Elderly Home Research Articles

Prevalence and epidemiological profile of pulmonary tuberculosis among elderly population residing in old age homes in Salem district, Tamilnadu

BackgroundTuberculosis mostly affects adults in their most productive years. However, all age groups are at risk. One of the high risk groups for tuberculosis is the elderly population due to factors like physiological ageing related changes, presence of comorbidities and immunodeficiency. Objective1. To estimate the prevalence of pulmonary tuberculosis among the elderly population residing in selected old age homes.2. To assess the epidemiological profile of pulmonary tuberculosis among the elderly population residing in selected old age homes. MethodologyAn analytical cross sectional study was carried out among elderly inmates (N – 300) of selected 10 old age homes in Salem district of Tamilnadu. A pre tested semi-structured questionnaire was used as a study tool for data collection. Investigations like CBNAAT and X ray were carried out on individuals with presumptive symptoms. ResultsAmong 300 participants, about 50.7% were between 61 and 70 Years and 60.7% were females. Nearly 4.3% were current smokers, 28.7% were hypertensive and 20.6% were diabetic About 15.6% had cough, 11.2% had fever and 4.8% had hemoptysis Prevalence of tuberculosis was 2.6% (260 per 10,000 popultion) in this study. Tuberculosis was reported more in Females, those with presumptive symptoms, underweight individuals, those living in dormitory and those with comorbidity. ConclusionThe results indicate that the key population should be concentrated for routine screening for tuberculosis. Pro-active interventions to seek and diagnose TB disease among older adults are more effective than traditional passive case-finding as we march towards elimination of tuberculosis in India.

EFFECTIVENESS OF HORTICULTURAL ACTIVITY ON DEPRESSIVE SYMPTOMS AMONG OLDER ADULTS

Background: Mental disorders such as depressive symptoms are widespread, often underdiagnosed, and usually inappropriately treated. The early recognition of factors that may promote depressive symptoms with the help of depression screening aid can help to plan better care for the patient. Therefore, this study aimed to assess the depressive symptoms and the effectiveness of horticulture activity to reduce depressive symptoms among older adults in selected old age homes, Dehradun Uttarakhand. Objectives: To determine the effectiveness of horticulture Activity on depressive symptoms among older adults in the experimental group. Methodology: Quasi-experimental approach with a non-randomized control group design was used in the study Non-probabilitypurposive sampling technique was used to collect data, 60 older adults in the age group 60 or above were selected for the study. The subjects were given horticulture activity for approximately 45 minutes once a day for 14 days. Pre-test and Post-test were conducted by using Socio-Demographic Data, and Geriatric Depression Scale. Both descriptive and inferential statistics were used to assess the data. Result: The result revealed that horticulture activity are effective in reduced the depressive symptoms. In experimental group the outcome t value was 18.41 (significant at p≤0.05) and control group t value was 3.15 (Significant at p≤0.05). No significant association between the score of Geriatric Depression Scale in experimental group and control group. Conclusion: This study concluded that pranayama is effective in reducing depressive symptoms among older adults.

Oral Health Status of the Institutionalized Elderly in Mangalore City, Karnataka, South India: Extents, Insights and Action

Oral diseases are progressive and cumulative across the life span and due to this reason, the oral health of the institutionalized elderly is of concern within the realm of geriatric care. An improvement in oral health among the institutionalized elderly will boost their social life, self-confidence, mastication and nutritional status, thereby bringing a positive outlook. To assess the periodontal status, dental caries experience, prosthetic status, and prosthetic need of institutionalized elderly in Mangalore. A cross-sectional study was conducted to assess the dental caries experience, periodontal status, prosthetic status, and prosthetic needs of 143 elderly individuals living in geriatric homes in Mangalore city. The demographic data, periodontal status, prosthetic status, and prosthetic need was obtained using the WHO Oral Health Assessment Form 1997. Dental caries experience was recorded according to the WHO modified DMFT Index. Descriptive statistics was obtained using SPSS version 16. The mean dental caries experience of the study subjects was 8.80. The presence of supra or sub gingival calculus was noted in 44.8 % of the subjects and the presence of a pathological pocket of 4 mm or more was seen in 32 %. About 33 of the subjects did not require any kind of prosthesis in the upper & lower arch. From this survey of the institutionalized elderly population, it was evident that, half of them had supra or subgingival calculus deposits and more than 76.9 % have one or the other need for a prosthesis. Keywords Edentulousness, Elderly inmates, Old age homes, Oral health

Comparative analysis of nutritional status among institutionalised and community-dwelling elderly women and its association with mental health status and cognitive function.

