Health care needs assessment of elderly with functional disability in Palam village of Delhi

Authors

  • Devendra Kumar Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India
  • S. K. Rasania Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India
  • Ranjan Das Department of Community Medicine, Lady Hardinge Medical College, New Delhi, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20193998

Keywords:

Elderly, Health care needs, Functional disability

Abstract

Background: Exploring the health care needs of the aged is important in any society. Certain assessments of the elderly are comprehensive in that they are able to measure the met and unmet physical, mental and social needs in this population group and thus lead to overall improvement in their care as well as assistance for their health care providers. The objective of the present study was to assess the health care needs in elderly having functional disability in Palam village of Delhi.

Methods: Health care needs assessment was done using CANE questionnaire in 81 elderly who were found to be functionally disabled out of the total 350 study subjects. It comprised of 24 items and two items related to caregivers need. Kappa test was applied to check for the inter rater agreement between the study subject and their caregivers.

Results: Varied range of agreement was observed on most of the items, highest agreement noted for accommodation (98.7%) and lowest for intimate relationships (50.6%).

Conclusions: Appropriate social and economic policies need to be made to mitigate the ill effects of ageing which should also address their health care needs.

References

Elderly in India-profiles and programmes, 2018. Available at http://mospi.nic.in/sites/default/files/ publication_reports/ElderlyinIndia_2016.pdf. Accessed on 18 August 2018.

International Classification of Impairments, Disabilities and Handicaps-manual of classifications relating to the consequences of disease: WHO, Geneva; 1980.

Gupta P, Mani K, Rai SK, Nongkynrih B, Gupta SK. Functional disability among elderly persons in a rural area of Haryana. Indian J Public Health. 2014;58(1):11-6.

The disabled elderly and their use of long-term care, 2018. Available at: http://www.aspe.hhs.gov/daltcp/ reports/diseldes.htm#chap1. Accessed on 20 August 2018.

Venkatarao T, Ezhil R, Jabbar S, Ramkrishnam R. Prevalence of disability and handicaps in geriatric population in rural south India. Indian J Public Health. 2005;49(1):11-7.

Collin C, Wade DT, Davies S, Horne V. The Barthel ADL Index: a reliability study. Int Disabil Stud. 1988;10(2):61-3.

Wade DT, Collin C. The Barthel ADL Index: a standard measure of physical disability? Int Disabil Stud. 1988;10(2):64-7.

Definition of visual impairment, 2018. Available at: http://www.bpaindia.org/VIB%20Chapter-I.pdf. Accessed on 20 August 2018.

Reynolds T, Thornicroft G, Abas M, Woods B, Hoe J, Leese M, Orrell M. Camberwell Assessment of Need for the Elderly (CANE). Br J Psychiatr. 2000;176(5):444-52.

Walters K, Iliffe S, Tai SS, Orrell M. Assessing needs from patient, carer and professional perspectives: the Camberwell Assessment of Need for Elderly people in primary care. Age Ageing. 2000;29(6):505-10.

Zisis D. An assessment of the health care needs of people aged 65 years and older in homes for the aged in Johannesburg (Doctoral dissertation). Johannesburg; 2013.

Ugargol AP, Hutter I, James KS, Bailey A. Care Needs and Caregivers: Associations and Effects of Living Arrangements on Caregiving to Older Adults in India. Aging Int. 2016;41(2):193-213.

Beach SR, Schulz R. Family caregiver factors associated with unmet needs for care of older adults. J Am Geriatr Soc. 2017;65(3):560-6.

Mandal A. A clinicosocial study of psychiatric disorders and related health care needs of the elderly in Delhi [MD thesis]. New Delhi, India: University of Delhi; 2002.

Woo J, Ho SC, Yuen YK, Yu LM, Lau J. An estimation of the functional disability burden in elderly Chinese age 70 years and over. Disabil Rehabil. 1996;18(12):609-12.

National programme for health care of the elderly, 2009. Available at: http://www.mohfw.nic.in/show file.php?lid=1403. Accessed on 10 April 2017.

Singh N, Kumar S, Muzammil K, Raghav SK, Singh JV. Assessment of functional status in the elderly persons in the rural area of Punjab. Indian J Community Health. 2014;26(1):25-9.

Goel PK, Garg SK, Singh JV, Bhatnagar M, Chopra H, Bajpai SK. Unmet needs of the elderly in a rural population of Meerut. Indian J Community Med. 2003;28(4):165-6.

Gebreyohannis B, Kharel K. Needs assessment on assisted living facilities among elderly population. Kokkola: Centria University of Applied Sciences; 2012.

Beach SR, Schulz R. Family caregiver factors associated with unmet needs for care of older adults. J Am Geriatr Soc. 2017;65(3):560-6.

Park K. Park’s Textbook of Preventive and Social Medicine. 23rd edition. Jabalpur, India: M/s Banarasidas Bhanot Publishers; 2015.

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Published

2019-08-27

How to Cite

Kumar, D., Rasania, S. K., & Das, R. (2019). Health care needs assessment of elderly with functional disability in Palam village of Delhi. International Journal Of Community Medicine And Public Health, 6(9), 3943–3947. https://doi.org/10.18203/2394-6040.ijcmph20193998

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Original Research Articles