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Bölcs öregedés az életút alkonyán
180-199Views:192The study highlights what impression the quality of our life history has on our elderly ourselves. With this complex presentation of the aging process, a more nuanced diagnosis could be made about the versatility of ageing, thus more effective prevention and care programs could be carried out. The recognition and application of the positive philosophy of life outlined in the study contribute to maintaining good mental health of the elderly.
Practical relevance. The results of the research can be primarily utilzed in care institutions, nursing homes and retirement clubs. It can effectively help the physical, spiritual and mental care of elderly people and help them accept their problematic life situation. The study might be utilized in practice on elementary and intermediate andragogy trainings and on vocational courses (social worker, specialist nurse, therapist).
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A telemedicina szolgáltatás térhódítása a pandémia idején
127-137Views:183During the pandemic, the role of information and telecommunications in health care became particularly important. An alternative way of communicating between the doctor and his/her patient has been through online forms of communication and the tools commonly used in everyday cases where a face-to-face meeting is not absolutely necessary, or in an emergency, a face-to-face meeting may be preceded by a remote consultation. In this situation, diagnosis is a huge responsibility and an ethical burden for the physician. Although this can be facilitated by the findings of the laboratory, the previously completed imaging diagnostics, and the online systems that create direct communication, there are also conditions for the development of a new diagnosis that can be confirmed by perception. During the coronavirus pandemic, efforts were made to minimize the number of personal doctor-patient encounters in the primary and outpatient care systems to curb the epidemic, in order to curb the epidemic. In cases where a personal relationship between the doctor and the patient has already been established, the patient’s relationship between the doctor and the patient has already been established, the patient’s medical history is known and they are forced to use telemedicine, they are practicing their profession in the best sense. The usefulness of telemedicine during the pandemic has been demonstrated, and its further development is a major challenge for both informatics and medicine.
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The role of urban green spaces in the well-being of people with dementia and their carers
50-77Views:197The aim of our empirical research was to explore how walking in green spaces in urban neighbourhoods contributes to the well-being of people with dementia and their informal carers. The study involved 3 caregiver – care recipient dyads, with carers keeping diary entries of regular walks together for a month (April-May 2021). In addition to the diary writing, carers completed a quantitative questionnaire as part of their research, in which they assessed their own and their relative's mental and mood state and their interaction before, during and after the walk. Based on the assessments of the questionnaires received from the 39 walks, results showed significant improvements in mental state and mood for both carers and cared-for persons, as well as in the way their dyads interacted with each other as a result of the walk. This trend was also supported and explained by the textual content of the diary entries. Thus, our small sample study was able to demonstrate that in the case of the caregiver – care recipient dyads we studied, a walk in an urban green environment had a positive effect on the mood and mental state of both partners, as well as on their cooperation. The significance of our results is that they support the role of urban green spaces in health promotion among chronic patients and their informal caregivers in a national sample: walking in nature can thus be considered a low-cost, generally positive and relatively easy and accessible intervention with a high impact.
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Barriers of Accessing Elderly Care Services in Bangladesh
81Views:10Approximately one in ten persons in Bangladesh is over 60 years old and it is estimated that this figure will increase to 21.5% in 2050. This huge proportion of the population often faces barriers in terms of accessing elderly care services.
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Medication adherence in older adults with hypertension in Slovakia
35-36Views:22Non-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.
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Interdisciplinary collaboration in geriatrics: implications for social work profession in Nigeria
68-70Views:17With 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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How can telemental health help reduce the loneliness and isolation of the elderly?
2-29Views:265In the study, based on a literature review, the author explains the concept of telemental health and how it can contribute to reducing the loneliness and isolation of the elderly. It covers the experiences of using ICT in the care of the elderly in Hungary, and also briefly presents how the use of digital technology has contributed to the social and mental health care of the elderly during the coronavirus epidemic, and what changes have taken place. The study concludes with recommendations for the use of ICT by social workers and the development of telemental health services for the elderly.
