Keresés
Keresési eredmények
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Geriatric rehabilitation as prevention of the syndrome of falls in diseases of the vessels of the lower extremities
27-28Megtekintések száma:25The aim
To develop and to implement in clinical practice a program of geriatric rehabilitation as a prevention of the syndrome of falls in diseases of the vessels of the lower extremities.
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Attitudes of Roma adults towards the care of their elderly relatives
21-24Megtekintések száma:110Caring for the elderly is a challenge for any society even if it is a family or institution related issue (Bánlaki 2006). Numerous researches on the care of the elderly have been published, which help to make the care of the elderly as effective as possible (Djellal, Gallouj 2006). Within the framework of our research, we undertook to examine the attitudes (Arlotti, Aguilar-Hendrickson 2017) and experiences of the Roma towards elderly care.
Our aim was to explore the opinions of adult Roma people on the topic, as well as to identify possible cultural peculiarities in this issue (Hajime et al 2006; Da Roit 2010; Kehusmaa et al. 2013; Szabóné 2018).Method:
We have selected Roma adult people living in Budapest as our target group, most of them perform manual labour, who in the near future are likely to face the issue of caring for their elderly relatives or are already facing it in the capital. We have chosen this target group because there is a wide range of social services in the capital, and this gives us an insight into the confidence or lack of confidence in the social care system. The situation of the Roma elderly in the Hungarian social context is discussed with a nuanced approach based on Roma studies. The opinions and thoughts of 20 Roma adults are highlighted in our presentation, with whom we interviewed. We compiled a semi-structured set of questions for the target group. We tried to capture the attitude of the Roma towards elderly care along different dimensions (Allport, Lindzey 1960; Örkény, Vári 2009): individual responsibility (Nárai 2019) patterns of the family (Bánlaky 2001), financial and other resources (Bourdieu 1999) - assistance, trust in the social care system, readiness for elderly care (Heimlich 2008). Our research was carried out in November 2021 in compliance with the measures associated witht he COVID-19 situation. The interviews took 40-75 minutes long on average per person.
We compare international trends within formation on elderly care in Hungary and data on the health status of elderly Roma in Hungary (Kodner, 2006).Results:
The uniqueness of our research lies in the fact that we present the strategies of the Roma related to care in the Hungarian social reality, we identify practical problems and challenges, which can even be a breeding ground for future social policy measures (Schwiter et al. 2015). Poverty among the Roma, as well as discrimination and lower life expectancy compared to non-Roma (KSH, 2015) all contribute to the decision-making of Roma adults regarding the care of their elderly relatives, which is confirmed by the answers found in the interviews and the possibilities and strategies formed by the elderly care system (Kovács 2006). Our results showed that access to various social benefits, such as home help and public health care among others is affected during elderly care, and also has a key role to play, but also information among the Roma. In addition to trust in the social care system, financial means or lack of the influence coping strategies for elderly care. The results obtained can be used even for prevention projects aimed at local health preservation, or for any program aimed at improving the health status of the Roma.References
Allport, G. W., Vernon, P. E., Lindzey, G. A. (1960): A study of values, 3rd ed., Boston, Houghton.Mifflin.
Barbara Da Roit (2010): Strategies of Care. Changing Elderly Care in Italy and the Netherlands. Care and Welfare
Bánlaky Pál (2001): Családszociológia. Wesley János Lelkészképző Főiskola, Budapest.
Bánlaky Pál (2006): A család belső működése – A családon belüli kapcsolatok dinamikája. In: Czibere Ibolya (szek.) (2006): Családszociológia szöveggyűjtemény. Debrecen.
Bourdieu, Pierre (1999): Gazdasági tőke, kulturális tőke, társadalmi tőke. In: Angelusz Róbert (szerk.): A társadalmi rétegződés komponensei. Budapest, Új Mandátum Könyvkiadó, 156-177.
Faridah Djellal, Faïz Gallouj (2006): Innovation in care services for the elderly. The Service Industries Journal. Volume 26, 2006 - Issue 3
Hajime Orimo,Hideki Ito,Takao Suzuki,Atsushi Araki,Takayuki Hosoi, Motoji Sawabe (2006): Reviewing the definition of “elderly”. Geriatrics Gerontology, Volume 6, Issue 3 149-158.