Population pyramids are significantly impacted by the global phenomena of ageing. It has been reported that depression and cognitive function have an impact on the nutritional status of older adults. Depression is the most common psychiatric problem in old age, and cognitive deterioration is frequently observed in this age group. This descriptive and comparative study set out to compare the cognitive abilities, nutritional health and depression status of older adults who lived in community settings and in assisted living facilities. A total of 250 older women (125 from institutionalised old age home and 125 from community) participated in a cross-sectional study (residing at Rajarhat, Newtown area). The lengthy version of the Mini Nutritional Assessment tool (MNA®) was used to evaluate the participants' nutritional status. The Geriatric Depression Scale (GDS 30) was used to evaluate the severity of the depression. Using the Folstein Mini-Mental State Examination (MMSE), cognitive function was assessed. Using SPSS software, the Chi-square, Kruskal-Wallis test, and Spearman's rho correlation coefficient were computed. In the present study, it was observed that only 30.4% of the respondents who are community-dwelling elderly had normal MNA score, whereas 69.6% were at risk of malnutrition or already malnourished. Considering institutionalised elderly it was observed that only 7.2% were normal and 92.8% were malnourished/at risk of malnutrition. Statistically significant association was observed between nutritional status and mental health status (P = 0.00) as well as cognitive function (P = 0.00) among old age home residing elderly. Among the community-dwelling elderly mental health status has significant association with their nutritional status (P = 0.00) and cognitive function (P = 0.00) as well. Community-dwelling elderly were relatively healthy compared to old age home residents. Maintaining the nutritional, cognitive, and mental health of institutionalised and community-dwelling elderly women requires the implementation of physical and cognitive stimulation activities as well as interventions targeted at improving a healthy diet.

UKB.COVID19: an R package for UK Biobank COVID-19 data processing and analysis

COVID-19 caused by SARS-CoV-2 has resulted in a global pandemic with a rapidly developing global health and economic crisis. Variations in the disease have been observed and have been associated with the genomic sequence of either the human host or the pathogen. Worldwide scientists scrambled initially to recruit patient cohorts to try and identify risk factors. A resource that presented itself early on was the UK Biobank (UKBB), which is investigating the respective contributions of genetic predisposition and environmental exposure to the development of disease. To enable COVID-19 studies, UKBB is now receiving COVID-19 test data for their participants every two weeks. In addition, UKBB is delivering more frequent updates of death and hospital inpatient data (including critical care admissions) on the UKBB Data Portal. This frequently changing dataset requires a tool that can rapidly process and analyse up-to-date data. We developed an R package specifically for the UKBB COVID-19 data, which summarises COVID-19 test results, performs association tests between COVID-19 susceptibility/severity and potential risk factors such as age, sex, blood type, comorbidities and generates input files for genome-wide association studies (GWAS). By applying the R package to data released in April 2021, we found that age, body mass index, socioeconomic status and smoking are positively associated with COVID-19 susceptibility, severity, and mortality. Males are at a higher risk of COVID-19 infection than females. People staying in aged care homes have a higher chance of being exposed to SARS-CoV-2. By performing GWAS, we replicated the 3p21.31 genetic finding for COVID-19 susceptibility and severity. The ability to iteratively perform such analyses is highly relevant since the UKBB data is updated frequently. As a caveat, users must arrange their own access to the UKBB data to use the R package.

AN OVERVIEW OF ELDERLY CARE TECHNICIANS IN ELDERLY CARE SERVICES AS A SOCIAL POLICY FIELD

Abstract As in the rest of the world, in Turkey, the ageing population has become an issue that needs to be focused on. Elderly care service includes a social, economic and psychological process. Social policy, elderly care services are carried out by nursing and daycare homes. However, since placing elderly individuals in nursing homes is not a widely accepted approach under the traditional family structure in Turkey, care services are primarily provided in the elderly person's own home or their children's. In addition, the participation of women in working life mainly results in the elderly individuals at home being cared for by a newcomer woman, and this care service is often carried out by people who have not received the necessary training in elderly care and often by foreign national employees; accordingly, the care that should be supplied to the elderly is not provided proficiently. Particularly in the present, the lack of sufficient quantitative health professionals to meet the increasing elderly population causes deficiencies in providing the necessary care. Considering that this deficiency can be met at the technician level, geriatric care technician training programmes are being initiated, and the gap in this field is being filled with trained personnel shortly.

