Objectives: Legacy allows individuals to make meaning of their lives by passing on their experiences and beliefs to younger people and influencing their perspectives, perceptions, and actions. This mixed-methods study investigated: (1) What is important for older adults to share as legacy with families, friends and others, based on the types and features of their digital stories ? and (2) How do older adults’ digital stories affect story viewers? Methods: One hundred adults aged between 55 and 95 years participated in ten-week Elder’s Digital Storytelling courses and created short digital stories. Using the content analysis approach, the story transcripts were thematically analyzed and iteratively coded by three researchers and the results were quantified. A diverse group of 60 viewers at a public event provided their reactions to the digital stories. Results: The findings revealed that character, place, and family were chosen as the primary types by the older adults for their legacy digital stories. Accomplishment and career/school were the next most prominent story types. Moreover, these digital stories appeared to have a powerful impact on the viewers. Discussion: A digital story is a powerful artifact to communicate an older person’s legacy because it is based on familiar forms of communication, such as speech and photographs. The major legacy themes chosen by the older adults align with the findings of the research literature. The feedback from the viewers of the digital stories reflects these as a source of life wisdom and legacy for younger generations. Funding details: This work was supported by the AGE-WELL National Centre of Excellence (AW CRP 2015-WP4.3).
Older Adult Perspectives towards Health Literacy and Knowledge of Chronic Diseases in Nepal: A case study
Background: The individual level of health literacy directly affects the health outcomes of any people. Older adult people are more vulnerable to chronic diseases than other groups of people. Also they have low health literacy and poor understanding of diseases than any other age group of people. Aim: This study aim is to explore older adult perspectives towards health literacy and knowledge of chronic diseases. Methods: The study was taken during December 2019 in the Budhanilkantha Municipality of Kathmandu district of Nepal. Semi-structured interview was conducted in four older adult participants with chronic diseases. It included health knowledge, level of understanding of chronic disease conditions, and the use of health services. Inductive analysis was followed for the patterns, themes, and categories of analysis to emerge. Results: Health literacy and knowledge of chronic diseases, health belief system, and experience of health problems were the emerging themes included here. The study results finds that lack of disease knowledge, low health literacy, health belief system, socio-economic, and cultural factors were influencing factors to chronic diseases among older adults. Participants had a minor knowledge of chronic diseases; they had lack in knowledge regarding their own chronic diseases. Conclusion: Health literacy is an important factor of understanding, accessing and utilizing health knowledge and health services. It is most important that the health literacy of the people is necessary to improve for positive health and gaining the knowledge of chronic diseases. To overcome the chronic health problems it is most important to improve the health knowledge, understanding of chronic diseases, and literacy level to the older adult people.
Psychosocial support for families of persons with dementia through home based care programme from a developing country: Process of intervention development and pilot testing
In India, person with dementia continue to live with their families all through their illness period. It is common in India that because of the family relationships and cultural values the caregiving process is a joint effort made by the adult members in the family. Thus understanding the psychosocial issues of the caregivers of persons with dementia in the Indian context and providing appropriate psychosocial support for the caregivers is essential in the holistic approach for the care for persons with dementia.The current paper shares the process of development of psychosocial intervention for the families of persons with dementia and findings from the pilot study in urban Bangalore. The findings were helpful in systematically developing the content for the proposed homebased care programme for caregivers of persons with dementia. The pilot results show that the psychosocial support through home based programme for the family caregivers of persons with dementia is feasible and effective.
Dementia is a syndrome that occurs due to the difficulty of a patient in doing his cognitive and instrumental activities of daily life with the same performance as before, bringing him losses. This syndrome is caused by numerous primary and secondary etiologies. The most common primary cause of dementia is Alzheimer’s disease (AD), which reaches almost 50% of dementia cases. The DA it consists of biological fragments of the amyloid precursor protein that are deposited in the brain 10 years or more, before the first symptoms appear. The period before the onset of symptoms is called the preclinical stage. The transition between the silence of symptoms and their appearance, usually due to memory loss for recent events, is known as the prodromal phase. Continuing the pathophysiological process, the stage of mild dementia takes place, when the patient has one more cognitive component associated with memory loss; follows the moderate, severe, profound and terminal phase of dementia.
The aging process is considered a worldwide phenomenon, and it is observed that the population has aged, where there is an inversion in the age pyramid resulting from the increase in life expectancy. This phenomenon has been investigated by several national and international studies. As results, there are some justifications that are being cited. Among these, are the presence of some demographic factors such as a reduction in fertilit, fecundity and mortality rate over the years, in addition, we highlight the technological advances in health and improvement in the quality of life of individuals1,2. Consequently, with the presence of these influencing factors, some studies highlight an epidemiological transition, where infectious diseases are being replaced by chronic-degenerative, as the main cause of morbidity and mortality, giving emphasis on dementia syndromes . In addition of aging, are expected physical, psychological and social changes that lead to changes in the life of each elderly. At this stage of life, in addition to chronic conditions, the decline in cognitive functions, such as changes in memory, speed of reasoning, and attention seem to take on a broader dimension. Thus, with the decline of these and other functions, several difficulties can be observed in the execution of activities of daily living of the elderly, implying difficulties in their “coming and going”, that is, in their autonomy and self-care.