Helmich K. (2008): A generativitás fogalma és a nemzedékek egymásrahatása. In: Gyáni G., Láng M. (szerk.): Generációk a történelemben. Hajnal István Kör – Társadalomtörténeti Egyesülete és a Nyíregyházi Főiskola Gazdasági Társadalomtudományi Kara, Nyíregyháza (2008) 115-120.
Karin Schwiter, Christian Berndt, Jasmine Truong (2015): Neoliberal austerity and the marketisation of elderly care. Social & Cultural Geography Volume 19, 2018 - Issue 3: Placing care in times of austerity
Kodner, D., and C. Spreeuwenberg. 2002. “Integrated Care: Meaning, Logic, Applications and
Implications – A Discussion Paper.” International Journal of Integrated Care Vol. 2 (October-December).
Kovács Éva (2006): Mari ésaz ő „cigánysága” – avagy a narratíva helye és ereje az etnicitás kutatásában. Tabula, 2006 9 (I):41-52.
KSH Statisztikai Tükör (2015). A hazai nemzetiségek demográgiai jellemzői. https://www.ksh.hu/docs/hun/xftp/stattukor/nemzetiseg_demografia.pdf (Utolsó letöltés ideje: 2021. 11. 03.)
Marco Arlotti, Manuel Aguilar-Hendrickson (2017): The vicious layering of multilevel governance in Southern Europe: The case of elderly care in Italy and Spain. Social Policy Administration, Volume52, Issue3, May 2018, 646-661.
Margaret McAdam (2008): Frameworks of Integrated Care for the Elderly: A Systematic Review. Ontario Ministry of Health and Long-Term Care.
Nárai Márta (2019): A lokális társadalmi szerepvállalás, felelősségvállalás szereplői – egyesületek, alapítványok a helyi közösségek/helyi társadalom szolgálatában, Ünnepi tanulmánykötet a 70 éves Gáspár Mátyás tiszteletére, Magánkiadás, 151-161.
Örkény Antal – Vári István: Szempontok és kérdőjelek a magyarországi roma kisebbség tanulmányozásához. Fundamentum, 2009. 2. szám, 5-15.
Sari Kehusmaa, Ilona Autti-Rämö, Hans Helenius, Pekka Rissanen (2013): Does informal care reduce public care expenditure on elderly care? Estimates based on Finland’s Age Study. BMC Health Services Research 13, 317.
Szabóné dr. Kármán Judit (2018): A magyarországi cigány/roma népesség kulturantropológiai és orvosantropológiai megközelítésben. Romológiai füzetek 2. DRHE, Debrecen, 5-76. -
Health challenges of the elderly: a comparative study of the need for health social workers in Nigeria and Bangladesh
11-14Megtekintések száma:104The established fact is that the population with the highest consumer of healthcare services is the elderly because of the increasing demand for adaptive health services accessible to the elderly. As the elderly continue to age, there is a decline in the health condition, developed societies have explored and employed several multidisciplinary approaches to the care of the elderly. The focus is on social work as a profession.
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Generációk közötti feszültségek okai, csökkentésének lehetőségei
2-10Megtekintések száma:315A szerző a fiatalok és az idősek közötti feszültségek okait igyekszik feltárni. Rávilágít a gondolkodás és a személyiség fejlődés területeire, a két generáció közötti különbségekre, és hasonlóságokra is valamint a feszültségek csökkentésére megoldási alternatívákat kínál. Feltárja a fiatalok és a szépkorúak állapotbeli nehézségeit is. A szerző célja, hogy a különböző korosztályok megismerjék egymás problémáit, életkori szakaszok feladatait, ezzel is a generációk közötti feszültséget szeretné csökkenteni. Továbbá célja, hogy az ageizmust megelőzését előmozdítsa, segítse a generációk közeledését.
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A comparative analysis of the community-based care and program for the elderly in the Seychelles and Mauritius Islands
71-75Megtekintések száma:48The World Health Organization describes an elderly person as someone who is aged 60 years and older and further predicts that by 2030, the number of older people will rise by 1.4 billion (WHO, 2017). This phenomenon has not spared the Small Island Developing States (SIDS); according to the United Nations (2023), they anticipated growth from 6.5 to 14.0 million older persons between 2021 and 2050. Undoubtedly, these figures are indicative of significant growth in the aging population across the world, and this is merely the chronological age; needless to say, numerous physical, psychological, and environmental factors can impede longevity and healthy aging.
