Perception on service quality in old age homes: a qualitative study in Karachi, Pakistan

2020 ◽  
pp. 1-13
Author(s):  
Samina Vertejee ◽  
Saleema Allana ◽  
Rozina Somani ◽  
Saher Aijaz
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Old Age ◽  
Community Support ◽  
The Elderly ◽  
Structured Interview ◽  
Entire Study ◽  
Purposive Sampling ◽  
Old Age Homes

Abstract Objectives: The growing number of older people due to demographic transition is paving the way for non-governmental organizations and the private sector for mushrooming of old age homes (OAHs). These homes function either free or fee for services, and the services provided at these OAHs determines the quality of life of older people. The aim of the study was to explore the stakeholders’ perception on the quality of services offered to people living in OAHs. Methods: A descriptive qualitative study design was used to explore stakeholders’ perception of elderly living experiences in old age homes. Three OAH were selected through purposive sampling for the study. Data collected from February –March 2015 through the structured interview guide. Participants’ for FGDs were recruited through universal sampling, while purposive sampling was used for KIIs selection. Researcher ensured all ethical considerations for entire study period. Results: Two major themes were drawn including the reasons and experiences of older people living in OAH, secondly the need for caregivers’ academic competencies. Majority of KIIs and FGDs reported common responses under the two themes. Also the elderly experiences varied from living comfortable to being depressed. KIIs and caregivers’ FGD participants’ strongly urged the need for caregivers’ training and institutional accreditation. Conclusion: In conclusion, the older people experiences challenges of living in OAHs, therefore the study findings strongly proposes community support system and credentialing of the caregivers for age appropriate care. Continuous...  

scholarly journals Impact of quality of life between old age homes and family households in geriatric population

Biomedicine ◽  
2021 ◽  
Vol 41 (2) ◽  
pp. 243-248
Author(s):  
Anju Shaju Areeckal ◽  
Nayanatara Arunkumar ◽  
Pai Sheila R.
Keyword(s):  
Quality Of Life ◽  
Old Age ◽  
Social Participation ◽  
Social Relationship ◽  
The Elderly ◽  
Intimate Relationship ◽  
Elderly Men ◽  
Men And Women ◽  
Old Age Homes

Introduction and Aim: Life satisfaction is a key aspect of psycho-social study of aging. Social relationships and involvement in activities are key protective factors in maintaining cognitive and functional ability in elderly. The aim of this study is to compare the quality of life (1) among the elderly people living in old age homes and those living with their family, (2) among elderly men and women in Mangalore.   Materials and Methods: Study group consists of 160 elderly subjects above the age of 60 years, selected from old-agehomes and urban families in Mangalore. The quality of life is assessed using the questionnaires from the World Health Organization Quality of Life (WHOQOL).   Results: The elderly persons living with their family had a better social relationship and social participation than those living at old age homes (p<0.001). The elderly at old age homes had a better personal and intimate relationship than those living with their family (p<0.001). The elderly men had a better social relationship compared to elderly women (p<0.05).The social participation and intimate relationship was not significantly different for elderly men and women.   Conclusion: Lack of support from family degrades quality of life of elderly. The elderly who experiences social isolation and loneliness are at a greater risk for morbidity, depression and cognitivedecline. Hence, it is the responsibility of every individual to work towards the improvement of quality of life in the elderly population.

scholarly journals Older Portuguese And Mexican Adults And Sexual Well-Being? A Cross-Cultural Qualitative Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 909-909
Author(s):  
Sofia von Humboldt ◽  
Neyda Ma Mendoza-Ruvalcaba ◽  
José Alberto Ribeiro-Gonçalves ◽  
Gail Low ◽  
Isabel Leal
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Old Age ◽  
Demographic Data ◽  
Self Care ◽  
Well Being ◽  
Structured Interview ◽  
Cross Cultural ◽  
Community Dwelling

