Elderly Home Research Articles

Impact of Mind-Body Interventions on Psychosocial and Bio Physiological Markers among Elderly

ABSTRACT Background: The global demographic shift toward an older population is witnessing an increase in age-related psychological disorders and chronic illnesses, particularly among those residing in old age homes. Mind-body interventions (MBIs) have shown promise in enhancing mental and physical health without the adverse effects associated with pharmaceuticals. Materials and Methods: This quasi-experimental study involved 42 elderly participants from two old age homes in South India. Participants were divided into an experimental group, which received interventions including Benson’s Relaxation Technique, Guided Imagery, and various mindfulness exercises, and a control group, which received routine care. Assessments of stress, anxiety, depression, and quality of life were conducted at baseline and post-intervention using standardized scales. Results: The experimental group exhibited significant improvements, with reductions in stress scores from an average of 23.71 to 10.86, anxiety scores from 27.62 to 12.71, and depression scores from 10.05 to 5.24. The quality of life scores improved from an average of 37.81 to 54.24. In contrast, the control group showed minimal changes in these psychological parameters, with only slight modifications in quality of life scores from 37.24 to 38.38. Physiological and biochemical markers remained largely unchanged across both groups. Conclusion: The study highlights the critical role of nurses in implementing MBIs to enhance the psychological health and overall well-being of the elderly. Integrating these interventions into regular nursing care can significantly improve the quality of life for elderly individuals, suggesting the adaptation of MBIs as primary non-pharmacological interventions in elderly care practices.

A study to assess the effectiveness of client centered teaching on knowledge regarding fall prevention among senior citizens in selected old age home at Chennai

A study to assess the effectiveness of client centered teaching on knowledge regarding fall prevention among senior citizens in selected old age home at Chennai

Portable Medication Reminder System for Elderly and Alzheimer's Patients

As healthcare demands rise and the senior population grows, innovative results are essential for cases with habitual ails and memory-related conditions like Alzheimer's. Introduces a movable drug memorial System designed for hospitals, old age homes, and independent elderly citizens. The system, erected around an Arduino UNO microcontroller, integrates an IR detector, buzzer, TV display, RTC module, keypad, LED, and GSM module, working together to give timely drug monuments. In hospitals, it integrates into patient care routines, driving visual and audile monuments for nursing staff to insure timely drug delivery. This integration helps drug crimes and ensures that cases are cleaved to their prescribed treatment plans. Old age homes profit from the stonerfriendly device, allowing residents to manage their drug schedules via the TV display and keypad. The system's simplicity and trust ability can significantly ameliorate the quality of life for senior residents. For independent seniors, the movable system provides monuments through the TV display and buzzer, with the GSM module transferring SMS cautions to family members or caregivers if boluses are missed. This point is particularly precious for those who live alone, offering peace of mind to both the seniors and their families. Alzheimer's cases, floundering with memory loss and drug adherence, gain significantly from this system. The combination of visual and audile monuments, along with the straightforward keypad and TV display, offers an effective tool for managing their drug needs. By icing timely drug input, alleviates the progression of symptoms and enhances the overall well-being of Alzheimer's cases.

Effects of changing criteria on improving interRAI assessment for elder abuse: analysis of a national dataset from Aotearoa New Zealand

ObjectivesGlobally, one in six older adults in the community will be a victim of abuse (elder abuse; EA). Despite these horrific statistics, EA remains largely undetected and under-reported. Available screening...

THE DETERIORATING MENTAL STATES OF WOMEN LIVING IN OLD AGE HOMES: A NARRATIVE INQUIRY

Old home living has become prevalent in Pakistan, but it differs significantly from living at home. This narrative inquiry uses in-depth interviews to explore the psychological impact on women residing in old age homes. Using an interpretivist paradigm, five women aged 60-75 from two Lahore old age homes were interviewed. The recurrent themes were "Health-related concerns," "Adverse life events," "Challenges," and "Coping mechanisms." The women, facing financial insecurity and emotional instability, had chosen to live in these homes. Many experienced troubled marriages, neglect from children, and family rejection, leading to depression, anxiety, and medical issues like high blood pressure and diabetes. Their coping mechanisms varied, with some leading to negative outcomes like denial and self-blaming. Isolation and abandonment resulted in hopelessness, bitterness, and negativity. This research highlights the need for mental health awareness and support for female residents in Pakistani old age homes.

