Elderly Home Research Articles

The motor competency level of elderly people measured by Functional Movement Screen protocol

Background and Study Aim. The aim of the study is to determine the level of fundamental skills which consist of motor competence such as balance, mobility, and stability. Material and Methods. The study has been conducted with people living in the elderly home "Jetimat e Ballkanit" who are representative of these people's category living in Kosovo. 10 women and 10 men aged 50-65 were included in the study on a voluntary basis. The height, body mass, and all body composition, such as Body mass index, Body fat percentage, Body water, Muscle mass, Bones, Kilocalories, and Visceral Fat, were measured with medical scales (Tanita BC 545 N Innerscan Segmental Personal Body Analysis). Functional Movement Screen is composed of the Deep Squat, Hurdle Step, Incline Lunge, Shoulder Mobility, Active Straight-Leg Raise, Trunk Stability Push-Up, Rotary Stability, were applied. The SPSS 26 packet was used in the data analysis. Categorization of the participants with pain, low, average, and high ability were made by using frequency statistics. Differences between genders and right/left extremities were made by using Independent-Samples T-Test. Also, a regression Linear model and the Backward Elimination method were applied. Results. Gender and right/left dominancy analysis of the Functional Movement Screen scores has shown that no statistical differences appear in the data analyzed in the study (p>0.05). The frequency analysis has shown that 11.1-22.2% of the people living in the elderly home have pain while applying the movements. 24.06% of them have shown low ability in the Functional Movement Screen protocol, 30.39% seem to have a normal level of functionality. There are just 37.01% of them who resulted to be in good condition based on the Functional Movement Screen protocol. Conclusions. The analysis of the study concludes that the lacking of functionality in the motor competency level of elderly people may occur from their nutrition. That, is reflected in motor competency level through decreases in muscle mass, bone density, and increases in fat percentage, body mass index, and body weight.

A framework for elderly participation in Primary Health Care in Tabriz Health complexes

BackgroundA framework for increasing elderly participation in Primary Health Care (PHC) is a vital issue considering the growing population. After examining the situation and elderly participation in the provision of PHC in the health complexes of Tabriz City, the present study presents the framework of elderly participation in PHC.MethodsThis is a mixed-method study. First, we reviewed the models of elderly participation in PHC worldwide using a comprehensive search of literature. Then, we extracted the service providers’ and the elderly's views regarding the obstacles and solutions for the elderly participation in PHC in Iran using the interviews and focus group discussions (FGD). We conducted three FGDs (8–10 people) and seven individual interviews. Data were analyzed using the content analysis method. We developed the proposed framework for the participation of the elderly in PHC using a panel of experts and checked and confirmed the framework's validity using the Delphi technique with 11 experts from the content validity index and modified kappa coefficient.ResultsBased on the result of included studies in the systematic review, the characteristics of the participation models were classified into five areas: the characteristics of the service user, the main facilitator of the intervention, the type of ownership of the center, the subject and the method of participation. The solutions and obstacles, and problems presented by the service providers and users in different areas include 12 themes (elderly participation, home care, and self-care, respect for the elderly, cooperation of different organizations, service package for the elderly, referral system, planning for the elderly, considering insurance for the elderly, the role of informing the elderly, mental health of the elderly, physical space of centers and training of elderly caregivers) and 46 sub-themes. The final framework also includes five themes (approaches and strategies to attract participation, indicators, and consequences of participation of the elderly, implementation strategies of elderly care, implementation infrastructure and goals and areas of participation of the elderly) and sub-themes.ConclusionThe results of the study indicate that the final framework obtained should be used based on a systematic model for elderly participation in PHC and should be implemented and followed up based on local strategies and specific indicators, considering all capacities.