Abstract Objectives Sexual well-being (SWB) refers to the subjective emotional and cognitive evaluation of the quality of the individual's sexuality, it plays a relevant role in quality of life and health promotion on old age and has cross-cultural implications. The aim of this study is to analyse comparatively the perspectives of older adults on their SWB in Portugal and Mexico. Methods Data were collected from 86 Portuguese and 80 Mexican community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were inquired about their perceptions on what contributes to their sexual well-being. Socio-demographic data were also enquired. Content analysis was used to identify key themes. Results Outcomes indicated eight themes: eroticism, supportive relationship, positive self-concept, health and self-care, romance, active life, tenderness and care, and no pain and no pregnancy restrictions, for both samples. Eroticism was the most frequent theme reported by Portuguese participants (31.4%) and health and self-care were the most frequent theme reported by Mexican participants (26.5%). Conclusions The empirical results of this study indicated that SWB is strongly influenced by socio-cultural and psychosocial values. This cross-cultural comparison between Portugal and Mexico contributes to understand this concept in old age with different perspectives and place a scenario for future culture-adapted interventions and comprehensive policies. Keywords: Mexican, older adults; Portuguese; qualitative study; sexual well-being

scholarly journals Abuse among elderly living in old age homes of Pokhara Lekhnath Metropolitan City

2019 ◽  
Author(s):  
Mira Adhikari Baral ◽  
KC Bhagwati ◽  
Pramila Bhandari
Keyword(s):  
Old Age ◽  
Elder Abuse ◽  
Sampling Technique ◽  
The Elderly ◽  
Structured Interview ◽  
Cross Sectional Study ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
The Status ◽  
Old Age Homes

AbstractElder abuse is a common social problem in developed and developing countries and it imposes a huge impact in the physical and mental health of the elderly. With the changes in the socioeconomic aspect of Nepalese society, many elderly are relocating from their homes to old age homes. This study was conducted to assess the status of abuse among the elderly before they enter to old aged homes.A cross sectional study was conducted to assess the status of abuse among elderly before they enter to the old age homes. Consecutive sampling technique was used and semi structured interview schedule was used to collect the data from 109 elderly residing in 6 old aged homes in Pokhara. Collected data was analyzed descriptive and inferential (chi square) statistics using SPSS version 16.The findings from the study showed that that 97.2% of the elderly experienced some forms of abuse before they were brought to the old Age home. Majority of them reported that they experienced neglect (83.5%) followed by verbal abuse (34.9) while least of them (5.5%) reported that they suffered physical abuse(2.8%) and financial abuse(2.8%). However, no significant association could be seen between abuse of elderly with age, education, marital status, place of residence, having children and adequacy of income. It is recommended that the nation develop and implement necessary plans to strengthen the social security of the people at their old age.

scholarly journals Quality of life among elderly living in old age homes and in family of Kancheepuram district, Tamil Nadu, India

2020 ◽  
Vol 7 (3) ◽  
pp. 1123
Author(s):  
Sahaya Sona Thresa ◽  
Indumathi S.
Keyword(s):  
Quality Of Life ◽  
Old Age ◽  
Tamil Nadu ◽  
The Elderly ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Ageing Society ◽  
Elderly Living ◽  
Old Age Homes

Background: Quality of life in elderly is more relevant towards an ageing society. In India, the awareness is very little about the special needs of the elderly and their care takers (physical and mental health, psychological and social support).  Furthermore, among elderly there is a variation between those living in old age homes (OAHs) and those living in general population. Hence the present study was undertaken to assess and compare the quality of life of elderly living in OAHs and community.Methods: A cross-sectional descriptive study was conducted among elderly in old age homes and family set up of Kanchipuram district, Tamil Nadu. QOL of elderly was assessed using WHO QOL - brief questionnaire after taking informed consent from the participants. Data was analyzed using SPSS 23.Results: A total of 106 elders from each group old age home and family setup were the study participants. Quality of life was good 72.5% in family and in OAHs it was only 56.2%. The main reason for residing in OAHs was no family, lack of care takers. All the four domains were found to be highly statistically significant.Conclusions: From this study we are able to find out that quality of life in family setup is better than OAHs, psychologically many people were depressed as they live separately from their family and relatives, friends and the community they lived.