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Gerontofitnesz – A rendszeres testmozgás jótékony hatása az idősödő emberek testi-lelki egészségére
53-64.Megtekintések száma:393Az egész életen át tartó fejlődésben rendkívül nagy szerepe van a testmozgásnak, így az időskorban is nagyon jelentős. Akik rendszeresen sportolnak jobb szív és érrendszeri állapotnak örvendenek, kielégítőbb állapotban marad a mozgató szervrendszerük, kevésbé panaszkodnak depresszióra, alvászavarokra, magabiztosabbak és önállóbbak még idősebb korban is.
A rekreációs sportok kiterjednek a hétköznapi emberek széles körére, akik számára a mindennapi élet szempontjából szükséges fitnesz biztosítása a cél. Új fogalomként megjelenik a gerontofitnesz, mely az idősek által végzett sporttevékenységgel és azok jótékony hatásaival foglalkozik. Napjainkban elterjedtek az olyan programok, amelyekkel az idős embereket rendszeres testmozgásra sarkallják. Ugyanakkor ezek megvalósítása számos akadályba ütközik, hiszen az idősek fizikai aktivitását olyan kulturális tényezők, sztereotípiák, attitűdök és elvárások is befolyásolják, amelyek inkább az inaktivitás irányába hatnak. -
Palliative and Hospice Social Work Roles in the U.S.
18Megtekintések száma:86Palliative care services worldwide continue to grow, primarily in response to a human rights approach and to respond to the aging of the population, increasing prevalence of chronic illnesses and cancer mortality. While there is recognition in the WHO definition of palliative care that not only physical, but also psychological, social and spiritual aspects of care must be part of services provided, how these are addressed varies greatly by country and region of the world.
In the U.S., social work services are mandated to be provided by hospice organizations seeking funding from Medicare (governmental insurance for people over age 65) and supports the tenets of the palliative care philosophy to provide person-centered holistic care. The role of palliative and hospice social workers is highly aligned with the values of the profession centered on the dignity and worth of all humans and the commitment to improving quality of life throughout life and especially at the end of life. Older adults make up the overwhelming majority of hospice recipients in the U.S. and attention to their daily needs and those of the family caregivers is essential to maximize quality of life.
This presentation will focus on the roles of social workers in the U.S., particularly with older adults, in various palliative care settings and how this may compare to roles across the globe. -
Bölcs öregedés az életút alkonyán
180-199Megtekintések száma:224A tanulmány rávilágít arra, hogy a megtett életút minősége, milyen lenyomatot képez időskori énünkben. Az öregedés folyamatának komplex bemutatásával árnyaltabb diagnózist lehet felállítani az időskor sokarcúságáról, ezáltal hatékonyabb prevenciós-, és gondozó tevékenységet lehet folytatni. A tanulmányban vázolt pozitív életfilozófia alkotóelemeinek megismerése és gyakorlatban való alkalmazása, hozzájárul az időskori mentális egyensúly fenntartásához.
Gyakorlati relevanciák: A kutatás eredményei elsősorban gondozóintézetekben idősotthonokban és nyugdíjas klubokban hasznosíthatók. Hatékonyan segíthetik az idős emberek testi - lelki - szellemi gondozását és problémás élethelyzetük elfogadását. A tanulmány felhasználható az alap és középfokú andragógiai képzéseken és szaktanfolyamokon (szociális munkás, szakápoló, terapeuta).
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Interdisciplinary collaboration in geriatrics: implications for social work profession in Nigeria
68-70Megtekintések száma:44With age comes the rising demand for health care and even more peculiarities to care giving. In addition to biological changes are socioeconomic factors that impact the health and treatment of the elderly population. The dynamics involved in providing adequate care for the elderly population as seen in developed societies reveals that there is no watertight compartment to knowledge and the need for interdisciplinary collaborations.