Pain prevalence, intensity, and association with neuropsychiatric symptoms of dementia in immigrant and non-immigrant aged care residents in Australia

Pain recognition for culturally diverse people is complex as pain experience is subjective and influenced by cultural background. We compared the prevalence, intensity, and association of pain with neuropsychiatric symptoms (NPS) between immigrants and non-immigrants living with dementia in residential aged care homes (RACHs) who were referred to two Dementia Support Australia programs. Immigrant status was defined by the documented country of birth. Pain and NPS were assessed using PainChek® and the Neuropsychiatric Inventory, respectively. Subgroup analyses were also completed for English-speaking and non-English-speaking immigrants. A total of 17,637 referrals [immigrants, n = 6340; non-immigrants, n = 11,297] from 2792 RACHs were included. There were no significant differences for the prevalence of pain across all groups. Immigrants were slightly more likely to have moderate pain or severe pain than non-immigrants. Non-English-speaking immigrants had 0.5 points higher total pain scores on average (Cohen’s d = 0.10 [0.05, 0.15], p < 0.001) than non-immigrants. Total pain score had a significant effect on total NPS severity scores in all groups. While pain prevalence is similar across groups, higher pain intensities are more common among immigrants living with dementia. Increased care staff awareness, education, and training about the potential effect of culture on pain expression is needed.

A Study to Effect of Reminiscence Therapy on Psychological Well-Being among Elderly Residing in Selected Old Age Home

Background: As getting older progresses, aged people go through a variety of challenges which influences their psychological well-being as properly. memory therapy for the aged improve their psychological well- being through lowering despair, main to higher lifestyles pleasure, impression of amour, save you dementia, lowering solicitude and inspiring older folks to communicate and engage.  Objectives: To evaluate the level of psychological wellness among elderly earlier than and after management of memory therapy. Materials and Methods Pre-experimental one organization pre and posttest layout.  Participants: Fifty elderly citizens who meet the inclusion standards have been selected by using non-probability consecutive sampling approach.  Selection Criteria: Inclusion standards covered elderly of 60 years and above age of each genders. Pretest turned into finished on 50 samples the usage of changed Ryff’s scale and reminiscence remedy changed into applied. post test completed the use of the identical device.  Results: The look at findings concluded that memory therapy changed into powerful in improving the psychological properly-being of the aged with paired t-check cost 18.02 large at p&lt;0.05. No association among the psychological properly-being parameters and the demographic variables.  Conclusion: The present examine evaluated the effectiveness of memory remedy on the level of the despair amongst aged humans. The take a look at findings discovered that there was a sizeable difference in the pre- check and post -take a look at level of psychological wellbeing among elderly people.

Perception of Caregivers about Oral Health Services for Institutionalized Older Adults: A Mixed Method Study.

In India, the absence of formal training in geriatric dentistry and the lack of recognition of it as a speciality contributes to the deterioration of oral health in the older adults. India lacks specific oral healthcare policies for older adults. Additionally, caregivers' perspective in old age homes regarding oral healthcare services remains underexplored, necessitating further studies in this context. A mixed method study was conducted, and the quantitative component focused on assessing the oral health status of institutionalized older adults and caregivers' perceptions using a questionnaire. The qualitative part evaluates caregivers' perceptions of providing oral healthcare services for older adults through in-depth interviews. Mean DMFT among institutionalized older adults was 15.52±8.23. More than 50% of caregivers perceived that the oral health status of institutionalized older adults was fair. Barriers to oral health services include autonomy, difficulty in traveling, lack of financial support, lack of knowledge and time. Approaches to enhancing oral health services for institutionalized older adults include oral health education for older adults and their caregivers, monthly dental visits to the institution, utilization of portable dental chair services, collaboration with dental colleges/dental clinics, distribution of oral health education materials, and provision of oral hygiene aids. Findings from our study indicate the need to collaborate with dental institutions to provide oral health services in old age homes, to improve the oral health status of older adults and caregivers&apos; knowledge.

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