elderly.pptx

2. ELDERLY PROBLEMS
AND
ELDERLY ABUSE

3. INTRODUCTION
 Elderly is a major type of vuinerable groups in
the society. Older Adulthood begins usually
between 60 and 75 years of age.
 The older adults have to face some special
challenges because of great variation in the
physiological, cognitive and psychological
health status, old people will have reduced
ability to stress.

4. CategorisingtheElderlyPeople
These are four categories of elderly
people.They are:
 Young old: From 65 to 75 years of age
 Old: From 75 to 85 years of age
 Old old: From 85 to 100 years of age
 Elite old: Over 100 years of age.

5. ProblemsFacedbytheElderly
Retirement
 Most of the people after the age of 60 are
unemployed.
 Some of them who are healthy continue to
work on a full or part time basis.
 Post-retirement days can foster a sense of
integrity and despair.

6. Economic Problems and Economic Dependency
 Problem with the economy are related to the low
retirement benefits, lack of Pension, Older
women usually have low income than men.
 Usually depend on caregivers or family members.
It is important risk factors which lead to elderly
abuse.
Perception
 In the aging process, senses become impaired.
The ability to perceive the environmental stimuli
and reaction towards the particular stimuli get
diminished.

7. Relation
 Elders with decreased mobility want living
arrangements like all the facilities in one floor
and they need more accessible bath room
facilities.
 Sometimes the house may be too large, which
makes the elders to move a lot which is stressful
to them.
 Some elders would like to go near their children
for support and supervision. Some of them may
relax to long-term care facilities or nursing
homes.

8. Maintenance of Independence and Self-esteem.
 Most of the elders want independence. It is
important to them, that they want to look after
themselves even if they have to struggle.
 The nurses has to acknowledge the elderly clients
ability to think, Reason and make decision.
Coping Ability
 Coping ability of the elders changes based on
their nature and previous lifestyle.
 Most of them are not ready to cope up with the
situation during the old age. Many won’t adapt to
the retirement and adjust to the minor ailments.

9. Health and Medical Problems
 Old age naturally developed with countless
health problems Physically and mentally.
 Some common diseases are depression,
Dementias, Alzheimer’s disease, diabetes,
hypertension stroke and cancer.
Fear of Death and Grieving
 Well adjusted couple usually thrives for
companionship during old age.
 When a partner dies, the remaining partner
experiences the feeling of loneliness, emptiness
and loss.

10. Taskstobefulfilledbytheelders
 Adjust towards the decreased physical strength and
health.
 Adjust to the retirement lower and fixed income.
 Adjust to the death of spouse and friends.
 Adjust to the new relationship with children.
 Adjust towards the leisure time.
 Adopt the lonely life.
 Take care of one’s own health.
 Keep active and involve in various social activities.
 Safeguard the physical and mental health.
 Remain in touch with family members.
 Find meaning in life.

11. Interventiontoovercomeproblemsofelderly
 Family relationship has to be tightened as a care provider
in the Society.
 Encourage social services and social support to reduce
the stress in family with the dependent elders.
 Involve the status in all social programs to prevent social
isolation.
 Establish and encourage the self-help group activites.
 Promote the long-term care facilities in the social
institutions.
 Promote the activities of voluntary health organizations
to meet the needs of the elderly to get emotional
satisfaction, social security and self efficiency.
 Make sure that elders have sufficient income or asset to
manage their life.

12.  Emphasize on empowerment and independence of elderly
women.
 Identify the elderly abuse in the society in its early stage.
 Encourage mass media programs to protect the elderly from
abuse.
 Provide facilities for the research on elderly.
 Ensure better quality life to the elders.
 Encourage the family members to provide warmth and
support to the elders.
 Provide economic security by means of pension, old age
allowance, free medical like counselor, guide, etc.
 Encourage counseling and treatment to elders to cope with
familial and personal problems.
 Mobilize governmental and non-governmental organizations
to strength the welfare services to the elders.

13. ELDERLY PROBLEM
 The Infliction of physical, emotional
or psychological harm on an older
adult usually 65 years of age ,is
known as elderly abuse.

14. Levelsofelderabuse
Level of elderly abuse (According to Bennett, Baring
Stoke, Kingston and Penhale 1997).
 Macro Abuse
Issues at the societal level, e.g: Lack of access to
health care,Poor social security and institutional
abuse.
 Mezzo Abuse
The injustice done on older people at the community
level, e.g: Ageism, anti-social activities against older
people and marginalising them.
 Micro Abuse
It deals with the conflicts and interactions between
two people ,i.e. an adult family or a caregiver in an
institution and older person.

16. Causes
Socio-cultural Factors
 Degeneration of the joint family system
 Maltreatment of the elderly in the family context
 Dislocation of cultural and familial bonds
 Failure on the part of the sons to look after the
aged
 Lack of support for family members
 An abusive home as an antecedent to violence.

17. Psychopathology
 Personality problem
 Mental illness like psychosis
 Alcoholism
 Unable to control aggression, older family
members
 Senile dementia
 Feeling of burden.

18. Dependency Related to Social Change
 Dependency creates an imbalance in exchange
processes increases the risk of elder maltreatment.
 Retirement
 Familial stress,individual needs of some family
members
 Deprived of active participation and decision making
in Both occupational and family settings
 The vulnerability of older women to violence,
advanced Age, widowed,functionally impaired and
living with their children
 Career stress
 Cerebral atresclerosis
 Irresponsible children

21. CharacteristicsoftheAbused
 Women of 65 years or more
 Cognitive impairment
 Total mood disturbance
 Low level of social support
 Inadequate income level
 Socially, psychologically and economically dependent on
Others
 Feeling of delusion, hallucinations
 Spousal abuse
 Depression or agitation
 Elders who are neglected, are a source of extreme stress
to the caregivers (eg;Frail, disabled, dependent)

23. NursingInterventionstoovercometheProblemsofElderly
Abuse
 Family ties has to be strengthened as major care
provider in the society is family social network.
 Promote social services and social support to
reduce stress in family with dependent elders.
 IEC programs has to be conducted to create
awareness both elderly and the public about elder
abuse and legal Right of elderly people.
 Involving elders in social programs to prevent
social Isolation.
 Promote availability of facilities to long-term care
in social Institutions.

24.  Mobilize voluntary organisations to meet the
needs of elderly to get emotional, social support
and self efficacy.
 Ensure that elders have sufficient assets and
income to manage through one’s life.
 Give priority to the research on elderly abuse
 Early identification of elder abuse at social
institution level.
 Enhance the empowerment of professionals in
knowledge and skills who are rendering care to
the elders.
 Forms and promote self help group activities.

25.  Mobilize Government and Non-Government
organizations to strengthen the ongoing welfare
services to the elderly.
 Encourage the primary caregivers, i.e. family
members to provide warmth and support to the
elders.
 Provision for economic security by means of old
age allowance, pension, accident benefits, free
medical aid, part time jobs like counselors, guides.
 Arrange mass media programs to sensitize elderly
towards protection from abuse

26. THANK YOU