Search

Search Results

• Staff Training and Stress in Long Term Care Facilities Special Care Units for Alzheimer's Elders

  43-44

  S. Jean Szilagyi

  Views:

  55

  Objective:
  Special Care Units (SCU) in long term care health facilities are named to indicate "unique to diagnosis" or a level of care. The purpose of this study was to explore perceptions among caregivers and licensed nurses in selected nursing homes in Ohio and Pennsylvania and New York, as they pertained to the differences in care to Alzheimer's elders in SCUs. It examined the education and experience of staff and the satisfaction of this staff as it pertained to stress and wages.

  Background:
  Long-term caregivers often experience stress, resulting in "burn-out" as a consequence of limited training, levels of care required, cognitive decline of elders and family expectations. The caregivers, on SCUs, environmentally designed for the elders with cognitive decline, need specialized training in the physical and mental dimensions of the various forms of dementia, Alzheimer's type.

  Methods:
  The study used a qualitative research design with a survey questionnaire and one-on-one interviews with administrators and human resource directors. A pilot study of SCUs in Ohio and Pennsylvania and New York was initiated. The population was the employees of these SCU. The levels of employees questioned included: Executive director/Administrator, nurses, nurse aides, housekeepers and activities staff, laundry and social service workers. The procedure was standardized to enhance the reliability of the data. The respondents were notified in advance of the specific application of their answers and were afforded the opportunity to receive a monetary donation to the SCU of their respective facilities.
  An Eden Alternative Home, with a program of goals and missions characterizing enhancement of an elder's life, a home-like environment and family-centered staff and care, in a very rural area of Pennsylvania, was also engaged to contrast and compare the hypotheses of the study.

  Results:
  On the SCU, less than 5 percent of the staff had received training specific to the care of the Alzheimer's elders. In the Eden Home, 100 percent of the staff had received training specific to the care of the Alzheimer's elders. On the SCU, less than 18 percent were satisfied with the quality and quantity of specialized and extensive training. In the Eden Home, 100 percent of the staff was satisfied with their specific training. On the SCU, using a Leiken scale, more than 55 percent felt that they should receive higher wages. In the Eden home, the results were the same. However, the longevity of the employees was 13.5 years as opposed to only 3.25 years in the SCU in other homes.

  Conclusion:
  These findings suggest there is a need to examine, expand and intensify the training of all caregivers on a special unit for the elders afflicted with dementia, Alzheimer's type.

• Elderly care out from the care system: the challenges of family carers

  2-24.

  A. M. Tróbert

  Zs. Széman

  Views:

  366

  The overburdened long term care system increases the role of family carers in taking care of older adults. Undertaking the role of care put a great burden to family carers and cause many negative effects to the family roles, the field of employment and to the carers’ personal physical and mental health too. The formal care system solely focuses for the need of care receivers and hardly find services targeted to family carers. This study, using the analisis of ten family caregiver interviews, overlaps the main difficulties they are facing.

• Determinants influenceing the mental health of older people (60 years +) in Botswana

  33-35

  Magen Mhaka-Mutepfa

  Views:

  38

  Ageing 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.

• Bölcs öregedés az életút alkonyán

  180-199

  Tivadar Homor

  Views:

  192

  The 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).

• COVID-19, lockdown, elderly. Experiences of the follow up research among active older adults 2020- 2021.

  40-42

  László Patyán

  Ágnes Bene

  Ivett Stumpf-Tamás

  Views:

  117

  Introduction, aims:
  The COVID-19 pandemic caused invaluable harms on the World during last two years. Among all economic and societal consequences the negative effects for elderly people was also apparent. Researches - among others - focused on the age related inequalities for accessing and using services, economic disadvantages, the decline of psychical, physical and mental conditions, reduced quality of life, increased level of loneliness, stress and depression, such as the increase and new faces of ageism.
  This research focused on the individual and organizational consequences of COVID – 19 pandemic and the effects of the state interventions followed by. The target group were identified as active seniors who have leading positions in different local and regional senior’s associations. These people were affected individually as a member of the age group and as an experts with organizational responsibilities as well.

  Research method:
  We chose a qualitative follow up (longitudinal) research method that was committed by semi structured phone interviews, recorded and anonymised. The time of the two data record focused and followed the main Hungarian waves of the pandemic: May – June in 2020 and June – July in 2021. Sample were collected from all districts of Hungary (n=42).