Effectiveness of neurobic exercise program on memory and depression among elderly residing at old age home

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Divya Raj ◽  
Subramaniam Santhi ◽  
G. J. Sara Sapharina
Keyword(s):  
Old Age ◽  
Depression Scale ◽  
Exercise Program ◽  
The Elderly ◽  
Control Group ◽  
Study Group ◽  
Significant Difference ◽  
The Mean ◽  
Interventional Group ◽  
Old Age Homes

AbstractObjectivesThis study finds out the effectiveness of neurobic exercise program on memory and depression among elderly residing in old age homes.MethodsThe non-probability purposive sampling technique was used for sample selection. Wechsler's memory scale (WMS-IV) and Geriatric depression scale (GDS) were the instruments used to assess the memory and depression among elderly during the pretest and posttest, respectively and the researcher had developed data sheet to collect information about the background variables using interview technique.ResultsThe neurobic exercise program was found to be effective in reducing depression among elderly residing in old age homes. There was a significant difference (p<0.001) in the level of depression had been found during the pretest and posttest in the interventional group. There was a statistically significant difference (p<0.001) found between the study group and in the control group. There was significant correlation (r=0.417, p<0.05) found between the memory and depression during the pretest in the study group among the elderly. A statistically significant association (p<0.05) found in the mean scores of depression and marital status of the elderly during the pretest in the study group and there was a significant association (p<0.01) found in the mean scores of depression and the gender of the elderly during the pretest and posttest in the non interventional group were found.ConclusionsThe findings suggested that neurobic exercise program is an effective intervention in improving memory and reducing depression.

scholarly journals “EFFECTIVENESS OF GROUPACTIVITIES ON PSYCHOLOGICAL WELL BEING AMONG ELDERLY LIVING IN SELECTED OLD AGE HOMES, UTTRAKHAND”

2020 ◽  
pp. 30-32
Author(s):  
Divya Gaur ◽  
J. ManoRanjini ◽  
Grace Madonna Singh
Keyword(s):  
Old Age ◽  
Psychological Health ◽  
Well Being ◽  
The Elderly ◽  
Psychological Problems ◽  
Research Approach ◽  
Full Potential ◽  
Psychological Well Being ◽  
Elderly Living ◽  
Old Age Homes

Ageing is a phase when an individual faces many physical and psychological changes with the passing of years that ultimately affects their life style and their health status also1. Psychological problems and changes in psychological health can directly affect daily activities of the person as he or she will not be able to carry out those activities with their full potential. And due to the less awareness and information about the psychological problems and treatment, they lack to access the services and treatment properly3. Method- Quantitative research approach was adopted; total 61 participants were selected through Consecutive sampling technique. Data was collected by administering Socio- demographic Performa, and Ryff’s Psychological well being scale. The data was analyzed by using descriptive and inferential statistics. Result- In the present study the psychological well being of people residing in elderly homes before the intervention was assessed using interview method. Results shows that majority of sample (91.8%) had good psychological well being , followed by average (8.19%) psychological well being during pre- intervention assessment. Where the post intervention level of psychological well being was found very good in 100% sample. Conclusion- The study concludes that the elderly who are residing in retirement homes without family have some sort of decrease in psychological well being for many reasons they are not able to adjust in the demographic shift and lose their well being. After getting involved in activities, elderly psychological well being was improved to some extent. For all the elderly living in selected old age homes, it’s found that getting involved in group task or activities is a good and effective way to overcome the situation, and it has helped to improved their psychological wellbeing.

scholarly journals Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Sanni Moraes de Oliveira ◽  
Kátia Neyla de Freitas Macêdo Costa ◽  
Kamyla Félix Oliveira dos Santos ◽  
Jacira dos Santos Oliveira ◽  
Maria Auxiliadora Pereira ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Daily Life ◽  
Symptom Relief ◽  
The Elderly ◽  
University Hospital ◽  
Daily Life Activities ◽  
Physical Context ◽  
Thematic Units

