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Elderly Care

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Publicada em: Saúde e medicina
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  • Ferociousness of life have contributed to the misery of elders with none to depend upon, no suggests that of financial gain, no emotional security creating them indigent with an issue, regarding the way to persevere with their lives. The growing intolerance among youth, including their inability to regulate with the older, is simply one among the prime reasons for the increase within the range of adulthood homes in India.
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Elderly Care

  1. 1. Elderly care
  2. 2. Contents <ul><li>Statistical interpretation </li></ul><ul><li>Who is an elderly </li></ul><ul><li>Concept of Population aging </li></ul><ul><li>Geriatrics </li></ul><ul><li>Why need care </li></ul><ul><li>What is Old age care </li></ul><ul><li>Where it is given </li></ul>
  3. 3. <ul><li>List of Ngo’s of Chandigarh working for old aged </li></ul><ul><li>Major old age homes and day care centers in Chandigarh </li></ul><ul><li>Government's policies and programme </li></ul>
  4. 4. Some Statistics
  5. 5. <ul><li>Total population 1,129,866,154 </li></ul><ul><li>Birth rate: 22.69 /1,000 </li></ul><ul><li>Death rate: 6.58 deaths/1,000 </li></ul><ul><li>Life expectancy: 68.59 years </li></ul><ul><ul><ul><ul><li>Male 66.28 years </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Female 71.17 years </li></ul></ul></ul></ul><ul><li>Age Structure: </li></ul><ul><ul><li>15-64 years: 63.3% </li></ul></ul><ul><ul><ul><ul><li>Male 374,157,581 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Female 352,868,003 </li></ul></ul></ul></ul><ul><ul><li>65-0ver years: 5.2% </li></ul></ul><ul><ul><ul><ul><li>Male 28,285,796 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Female 31,277,725 </li></ul></ul></ul></ul>
  6. 6. <ul><li>Sex ratio 65 & >: 0.908 male(s)/female </li></ul><ul><li>90% old belong to unorganized sector </li></ul><ul><li>73% are illiterate </li></ul><ul><li>40% below poverty line </li></ul><ul><li>33% on poverty line </li></ul>
  7. 7. Population Projections (in millions) 76 2020 65 2015 58 2010 51 2005 45 2000
  8. 8. Who are Elderly <ul><li>The person who has attained the age of 60 and above is an old person/senior citizen </li></ul><ul><li>People may be considered old when they become grandparents </li></ul><ul><li>When they begin to do less work or become professionally inactive after retirement. </li></ul>
  9. 9. <ul><li>Young old age 60-70 years </li></ul><ul><li>Old old age 70-80 years </li></ul><ul><li>Oldest old age >80 years </li></ul>
  10. 10. Concept of Population Ageing <ul><li>The ageing of a population has been defined as an increase in the proportion of the aged vis-à-vis a decrease in the proportion of the young. </li></ul>
  11. 11. New Disciplines Emerged <ul><li>Geriatrics- is the branch of medicine or social science concerned with the health and care of old people. </li></ul><ul><li>Government introduced policies for welfare of old </li></ul><ul><li>Senior citizen schemes </li></ul><ul><ul><li>Senior citizen cards </li></ul></ul><ul><ul><li>Reserved seats in buses, trains. </li></ul></ul><ul><ul><li>Separate ques </li></ul></ul>
  12. 12. Special Group and Needs Care <ul><li>Physiological reserve capacity ( in terms of muscle strength, cardiorespiratory fitness, skeletal integrity) of older people declines </li></ul><ul><li>Reduction in reserve capacity </li></ul><ul><li>Decline in functional independence </li></ul><ul><li>Reduces their capacity to adapt to new challenges presented by disease and social and environmental factors </li></ul>
  13. 13. Abuse <ul><li>‘ A single or repeated act or lack of appropriate action, occurring within any relationship where there is an expectation of trust, which causes harm or distress to an older person’ </li></ul>
  14. 14. There are five main types of abuse: <ul><li>Physical abuse: (hitting, slapping, burning, pushing, restraining or giving too much medication or the wrong medication) </li></ul><ul><li>Psychological abuse: (shouting, swearing, frightening, blaming, ignoring or humiliating a person) </li></ul>
  15. 15. <ul><li>Financial abuse: (the illegal or unauthorized use of a person’s property, money, pension book or other valuables) </li></ul><ul><li>Sexual abuse: (forcing a person to take part in any sexual activity without his or her consent - this can occur in any relationship) </li></ul>
  16. 16. <ul><li>Neglect : ( where a person is deprived of food, heat, clothing or comfort or essential medication) </li></ul><ul><li>An older person may either suffer from only one form of abuse, or different types of abuses at the same time. </li></ul>
  17. 17. Incidence of Crime against elderly /1000 population 1.2 3.2 Aggravated assault 1.5 2.5 Robbery .1 .3 Rape/Sexual assault .04 .05 Murder 3 6 Serious violence 65 & > 60-64
  18. 18. 2,743 15,006 129,798 151,236 50+ Murder Rape/sexual assault Robbery Aggravated assault Age
  19. 19. Morbidity among elderly
  20. 20. Major causes of death among elderly
  21. 21. 28.19 21.95 Old age death 1.3 1.3 Typhoid 1.5 2.1 Malaria 1.6 1.7 Acute abdomen 2.3 1.9 Diabetes 4.1 4.7 Anemia 5.8 15.1 T.B/Lung 7.1 6.0 Cancer 8.4 9.7 Paralysis 13.2 12.8 Heart 25.8 25.9 Bronchitis/asthma 1995(%age) 1991(%age) Mortality reasons