Prevalence of Depression and Drug Use Pattern among Elderly People in Living in Old Age Homes in Kathmandu

Among 150 respondents, 25 [16.67%] respondents were normal. Out of theses 25respondents, 98 [65.33%] and 27 [18%] respondents had mild and severe depression respectively according to GDS. Regarding the socio-demographic information of the respondents, 7.33% were of age 60-64yrs, 10.66% were of 65-69 yrs, 31.33% were of 70-79 yrs, and 51.33 were of >80 yrs. 100 percent of the elderly people were regularly using drugs, and the average patient was regularly using more than 21 drug classes. The most common classes of drugs used by the older people living in Old Age Homes were antihypertensive agents [9.33 %], vitamins [8.67 %], cardiac drugs [3.33%], cardiovascular dilators [2%], laxatives [6%], and tranquilizers [4%], diuretics [6.67%], and least class of drug used was sedatives i.e. [0.67%], and following drugs classes were hypnotics [6%], antidepressants [2.67%], anti-arrhythmic drugs [3.33%], pulmonary drugs [4.67%], antacids [5.33%] and anti-secretary agents [4%].
 Keywords: Old age homes, hypnotics, antidepressant, depression, drug pattern

An empirical study on the collaborative usability of age-appropriate smart home interface design.

The smart home has become a popular product, but with the development of the aging population, the differentiated characteristics of the elderly smart home products in terms of demand and use are becoming more and more significant. The existing smart products are complicated to operate and cumbersome to interact with, which increases the cognitive load of the elderly group and hinders the daily use and user experience feeling of the elderly. The purpose of this paper is to study the interface data information and interface visual design starting from hardware and software, interface interaction, to explore the better interface data information and interface visual design, and to output, a new prototype of the operating interface of smart home system for the elderly, so that the smart products can be better used by the elderly. Thirty-two participants aged 55-75 were invited to conduct the test, and subjective evaluation was conducted at the end of the test. Through the tests, the operability of the prototype structure for smart furniture systems for the elderly was demonstrated. In terms of functionality a new task based on a combination of icons and text is proposed. In the control of devices, the switching status of devices, etc., needs to be clearly distinguished visually, eye-protective bright colors are used, paired with low saturation to highlight the focus, and high bright colors with gray to distinguish the device status. In terms of the density of the content, an appropriate proportion of images and text were used to make the information less dense. ln the arrangement of web content, information content relevant to users was placed first as much as possible. Based on this, a secondary optimal design was carried out to improve the interactive design of the smart home for the elderly and output it as a prototype interactive interface. Thus, the operability, rationality, and aesthetic comfort of the prototype design of smart home interaction in an age-friendly scenario are improved, allowing the elderly to have a better experience when using the smart home.

Application of co-design in residential aged care: a scoping review protocol.

The objective of this review is to identify the extent and nature of the existing literature on co-design with residents residing in aged care facilities. Involving older people in their own care is a key challenge facing the aged care sector. Co-design is an approach that focuses on involving end users in the design of services. Mapping the evidence on co-design in residential aged care will identify the nature and extent of how older people living in residential care have been engaged in the design and delivery of their care. This scoping review will include peer-reviewed primary studies; systematic and scoping reviews; and gray literature, including abstracts and reports of governments and non-governmental organizations. Older people residing in aged care homes, including those from culturally and linguistically diverse backgrounds and/or living with dementia, who are involved in the co-design, co-creation, participation, involvement, and engagement in their care will be considered for inclusion. This review will be conducted in accordance with the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The databases to be searched will include AgeLine, Cochrane, CINAHL, Embase, Emcare, MEDLINE, PsycINFO, ProQuest, Scopus, Informit Health Collection, and Web of Science. Gray literature searches will include, GreyMatters, BASE, Google Advanced, and World Wide Science. The search will be limited to articles published after December 31, 1999, and to those written in English or with an English-language abstract or summary. Screening and data extraction will occur independently in duplicate. The review outcomes will be presented in tabular format and supported by a narrative summary. Open Science Framework https://osf.io/6ukty.