  Main research topics were:
  - The situation of the older adults (experiences about the local older people, daily life, problems, issues, social connections)
  - The life in the organization (activities, new initiatives, problems, issues)
  - Individual experiences (fears, daily life, social connections, shopping habits, use of ICT, vaccination).

  Results:
  We found significant differences on the personal life situation and the perception of pandemic and related interventions during the two waves. Pandemic situation may influenced these results. The age related “stay at home campaign” made more difficulties for the older people during the first wave, meanwhile related interventions weren’t so strict during the second wave by introducing shopping timeline for older people and night curfew for all in the late nights. Even first wave did not cause such harm like the second one in Hungary.
  During the first wave we found older people as a rule following citizens. They followed all the restrictions and regulations strictly. Life situations mainly were determined by the living conditions, that is means the ones who lived in the countryside mainly a house with garden experienced less negative effects than those, who lived in the housing estate area (first wave mainly fall on March – May).
  Older people reported increased importance of the local authorities. With the lack of central supporting interventions, local authorities played main role for local support, care and security. If the local government took care of older people they felt safety. Less interventions and coordination made older people insecured.
  The second wave made new situations for people. Older adults became one of the first target groups in vaccination and people started to cope with the pandemic.
  Older adults became more critical with governmental interventions.
  Critics focussed on the
  - pandemic related communication, the vaccination (older people mainly got Shinofarm vaccine that was not accepted in the EU at that time),
  - difficulties with the availability of health services, and
  - they experienced increased economic problems.
  The life in the organization: during the first wave we found frozen life of the seniors organization, cancelled and delayed programmes. Some initiatives were also reported. People preferred to keep contact via phone instead of using another ICT tools. Some of the answerer worried about the community life, how they can restart after the pandemic, others preferred the forthcoming chance for personal meetings.
  Seniors organisations may play an important role of the senior’s life by organizing free time and social activities, advocacy, and many other aspects of active ageing. As we made a first extract of this research further analyse will focus more on the good examples and new initiatives on the social, community and organizational levels.

• The role of urban green spaces in the well-being of people with dementia and their carers

  50-77

  Márta Fekete

  Luca Frankó

  György Pataki

  Veronika Kiss

  Views:

  197

  The 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.

• Challenges to Mental Health Security and Safety of Older Adults in the U.S.

  3

  Views:

  99

  Although rates of Covid-19 infection are lower for older adults, the mortality rates are higher than all other ages. While the health challenges are evident, the mental health effects of the pandemic are less evident. The term “compassionate ageism” has been used to describe protection of all older adults as vulnerable groups, however it overlooks individual factors that may mitigate risk and enhance mental health aspects of coping with the realities of the pandemic. Isolation and separation from families and once enjoyed activities, whether residing in their own homes or long-term care facilities, has taken an immeasurable physical and mental health toll on older adults. Safety and security for mental health as well as physical health must be considered in any strategy to try mitigate the effects on the quality of life of older adults during this critical time in our history.

• Mental health of older adults living in nursing homes in Slovakia – Results of a preliminary study

  44-45

  Mária Sováriová Soósová

  Lucia Hazuchová

  Views:

  25

  Loneliness 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.

• How can telemental health help reduce the loneliness and isolation of the elderly?

  2-29

  Anikó Panna Tóth

  Views:

  265

  In 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.

• How can telemental health help reduce the loneliness and isolation of the elderly?

  50-54

  Anikó Panna Tóth

  Views:

  65

  The 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.

• Early recognition of dementia within the family

  17-18

  Views:

  90

  The 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.

• Elderly Service Officer Trainings

  15-16

  Views:

  103

  Introduction 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.

• The correlations of resilience of the geriatric population in Botswana: A cross sectional study

  36-37

  Magen Mhaka-Mutepfa

  Views:

  46

  According to Botswana's Current statistics for 2021, people aged 60 and above would make up 8.9% of the population. As people age, they face a plethora of challenges; mental, legal, social, health, economic, environmental, and political, in addition to ageism and marginalization. Therefore, they need resilience to deal with these challenges that emanate from the aging process, the development of care needs, and the depletion of resources. However, in Africa, there is anecdotal evidence that some older people cannot cope with their lives, let alone carer responsibilities caused by HIV related death and other risk factors. For older people to flourish, they need resilience to achieve, endure, develop and sustain their health and well-being in the face of adversity. The degree of success and impact on their resilience is undocumented. The research will therefore determine the correlates with resilience and establish ways to curb the risk factors.