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Social And Physical Realities Of Aging In Northeast India: A Study Of Folk Societies, Kaushalendra Pratap Singh, Kanchan Devi

Asia-Pacific Social Science Review

Population aging in Northeast India has emerged as a significant social concern in the context of rapid socioeconomic transformation and the gradual weakening of traditional family support systems. In the traditional folk societies of Arunachal Pradesh and Sikkim, older adults increasingly face challenges related to social isolation, inadequate care support, and limited access to healthcare services. The outmigration of younger generations for employment and education has further reduced family-based caregiving, whereas geographical remoteness and insufficient healthcare infrastructure continue to affect the physical well-being of elderly populations. This study examines the social and physical conditions of elderly people in Arunachal Pradesh …

Nourishing Confidence: Empowering Seniors To Make Healthy Food Choices, Ina Patricia Bangawan

Master's Projects and Capstones

Objective This quality improvement (QI) project evaluated the effectiveness of a 10-week nutrition education program designed to improve nutrition knowledge and confidence in making healthy nutritional choices among independent older adults living in a low-income senior housing community. Aim By August 10, 2026 the goal of this project was to increase average nutrition knowledge and confidence scores related to selecting nutritious foods and preparing healthier meals by 20% among senior housing facility residents. Methods A microsystem assessment and gap analysis, literature review, SWOT analysis, fishbone diagram, and GANTT chart were completed to guide the project development and implementation. Weekly nutrition …

Effects Of Tongue Resistance And Strengthening Exercises In Elderly With Mci: A Double-Blind Rct, Kuei-Ru Chou

International Nursing Research Congress (INRC)

Purpose: Frail older adults with mild cognitive impairment (MCI) often experience reduced tongue function, resulting in inefficient bolus transport and swallowing difficulties. Tongue resistance exercises (TRE) use isometric or isotonic movements against resistance to enhance tongue strength, while tongue strengthening exercises (TSE) involve repetitive, high-intensity movements to improve tongue pressure and swallowing coordination. This study aimed to evaluate the effects of a combined TRE + TSE program on tongue function, swallowing pressure, swallowing performance, and quality of life (QoL) in frail older adults with MCI.

Methods: A prospective, double-blind, three-arm randomized controlled trial was conducted. Participants (n = 89; mean …

The Effect Of The Lee Silverman Voice Treatment (Lsvt) Big Method Based On Occupation On Older Adult Functional Mobility Balance, Muhammad Luthfi, Kharisma Nur Idalasari

Jurnal Fisioterapi Terapan Indonesia

Balance impairment is one of the major problems commonly experienced by older adults as a result of degenerative processes, leading to an increased risk of falls. Falls may cause fear of recurrent falling, reduced physical activity, loss of physical capability, and may eventually result in disability and psychological consequences such as depression. Structured, occupation-based physical activity has been shown to provide various benefits for older adults, including improving physical function, slowing functional decline associated with degenerative processes, reducing fall risk, and enhancing postural control. This study aimed to analyze the effect of the occupation-based Lee Silverman Voice Treatment (LSVT) BIG …

Aging Alone In Malaysia: Social Challenges And Legal Protections, Jal Zabdi Mohd Yusoff, Zulazhar Tahir, Siti Zaharah Jamaluddin

Hasanuddin Law Review

According to The Japan Times, nearly 28,000 elderly individuals in Japan will die alone in the first half of 2024. This alarming trend is not unique to Japan; many countries, including Malaysia, are facing the challenges of an aging population. As Malaysia approaches becoming an aging nation, issues affecting the elderly, particularly those living alone, demand urgent attention. While not all elderly people face the same circumstances, some enjoy stable finances or live with their family, while others live in isolation due to various factors, such as remaining unmarried, widowhood, or estranged familial ties. Some are simply separated by their …

The S.A.V.E. Model Of Biblically-Based Existential Therapy For Residents Of The Assisted Living Facility Casa Di Riposo Sardara In Sardinia, Italy, Gregory K. Cherven

Doctoral Dissertations and Projects

Christian gerontological counseling, a traditionally non-progressive field, is a crucial area of ministry, particularly for older adults in assisted living facilities and nursing homes. At Casa di Riposo Sardara in Sardinia, Italy, many residents aged 70 and older lacked a solid biblical understanding of existence and eternal life, contributing to widespread existential anxiety among this population. To address this issue, the researcher developed the S.A.V.E. (solitude, autonomy, value, eternity) model of biblically based existential therapy. This model targets the four main pillars of existential therapy: meaninglessness, isolation, freedom, and death, offering biblical solutions for each. The approach incorporates positive imagery …

The Effect Of Medical Aid In Dying On Health Outcomes And Risky Behavior Of The Elderly, Jacky Wu

Theses and Dissertations

This study examines the effects of Medical Aid in Dying (MAiD) legalization on health outcomes and behavior among elderly U.S. adults using BRFSS data from 2005-2022. Using staggered difference-in-differences, this paper finds that MAiD increases exercise, lowers BMI, and reduces blood pressure medication use.