New Approaches to Contemporary Elderly Care Home Design

In a developing world today, elderly citizens need extra care and attention. Still, at a point, family members may notbe able to provide proper attention to their older ones for various reasons, which may include busy schedules, theskill required, and equipment; hence, a care home becomes an option that can provide a sustainable livingenvironment for the older people. This paper describes socialization as a major problem faced by the elderly in carehomes, which causes isolation and progresses into depression; hence, it proposes a paradigm shift in design thatgoes beyond the boundaries of a hospital or an isolation center. The architectural solutions propose creating a safespace where the elderly can make new connections and rediscover themselves by integrating a vocational schoolwith the elderly care homes that meet the social needs of elderly citizens, providing them with an adaptive andconducive space. Identifying the needs of elderly people is one of the factors considered very important, as it isnecessary to understand that the care of elderly people can be a bit challenging because they become very sensitiveas they age.

POS DILAN (POSYANDU PEDULI LANSIA) DI DESA SUNGAI BEMBAN KEC. KUBU KABUPATEN KUBU RAYA

Posyandu for the elderly is a place of health services for elderly people (usila) in a certain area. Posyandu for the elderly according to Law no. 13 of 1998 is a forum for services to the elderly in society which focuses on health, psychological and spiritual services, fulfilling nutrition so that the elderly can meet their needs and have adequate social welfare. However, the utilization of posyandu for the elderly is still very far from the target of 90%. Objective: Helping the people of Sungai Bemban Village, especially the elderly of Karya Baru Hamlet, Sungai Bemban Village. Method: This community service was carried out in Sungai Bemban village, Kubu sub-district, Kubu Raya regency on 19-20 September 2021. The target was the elderly. The activities carried out were health checks and elderly exercise. Results: There were 18 elderly people who took part in this pos dilan activity with the majority (72%) experiencing high blood pressure, cholesterol (44%), blood sugar (33%). Conclusion: Dilan Posyandu activities went smoothly, the participants looked enthusiastic about taking part in the posyandu, as well as the cadres who provided support, while most of the elderly did not attend because the examination location was quite far from the elderly's homes.

Problems and design strategies for elderly housing

In article describes the choice of methods for caring for the elderly and the comfort of living spaces are closely linked to aging-friendly design. Aging leads to a decline in physical functions, resulting in numerous obstacles in life. Therefore, the article analyzes the activity of housing for the elderly, taking aging-friendly design as a starting point. The development status of elderly housing needs in management, safety, social interaction, respect, and other aspects are examined. Design strategies conducive to aging, in terms of lighting, ventilation, detailed environment, public spaces, and intellectual services, are proposed. This aims to enhance comfort, safety, and livability in housing for the elderly and ensure the quality of life for older people. With the rapid growth in demand for elderly care, the vacancy rate in elderly housing reaches 50%. Due to changes in social and family structure, most elderly people live alone and lack security. Elderly homes have become ideal places for them. Currently, most care facilities lack professional management, and the services provided are too uniform. This leads to a weak sense of identity, with resources remaining underutilized. For semi-disabled individuals, standardized conditions do not always meet their expectations for rehabilitation care, medical services, and spiritual comfort. Elderly people face behavioral disorders affecting sight, hearing, smell, taste, and touch. Declines in the five senses, including speech impairments, mobility difficulties, and physiological disorders, lead to psychological needs such as socialization and self-realization. Aging-friendly design is based on the physiological and psychological cognitive characteristics of elderly people. It aims to create an environment that meets their needs and ensures effective care for them. The aim of the study is to analyze the problems associated with designing buildings for the elderly and to determine strategies for creating a supportive design that considers the needs and characteristics of the target audience. The work is aimed at improving the comfort, safety, and quality of life of elderly people by providing them with an appropriate living environment.

