Dependency in activities of daily living of institutionalized elderly people in Tiruvallur District: Dependency in activities of daily living of institutionalized elderly people

Lalitha Rani Chellappa; Meignana Arumugham Indiran

doi:10.53730/ijhs.v6nS2.5351

Authors

Lalitha Rani Chellappa Senior Lecturer, Department of Public Health Dentistry Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai
Meignana Arumugham Indiran Professor and Head, Department of Public Health Dentistry Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai

Keywords:

institutionalized elderly, activities daily living, barthel index, elderly, geriatric population

Abstract

Introduction: The proportion of elderly people in the Indian population is steadily increasing. Over a period of time the disease patterns in India have predominantly changed from infectious to non-communicable diseases. This has led to the rise in morbidity and fall in mortality causing marked increase in elderly population. Aim: To assess the prevalence of dependency on activities of daily living (ADL) among geriatric populations in residential homes in Tiruvallur district. Materials and Methods: A cross sectional study was conducted among institutionalized elderly population aged 65-74 years. Activities of daily living was assessed by Barthel index. Descriptive statistics, Kendall tau’s correlation and binary logistic regression were done to test if the differences for various parameters Results: There were 29.6% partially or completely dependent on doing their daily activities Conclusion: Based on the findings of the study, it was concluded that dependency of the institutionalized elderly population was high. The caregivers need to assess the unmet needs of the elderly.

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References

World Health Organization. Disability and health. Geneva: World Health Organization; 2016. http://www.who.int/mediacentre/factsheets/fs352/en/

Barberger-Gateau P, Rainville C, Letenneur L, Dartigues JF. A hierarchical model of domains of disablement in the elderly: a longitudinal approach. Disabil Rehabil. 2000;22(7):308–17

Fries JF. Aging, natural death, and the compression of morbidity. N Engl J Med. 1980;303:130–5.

Uddin MJ, Alam N, Sarma H, Chowdhury MA, Alam DS, Niessen L. Consequences of hypertension and chronic obstructive pulmonary disease, healthcare-seeking behaviors of patients, and responses of the health system: a population-based cross-sectional study in Bangladesh. BMC Public Health. 2014;14(1):547.

Dunlop DD, Manheim LM, Sohn MW, Liu X, Chang RW. Incidence of functional limitation in older adults: the impact of gender, race, and chronic conditions. Arch Phys Med Rehabil. 2002;83(7):964–71.

Su P, Ding HS, Zhang W, Duan GF, Yang YT, Chen R, et al. The association of multimorbidity and disability in a community-based sample of elderly aged 80 or older in Shanghai, China. BMC Geriatr. 2016;16:178.

Wang XX, Lin WQ, Chen XJ, Lin YY, Huang LL, Zhang SC, et al. Multimorbidity associated with functional independence among community-dwelling older people: a cross-sectional study in southern China. Health Qual Life Outcome. 2017;15:73.

Yang M, Ding X, Dong B. The measurement of disability in the elderly: a systematic review of self-reported questionnaires. J Am Med Dir Assoc. 2014;15(2):150.

Feng D, Ji L, Xu L. Mediating effect of social support on the association between functional disability and psychological distress in older adults in rural China: does age make a difference. PLoS One. 2014;9(6):e100945.

Quail JM, Wolfson C, Lippman A. Unmet need for assistance to perform activities of daily living and psychological distress in community-dwelling elderly women. Can J Aging. 2011;30:591–602.

Kim J. Factors affecting the unmet long-term care need of elderly in Korea and the United States: effects of children and formal home care on the unmet need. Syracuse: Syracuse University; 1997.

LaPlante MP, Kaye HS, Kang T, Harrington C. Unmet need for personal assistance services: estimating the shortfall in hours of help and adverse consequences. J Gerontol Ser B Psychol Sci Soc Sci. 2004;59:98–108.

Brimblecombe N, Pickard L, King D, Knapp M. Perception of unmet needs for community social care services in England. A comparison of working carers and the people they care for. Health Soc Care Commun. 2017;25(2):435–46.

Kuzuya M, Hirakawa Y, Suzuki Y, Suzuki Y, Iwata M, Enoki H, et al. Association between unmet needs for medication support and all-cause hospitalization in community-dwelling disabled elderly people. J Am Geriatr Soc. 2008;56(5):881–6.

DePalma G, Xu HP, Covinsky KE, Stallard E, Thomas J, et al. Hospital readmission among older adults who return home with unmet need for ADL disability. The Gerontologist. 2013;53(3):454–61.

Hass Z, DePalma G, Craiq BA, Xu H, Sands LP. Unmet need for help with activities of daily living disabilities and emergency department admissions among older medicare recipients. The Gerontologist. 2017;57(2):206–10.

He S, Craig BA, Xu HP, Covinsky KE, Stallard E, Thomas J, et al. Unmet need for ADL assistance is associated with mortality among older adults with mild disability. J Gerontol A Biol Sci Med Sci. 2015;70(9):1128–32.

Rhee JC, Done N, Anderson GF. Considering long-term care insurance for middle-income countries: comparing South Korea with Japan and Germany. Health Policy. 2015;119(10):1319–29.

Gupta, S., Yadav, R. and Malhotra, A. K. (2016) ‘Assessment of physical disability using Barthel index among elderly of rural areas of district Jhansi (U.P), India’, Journal of family medicine and primary care, 5(4), pp. 853–857. doi: 10.4103/2249-4863.201178.

González, N. et al. (2018) ‘Psychometric characteristics of the Spanish version of the Barthel Index’, Aging Clinical and Experimental Research, pp. 489–497. doi: 10.1007/s40520-017-0809-5.

Ohura, T. et al. (2014) ‘Assessment of the validity and internal consistency of a performance evaluation tool based on the Japanese version of the modified barthel index for elderly people living at home’, Journal of Physical Therapy Science, 26(12), pp. 1971–1974. doi: 10.1589/jpts.26.1971.

Schulc, E. et al. (2015) ‘Is the Barthel index an adequate assessment tool for identifying a risk group in elderly people living at home’, Clinical excellence for nurse practitioners: the international journal of NPACE, 2(140), pp. 145–153.

Sarabia-Cobo, C. M. et al. (2016) ‘The incidence and prognostic implications of dysphagia in elderly patients institutionalized: A multicenter study in Spain’, Applied nursing research: ANR, 30, pp. e6–9. doi: 10.1016/j.apnr.2015.07.001

Martín-García, S. et al. (2013) ‘Comorbidity, health status, and quality of life in institutionalized older people with and without dementia’, International psychogeriatrics / IPA, 25(7), pp. 1077–1084. doi: 10.1017/S1041610213000458.

Serrano-Urrea, R. and García-Meseguer, M. J. (2014) ‘Relationships between nutritional screening and functional impairment in institutionalized Spanish older people’, Maturitas, 78(4), pp. 323–328. doi: 10.1016/j.maturitas.2014.05.021

Zasadzka, E. et al. (2016) ‘Effects of inpatient physical therapy on the functional status of elderly individuals’, Journal of Physical Therapy Science, 28(2), pp. 426–431. doi: 10.1589/jpts.28.426.

FISHER and AG (2003) ‘Assessment of Motor and Process Skills’, Administration and Scoring Manual. Available at: https://ci.nii.ac.jp/naid/10019832325/ (Accessed: 4 February 2021).