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A geriátriai readaptáció szerepe a nem rehabilitálható idősek állapotjavításában
66-72Megtekintések száma:170A 65 éven felüli, többféle krónikus betegségben szenvedő idősek esetében a rehabilitáció lényegesen nehezebb, mint a fiatalabbaknál. Akut történések, vagy meglévő betegségek rosszabbodása esetén fontos szakmai kérdést jelent, hogy a páciens mennyire alkalmas rehabilitációra. A diagnózis, a prognózis és a rehabilitálhatóság komplex vizsgálata alapján a nem rehabilitálható egyének esetében elsődleges szempont, hogy önállóságuk minél tovább megmaradjon, ami együtt jár a jobb életminőséggel. Ezt segíti a geriátriai readaptáció, amelynek minél szélesebb körben való bevezetése és alkalmazása kulcsfontosságú az időseknél.
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Social security and safety of older adults in Poland
9-11Megtekintések száma:94Poland’ population will be ageing at a fast rate in the coming decades. It is projected that in 2070 the Polish ratio between people aged 65 and over and those aged 15-64 years will be 62.6, the highest among EU-27 countries. Population ageing appeared in the public debate in Poland as a separate subject in the 1990s, following a negative natural population increase and the looming impact of the massive withdrawal of baby boomers from the labour market on the pension system. One of the reasons for older persons’ growing interest in retirement was pension system reforms planned by successive governments.
The announcement of the year 2012 as the European Year for Active Ageing and Solidarity Between Generations (decision no. 940/2011/EU of the European Parliament and of the Council of 14 September 2011) contributed in Poland to the emergence of a senior policy from a social policy and initiated major legislative, institutional, and organisational changes at the national, regional and local levels of government. It also inspired the redefinition of measures used hitherto in line with the evolution in the perception of older people from social care recipients to active members of their communities entitled to education and economic, social, civic and political activity. In 2013, the Senior Policy Council was established as a consultative and advisory body to the Ministry of Labour and Social Policy, and then similar councils supporting regional and local authorities were organised.
In order to encourage greater activity among seniors, a special governmental programme was created in December 2013, which grants funds on a competitive basis to projects concerning social activities, education, and intergenerational cooperation submitted by informal and formal groups of seniors.
The national government’s key documents on senior policy, one for the period from 2014 to 2020 and the other spanning the years until 2030, are Resolution 238 of 24 Dec. 2013 by the Board of Ministers on the Adoption of Long-term Senior Policy in Poland for the Years 2015-2020 and Resolution 161 of 28 Oct. 2018 by the Board of Ministers on the adoption of Social Policy Towards the Older Persons 2030. Security-Participation-Solidarity. In 2015, the Polish Parliament passed the elderly people act, which requires institutions in charge of the well-being of older persons to monitor and report on their situation. The reports submitted by the institutions are used by the Ministry of Labour to compile and present an annual evaluation of the status of the older population in Poland.
The regional governments’ senior policy is reflected in their social policy strategies. The strategies’ operational goals started to address needs specific to older people since 2002, focusing in particular on improving their quality of life, developing round-the-clock care services, at-home care services, and rehabilitation services, and on reducing social exclusion and marginalization of seniors.
Social security and the safety of older adults are progressively improving in Poland, but the greatest progress has been made in the area of active ageing. Social care services for the elderly still require improvement, because the predominant family care model is inefficient in many ways due to:
- limited financing of care services by public institutions,
- the growing proportion of single elderly persons,
- the increasing number of people aged 85+ (the so-called double population ageing),
- social insurance disregarding long-term care to an elderly family member as an insurable risk,
- a lack of legislation allowing employed people to seek a long-term leave to give care to an older family member,
- the informal expectation that women who retire at the age of 60 years will take care of the oldest family members.
While neither the scale nor the quality of home care services given to older persons is regularly surveyed in Poland, it can be presumed that the scale of care services is insufficient and that they excessively burden families with a member in need of care. Between 2010 and 2018, the number of persons aged 65+ increased in Poland by over 1.5 million, the number of the users of attendance services and specialised attendance services by 29,000 (from 99,000 to 128,000), and the number of residences in homes and facilities providing assistance to aged persons by 7,000 (from 20,000 to 27,100.)
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Self-independence of oncological geriatric patients in the home environment
39-42Megtekintések száma:31Cancer is one of the most dreaded diseases in the world. Family plays an important role in managing this disease. It provides home care for the patient, helps to increase and maintain the patient's self-sufficiency. A number of factors influence the patient's self-sufficiency, such as the age of the patient, the type of illness, the method of treatment, the patient's psychological state, the environment in which the patient is located, etc. Self-sufficiency in patients contributes to their self-esteem and to a positive perception of themselves.
