Residents Of Old Age Homes Research Articles

Effect of laughing therapy on level of depression among elderly

The early recognition and management of depression in the elderly in old age homes using the healthcare resources help to return them to a happier and more fulfilling life. This study investigated the effect of laughing therapy on level of depression among the elderly in selected old age homes in Thiruvananthapuram. The objectives of the study were to assess the level of depression among elderly and to find out the effect of laughing therapy on level of depression among elderly. The third objective was to find out the association of pre-test level of depression among elderly and selected demographic variables. The study was based on J.W.Kenny’s Open System Model. The research design of this study is Quasi experimental two group pre-test-post-test design. The sample consisted of 60 elderly residing in old age homes Thiruvananthapuram district. Purposive sampling was used. The instruments used in this study were the Modified Yesavage Geriatric Depression Scale and demographic proforma. The participants in the treatment group involved in laughing therapy for 30 minutes each day for 7 consecutive days and those in the control group were monitored for depression. A pre-test was given before administering the laughing therapy and a post-test was performed after 1 week. The findings revealed that in experimental group 60% had mild depression and 40% had moderate depression and in control group 46.7% had mild depression and 53.3% had moderate depression. The laughing therapy given to elderly residing in old age homes had significantly reduced their level of depression (p < 0.01) and also there was significant association between level of depression and gender and educational status. Laughing therapy is an innovative option to promote a healthy environment for elderly.

Prevalence of Psychiatric Morbidity, Physical Illness, and Coping Strategies in Residents at Old Age Homes: A Cross-Sectional Study

Abstract Background: Older adults living in long-term care facilities, such as old age homes, often face a range of physical and mental health challenges that can significantly impact their overall well-being. Objectives: This study investigated the prevalence of psychiatric morbidity, physical illness, and coping strategies in old age home residents in Visakhapatnam, India. Methods: A cross-sectional study recruited 300 consenting residents. Standardized tools, namely the Mini-Mental Status Examination (MMSE), the six-item version of Goldberg's General Health Questionnaire (GHQ-6), and the Mini International Neuropsychiatric Interview (MINI) for diagnosing psychiatric disorders as per DSM-V criteria, were used to assess mental health. The Coping Checklist by Kiran Rao was also used. Results: Significant psychiatric morbidity was found in 15.33% of residents, with depression being the most prevalent disorder. Females, widowed individuals, those from urban backgrounds, and residents of nuclear families were more likely to report depressive symptoms. Physical illness was identified in 70% of the participants. Conclusion: This study highlights a considerable burden of psychiatric illness and physical health problems among residents of old age homes. Furthermore, it suggests that specific demographic factors are associated with an increased risk of depression. These findings emphasize the need for comprehensive mental and physical healthcare services within old age homes, with tailored interventions for vulnerable populations.

Prevalence of Cognitive Defects Among Senior Inmates of Old-Age Homes in a District of South Kerala.

Background Cognitive decline, including mild cognitive impairment and major neurocognitive disorder, is a growing concern among aging populations. The prevalence of these disorders is especially relevant in regions experiencing a surge in elderly care infrastructure, such as Kerala, India. Within the context of sociocultural shifts and a rising elderly population, old-age homes are increasingly becoming the focal point of care and support for cognitive health. This study aims to examine the prevalence of cognitive defects among elderly individuals residing in old-age homes in the Kottayam district of Kerala, India. Additionally, it investigates the relationship between cognitive disorders and sociodemographic variables of the inhabitants in these institutionalized settings. Methodology In this study, 535 elderly subjects were selected from 85 registered old-age homes in Kottayam, Kerala, through systematic cluster sampling. The response rate was 89.6%. Data collection involved a sociodemographic questionnaire, the Picture Memory Impairment Screen (PMIS), and the Mini-Mental Status Examination (MMSE) translated into Malayalam. Data were gathered either from participants, caretakers, or medical records. Ethical guidelines were strictly followed. Statistical analysis was conducted using SPSS Statistics Version 25.0 (IBM Corp., Armonk, NY, USA), employing the chi-square test, t-test, and logistic regression, with a p-value less than 0.05 deemed significant. Results In our study of 535 elderly individuals in Kottayam's old-age homes, age, gender, and education were significantly associated with cognitive impairment, with p-values <0.001, 0.049, and <0.001, respectively. Behavioral factors such as smoking and alcohol consumption showed no significant association. The mean MMSE and PMIS scores were 25.24 and 5.57, respectively. The prevalence of cognitive defects was 170 (31.80%) as per MMSE and 182 (34.00%) according to PMIS. Given the wider acceptance of MMSE, the study established a cognitive defect prevalence of 170 (31.80%) among senior inmates. Conclusions This study reveals a high prevalence (170, 31.80%) of cognitive defects among elderly residents in Kottayam's old-age homes. Age and education were significant predictors, while behavioral factors such as smoking and alcohol were not. These findings underscore the need for targeted healthcare strategies to address cognitive decline in aging populations.