India being the largest smokeless tobacco (SLT) producer and consumer in the South East Asia Region (SEAR) entitled with a range of products. SLT consumption is very common because it is associated with socio-economic and cultural perspectives in the India. After the implementation of the first treaty of the World Health Organization Framework Convention on Tobacco Control (WHO-FCTC), public health standards were reaffirmed and improvised through successful implementation of articles since 2007 as reported in the global progress factsheet. Many measures have been implemented for achieving the success of WHO-FCTC in India and to control the huge disease burden induced by tobacco use. The objective of the present study was to understand and explore the factors involved in the SLT demand reduction by revealing the dependence and cessation implementation in India in the context of strategies and policies. For this study, we searched for SLT dependence and SLT cessation literature survey in PubMed and obtained 102 literatures consisting of studies and reviews, which were further scrutinized by excluding the reviews, studies conducted abroad and studies conducted within the last 5 years (after 2015). No statistical significance was observed in comparison of National to International SLT dependence and an attempt to quit SLT following the tenure of a year. This is in-line with GATS-2 and international data. We have also discussed a diverse approach in the control of SLT at different levels-such as SLT users, healthcare professional, policy advocates supplier, labeling, legal policies, and educating at various platforms. Effective strategies for the cessation of SLT is mandatory with proper guidance for the manufacturer, users and sellers in controlling SLT products.
The demographic and epidemiological transition resulting from declining birth rates, increased economically active population, decreased infectious diseases and increased chronic degenerative diseases produce a population scenario with a high number of elderly individuals, prone to developing dementia, whose prevalence is directly related to increasing age. Dementia is progressive and characterized by the loss of self-care ability and ability to perform activities of daily living, including the difficulty to perform oral hygiene and accept dental treatment, thus resulting in decreased oral health. Thus, it is necessary to know and think about oral care to increase the quality of life of this population through actions of health promotion, prevention and recovery with the accomplishment of home and hospital dental procedures, besides the traditional service, at a dental office.
Previously the elderly had authoritarian role in familial decision making process. Now it depends on many associated factors. This study explored the position of the rural elderly in familial decision making process. Mixed approach has been given priority. Data have been collected from primary and secondary sources. The study found that position of elderly in familial decision making process is unsatisfactory. That is, position as head of the family, involvement in buying and selling something, dependency on their sons in receiving treatment, invitation of relatives in different socio-religious occasions, taking part in rural arbitration, taking part in resolving familial disputes, influencing in election, compelling members to do work according to wishes etc. are not satisfactory. This study may help the academicians to conduct more empirical studies to understand this crucial reality and help the policy makers to take appropriate policy for the welfare of the elderly.
The Wellbeing of the Heterogeneous Older Persons: The Analysis of ‘Going in Style’ Gereontological Comedy Film and Real-life Malaysian Elderly
While ageing has become a global phenomenon and received prominent attention due to the rapid increase in the older population, including Malaysia; There has also been an increase in comedy films focusing on old people. Therefore, this study aims to analyse how older persons represented in a gerontological comedy film ‘Going in Style’. This study also aims to relate how older persons represented in this comedy film with real-life situations of Malaysian older people. In meeting these aims, a qualitative research approach through thematic analysis has been adopted. The findings of this study shows how the older person represented in ‘Going in Style’ is similar to real-life situations experienced by some of Malaysian older people. The comedy highlights that ageing is not a single dimensional concept concentrated on physical aspects but is multidimensional, consisting of social,psychological, spiritual and economic and environmental aspects.
Prevalence of Non-Communicable Diseases among Geriatric population in Block Hazratbal, District Srinagar
Elderly population aged 60 years and above in the world will reach 1.2 billion by the year 2025, the majority of whom will be in developing countries.Major health problems which are faced in this age group are hypertension, coronary artery disease, strokes, diabetes mellitus, obesity, cancers, cataracts, osteoarthritis, osteoporosis, chronic obstructive airway disease, benign hyperplasia of prostate, Alzheimer’s disease, Parkinson’s disease, senile Dementia and depression. Globally, the burden of non-communicable diseases, which also bear the greatest morbidity and mortality, is rising in developing countries. Demographic and epidemiological transitions taking place in the developing countries of Asia is shifting the disease burden from communicable towards non-communicable disease. India’s poor are at heightened risk of acquiring NCDs owing to high rate of smoking, tobacco use and high salt intake. So this paper analyses the links between sociodemographic correlates and non-communicable diseases in block Hazratbal, district Srinagar. Objectives:1.To estimate the prevalence of NCDs among study population.2.To find out the socio-demographic correlates of NCDs in the study population. Study design: A Community Based, Cross sectional study. Study population: Elderly (≥60 years) persons residing in selected geographical area. Results:In this study, majority of the elderly study population were suffering from Hypertension/Ischemic/Other heart diseases (52.2%) followed by COPD (11.4%), Arthritis/other Musculoskeletal problems (10.6%), Diabetes mellitus (10.4%). Gastritis (9.8%), Hypothyroidism (9.6%), Benign prostrate hypertrophy (9.4%). The main reason for high prevalence of Hypertension/Ischemic heart disease could be that we take lots of salty products in our daily diet. Other causes could be living in a conflict area or genetic susceptibility. Most of elderly study subjects 446(89.9%) were on drugs for their chronic diseases.