Willingness to pay (WTP) for elderly homes in China: A survey in Shanghai and Suzhou, China

Willingness to pay (WTP) for elderly homes in China: A survey in Shanghai and Suzhou, China

Assessment of Oral Hygiene Practices, Dentition Status and Treatment Needs of Institutionalized Elderly Living in Geriatric Homes of Dakshina Kannada District, Karnataka, India

Background: With the changing trends of preference for nuclear families in India, the population living in old age home is on rise. Many oral health surveys of elderly have shown the higher proportion of oral health problems among the individuals residing in geriatric homes. Aim: To assess the oral hygiene practices, dentition status and treatment needs of institutionalized elderly living in geriatric homes of Dakshina Kannada District, Karnataka, India. Methods: A cross sectional survey was conducted geriatric homes of Dakshina Kannada District. Pilot study was carried out to check the feasibility of the methodology and to estimate the sample size. The intra-examiner kappa coefficient values were calculated to be 0.79 reflecting a high degree of agreement. The clinical data was collected using Type III examination (ADA). Descriptive analysis of data was done. Results: The study population consisted of 384 Institutionalized elderly aged 60 years and above 39.8% and 60.2% of study subjects were using tooth brush and finger to clean their teeth respectively. Mean number of teeth present with sound crown were 17.5. Mean number of decayed and filled teeth were 2.5 and 0.36 respectively. Mean number of teeth needed root filling were 1. Conclusion: The present study concludes that dentition status was poor among study participants and treatment need was found to be relatively high among the institutionalized elderly living in geriatric homes of Dakshina Kannada District.

Effectiveness of Tomato Juice on Blood Pressure among Elderly

Aims & Objectives: The goal of the research is to evaluate the effectiveness of tomato juice on blood pressure among elderly hypertensive patients in selected old age homes at Mysore. Methods: A quasi-experimental, time series design was adopted to find the effectiveness of tomato juice on blood pressure among 40 hypertensive patients selected using non-probability purposive sampling from selected old age homes at Mysuru. Demographic data sheets and the blood pressure monitoring diary were used as a tool for data collection. The samples were assessed for their BP in a supine position for two weeks 3 times a day an interval of 4 hrs and 8 hrs. The first 7 days were considered as pretest BP. Later 150 ml of tomato juice was administered and post Blood Pressure was assessed simultaneously 3 times a day at intervals of 30 mts, 4 hrs, and 8 hrs. Results: A paired t-test was done to compare the mean pre and post-systolic BP, the obtained t value15.96 was found to be significant at p level<0.01. In the comparison between mean pre and mean post-diastolic BP, the calculated value of 27.35 was found significant at <0.01p level. There was no significant association with the demographic variables. Interpretation and conclusion: Based on the above findings it is inferred that tomato juice is very effective in controlling both systolic and diastolic blood pressure.

The knowledge and attitude of adults towards home safety measures of elders in Saudi Arabia

Background: The population of elderly individuals is increasing rapidly in the Kingdom of Saudi Arabia (KSA). Home safety measures are important for the well-being and independence of the elderly. However, little is known about the knowledge and attitudes of adults towards home safety measures of the elderly in KSA. Methods: This cross-sectional study was conducted in KSA among a sample of 399 adults aged 20 years and above. Data was collected using a designated questionnaire which was distributed through social media platforms. Results: The results showed that the overall knowledge of adults regarding home safety measures of the elderly in KSA was fair in 42% of participants and poor in 38% of participants. Moreover, the attitude of adults towards home safety measures of the elderly was positive in only 34 % of population. Conclusions: Knowledge and attitude regarding elderly home safety measures are significantly correlated and most of the participants demonstrated poor to fair knowledge. However, approximately half of the participants showed a neutral attitude regarding home safety measures towards elders.