A comparative study of quality of life of elderly living in old age homes and within family

A comparative study of quality of life of elderly living in old age homes and within family

Managing falls onsite in residential aged care homes reduced hospitalisation: Mixed methods results from the Falls Outreach and Residential Mobile Assessment Team (FORMAT) pilot study.

Falls are the leading cause of hospital transfer from residential aged care homes (RACHs). However, many falls do not result in significant injury, and ageing patients are exposed to complications while hospitalised. Inreach services are designed to reduce hospital transfer by providing care, support and assessment to residents at the RACH. This study evaluated a pilot inreach program targeting ageing patients following a fall. We conducted a prospective, mixed methods evaluation of a 5-month (May-September 2022) pilot implementation across 108 government-funded RACHs within a single health-care network in Melbourne, Australia. A total of 123 residents (median [interquartile range] age: 88 [82, 94] years, female: 49%) were included in the intervention. The majority (n = 116, 94%) of residents were managed onsite and required no further investigation (n = 80, 69%) or treatment (n = 63, 54%). Among the seven residents referred to the emergency department (ED), two received hospital admission and five were transferred back to residential care. In the 7 days following referral to the intervention, four additional residents were referred to the ED and one received hospital admission. Qualitative feedback (n = 40) included specific comments relating to themes of general satisfaction (n = 20, 50%), compliments for staff (n = 16, 40%) and acknowledgement of comprehensiveness (n = 9, 23%). Implementation of a specialised fall assessment team to complement an existing geriatric-led RACH assessment service meant that a high rate of eligible residents were managed onsite, with very low need for subsequent hospitalisation. Residents, family members and caregivers expressed high rates of satisfaction with the service.

A Comparative Study of Elderly People Staying in Old Age Home and Elderly People Staying with Their Family with Respect to Anxiety and Depression

A Comparative Study of Elderly People Staying in Old Age Home and Elderly People Staying with Their Family with Respect to Anxiety and Depression

Differential effects of sleep deprivation on sleepwalking: Role of demographic and clinical profiles

BackgroundAlthough sleepwalking is one of the most prevalent and potentially injurious of the NREM parasomnias, it is still diagnosed primarily based on the patient's clinical history. Early pilot work suggested that sleep deprivation protocols could help obtain a polysomnographically-based (PSG) diagnosis of sleepwalking, but larger studies remain lacking. MethodsWe compared baseline PSG recordings with those obtained after 25hrs of sleep deprivation in a cohort of 124 consecutively assessed adult sleepwalkers. ResultsWhen compared to baseline recordings, post-sleep deprivation PSG assessments resulted in nearly twice as many somnambulistic episodes being recorded in the laboratory and significantly increased the proportion of patients (from 48 % to 63 %) experiencing at least one lab-based episode. Moreover, while 17 % of patients experienced a sleepwalking event exclusively during recovery sleep, only 2 % of patients did so solely at baseline. Sleep deprivation had similar facilitating effects on patents’ somnambulistic events regardless of age of onset and positive versus negative family history for sleepwalking. Younger age and higher home episode frequency both predicted a positive response to sleep deprivation. A separate group of 17 patients with comorbid sleep disorders showed a similar increase in their proportion experiencing at least one episode during recovery sleep. ConclusionThe results from this large series of sleepwalkers provide strong support for the use of sleep deprivation in facilitating the occurrence of somnambulistic events in the sleep laboratory.

Quality of life of elderly in old age home and in the community

Quality of life of elderly in old age home and in the community

Consumption of dairy foods to achieve recommended levels for older adults has no deleterious effects on serum lipids