Kadar Transthyretin Plasma Pada Lanjut Usia Sarkopenia Dan Non-Sarkopenia, R. Ifan A. Fahrurozi, Rose D. Martini, Roza Mulyana, Arina W. Murni, Eva Decroli, Saptino Miro, Deka Viotra, Vesri Yoga

Jurnal Penyakit Dalam Indonesia

Introduction. Sarcopenia is a geriatric syndrome marked by an age-related decline in muscle mass, which is affected by protein intake. Transthyretin is a visceral protein used to evaluate nutritional status and acts as a positive regulator of muscle mass. This study aimed to assess the difference in plasma transthyretin levels between elderly groups with and without sarcopenia.

Methods. This was an analytical observational study with a cross-sectional approach. Subjects were elderly patients who visited the Internal Medicine Polyclinic of Dr. M. Djamil Hospital Padang and met the inclusion and exclusion criteria from August to September 2024. Subjects were …

Fall Prevention In Home Care: The Introduction Of The Steadi Initiative As Evidence-Based Tool, Margarida Barbosa - Barreiro

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Falls continue to be one of the leading causes of injury and mortality among older adults and remain a significant driver of healthcare utilization and cost. Within the home health setting, inconsistent practices in fall risk assessment and intervention have contributed to care gaps and increased patient vulnerability. The absence of a standardized, evidence-based process created the need for a structured quality improvement initiative to strengthen patient safety.

Aim of the Project: The purpose of this quality improvement project was to integrate the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) toolkit into home health visits to enhance the …

Reflection And Appreciation: A Journey To Improving Care For Older Adults After Critical Illness, Cheryl Chia-Hui Chen

International Nursing Research Congress (INRC)

With 25 years of research, my work has focused on improving outcomes for critically ill older adults by addressing delirium, frailty, malnutrition, and functional decline. I’ve advocated for care bundles to prevent complications and support recovery. In this International Nurse Researcher Hall of Fame session, I’ll share my journey to advancing care for older adults after critical illness. This award is humbling and reflects the collective efforts of my colleagues, mentors, and students.

Intergenerational Programs: Reducing Loneliness Of Older Adults In Congregate Care Settings, Rachel Elaine Bagley, Yolanda Rodriguez, Jacelyn Tappert

International Nursing Research Congress (INRC)

Loneliness is an increasingly recognized public health issue, especially among the elderly, where it contributes to the decline in both physical and mental health (WHO Commission on Social Connection, 2024). In the geriatric population, loneliness is associated with increased risks of depression, anxiety, cognitive impairment, cardiovascular disease, falls, and overall mortality (Holt-Lunstad, et al. 2015; Millett et al., 2024; National Institute on Ageing, 2019). Loneliness in congregate care settings is often exacerbated by residents' loss of physical mobility, death of spouses, removal of the individual from their neighborhood and community, and reduced autonomy. The COVID-19 pandemic intensified these issues, reducing …

Evaluation Of Mobility And Functional Balance In Elderly Individuals With Type 2 Diabetes Based On Selected Kinematic Variables, Osama Abdel Fattah, Khaled Atiyat, Thamer Al-Manaseer

Jordan Journal of Applied Science-Humanities Series

This study aims to evaluate the kinematic indicators in the Timed Up and Go (TUG) test and the level of functional balance in the study sample according to the Berg Balance Scale. Additionally, it examines the relationship between BMI and the duration of diabetes with the values of kinematic indicators in the study sample in the TUG test and the level of functional balance on the Berg Balance Scale. Furthermore, it explores the relationship between the values of the kinematic indicators in the TUG test and the level of functional balance. To achieve this, the researchers employed a descriptive approach …

Restricted Social Engagement Is Associated With Depressive Symptoms In Older Chinese Adults: A Nationwide Cross-Sectional Study, Zheng Guo, Yulu Zheng, Yahong Zhu, Huacheng Wang, Jian Geng, Hengrui Liu, Piyong Ma, Lois Balmer, Xingang Li

Research outputs 2022 to 2026

Background and Aims: Social isolation has been linked to depressive symptoms in older adults. Previous studies have shown that greater engagement in social activities is associated with better mental health. However, it remains unclear whether restricted social engagement is related to poorer mental health outcomes. This study examined the association between reduced social activities/networking and the presence of depressive symptoms among community-dwelling older Chinese adults. Methods: During the COVID-19 pandemic, people chose to minimize going out to reduce the risk of infection, creating a natural setting that mimicked a passive intervention of restricted social engagement for community-based individuals. Data were …