The prevalence of depression and its associated factors among the geriatric age group living in the rural area of Wardha District Maharashtra: A cross-sectional study

Background: In India, the percentage of adults over 60 years is rising. Depression is the most prevalent neuropsychiatric condition. People live longer, and households are smaller and crowded, creating stress. These issues influence the mental health of elderly persons and can cause depression. Depression poses a serious threat to public health, especially for senior citizens and inhibits cognitive function and decreases the quality of life. The objective of this study is to determine the prevalence of depression and evaluate its relationship with sociodemographic factors among older people. Methods: Cross-sectional community research will be conducted in the Wardha district. The whole sample of elderly age groups will be examined using a semi-structured survey to identify the sociodemographic features and related risk factors for depression. Using a pre-tested survey called the short version of the Geriatric depression scale (GDS-15), the prevalence of depression in the geriatric age groups of both sexes will be assessed. Conclusions: Older people (those 60 years and older) play important roles in families and the workplace as volunteers. This study will help formulate policies that will inculcate old people to get an insight into how much mental health implications impact everyone, be it adolescents, middle-aged people, or old people. Its significance in public health will pave the road to include mental health screening of old people in non-governmental bodies like NGOs and other organizations like old age homes. Furthermore, the government should pay more attention to old-age depression in the current mental health program so that the burden of the disease can be overcome.

Person-Centred, Culturally Appropriate Music Intervention to Improve Psychological Wellbeing of Residents with Advanced Dementia Living in Australian Rural Residential Aged Care Homes.

This quasi-experimental, nonrandomized intervention study reports the effect of person-centred, culturally appropriate music on psychological wellbeing of residents with advanced dementia in five rural residential aged care homes in Australia. Seventy-four residents attended in person-centred music sessions and culturally appropriate group sessions. Interest, response, initiation, involvement, enjoyment, and general reactions of the residents were assessed using the Music in Dementia Assessment Scale (MiDAS), and interviews and focus groups were conducted with aged care staff and musicians. The overall effect of person-centred sessions at two-time points were: during the intervention-351.2 (SD 93.5); and two-hours post intervention-315.1 (SD 98.5). The residents presented a moderate to high level of interest, response, initiation, involvement, and enjoyment during the session and at post-intervention. However, the MiDAS sub-categories' mean scores differed between the time-points: interest (t59 = 2.8, p = 0.001); response (t59 = 2.9, p = 0.005); initiation (t59 = 2.4, p = 0.019); and involvement (t59 = 2.8, p = 0.007), indicating a significant decline in the effect of person-centred music over time. Interestingly, during the period of time, most of the residents were observed with no exhibitions of agitation (87.5%), low in mood (87.5%), and anxiousness (70.3%), and with a presentation of relaxation (75.5%), attentiveness (56.5%), and smiling (56.9%). Themes from qualitative data collected regarding culturally appropriate group music sessions were behavioural change, meaningful interaction, being initiative, increased participation, and contentment. The findings suggest that the integration of music into care plans may reduce the residents' agitation and improve their emotional wellbeing in rural aged care homes.

Association of Sarcopenia with Physical Performance and Quality of Life in Older Adults

Background: Sarcopenia is a geriatric syndrome characterized by progressive and generalized loss of muscle massand function. Sarcopenia constitutes a major health problem affecting millions of older adults around the worldspecially in countries like India where older population is too large. In India, one of the developing county thereare none of the studies investigating the association of Sarcopenia with physical performance and Quality of Lifewhere there is substantial growth in the aging population. Our study aims to explore association of Sarcopeniawith physical performance and quality of life in older adults.Method: It is an observational study. A sample size of 280 older adults of aged 60 or 60+year were taken fromold age homes. Convenient sampling method was used. Sarcopenia was diagnosed using SARC-CalF and jamarhandheld dynamometer using Asian working group of sarcopenia criteria. Physical performance was measuredusing short physical performance battery and quality of life were assessed using SarQoL questionnaire.Result: 200 older adults were diagnosed with sarcopenia, their physical performance and quality of life wereassessed, results of which suggested that 86% of older adults diagnosed with sarcopenia has a poor physicalperformance and quality of life overall score (mean) of SarQoL was 56.05, among the domains, Leisure activitieshad the lowest quality of life scores and fears were the highest. When analysed for a correlation between SARCCALFand SPPB and SARC-CALF and SARQOL overall score, the results of which demonstrate that there was nocorrelation between them.Conclusion: Results of the study provide evidence that older adults with Sarcopenia are likely to have poor physicalperformance and their quality of life is compromised. Study showed that there is no correlation of Sarcopenia withphysical performance and quality of life.