Background and aimsCorrection of calcium and protein undernutrition using milk, yoghurt, and cheese in older adults in aged care homes is associated with reduced fractures and falls. However, these foods contain potentially atherogenic fats. We aimed to determine whether this intervention that increased dairy consumption to recommended levels adversely affects serum lipid profiles. Method and resultsThis was a sub-group analysis of a 2-year cluster-randomised trial involving 60 aged care homes in Australia. Thirty intervention homes provided additional milk, yoghurt, and cheese on menus while 30 control homes continued with their usual menus. A sample of 159 intervention and 86 controls residents (69% female, median age 87.8 years) had dietary intakes recorded using plate waste analysis and fasting serum lipids measured at baseline and 12 months. Diagnosis of cardiovascular disease and use of relevant medications were determined from medical records. Outcome measures were serum total, HDL and LDL cholesterol and ApoA-1 & B.Intervention increased daily dairy servings from 1.9 ± 1.0 to 3.5 ± 1.4 (p < 0.001) while controls continued daily intakes of ≤2 servings daily (1.7 ± 1.0 to 2.0 ± 1.0 (p = 0.028). No group differences were observed for serum total cholesterol/high-density lipoprotein-C (TC/HDL-C) ratio, Apoprotein B/Apoprotein A-1 (ApoB/ApoA-1) ratio, low-density lipoprotein-C (LDL-C), non-HDL-C, or triglycerides (TGs) at 12 months. ConclusionAmong older adults in aged care homes, correcting insufficiency in intakes of calcium and protein using milk, yoghurt and cheese does not alter serum lipid levels, suggesting that this is a suitable intervention for reducing the risk of falls and fractures. Clinical trial registryAustralian New Zealand Clinical Trials Registry (ACTRN12613000228785) 2012; https://www.anzctr.org.au.

Providing Ergonomic Exercise Therapy To Reduce Joint Pain In The Elderly In Jember's Nursing Home

Providing Ergonomic Exercise Therapy To Reduce Joint Pain In The Elderly In Jember's Nursing Home

Comparison of effects of Otago exercise program vs gaze stability exercise on balance and fear of fall in older adults: A randomized trial.

Fall occurrences and the associated risk of injury are debilitating and major health concerns in the older population. Several interventions have been investigated and implemented to address the needs of balance impairments and to reduce the increased risk of falls. This study aimed to compare the effectiveness of the Otago exercise program (OEP) and gaze stability exercises (GSE) on balance and the risk of falls in older adults residing at an old age home facility. Thirty elderly participants were equally and randomly divided into 2 groups: Group OEP received the OEP, and group GSE received GSE for 8 weeks (thrice a week). In addition, both groups also performed core muscle-strengthening exercises. The outcome measures were the Berg balance scale (BBS) and the Fall efficacy scale-International (FES-I). The interventions resulted in significant improvements (P < .001) in both outcome measures in both groups. The mean pretest BBS scores of groups OEP and GSE increased from 40.4 and 39.2 to the mean post-test scores of 48 and 45.2, respectively. Similarly, the mean pretest FES-I scores of groups OEP and GSE also improved from 39.47 and 40.4 to the mean post-test scores of 32.73 and 36.07. The between-group comparison showed greater improvement (P < .05) in OEP group in both variables. OEP and GSE were found to be beneficial rehabilitation programs in improving balance and fear of falls in healthy older adults. However, the OEP was found to be a more effective intervention and may allow better balance and fall prevention improvements. The study has been registered in clinicaltrials.gov (ID: NCT05781776; on 23/03/2023).

SARS-CoV-2 detection in aerosol from community indoor environments

Since its emergence, the COVID-19 pandemic has profoundly and extensively affected global health and society. Numerous studies have focused on detecting SARS-CoV-2 in air samples collected in healthcare indoor spaces, but few have analysed its presence in air samples from other public community spaces. In addition, limited studies have surveyed indoor spaces where it was not known if individuals with COVID-19 were present or had been present at the time of sampling. This study aimed to determine the SARS-CoV-2 genetic load in aerosol samples collected in public community indoor environments where prior knowledge of the presence of infected individuals with COVID-19 cases is not available at the time of sampling.Air samples (N = 497) were collected from healthcare settings, elderly care homes, and educational settings in the Valencian Community, Spain. RNA was extracted and the N1, N2, and E gene fragments of SARS-CoV-2 were quantified using RT-qPCR. SARS-CoV-2 RNA was detected in 8.9 % of air samples. The highest positivity rates were observed in hospitals (16.2 %), elderly care homes (15.3 %), and primary care centres (12.7 %). Concentration of the N1 gene in positive samples ranged 4.3–504 gc/m3 (n = 10), 6.2–77 gc/m3 (n = 8) and 5.1–14 gc/m3 (n = 7), respectively. The genes N2 and E were less frequently detected and generally reported lower concentrations.The frequency of detection of SARS-CoV-2 in aerosols increased at the same time that the population COVID-19 cumulative incidence increased.