Quality of Life and Geriatric Depression among Elderly Residents in Old Age Homes and Domestic Environments in Kerala.

Aging is a natural and essential part of human life. The Quality of Life (QoL) for the elders indicates their overall well-being and might be a risk factor for many conditions like geriatric depression. The study aims to compare older people living in domestic environments with those in Old Age Homes (OAH) to examine the variations in life quality and the prevalence of geriatric depression. The study followed a mixed-method approach and was conducted in two phases. Phase 1 includes a comprehensive understanding of QoL and geriatric depression that was established by an in-depth random data collection from 80 older adults aged between 60 and 90 years in Kerala, India, using the WHOQOL-BREF and Geriatric Depression Scale (GDS). Data was then analyzed statistically by using an independent sample t-test, Karl Pearson's correlation, linear regression, and descriptive statistics. In Phase 2, by using semi-structured interviews, a random sample of eight people aged between 60 and 80 years was chosen from the Phase 1 pool which involved comparing and identifying the factors influencing geriatric depression and QoL in both living situations using thematic analysis. The findings show that there is a significant negative relationship between quality of life and geriatric depression among older individuals. The elders in old age homes reported a higher quality of life and lower geriatric depression. There were negligible gender differences. Physical, psychological, social, and environmental factors affect the quality of life and geriatric depression. The study also reveals that old age homes provide a better environment for elderly care compared to domestic environments, as they provide enhanced social support, structured caregiving, and better access to healthcare. This study thus paves the way for more compassionate approaches to elderly care and well-being.

IJCM_420A: Chronic morbidity and disability and its effect on quality of life among the institutionalized elderly in Mangalore, South India: A cross-sectional study

Background: Senior citizens, or individuals over 60 years, constitute 8.6% of India’s population. As a result of shifting family dynamics brought about by growing urbanization and globalization, these elderly populations are flocking to elder care centers. The objectives of this research are to ascertain the elderly’s self-reported chronic morbidities, disabilities, and the relationship between these factors with their quality of life (QOL). Methodologys: This cross-sectional study was conducted among 110 residents of old age homes in Mangalore block of Dakshina Kannada district. The data was collected using a semi-structured questionnaire consist of, Indian Disability Evaluation and assessment Scale and the World Health Organization Quality of life Brief Version (WHOQOL BREF) questionnaire and the data obtained was analyzed using SPSS version 24. Odd’s ratio was calculated, independent T test was used to compare the means across the groups and a ‘p’ value &lt; 0.05 was considered as statistically significant. Results: In the current study 65.5% participants were female (N=72) and most of the study participants reported hypertension and musculoskeletal pain (41.8% &amp; 36.7% respectively) as the major ailment they are seeking health care, followed by diabetes mellitus (20.0%), angina (12.3%), asthma (10.9%), COPD (6.4%) and heart attack (4.5%). There was a statistically significant association between age, male gender, and level of disability with quality of life. Age of the participant was found to be directly proportional to quality of life in 2 domains – psychological and social relationships. Male gender was found to be significantly associated with social relationships domain of quality of life. Conclusion: It was shown that there was no clinically significant correlation between chronic morbidities and any dimension of quality of life, suggesting that the frequency and quality of health examinations delivered in the care homes were sufficient, which must carry on in the subsequent years.