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From the Italian National Dementia Plan to the Dementia Friendly Communities
117-142Views:36This article explores various aspects related to dementia care and support in Italy. It begins by discussing the National Dementia Plan of Italy, highlighting its goals and initiatives. It then focuses on the Veneto Region and their innovative approach to supporting people with dementia through the implementation of the Dementia Map, an online support system. The article also highlights the importance of dissemination publications in raising awareness and sharing knowledge about dementia care practices. Furthermore, it delves into the pilot project of Abbiategrasso, the first Dementia Friendly City in Italy, showcasing the efforts made to create a community that is inclusive and supportive of individuals with dementia. The experiences and lessons learned from this project serve as valuable insights for other communities aiming to become dementia friendly. In conclusion, the article emphasizes the significance of collaborative efforts, innovative approaches, and community engagement in improving the lives of individuals with dementia and their caregivers. It underlines the importance of continuous advancements in dementia care and the need for ongoing support systems to meet the evolving needs of those affected. The bibliography provides a list of relevant sources and references that further explore the topics covered in the article.
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Growing Ageing Population and European Policies
27-28Views:71Introduction to Social change due to aged population
Increased elderly population in Europe has many factors, it took decades what is happening now. Europe’s low fertility rate, Europe’s migration from developing to developed country, high life expectancy and immigration laws. The developmental strategies of G20 countries are significantly interlinked with the economic and population development policies. The recognition of ageing population is followed by the Japan’s ageing population process which is also mentioned in most of the Eu data on comparison for the ageing population strategies. It is a visible change that social and economic developments causes higher life expectancy and better health in Europe.
The average middle age is increasing, and it is predicted about 4.5 years by 2019 to 2050 it may reach 48.2 years as European middle age. In the most developed parts of the world, elderly population was discussed long ago, and serious steps were taken for global improvements for older people. As the life expectancy increases dependency increases that creates pressure to fulfil the needs of elderly for health, socially, and economically. Increasing number of elderly populations, is actual rise in social, cultural, and economic responsibilities for welfare systems, health care systems and individuals. More elderly people, more reliance needed number of old age homes, elderly rehabilitation centers and Palliative care centers are increased.Population ageing is not a sudden change in population, but it took decades to consider about the population phenomenon. The European social change has major cause of ageing population that may has dark impact to the future perspective. In current situation birth rate is low, mortality rate is also low and life expectancy is high which is creating a lot pressure on the economic growth and to run the economic cycle the labour force is insufficient, health care systems are updating each year since COVID pandemic and system failure was visible in many OECD countries as well in such condition there is a lot more pressure on the women to balance birth ratio at the same time women is considered as “Sandwich Generation” by some of the European researchers, women cares for the both younger and the older generation nowadays.
Such ageing population determinants push the policy makers to design such policies and laws to combat this situation to secure future generations. Some of the EU policies to promote Active ageing and solidarity between generations, Silver Economy project to provide elderly jobs to decrease dependency ratio and Healthy ageing programs are running but still there is long way to show up positive results if migration policies will not be softened at certain points to keep achieving sustainable development goals in Europe.
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Local community practices to improve healthy aging in the North
25-26Views:85The governments of Finland, Denmark, Norway and Russia have developed national programs to address population ageing. There are also successful practices in healthy ageing at the local level in different countries, but they remain unknown among the global professional community and governmental authorities.
Healthy ageing has become an important policy issue at all levels of the society. The key international document is the World Health Organization’s (WHO) plan for a Decade of Healthy Ageing 2020–2030 which is the second action plan of the WHO ‘s Global strategy on ageing and health. The Plan consists of 10 years of concerted, catalytic, sustained collaboration to improve the lives of older people, their families, and their communities. Older people themselves are in the core of this plan, and it brings together variety of actors, including governments, civil society, international agencies, professionals, academia, the media, and the private sector. The Plan also notes that healthy ageing is not only a healthcare issue but also needs to engage many other sectors.
The aim of research was to search and introduce local community practices according the priority areas of WHO Decade of Healthy Aging action plan for gerontological policy in arctic countries.
