DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20171826

Activities of daily living amongst inmates of home for aged in Nagpur, Maharashtra, India: a cross sectional study

Ashok R. Jadhao, Pravin R. Ghongte, Suresh N. Ughade

Abstract


Background: Although persons of all ages may have problems performing the Activities of Daily Living (ADL), prevalence rates are much higher for the elderly (65 years and over) than for the non-elderly. Elderly population face many problems. They become economically dependent on family for their basic needs and health care. Due to nuclear family norm, there is no place for elderly parent who feel alone and insecure. The study was undertaken to assess activities of daily living and reasons for admitting in home for aged amongst them. Objectives of present study were to assess the activities of daily living (ADL) and to identify the reasons for admitting in home for aged, in two homes for aged in Nagpur city, Central India.

Methods: A cross sectional study was undertaken in two homes for aged namely Panchvati Vridhashram, Umred road and Home for aged, Untakhana, Nagpur, Maharashtra, India. Total 176 study subjects had consented for participation in study.

Results: Mean age of study subjects was 73.47±6.06 year ranging from 61 to 90 years. Proportion of female inmate was 55.11%. Around one-fifth of study subjects (19.32%) were illiterate. Significantly more illiterate study subjects were of female gender (chi- square=5.78, d.f.=1, P=0.016). Mean duration of stay in home for aged was 5.29±3.29 years with the range of 9 months to 17 years. Number of study subject’s dependent for at least one ADL was 37 (21.02%). Amongst dependents 32 (18.8%) inmates were partially dependent with ADL score of 1-5 and only 5 (2.85%) inmates were totally dependent with ADL score of 6-12. The proportion of inmates with dependency for at least one activity of activities of daily living increases as the age increases. Positive liner trend was observed between age and dependency (r=0.1971, P=0.0087).

Conclusions: Prevalence of ADL dependency was 21.02% among the inmates of home for aged. Dependency for activities of daily living increases with increase in age. Major reasons for admission to the home for aged were - no one to look after, strained relation with family members and economic constraints. There is need for economic assistance through social security to economically dependent inmates.


Keywords


Activities of daily living, Cross sectional study, Dependency score, Elderly, Home for aged

Full Text:

PDF

References


World Health Organization. Old age – a problem for society as a whole. WHO Chronicle. 1974;28:487-94.

Ara S. Old-age homes & the profile of their residents. Indian J Med Res. 1997;106:409-12.

Dhar HL. Emerging geriatric challenges. J Assoc Phys India. 2005;53:867-72.

World Health Organization. Technical Report Series no. 548, Planning and organization of geriatric services, 1974.

Chadha NK, Chao D, Bhatia H, Rohatgi M, Mir U. Activities of Daily Living and Its Correlates Among Elderly. Indian J dermatology. 2006;20(20):135-58.

Mahapatra S. Second home after home for elderly: A study of age homes in the Globalized Era. Ind J Geront. 2010; 24(1):115-22.

Kalavar MJ, Jamuna D. Senior resident of pay and stay homes: an examination of health and physical activity. Indian J Gerontology. 2006;20:21-34.

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

Mishra D, Singh HP. Kuppuswamy’s Socioeconomic Status Scale - A Revision. Indian J Pediatrics. 2003;70:92-4.

The Wellbeing of elderly Gerda G Fillenabum, World Health organisation. Geneva. 1984.

Katz S, Downs TD, Cash HR, Grotz RC. Progress in the development of the index of ADL. Gerontologist. 1970;10(1):20-30.

Dawale AK, Mudey A, Lanjewar A, Wagh VV. Study of Morbidity Pattern in Inmates of Old Age Homes in Urban Area of Central India. J The Indian Academy of Geriatrics. 1997;6(1):23-7.

Venkoba Rao A, Madhvan T. Geropsychiatric morbidity survey in a semiurban area near Madurai. Indian J Psychiatry. 1982;24:258-67.

Shashikant, Mishra P, Goswami A. Morbidity among elderly persons residing in a resettlement colony of New Delhi Indian. J Preventive Social Medicine. 2004;35:1-9.

Srinivasan K, Vaz M, Thomas T. Prevalence of health related disability among community dwelling urban elderly from middle socioeconomic strata in Bangaluru, India. Indian J Med Res. 2010;13:515-21.

Ball MM, Perkins MM, Whittington FJ, Hollingsworth C, King SV, Combs BL. Independence in assisted living. J Aging Studies. 2004;18(4):467-83.

Rani AM, Palani G, Sathiyasekaran BW. Morbidity profile of elders in old age homes in Chennai. Natl J Comminty Med. 2011;2(3):378-82.

Mishra AJ. A study of loneliness in an old age home in India: A case of Kanpur. Ind J Geron. 2003;17(1-2):136-46.

Sarkar S. Morbidity profile of aged population of old age homes in Calcutta. Indian J Public Health. 2003;47(2):78-9.