Social problems of elderly residing in old age homes of Haryana

Social problems of elderly residing in old age homes of Haryana

EFFECTIVENESS OF GROUP REMINISCENCE THERAPY ON DEPRESSION AMONG THE INSTITUTIONALIZED ELDERLY AT CHESHIRE OLD AGE HOME, LUCKNOW

The inevitable process of growing older is accompanied by a number of social, psychological, hormonal, and physical changes. The quality of life for the elderly is impacted by these changes. People experience mental distress as they become older due to social maladjustment as a result, they may go through a phase of depressive illness, which can develop into a multisystem disorder. Objectives: The objectives of this study were to assess the level of depression among the institutionalized elderly, to evaluate the effectiveness of group reminiscence therapy on depression among the institutionalized elderly and to find out the association between the selected demographic variables and the level of depression. Methods: The pre-experimental research design was employed by the researcher. Purposive sampling was used to conduct the study among 30 elderly residents of Lucknows Cheshire Old Age Home. In order to evaluate the degree of cognition, the data was obtained using the standardized Hindi version of the Mini-Mental Status Examination given by Tiwari, Tripathi, and Kumar.Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., and Leirer, V. O. 30-point Geriatric Depression Scale (GDS) was used to assess the level of severity of depression. Group Reminiscence Therapy was provided for eight consecutive days, with sessions lasting 45 minutes each. Result: According to the findings of the study, group reminiscence therapy significantly reduced the level of depression among elderly people. The mean difference in depression levels between pre-test and post-test among the elderly was 5.430. The paired t-test value (11.023) was found to be significant (p=0.001). Depression and financial support were shown to be significantly associated (p 0.001). Overall, group reminiscence therapy significantly reduced depression in elderly residents of old age home.

Assessment of Prosthetic Status and Oral Frailty among The Geriatric Population Residing in Old Age Homes of Bhubaneswar City-a Cross Sectional Study

Objective: The aim of this study was to assess the prosthetic status and oral frailty of the elderly population residing in old age homes of Bhubaneswar city. Material and Methods: A cross-sectional questionnaire study was conducted among 310 geriatric patients aged 60 years and above residing in old age homes of Bhubaneswar city. Data collection was done using a modified World Health Organization (WHO) 1997 and oral frailty index 8. Descriptive statistics, chi-square test, Pearsons correlation and multinomial logistic regression were used. Results: The mean age of the study population was 66.72±6.86 years. Forty-seven percent of the study population required multiple units in the upper arch and approximately 30% in the lower arch. There was a significant positive correlation between the prosthetic status of the upper teeth and oral frailty (Pearson correlation coefficient: 0.315, p-value &lt;0.0001). A ~1.751-fold risk of oral frailty was detected in participants with increasing age (p-value=0.049). Conclusions: The results of this study suggest that most of the need for prostheses in the aged population was inadequate.

Study of correlation of cognitive status and quality of living in elderly residents of old age home

Study of correlation of cognitive status and quality of living in elderly residents of old age home

Determinants of Malnutrition among Elderly Women Living in Institutional Care.

Healthy aging and well-being are largely influenced by nutrition. The objective of the study was to evaluate the risk of malnutrition in elderly women residing in institutional care and its contributing factors. One hundred institutionalized women aged 60 years and above were screened for malnutrition using Mini Nutritional Assessment (MNA) tool. Details on sociodemographic profile, physical activity, medical conditions, and food habits were gathered through researcher administered survey method. The study participants had an average height of 149.70 cm (±7.31), weight of 50.72 kg (±9.11), body mass index of 22.77 kg/m2 (±4.68), body fat percentage of 31.30% (±8.99), mid-arm circumference of 27.36 cm (±7.84), calf circumference of 30.11 cm (±7.51), MNA score of 10.42 (±4.06), and hand grip strength score of 18.69 kg/lbs (±3.80). Upon analyzing the MNA scores, it was found that 9% of elderly women were well nourished, 62% were at risk of malnutrition, and 29% were malnourished. A significant difference was observed in the mean MNA scores (P < 0.05). Age, education level, body fat percentage, appetite, and dental problems were significantly associated with malnutrition (P < 0.05). Geriatric residents in old-age homes require adequate nutrition to maintain health. This can be achieved by providing individualized meal planning, reducing barriers to eating, and incorporating nutrient-dense foods.