Examples of good practices for the Priority 1 of the Plan: Change how we think, feel and act towards age and ageing
Fostering of Healthy Ageing requires fundamental shifts from existing stereotypes, prejudices, and discrimination towards older people. Older people should not be seen only as an economic burden for the welfare society, but as contributors to the state and communities, and as resourceful carriers of traditional values and wisdom. Governments eliminate age discrimination by variety of actions, such as legislative changes, and policies and programs which engage older people in decision-making.
Initiatives for Priority 2 of the Plan: Ensure that communities foster the abilities of older people
The environments which are built on decisions made not only by policy makers but involve citizens of all ages are better places to grow, play, live, work and retire. Even those people who have lost their capacity, shall be able to continue to enjoy everyday activities, to continue to develop personally and professionally, to participate and contribute to their communities while retaining their autonomy, dignity, health, and well-being.
Practices for Priority 3 of the Plan: Deliver person-centered, integrated care and primary health services to older people
Good-quality essential health services include prevention of diseases; promotion of healthy lifestyle; curative, rehabilitative, palliative and end-of-life care; safe, effective, good-quality essential medicines and vaccines; dental care; assistive technologies, while ensuring that the use of services does not cause the user financial hardship.
Local northern practices are mirrored against the recently released WHO Decade of Healthy Ageing 2020-2030 Action Plan with paying attention to indigenous elders. Based on these practices the national, regional, and municipal level authorities of the Nordic countries and Russia were suggested to consider the policy recommendations based of the research.
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Mental health of older adults living in nursing homes in Slovakia – Results of a preliminary study
44-45Views:25Loneliness is a serious public health problem of an ageing population. The prevalence of loneliness in elderly population was estimated to rise from 10% to 45%. In elderly population, loneliness is considered as a risk factor for mental health disorders, especially depression. Depression and anxiety are among the most common mental health disorders worldwide and their prevalence is increasing, especially among seniors who are hospitalised and living in nursing homes.
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Insights into the lived experience of Long-Term Care and End of Life Transitions in Malta
3-4Views:20In this keynote presentation, I explore the profound implications of the global demographic shift towards an ageing population. I delve into the challenges and opportunities presented by this shift, using Malta as a unique case study with 25% of its citizens aged 60 and older. The dense population poses challenges for infrastructure, healthcare access, and the overall well-being of older individuals.
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Early recognition of dementia within the family
17-18Views:90The awareness of communities with dementia in Western Europe has moved closer to recognizing priority issues such as the environment or climate change. Dementia-friendly communities how have a history of 30 years and have achieved significant results through their work, both for those affected by the disease and those not directly affected. It probably affects many families, the topic is also getting into the spotlight in Hungary.
Without specific and detailed statistics and databases, dementia currently exists in the latent zone. The vast majority of the literature defines dementia as a diesease for which there is no treatment or cure. The effect of dementia is considered primarily as problems in the brain that negatively affect clear thinking, memory processes and result in additional emotional turbulence. Dementia is known as an age-related condition.
In general, dementia is identified as senility, incorrectly. Dementia can occur in different areas and at different levels in individual patients. As a result, families affected by the disease often face serious difficulties in identifying the disease. Without proper and detailed knowledge of the diagnosis, many families struggle with the situation of self care solutions at home. This personal involvement not only imposes a significant financial and emotional burden on the family but also often leads to separation and isolation, which can have additional negative effects on the disease itself and even on the mental health of the patient’s family members.
The global extent of dementia is generally known only to experts in the field, and to this day there is still a lack of adequate representation in the wider social dialogue. There is a unique and innovative incentive in Gyöngyös where Matralab’s integrated care centers offer day-care activities and solutions to support and provide experts advice to families with dementia. The project is implemented at the regional level, where 25 municipalities start monitoring the conditions and impacts of dementia in the region. As dementia is a prevalent and identifiable condition, affected families need help and support at the widest possible level.