Elderly People Health Care Monitoring System Using Internet of Things (IOT) For Exploratory Data Analysis

The majority of senior persons are suffering a loss of physical condition their health is vital, the prevalence of illnesses has increased in the current age compared to previous generations, making health management in hospital sector. One of the concepts that can harness the advantages of the Internet of Things to better the older lifestyle is health monitoring for active and aided functioning. This approach aims to create a wireless communication system designed to remotely monitor patients. Each patient is wirelessly monitored based on Body temperature is measured via a temperature sensor, which gives an accuracy of around some certain value. The sensor carries a heart rate monitor with a pulse oximetry sensor. There are two light-emitting in it; one produces red light and the other infrared light. For tracking the amount of oxygen in the blood, two infrared LEDs are needed, but only one is needed to calculate the heart rate. The ESP 8266 (Node MCU) controller gathers the data and sends it to the specific application and Communication will be sent again to the consumers based on the data examination. The outcome results manage each patient's data separately and are used in hospitals, old age homes, and physically challenged people. Every sensor of data, such as temperature, heart rate, and abnormal heartbeat, will be managed in the database processed with GPS coordinates and data analyses using Think Speak Web Application is for informing about personal health data.

Remanufacturing insulated glazing: five levers through value network mapping of two pioneering projects

Abstract In façade retrofit projects, several challenges are hindering the reuse of insulated glazing. As a result, 1.5 million tons of insulated glass units (IGUs) are being downcycled or landfilled in Europe each year. Yet, niche practices in which IGUs are remanufactured prove that recurring challenges can be tackled. Therefore, this research identifies levers to overcome challenges from two pioneering projects: the swimming pool in Stuttgart-Feuerbach (Germany) and elderly home Betsy Perk (The Netherlands). Through interviews, a detailed analysis of the IGU remanufacturing process is conducted, mapping material flows, steps of the remanufacturing process, the value network (showing roles involved and their main interactions in materials, money, and intangible flows), and specific answers to pre-specified recurring challenges. These potential levers include assigning a reuse coordinator, building a complementary network with early involvement, conducting a feasibility study, specifying reuse ambitions in the tendering documents and/or quotations, and organising the logistics pragmatically. Instead of being one-on-one solutions, the identified levers could tackle several challenges at once. Altogether the results of this study provide a better understanding of reuse practices of façade components. In further research, multiple projects will be compared allowing practitioners to overcome the recurring challenges and to increase reuse in the construction sector.

Depression, quality of life, and cognitive abilities among older adults

The world’s population is aging at an increasing rate. According to the World Health Organization, the global population over 60 is expected to double between 2015 and 2050. Mental health is crucial at every stage of life, encompassing emotional, psychological, and social well-being. This study aimed to explore the relationship between cognitive abilities, depression, and quality of life among older adults as well as to investigate the impact of depression on cognitive abilities and quality of life. Convenience sampling was used to collect data from 107 older adults (61 females and 46 males) living in residential homes with the family or old age homes. Addenbrooke's Cognitive Examination-III, the Geriatric Depression Scale short form, and The World Health Organization Quality of Life Brief Version were used for administration. Non-parametric approaches using Mann Whitney U test, Spearman correlation, and linear regression were employed for data analysis. A significant difference in the levels of depression between older adults living at home with their families and older adults living in old age homes was found. Depression and cognitive abilities and depression and quality of life were found to be significantly negatively correlated. A significant regression equation was present depicting depression has a notable impact on both cognitive abilities and quality of life. The results of this study can contribute to raising awareness and acknowledging the presence of depression and its related effects among older adults, regardless of their living circumstances.