Executing and assessing programme for mental well-being in an old age home during the COVID-19 pandemic by a homoeopathic institution: Challenges and outcomes

Objective: COVID-19 pandemic has affected the provision of psychiatric care across the world and the elderly have been the most disadvantaged. Psychological stress in them is not only due to excess mortality risk but also due to restrictions instituted to mitigate the chances of contracting COVID. The current pandemic is likely to lead to substantial changes in the health-care services as it has shown the need for improved multidisciplinary and community- centered care. The purpose of this paper is to address the challenges faced while implementing a multidisciplinary structured programme for the mental well-being in residents of old age home and assess the role played by the sustainable multidisciplinary structured interventions to alleviate the psychological suffering. The old age home in the study is situated in a remote area of Palghar district. Availing of required medical health-care facility during a pandemic was a challenge in itself, where delivering the multidisciplinary intervention for mental well-being was a much needed and never tested in such a setup. Material and Methods: Primary screening and knowledge of acute and chronic stressors revealed the current status of emotional wounds and hence the emotional sensitivity of the group. Scales (generalised anxiety disorder [GAD-7], patient health questionnaires [PHQ-2] and dementia assessment by rapid test [DART]) were employed to evaluate intensity of anxiety, depressive symptoms and dementia. Techniques to deal with distress demonstrated in each session were based on action learning principles. Structured group interventions were done through relevant videos, group discussions, relaxation techniques, meditation and physical exercise by the team of homoeopathic physicians, psychologist and physiotherapist. Results were subjected to statistical analysis. Results: There was a statistically significant reduction in anxiety following intervention, z = −3.886, P &lt; 0.001, with a large effect size (r =.57). The median score on the anxiety decreased from 10 to 4 in a span of 10 months. No significant improvement was found in physical health and cognitive impairment.

A Study on Prevalence of Selected Mental Disorders (Anxiety, Depression, Dementia) Among Residents of Old Age Home in Jabalpur City, Madhya Pradesh, India

Ageing is a normal phenomenon and an inescapable process. According to W.H.O. Worldwide over 20% of adults aged 60 and over suffer from a mental or neurological disorder and according to the National Mental Health Survey of India (2015-16) the prevalence of mental disorders in geriatric population in the country is 10.90%. Thus, this study aims to assess anxiety, depression and cognitive disorders among persons living in OAH and to explore the various factors associated with it. A descriptive cross-sectional study was conducted in OAH Jabalpur. All residents of OAH were included in the study so no need for sampling. The sample size was 73. A Predesigned semi-structured Questionnaire was used which comprised of the socio-demographic profile with using GAD-7, GDS-15 &amp; MMSE-30 for screening of psychiatric morbidity. Data analysis was done by using IBM SPSS-21. The result shows the mean age of the study subject was 72.14 ±7.482. The prevalence of Anxiety was 19.2%, prevalence of depression was 41.1% and prevalence of cognitive impairment was 23.3%. In this study it was found out that older adults suffering from anxiety, depression and cognitive impairment, most of older adults was widowed and there is a need to provide psychological support, a positive environment and proper care to improve mental health.

Depression among Elderly Residing in Old-age Homes in Devghat, Nepal

Introduction: Depression among the elderly is a common phenomenon that is increasing at an alarming rate in recent years. Depression among the elderly leads to various physical and psychological problems and consequently poor quality of life. Objective: This study was aimed at assessing the prevalence of depression among elderly residing in old-age homes in Devghat, Tanahun, Nepal. Methods: A cross-sectional analytical study design was adopted to assess depression among elderly residing in old-age homes of Devghat town in Tanahun district of Nepal. Non-probability enumeration sampling technique was used to collect the data. The validated Nepali translation of the Geriatric Depression Scale-15 was used to assess depression. Collected data were entered in SPSS version 22 and analyzed by using the Chi-square test. Results: Out of 155 respondents, 45.8% had mild depression followed by 36.8% who had moderate depression. A statistically significant association was found between the level of depression and marital status, educational status, asthma, and habit of smoking. Conclusions: This study showed that the prevalence of depression in old-age homes was very high. This necessitates the provision of regular screening and adequate support and initiatives from concerned authorities to uplift the mental status of these elderly people so that it does not affect their overall health and quality of life.