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The preventive geriatric – the new issue of the XXI-st Century
49-63.Views:159The ageing is the global phenomenon, it is main more difficult financial and social
problem for modern societies. If we accepted the ageing = disease identity, this does not
help solving the problem, it increases cost only. It is still high number of people over the
age of 65 in hospital inpatient departments. A change of view is needed. The aging is
regarded as a decompensation process, which has parts and interventions possibilities. If
we intervene in the downturns of the decompensation process with appropriate means,
decompensation can be reduced; life-years in health can be increased. The goal is to
preserve self-sufficiency as much as possible. Should be system established, because in
other way this will be for profit service only. We have reviewed the major experiments that
have taken place in the world and seem appropriate to handle the issue properly. However
in order to achieve results, necessary change not only the structure bat also the attitudes. -
An exploratory metaphor analysis on the perceptions of nursing students about the concept of aging
30-42Views:137Purpose: The aim of this study was to reveal the perceptions of nursing students about the concept of aging through metaphors.
Methods: The basic qualitative research design was used to evaluate the metaphors of nursing students regarding the concept of aging from their perspectives. The study sample consisted of 104 senior nursing students at Aksaray University in the 2021-2022 academic year. A purposive sampling method was used. "Metaphoric Perceptions Data Collection Form", which was prepared by the researchers in line with the literature, was used as a data collection tool. The form consists of two parts. In the first part, the demographic characteristics of the students were investigated. In the second part, the sentence “Aging is like … because … ” was given to reveal students' metaphors regarding the concept of aging. The metaphors developed by the students regarding the concept of old age were analyzed and interpreted with Metaphor Analysis. Metaphor analysis has been associated with content analysis.
Results: The mean age of the students participating in the study was 21.65±0.99 (min: 20, max: 25). Of students, 68.6% were female, 33.3% lived in city, and 84.3% had nuclear family. About half (50.0%) of their grandparents lived in their house. Of the students, 39.2% thought about living with your parents when you start a family in the future; 52.9% lived with older adults aged 65 and over until now; 92.2% cared for an older patient during clinical practice; and 74.5% wanted to work in a health institution serving the elderly after graduation. Students produced a total of 102 valid metaphors for the concept of aging. Four main themes were obtained from the data. The main themes were aging as an ending story, a need for care, attention, and support, a new beginning, and a source of life.
Conclusion: Nursing students' metaphors about aging are generally negative, but also contain expressions of respect.
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The role of volution and social effects in grandparental care
107-118.Views:149The role of grandparents is very important in our lives both as parents and as grandchildren. The care provided by them is an emotionally influential experience that also serves as an attachment pattern. The grandparents, especially the grandmothers, have had a role in the survival of grandchildren since ancient times. Presumably it was the postmenpausal women, the grandmothers, whom made it possible that human children began to have a long developmental period, which is of great importance in human cognitive evolution.
However, there are a number of questions about grandparental help, answered by researchers with both evolutionary and social explanations. These studies take into account how the grandmother's role appeared during human evolution, what factors influence grandparental help and how the parents and grandchildren will relate to it. -
Determinants influenceing the mental health of older people (60 years +) in Botswana
33-35Views:38Ageing society is a reality for many people in developing countries than in the past. Governments are facing major challenges in safeguarding the mental health of older people and health care systems to deal with this demographic shift. The mental health of older people is an important indicator of the level of their health-related quality of life. The situation of older people in Africa, concerning their mental health and well-being, is a matter of growing attention among researchers and policymakers alike. There is a common perception in connection with the aged population reporting poor mental health status and a greater need for healthcare. However, there is few research on the disparities of older people relating to healthcare in Sub-Saharan Africa, especially in Botswana. There is a tendence of ever-increasing number and population proportions of older people representing both opportunities and challenges. Some of these challenges include the prevention and management of anxiety, depression, and somatization, which are the most common mental disorders in primary health care the world over. Previous research has shown that the three disorders are highly comorbid because of the need for prevention and mitigation of all three.
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Determining the Reasons of Older People for Choosing a Nursing Home: A Comparative Study
53-54Views:67Purpose:
This study was conducted as a descriptive and comparative study to determine why a nursing home was chosen for the elderly.Methods:
The population of the descriptive study consisted of older people living in a community-dwelling or a nursing home in the Central Anatolian Region of Turkey. The sample consisted of 342 elderly individuals who agreed to participate in the study between October and November 2019 (nursing home: n = 79, community-dwelling: n = 263). After obtaining the permission of the ethics committee (no: 2019/04-03), the data were collected by “Questionnaire Form for Individuals Living in Nursing Homes” and “Questionnaires for Individuals Living in Community-Dwelling."