Relationship Between Activities of Daily Living and Cognitive Linguistic Ability in a Sample of Older Adults Living in Old Age Home

Relationship Between Activities of Daily Living and Cognitive Linguistic Ability in a Sample of Older Adults Living in Old Age Home

Occupational Therapy to Improve Productivity of the Elderly by Creating Photo Frames at Panti Werdha Batam

Aging is accompanied by physiological changes and an increased prevalence of acute and chronic diseases, leading to a decline in organ function and a reduced ability to adapt to environmental factors. Occupational therapy, encompassing activities related to personal care, recreation, and productivity, holds significance for individuals. This study aimed to identify the needs and analyze the situation of elderly residents at the Budi Sosial Foundation's Elderly Home. The four-stage methodology involved situational analysis, health assessments, and physical activity education sessions. The implementation phase included simulation and assistance, where participants were engaged in arranging popsicle sticks into frame shapes. Monitoring and evaluation were conducted to assess the effectiveness of the health assessments and physical activity education, with all 17 (100%) active elderly participants observed. The results demonstrate the potential benefits of occupational therapy in promoting physical activity and overall health among elderly individuals. These findings imply the importance of integrating occupational therapy interventions to enhance the well-being and functional abilities of the elderly population.
 Highlights:
 
 Occupational therapy: A beneficial intervention for elderly individuals' well-being and functional abilities.
 Physical activity promotion: Enhancing the overall health and adaptability of the aging population.
 Health assessment: Evaluating the effectiveness of occupational therapy interventions in elderly care.
 
 Keywords: aging, occupational therapy, physical activity, health assessment, elderly population

Astute exploration of collective mental health events among the residents of elderly care homes

Background & objectiveDeveloping countries are presently witnessing a great burden of rapid aging followed by losing the social values of older adults due to age-related cognitive impairment as well as rising depression levels. This study was designed to assess the cognitive impairment and depression status combinedly among older adults in elderly care homes. MethodsIt was a cross-sectional survey among randomly selected 200 older adults aged between 60 and 80 years residing in some old homes in Dhaka district, Bangladesh. Data were collected through face-to-face interviews while Cognitive function and level of depression were assessed by applying the Standardized Mini-Mental State Examination (MMSE) and Geriatric Depression Scale (GDS). ResultsAmong all the respondents, the majority (81.5%) were staying in old homes for 1–5 years. The majority (91.0%) had difficulties with vision, 40.7% had difficulties with hearing and 19.6% had difficulties moving around. The MMSE test revealed that 43% had moderate cognitive impairment, 36% had mild and 19.5% were found normal while more than half (56%) had severe depression. Significant cognitive impairment was found among the illiterate respondents who did not have any family care support. In addition, higher-educated respondents were found to have more severe depression (OR/p = 6.33/<0.01; 95% CI: 2.36–16.96). Furthermore, severely depressed respondents had more severe cognitive impairment (COR/p = 3.83/0.01; 95% CI: 1.66–8.83). Functional disabilities were also a greater concern for cognitive impairment and depression. ConclusionAn increasing number of old home residents are suffering from significant mental disorders while there is no mental health support in the elderly care homes in Bangladesh. Finally, there is a great need to develop packages and programs of mental health care for senior citizens and their caregivers residing in old homes, which can be scaled up across the country’s mixed healthcare delivery system.