Assessment of oral health among elderly living in old age homes and within family set up in Bareilly city: A cross-sectional study

Introduction: Aging is a natural process but at the same time, the aging population has substantially increased. Socially this stage is considered the total of one lived experience. Materials and methods: The sample size has been 200 which is 100 in each group. Individuals beyond 60 years of age and who will be able to cooperate with the study were included in the study. World Health Organization oral health assessment form (2013) was used to record the oral health status of the subjects. The data were entered into an excel sheet and transferred to SPSS V. 21. for statistical analysis and Chi-square and ANOVA tests were done. Results: On assessment, 83 percent of old-age home residents and 68 percent from the family group did not have a periodontal pocket. Nonetheless, 12 percent of the individuals in a care home and 31% of the subjects in the family setting had pocket depths of 4-5 mm, while 1% of both groups had pocket depths of 6 mm. In comparison among elderly within the family set up and old age, homes reported a statistically significant difference between the 2 groups (p &lt; 0.001) Conclusion: The findings of this study revealed that the institutionalized geriatric population suffers from a wide range of dental illnesses, the most frequent of which is dental caries. For the same, many of them require extensive treatment.

Cognitive Impairment and Its Correlation with Co morbidities among Elderly Residing in Old Age Homes in Southern India

Background: With aging process, cognitive levels decline which has affected nearly 50 million people worldwide. In view of this, our study aims to estimate the prevalence of cognitive impairment and its correlation with co morbidities among the elderly residing in old age homes in Southern India and determine its various risk factors among them. Methodology: This cross-sectional study was carried among 330 elderly living in old age homes by using multistage sampling method. Study population included Elderly above the age of 60 and residing in old age homes, who were willing to participate. A pretested structured questionnaire was used. Data was analysed using SPSS. Results: Of the 330 participants, nearly 44% had mild to moderate and 36% had severe cognitive impairment. The odds of developing cognitive impairment were 2.5 times more among individuals who had at least one feature of dementia when compared with those who did not have any symptoms. Conclusion: The strategies of National Programmes for Health Care of Elderly and National Mental Health Program do not cater specifically to cognitive impairment. Level of attention given towards Alzheimer’s disease is more when compared to screening for cognitive impairment which is an early precursor for Alzheimer’s disease.

Geriatric Depression and Variables in Residential Homes Located around Religious Beliefs Tagged Land Area

Depression is one of the psychiatric problems in geriatric population with a decrease in wellbeing. There was few prevalence studies carried out in old age residential homes located around spiritual and religious beliefs’ tagged area. This study was to find prevalence of depression and its associations in residents of old-age homes located around spiritual and religious beliefs’ tagged area. A cross-sectional study was carried out in four residential homes with face-to-face interviews using validated GDS-15 and PHQ-9 Nepali version questionnaires. Data were analyzed using percentage, mean, univariate analysis and logistic regression. Among a total of 108 respondents, GDS-15 screening detected 36.2% of residents to be depressed (cut-off 4/5) and PHQ-9 screening detected 37.1% to be depressed (cut-off 4/5). The mean age was 75.7 years (± 8.3). Two-thirds of residents were female and the majority follow Hinduism religion. The majority were illiterate and were farmers in past. Odds of having depression decreases by 92% in self-reported better-satisfied status compared to unsatisfied status and by 89% in self-reported better-financed status compared to worse financed status. Geriatric depression is low in old age homes located around areas tagged with religious and spiritual beliefs. However further comparative study is required to find a correlation of depression with spirituality and religiousness in daily social living. Depression decreases more with self-satisfaction of old age people rather than financial stability.