The Chi-square Test analyzed data, and the descriptive characteristics were presented as numbers, percentage, mean, standard deviation, minimum and maximum.Results:
The average age of the elderly living in a nursing home was 77.35±7.40 (min: 66, max: 97), and the average age of community-dwelling older people was 70.90±5.57 (min: 65, max: 88). Before coming to the nursing home, 38.0% lived with their spouses, and 35.4% lived alone. 81.7% of community-dwelling older people lived with their families. There was a difference in terms of some sociodemographic variables between both groups. Elderly people staying in nursing home; 26.6% were in the 76-81 age group; 26.6% did not have children; 38.0% had no income; 16.5% had a physical disability; 82.3% used dentures; 13.9% couldn’t do their daily care; 22.8% had low self-confident; 62.0% had sleep problems; 67.1% had no social activity; 35.4% were smokers; 88.6% of them had not visited a nursing home before (p < 0.05).Conclusion:
Compared to the community-dwelling older people, the elderly living in a nursing home were more senior, lonely, had a lower income, had higher physical disabilities, had lower social activity and self-confidence, had more sleep problems, and smoked. -
Dementia and family. The role of Alzheimer cafe in reducing the burden of caregiving families
34-46.Views:213In the last years, the international researches have turned towards families caring for elderly people with dementia /see the works of Zarit et al. 1985, 2005; Aneshensel et al. 1995; and Kaplan 1996/. The majority of these researchers analysed the stress burden of the caring family member and its consequences, role conflicts, and the tensions in the caregiving family (Zarit et al. 1985; Aneshensel et al. 1995; Kaplan 1996; Zarit et al. 2005). The revelation that in terms of Romania, we know nothing or almost nothing about the burden of families caring for elderly people with dementia and its effect on the primary carer, played was an important factor in the choice of topic. This is why, in a vast empirical analysis, in Transylvania, 50 interviews and questionnaire surveys were made with people caring for elderly with dementia in their own homes and 50 families whose relatives with dementia have been moved to a long-term residential home in the past 12 months from the time of the survey. Gathering data took three years (2015–2017). The research included the inquiry interview with the primary caregiver family member, in which we assessed the functional barriers and the psychosocial difficulties (Szabó 2000). The analysis of the levels of social skills was built upon this, and it unfolded the main characteristics of self-sufficiency, existing social skills, and social adaptation. This survey pointed out the everyday tasks in which the client requires help. With regard to family care, we have also analysed the independent living ability of people with dementia. These three angles offered the guidelines for the assessment of “objective burden” of the caring family member. Reviewing the distribution of caring tasks within the family is based on this, which helps us finding out who the key persons are, the ones undertaking the primary caregiving duties. For analysing the formation of roles within the family, we have devised our own criteria (Szabó–Kiss 2015). Starting from the objective burden, in regard to the “subjective burden”, we have obtained valuable indications about the emotional effect of caregiving family member. The detailed assessment of self-sufficiency through which we have analysed the measure of functional degradation of people living with dementia, was added to the devices of the analysis (Szabó 2000). The internationally approved scale of memory and behavioural problems (Zarit 1985) is connected to this, which measures the distractive attitude of the person living with dementia and its effect on the primary caregiver. The survey of the primary caregiver’s burdening is also connected (Zarit 1985), and so is the assessment of the negative and positive attitude towards the caregiving tasks (Farran et al. 1999). A six-step focus group is added to the devices of the research, in which the primary caregivers, by hearing each other’s cases and following thematic questions, open up more easily about the critical periods of caregiving and the pivotal factors of institutional placement.
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How can telemental health help reduce the loneliness and isolation of the elderly?
50-54Views:65The goal of the paper is to draw attention to the importance of telemental health and how it can contribute to reducing the loneliness and isolation of the elderly, by reviewing the literature. The author briefly presents how the use of digital technology has contributed to the social and mental health care of the elderly during the coronavirus epidemic, and what changes have taken place. The study concludes with recommendations for the use of ICT by social workers and the development of telemental health services for the elderly.