  22. 22. What is old Age Care <ul><li>Positive interventions for strengthening family and social support systems for the older persons is Old Age Care. </li></ul><ul><li>Components </li></ul><ul><ul><li>Medical care </li></ul></ul><ul><ul><li>Social care </li></ul></ul><ul><ul><li>Security </li></ul></ul>
  23. 23. 1.Preventive services 1.Care by family 1.Law 2.Curative services 2.Rehabilitation 2.Programmes OLD AGE CARE MEDICAL CARE SOCIAL CARE SECURITY
  24. 24. Earlier <ul><li>Traditionally elder care has been the responsibility of family members </li></ul><ul><li>Joint family changes to extended family and then nuclear family system </li></ul><ul><li>In modern societies, elder care is now being provided increasingly by state or charitable institutions </li></ul>
  25. 25. <ul><li>elder care facilities - freestanding assisted living facilities, nursing homes. </li></ul>
  26. 26. Where <ul><li>Depends on condition of individual. </li></ul><ul><li>Normal –home, old age home, daycare centers </li></ul><ul><li>Ill –hospice centers, hospitals ,home (home care nursing) </li></ul>
  27. 27. NGOs list <ul><li>Capital Christian welfare association </li></ul><ul><li>Sahayta cancer sahyog </li></ul><ul><li>Servants of peoples society </li></ul><ul><li>Sai tara ummat foundation </li></ul><ul><li>Help age India </li></ul><ul><li>Asra Foundation </li></ul><ul><li>Ahsaas </li></ul><ul><li>Guru harkrishan society </li></ul><ul><li>Sehat sewa society </li></ul>
  28. 28. Old Age Homes in Chandigarh <ul><li>Ahluwalia old age home Mohali </li></ul><ul><li>Mansa Devi Ashram Panchkula </li></ul><ul><li>Home for old and destitute Sector-15, Chandigarh </li></ul><ul><li>Sai Seva Smiti Ashram Sector-30, </li></ul><ul><li>Chandigarh </li></ul>
  29. 29. Day Care Centers <ul><li>Lajpat Rai Bhavan Sector-15, </li></ul><ul><li>Chandigarh </li></ul><ul><li>Chandikusht Ashram Sector-31, </li></ul><ul><li>Chandigarh </li></ul>
  30. 30. Government <ul><li>National Policy on Older Persons. </li></ul><ul><li>It is a policy document formulated by the Ministry of Social Justice and Empowerment in 1999 </li></ul>
  31. 31. Aim <ul><li>To strengthen their legitimate place in society and help older persons to live the last phase of their life with purpose, dignity and peace. </li></ul>
  32. 32. Principal Areas of Intervention <ul><li>The principal areas of intervention are: </li></ul><ul><li>Financial Security </li></ul><ul><li>Health Care and Nutrition </li></ul><ul><li>Shelter </li></ul><ul><li>Continued Education </li></ul>
  33. 33. <ul><li>Welfare </li></ul><ul><li>Protection of life and property </li></ul><ul><li>Realizing the Potential </li></ul><ul><li>Family Support </li></ul><ul><li>Research </li></ul><ul><li>Training of Manpower </li></ul>
  34. 34. National Initiative on Care for Elderly <ul><li>to enhance the delivery of care to the elderly in de-institutionalized settings </li></ul><ul><li>To develop a cadre of frontline personnel of Geriatric Care Givers </li></ul><ul><li>To impart training to Care Givers in socio-economic, physical, psychological and other related issues of the aged </li></ul>
  35. 35. <ul><li>To generate skilled manpower focused on intervention in the family and community setting for the welfare of older persons </li></ul><ul><li>To identify and promote support systems and networking for care of the older persons </li></ul><ul><li>To facilitate convergence of services of Govt./Non-Govt. sectors both locally and at the national level </li></ul>
  36. 36. Management of old age care <ul><li>Preventive health care </li></ul><ul><ul><ul><li>Primary prevention </li></ul></ul></ul><ul><ul><ul><ul><ul><li>modification in habits </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Immunization (tetanus) </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Injury prevention </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Osteoporosis prevention </li></ul></ul></ul></ul></ul><ul><ul><ul><li>Secondary prevention </li></ul></ul></ul><ul><ul><ul><ul><ul><li>Screening </li></ul></ul></ul></ul></ul><ul><ul><ul><li>Tertiary prevention </li></ul></ul></ul><ul><ul><ul><ul><ul><li>Rehabilitation </li></ul></ul></ul></ul></ul>
  37. 37. <ul><li>Curative </li></ul><ul><ul><ul><ul><ul><li>Medical Test Protocol </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Physiotherapy </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Occupational intervention </li></ul></ul></ul></ul></ul><ul><li>Social and mental care </li></ul><ul><ul><ul><ul><li>Involvement in the mainstream of society </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Designating social roles and responsibilities </li></ul></ul></ul></ul>
  38. 38. <ul><ul><ul><ul><li>Utilizing their experience and wisdom </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Combining old age homes and orphanages </li></ul></ul></ul></ul>
  39. 39. <ul><li>The first age of ‘formation’ should be a time to grow an identity before the consuming busyness. </li></ul><ul><li>Properly balanced, the Second age is the time of one’s major contribution, to work or home or community. </li></ul><ul><li>The third age is the opportunity to be someone different, if we want to be. </li></ul><ul><li>Charles Handy </li></ul>