Elderly People from Old Age Homes have Higher Risk of Malnutrition and Depression as Compared to Family Setup

With increase in average age of population and increasing trend of nuclear families, old age homes are fast becoming a norm in India. The COVID-19 pandemic has made nutritionists revisit the health status of our elderly living in different family set ups. The present study was carried out with the objective to compare the health and risk of malnutrition among elderly (? 60 yrs in age) living in three different residential set ups i.e. old age homes, urban family or rural family. The study was carried out in Hisar district of Haryana state in Northern India. In this cross-sectional study, sixty subjects each (N=180) from the three residential set ups were selected randomly and assessed for depression, level of independence in daily activities and risk for malnutrition. Standard scales viz. Geriatric Depression Scale, Barthel Index and Mini Nutritional Assessment Scale were used. The PAR (Physical Activity Ratio) values for activities performed in a day were aggregated over the period i.e. 24 hours to yield physical activity level. It was observed that respondents from rural family set up were more active as compared to their counterparts in urban family set up or old age homes. Osteoporosis (94.44%), joint pain (87.78%), loss of appetite (85.56%) and anemia (80.56%) were the most commonly reported problems. Per cent prevalence of most problems was higher in old age home respondents. The level of independence for most activities was lowest in old age home respondents as compared to other two residential set ups. Depression was evident in 36.67 per cent of total respondents with higher per cent prevalence in residents of old age home. It may be concluded that elderly people from old age homes have higher risk of malnutrition and depression as compared to urban or rural family setup. Interventions are highly recommended for mental and nutritional well-being of elderly specially those living in old age homes. Considering the increasing trend of old age homes, deeper studies are required on their living conditions. There should be stringent SOP’s for all old age homes and elderly care.

Evaluating the role of residence affecting the mental health among elderly populations in Malaysia: A cross-sectional study.

BACKGROUND:According to the perception of majority of people, especially the elderly, it is believed that elderly people who are sent to old-age homes are more prone to have depression compared to those who are living with the community. This study was aimed to assess the significance of the place of residence in relation to the presence of depression among the elderly.MATERIALS AND METHODS:A cross-sectional descriptive study was conducted between March and August 2020 to assess the depression among the elderly population residing in the Muar district, of Malaysia. A random table was generated of 250 house numbers in Muar where there is at least one geriatric person was living and a random sampling method was used for data collection. A questionnaire was distributed to a sample size of 250 old folks of Muar: those residing in old-age homes (n = 125) and those residing in their own houses (n = 125). A standard sociodemographic and geriatric depression scale interview was employed for data collection. All details were keyed into the SPSS version 22 software Standard Gradpack 23, and simple description and inferential statistics such as mean, median mode, percentages, and Chi-square tests were performed to compare the effects of different residences toward the mental health of the elderly.RESULTS:The total mean age of the elderly in both the places was 73.06 ± 9.116 years. Female respondents of this research accounted for 52.8%. In terms of religion, Islam had the highest number of respondents of 46.8%, followed by Buddhist (33.6%), Christian (10.8%), and Hindu (8.8%). The percentage of elderly having more than three children was 45.2%. The marital status and employment status of the elderly in Muar area are mostly widowed (40.8%) and retired (50%). They are predominately literate (81.6%) and most have a monthly income less than RM 2000 (90.8%). We found that the prevalence rate of depression was 70.4% in the elderly residing in old-age homes and 24.8% in the elderly living in the community. Females had a higher prevalence of depression than males (60.2% vs. 39.8%) among the elderly in old-age homes, whereas males had a higher prevalence in the community than females (51.6% vs. 48.4%). Logistic regression analysis revealed the place of residence (P < 0.01 and employment status (P = 0.011) as the predictors of depression.CONCLUSION:Results of this study revealed that the high prevalence rate of depression among the elderly is in old-age homes compared to elderly living in the community.

Predictors of sedative-hypnotic usage among residents of old age home in northern India - CORRIGENDUM.

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Predictors of sedative-hypnotic usage among residents of old age home in northern India.

Predictors of sedative-hypnotic usage among residents of old age home in northern India.