ABSTRACT Objective: To reveal the Comfort needs as perceived by hospitalized elders, using Kolcaba’s theory. Methods: Descriptive and qualitative study, with 11 elders hospitalized in a university hospital, aiming to identify their needs for Comfort. Results: Discourses were categorized in four thematic units: Physical, Environmental, Sociocultural, and Psychospiritual. In the Physical context, several subcategories were found, namely, Symptom Relief; Daily Life Activities; Hygiene and personal care; Diet; Sleep and rest. In the Environmental context, the Comfort was considered to be superior than in the elders’ home; in the Sociocultural one, family bonds were found to become more distant, triggering feelings of missing one’s family and isolation, in the Psychospiritual context, spirituality and religiosity stood out. Final considerations: The Comfort needs of the hospitalized elders enable one to reflect on nursing care, offering information to improve the quality of assistance and to attend to the real needs of the elderly.

scholarly journals OLD AGE HOMES: ARE THEY ACCEPTABLE TO PAKISTANI GERIATRIC POPULATION? RESULTS OF A SURVEY OF ELDERLY OUTPATIENTS VISITING TEACHING HOSPITALS IN KARACHI, PAKISTAN

2018 ◽  
Vol 8 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Waris Qidwai ◽  
Imdad Ali Khushk ◽  
Fizzah Farooq ◽  
Muhammad Yusuf Hafiz ◽  
Kashmira Nanji
Keyword(s):  
Old Age ◽  
The Elderly ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Geriatric Population ◽  
Cross Sectional ◽  
Term Care ◽  
Old Age Homes

Background: Worldwide, some one million people pass the sixty year old threshold every month (Ageing, WHO). Between 2010 and 2050, the number of older people in less developed countries is projected to increase. Methods: Cross-sectional study conducted in Outpatient clinics (OPD) of two hospitals in Karachi from April to May 2013. Elderly (> 60 years of age) visiting the clinics were consecutively recruited. 477 elderly were approached and a pretested, structured questionnaire was used to obtain information. Data was analyzed using SPSS version 19 and Pearson chi-square test was used to identify the factors related to choosing of "Old Age Homes". Results: A total of 400 participants were selected. Fifty-five percent of the elderly were in between 60 to 65 years of age and majority was males 54.8 percent. Elderly were aware of the presence of "Old Age Homes" in Pakistan, however only 7 percent choose to live in there. The main reason was found to be that the elderly did not want to go away from their families and loved ones. Conclusion: In conclusion, majority of the participants felt insecure to live in a home with strangers. However, "Old Age Homes" were preferred choice for those with chronic diseases or those living alone. Media should initiate public education programs to reduce social stigmas in seeking alternate long-term care services outside of the family.

scholarly journals "It Is Not Good For Man To Be Alone" The Struggle against Loneliness in Old Age: Basic Assumptions for an Integrative Operational Concept –The Israeli Case

2017 ◽  
Vol 6 (1) ◽  
pp. 82
Author(s):  
Avi Bitzur ◽  
Eran Fisher
Keyword(s):  
Old Age ◽  
Local Level ◽  
Age Groups ◽  
The Elderly ◽  
Dominant Factor ◽  
Comprehensive Plan ◽  
Limited Scale ◽  
Operational Concept

The widespread expression saying that "loneliness is the No. 1 enemy of old age" has, in the 21st century, becomes obvious and banal now that suicide rates among the elderly in many countries and in Israel, the case study for this paper, is higher than among other age groups in those countries.Loneliness itself, its ramifications, consequences, and implications on the lives of the elderly have made it a dominant factor in terms of its potential damage.Old age and loneliness have been the subjects of many different definitions, studies and theories, but despite the quantity and quality of these attempts worldwide, and particularly in Israeli research, there is a conspicuous lack of any comprehensive plan that would address the implications and destructive effects of the loneliness experienced by the elderly. Many limited-scale programs exist on a local level, but they fail to address the clear need to eradicate menacing loneliness.The authors of this essay plan to outline basic principles for designing an operational concept for a national plan to combat the consequences and effects of depression among the elderly, using Israel as an example.This paper will begin with a review of the definitions and literature on the phenomenon of depression, and a review of the literature dealing with the unhealthy connection between old age and depression. We will then review various programs worldwide that deal with the phenomenon of loneliness and old age; continue to present data on the effects of loneliness on elderly Israelis; present various Israeli programs and projects that attempt to deal with this phenomenon; and conclude by detailing the proposed principles for a comprehensive operational approach that maps out this painful phenomenon in Israel and proposes a plan of action on how to best deal with it.

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