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Quality of life of elderly stroke patients and their caregivers
38-39Megtekintések száma:56Stroke represents a major societal representation as well as economic problem in an individual's life. The question arises in connection with the life of the patient oneself as well as in one’s whole family. Stroke is one of the most common diseases affecting people at an old age.
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Contributing to the Decade of Healthy Aging in the Nordic-Russian Arctic
4Megtekintések száma:118NCM-funded project and expert network “Indigenous and non-indigenous residents of the Nordic-Russian region: Best practices for equity in healthy ageing” will be introduced.
The Arctic population is ageing, albeit at various speed across the regions and to a different degree of “healthiness” and “inequity related to healthy ageing” across the life-course. The aim of the research is to contribute to a multidisciplinary understanding of circumstances and patterns of healthy ageing in the Nordic-Russian Arctic and share examples of new solutions as components to the Arctic member states’ national policies and in accordance with the principles of WHO “Decade of Healthy Ageing 2020–2030”.
We will focus on a broad evaluation of opportunities the region can bring in to carry activities, building on the principles of the WHO Global Strategy on Ageing and Health, the United Nations Madrid International Plan of Action on Ageing, and aligned to the timing of the United Nations Agenda 2030 on Sustainable Development and the Sustainable Development Goals (SDGs). We will identify best practices at the regional/community levels among Non- and Indigenous older residents, using comparative approach: 1. How we think, feel and act towards age and ageing, 2.Communities fostering the abilities of older people, 3.Delivering culturally safe and person centred care and health services responsive to older people.
The project complements our on-going activities under the UArctic Thematic Network “Health and Well-being in the Arctic” and a “Development of a Think Tank Functions of the Northern Dimension Institute”.
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Culture on Prescription in Portugal: cultural experiences promoting health in lonely people and older adults
11-13Megtekintések száma:72Social connections play a vital role in personal well-being. Loneliness, characterized by a lack of meaningful social engagement, has emerged as a significant public health concern in Europe, especially after COVID19 pandemic, when the problem was labelled by the media as a “loneliness epidemic” (Berlingieri et al., 2022). According to Casabianca & Kovacic (2022), older adults are especially vulnerable to loneliness due to all the life transitions and disruptive life events they face. Loneliness is more prevalent among Europeans aged 50 and above in southern and eastern regions (ranging from 31% to 46%) compared to western and northern areas (ranging from 10% to 30%).
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Preventív geriátria – A XXI. századi társadalom új lehetősége
49-63.Megtekintések száma:205Az idősödés globális jelenség, a modern társadalmak számára mind nehezebben megoldható financiális és szociális problémát jelen. Azt, hogy az öregedés= betegség azonosságot elfogadjuk, az a probléma megoldását nem segíti, csak a költségeket növeli. A fekvőbeteg osztályokon így is jelentős a 65 év felettiek száma. A megoldási lehetőség az, hogy az öregedést dekompenzációnak tekintjük, egy olyan folyamatnak, amelynek részei és beavatkozási lehetőségei vannak. Amennyiben a dekompenzációs folyamat hullámvölgyeiben beavatkozunk a megfelelő eszközökkel, a dekompenzáció csökkenthető, az egészségben eltöltött életévek növelhetők. A cél az önellátó képesség minél további megőrzése. Ahhoz, hogy ez ne egyedi vásárolt szolgáltatás legyen, rendszert kell kialakítani. Áttekintettük azokat a jelentősebb kísérleteket, amelyek a világban zajlottak, s alkalmasnak tűnnek a kérdés megfelelő kezelésére. Ahhoz, hogy eredményt érjünk el, azonban nemcsak struktúra, hanem szemléletváltozás is szükséges.
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Medication adherence in older adults with hypertension in Slovakia
35-36Megtekintések száma:39Non-adherence to medical therapy in patients with arterial hypertension (AH) is associated with increased cardiovascular and cerebrovascular morbidity and mortality, and thus increased healthcare costs. The prevalence of AH increases with increasing age. In view of this, monitoring adherence to medical therapy in older adults and its determinants is very important.