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Revealing the Concept of Aging in Turkish Nursing Students: An Exploratory Metaphor Analysis
51-52Views:76Purpose:
This study aimed to reveal the perceptions of nursing students about the concept of aging through metaphors.Methods:
The study was carried out in a qualitative research design. The study sample consisted of 104 senior nursing students at Aksaray University in the 2021-2022 academic year. In the study, "Metaphoric Perceptions Data Collection Form", which was prepared by the researchers in line with the literature, was used as a data collection tool. In order to collect the data, each student was asked to fill in the blanks of the sentence: "Aging is like … because …" .
The analysis of the data was carried out in five stages: (1) Coding and sorting phase, (2) Sample metaphor image compilation phase, (3) Main theme and sub-themes development phase, (4) The stage of ensuring validity and reliability, and (5) Transferring the data to the computer environment.Results:
Students produced a total of 102 valid metaphors for the concept of aging. The metaphors revealed the students' perceptions of the concept of aging, and four main themes and 11 sub-themes were collected. The main themes were aging as an ending story, as a need for care, attention, and support, as a new beginning, and as a source of life. Sub-themes were acceptance, no turning back, approaching the end, deprivation, helplessness, being dependent, rooting, starting, guiding, being a building block, and being valued.Conclusion:
Nursing students' metaphors about aging are generally negative, but also contain expressions of respect. -
Összefoglaló - Help wanted? Poviding and Paying for Long term Care. The Impact of Caring on Family Carers
30-35Views:79Az eredeti jelentést az OECD adta ki 2011-ben.
Forrás: www.oecd.org/els/health-systems/47884865.pdfA jelentésben az OECD a családtagok, rokonok, ismerősök, barátok, szomszédok által nem fizetésért végzett gondozási tevékenységek gazdasági és társadalmi jelentőségére hívja fel a figyelmet a szervezet.
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Elderly Service Officer Trainings
15-16Views:103Introduction One of the challenges that stands before the aging population is the integration and mental and physical wellbeing of the elderly, and building the culture of active ageing. Meeting this challenge requires the activity of professionals who, in alliance with the work and services of the local governments, will become able to organise programmes that meet the needs and demands of the older citizens.
This objective is targeted by the Elderly Service Officer Trainings provided by Family-Friendly Country Public Beneficiary Ltd.
Methods: Our goal is to enable future Elderly Service Officers to actively contribute and enforce lawful practice to preparing, organising and implementing local civil programmes that target active aging; to recognise the special needs of the older citizens; and to orient within the legal environment of the programmes for the elderly. They should become able to co-operate efficiently with local government officials and NGOs supporting active ageing.
Training topics: 1. Active ageing and mental wellbeing, 2. Community development, networking, volunteering, 3. Environment for active ageing, 4. Planning and implementing elderly friendly programmes.
As regards to monitoring effectiveness, above activity indicators, we survey the changes of attitudes among trainees, and further activities of the Elderly Service Officers. The effectiveness studies are in progress.
Results: Since May 2019, 16 study groups with 238 attendees have been launched (11 in Budapest és 5 on the countryside), and 12 groups have finished, yielding 144 certified trainees. We are planning a further set of 23 groups for 2021, in order to achieve the planned number of participants of 1000.
Discussion: Further development of the training will depend on our future results.
Supported by: Grant No. EFOP-1.2.6-VEKOP-17-2017-00001, „Family Friendly Country Project.
References:
L Patyán, JI Tóth, AM Tróbert, R Wernigg: Methodology to Aid the Community Inclusion and Person-Centered Care of Older Generations. Family-Friendly Country Public Beneficiary Ltd., 2019.
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Self-independence of oncological geriatric patients in the home environment
39-42Views:15Cancer 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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Association between Personal Well-being, Functional Status, Anxiety, Depression, Social Support and Spiritual Experience of Older Adults living in nursing Homes in Slovakia
42-43Views:17Satisfaction with life is one of the most important pillars of successful ageing. Assessing the cognitive aspect of subjective well-being (which can be related to life satisfaction) is considered a useful complementary indicator for monitoring and comparing quality of life across countries.