, and as a result, the likelihood of falls and domestic accidents is increased, compromising the functional capability and ultimately being fatal. This paper aims at providing an account of the experiences of the workshop entitled: "Domestic accidents involving the elderly: prevention and action" for a group of elderly in a university program targeting this specific age group. The workshops were offered as part of the "UniversIDADE", an Extension Program of a public university in São Paulo State, Brazil. The meetings were coordinated by two volunteers, a nurse and a physiotherapist. The topics addressed in the workshops were falls, sensory changes, prevention strategies, action to be taken in case of domestic accidents, burns and hemorrhages. The meetings highlighted the active participation of the elderly in the discussions of the topics approached in the workshop and their relevance for preventing domestic accidents. Furthermore, the role of older people as multipliers of information acquired in activities with extension to their families was emphasized to other seniors close to them and as an important aspect to improve their own life quality. Key-words: University Extension, Community-Institutional Relations, Domestic Accidents, Prevention, Elderly Health.   Talleres sobre caídas y accidentes domésticos generales en ancianos del Programa UniversIDADE Resumen: El envejecimiento es un proceso natural del desarrollo humano, caracterizado por cambios fisiológicos normales (senescencia) o patológicos (senilidad). Con la edad avanzada las comorbilidades pueden estar presentes en la vida de los ancianos. El rendimiento de las actividades diarias es perjudicado y, a causa de cambios en la capacidad sensorial-motora, cognitivos y psicosociales, los ancianos están más vulnerables a caídas y accidentes domésticos, lo que puede comprometer su salud y llevar a la muerte. El objetivo de este trabajo es presentar un informe de la experiencia de los talleres titulados: "Los accidentes domésticos con ancianos: la prevención y la acción". Los talleres fueron ofrecidos por el Programa de Extensión Universitaria “UniversIDADE” de una universidad pública de São Paulo, Brasil. Con un total de siete encuentros, los talleres se llevaron a cabo entre mayo y agosto de 2015, con duración de una hora cada, dictados por dos mediadoras voluntarias; una enfermera y una fisioterapeuta. Los temas tratados en los talleres fueron: caídas, cambios sensoriales, las estrategias de prevención y acción en los accidentes domésticos, quemaduras y hemorragias. Como resultados de las reuniones, se destaca la participación activa de los ancianos en las discusiones de los temas tratados en cada actividad y la importancia de ellos como multiplicadores de la información adquirida en los talleres, con extensión a sus familias, a otras personas ancianas de su convivencia y a su propia calidad de vida. Palabras-clave: Extensión Universitaria, Relaciones Comunidad-Institución, Accidentes Domésticos, Prevención, Salud del Anciano

scholarly journals Care in the time of pandemic: Reflections of a son who is a neurosurgeon, on the care his mother received

2021 ◽  
Vol 12 ◽  
pp. 605
Author(s):  
Deepak Gupta
Keyword(s):  
Health Care Workers ◽  
Medical Profession ◽  
The Elderly ◽  
Multidrug Resistant ◽  
Coronary Syndrome ◽  
Left Behind ◽  
Clear Vision ◽  
Care Workers

After having served in the medical profession for over two decades as a neurosurgeon, I got the chance to play a dual role of a COVID warrior and COVID caregiver when my mother in her 80s contracted severe acute respiratory syndrome coronavirus type 2 infections. Acute coronary syndrome, ventilator-associated pneumonia with multidrug-resistant bugs, complicated the course of the disease. Plenty of hard work and dedicated efforts of many doctors in the chain were marred by a handful of disinterested, insensitive health care workers in the treatment chain. Undoubtedly, mortality in ventilated patients is 60–70% or even higher in the elderly patients with comorbidities. However, we as COVID warriors often witness and notice, system failure occurs on various occasions, as happened in my mother’s case. We need to introspect to improve the outcome for other patients. The way we wear PPE kits must change. Clear vision is imperative and fogging of the eyepieces must be prevented. Six hourly HCW shift changes results in breaks in the continued care to sick ICU patients. I am sure that my mother has left behind a deep desire in me to be more caring for my patients. I will dedicate part of my neurosurgical practice to produce caring, empathetic, and compassionate doctors.

scholarly journals Optimal SARS-CoV-2 vaccine allocation using real-time seroprevalence estimates in Rhode Island and Massachusetts

2021 ◽  
Author(s):  
Thu Nguyen-Anh Tran ◽  
Nathan Wikle ◽  
Joseph Albert ◽  
Haider Inam ◽  
Emily Strong ◽  
...  
Keyword(s):  
Rhode Island ◽  
The Elderly ◽  
Distribution Networks ◽  
Clinical Progression ◽  
Population Immunity ◽  
Risk Of Mortality ◽  
Care Workers ◽  
Elderly Health ◽  
Near Term ◽  
Induced Immunity

AbstractAs three SARS-CoV-2 vaccines come to market in Europe and North America in the winter of 2020-2021, distribution networks will be in a race against a major epidemiological wave of SARS-CoV-2 that began in autumn 2020. Rapid and optimized vaccine allocation is critical during this time. With 95% efficacy reported for two of the vaccines, near-term public health needs require that distribution is prioritized to the elderly, health-care workers, teachers, essential workers, and individuals with co-morbidities putting them at risk of severe clinical progression. Here, we evaluate various age-based vaccine distributions using a validated mathematical model based on current epidemic trends in Rhode Island and Massachusetts. We allow for varying waning efficacy of vaccine-induced immunity, as this has not yet been measured. We account for the fact that known COVID-positive cases may not be included in the first round of vaccination. And, we account for current age-specific immune patterns in both states. We find that allocating a substantial proportion (> 75%) of vaccine supply to individuals over the age of 70 is optimal in terms of reducing total cumulative deaths through mid-2021. As we do not explicitly model other high mortality groups, this result on vaccine allocation applies to all groups at high risk of mortality if infected. Our analysis confirms that for an easily transmissible respiratory virus, allocating a large majority of vaccinations to groups with the highest mortality risk is optimal. Our analysis assumes that health systems during winter 2020-2021 have equal staffing and capacity to previous phases of the SARS-CoV-2 epidemic; we do not consider the effects of understaffed hospitals or unvaccinated medical staff. Vaccinating only seronegative individuals avoids redundancy in vaccine use on individuals that may already be immune, and will result in 1% to 2% reductions in cumulative hospitalizations and deaths by mid-2021. Assuming high vaccination coverage (> 28%) and no major relaxations in distancing, masking, gathering size, or hygiene guidelines between now and spring 2021, our model predicts that a combination of vaccination and population immunity will lead to low or near-zero transmission levels by the second quarter of 2021.

Sign in / Sign up

Export Citation Format

Share Document