Effect of physical exercise on muscle strength and physical performance among adults with sarcopenia at selected old age homes, Puducherry

Effect of physical exercise on muscle strength and physical performance among adults with sarcopenia at selected old age homes, Puducherry

A study to assess the effectiveness of selected recreational activity on stress among elderly people in selected old age home at Chennai

A study to assess the effectiveness of selected recreational activity on stress among elderly people in selected old age home at Chennai

Effects of Suryanamaskar on Depression and Trunk Flexibility among Older Men

The purpose of the present study was to find out the efficacy of Suryanamaskar on depression and trunk flexibility among older men. For this purpose, thirty older men residing at Anbagam Old Age Home, Chidambaram, Cuddalore District, Tamilnadu, were selected as subjects. The age of the subjects ranged from 50 to 60 years. They were classified into two groups equally. Both groups consisted of fifteen subjects, in which group - I underwent Suryanamaskar and group - II acted as a control that did not involve any special training apart from their daily activities. The training period for the study was six days (Monday to Saturday) a week (twice a day) for twelve weeks. Prior to and after the experimental period, the subjects were tested on depression and trunk flexibility. The Hamilton depression scale assessed depression and trunk flexibility by administering sit and reach test. Levene’s test was used for the paired sample t-test to measure the equality of error variances. The Analysis of Covariance (ANCOVA) was also applied to find any significant difference between the experimental and control groups on selected criterion variables. The result of the study shows that the Suryanamaskar practice group decreased depression and improved trunk flexibility significantly. It was accomplished from The present study result showed that significant differences exhibited between the experimental group and control group on depression and trunk flexibility.

Relocating to an Old Age Home: A Qualitative Analysis of Older Adults Living in the Old Age Homes of Punjab, Pakistan

Shifting to old age homes is a rather new concept in Pakistan. However, it is happening. And there is a need to make it an easy transition for the elderly. The idea was to explore all the issues the elderly face while shifting to old age homes so that they can be tackled in the best possible way. This qualitative study was carried out with the help of 22 respondents, including both males and females residing in three major old homes of Punjab. The interview technique was utilized to gather data, and then themes were analyzed. The thematic analysis of the gathered data indicated various themes, including autonomy and old homes, decision and dependability, quality of life, establishing new relationships and emotional reactions to relocation. Other than these themes, lack of a proper transitional process and role of the staff members are also highlighted. The themes that are being identified in the research will help in highlighting all the issues elderly face while shifting to old age homes. Since it is something that is not in accordance with our cultural values, a proper support system is required to make it as smooth as possible.

ASSESSING THE QUALITY OF LIFE OF ELDERLY PEOPLE IN DIFFERENT SETTINGS OF CHITWAN DISTRICT, NEPAL

Background: Nepal is experiencing a notable rise in life expectancy and increase the number of elderlies as well. The significance of enhancing the quality of life for the elderly is growing within societies, yet it remains an overlooked matter, particularly in developing nations. The objective of the study was to access and compare the QOL of elderly living with their family and in old age homes. Methods: A cross-sectional analytical study was conducted among 156 elderly (≥60 years) in the Bharatpur Metropolitan, Chitwan, Nepal. A total of 78 elderly were recruited from an old age home, and an equal number from a family setting. WHOQOL-BREF questionnaire was used to assess QOL, and descriptive and inferential statistics were used to analyze the data. Results: Overall QOL among the family setting is better than old age homes (p=0.009). Except for the social relationship domain of OAH, overall QOL and overall health perception were found to be significantly correlated with all domains of QOL (p=0.05 and p=0.01). Age, gender, caste, education, land ownership, high blood sugar, taking various types of medicine, and smoking habit were statistically associated with the different domains of QOL in both groups. Conclusions: Overall QOL tends to be better within a family setting and it is notable that the social domain of QOL is specifically linked to overall health. In order to promote a healthy and fulfilling life for the elderly, it is crucial to prioritize efforts towards improving their health and addressing their physical, psychological, and social wellbeing.