Graduate Student Paper: Aging In A Changing Japan: Gendered Adaptation To Changing Family Structure, Miki Izu, Clayton Chalmers

Asia Pacific Perspectives

Although Japanese seniors are very healthy, research shows that they are not very happy. Compared to seniors in other developed countries, Japanese elders have lower ratings of subjective well-being and are increasingly alone. This paper argues that changes to Japanese family life help explain why Japanese elders are struggling with low subjective well-being. Specifically, declining marriage rates and declining rates of elders living with their children (co-residency) have made it harder for elders to get the support they need. Moreover, the effect and the adaptations to these changes are not equal between men and women. While elderly Japanese men are …

Introduction To Sociology: Class And Stratification, Dr. Marcia Morrison Ph.D.

Open Educational Resources

Abstract

This paper explores the intricate dynamics of class, stratification, and social inequality, emphasizing the interplay of wealth, power, and prestige in shaping individual opportunities and societal outcomes. Drawing on foundational theories from Marxist and functionalist perspectives, it examines the mechanisms by which economic and social structures reinforce or challenge class divisions. The analysis extends to the evolution of American economic disparity, particularly during the transformative 1980s, and examines policies aimed at addressing poverty, such as those articulated by Sar Levitan and the implementation of the Social Security Act. Through a nuanced discussion of cultural capital, the role of …

Thai Elderly’S Working Needs During 2007–2021: Empirical Findings On Aging Health Status And Impact From Thai Elderly Financial Support Policy, Ratchaphon Amsuk

Asia-Pacific Social Science Review

Thailand has implemented many initiatives in response to the growing older population. One of the objectives was to increase revenue through employment. This study examines the employment demands of the elderly population by considering their health status, eyesight, and hearing capacity, with the aim of improving the provision of employment support for the elderly. The data from the survey of older persons during 2007–2021 were examined. The results revealed that the Thai elderly’s working needs are likely to continually increase. However, their health status, eyesight capability, and hearing ability significantly affected the elderly’s working opportunities. One intriguing discovery pertained to …

Factors Associated With Caregivers' Concern In Maintaining The Oral Function Of Elderly Living In Long-Term Care Facilities, Susiana Nugraha, Tri Budi Wahyuni Rahardjo, Misako Higashijima, Yuko Hirano

Kesmas

This study investigated the attentiveness of elderly caregivers in long-term care facilities in maintaining oral function. A cross-sectional approach was used to achieve the study's purpose. The sample size formula accounted for 213 caregivers randomly selected from 18 long-term care facilities in 4 provinces. A self-reported questionnaire of sociodemographic characteristics and an adapted Leopold’s oral care checklist was distributed. The average age of study participants was 35.24 (±11.2 SD; aged 18–70 years), dominated by females (62.9%), and only 39% had experienced long-term care training. Multiple linear regression analysis indicated that younger caregivers likely pay more attention in the swallowing periods …

Fall Incidences, Risk Factors, And Health Effects Among Early- And Middle-Aged Elderly People In Rural Areas Of Border Provinces In Southern Thailand, Phnom Sukchan, Tapanan Prateepko, Arinda Ma-A-Lee, Kruawan Hounkong, Penporn Sujiwattanarat, Gornganok Piboonpol

Journal of Health Research

Background: Elderly individuals with physical and psychological challenges face a high risk of falls. This study aimed to assess the incidence, health effects of, and risk factors for falls among those aged 60-79 years old in Thailand's three southern border provinces.

Methods: A community cross-sectional study was conducted between October 2021 and September 2022. Questionnaires were administered though verbal face-to-face conversations. Descriptive statistics, the Chi-square test, Fisher’s exact test, and logistic regression were used.

Results: A total of 419 elderly participants were recruited, while 374 participated in the study. The incidence of falls was 37.4% with an average of 1.7 …

Rehabilitation Impact Of Vivifrail Exercise Program Type C On The Cognitive Function Of Pre-Frail Elderly People In The Community, Sri Soenarti, Dwi Indriani Lestari, Muhammad Barlian Nugroho, Harien Lestari

Folia Medica Indonesiana

Highlights:
1. This study emphasizes the importance of providing physical exercises to pre-frail elderly individuals, especially in a community setting.
2. This study establishes a foundation for future research to explore the relationship between physical exercise, particularly the Vivifrail Type C Protocol, and cognitive function in pre-frail elderly individuals.


Abstract
Frailty is a clinical syndrome that increases vulnerability, potentially leading to disability or death. The pre-frail phase is ideal for preventing frailty and improving quality-adjusted life years, particularly through physical exercises that reduce the risk of dementia and cognitive impairment. Multicomponent exercises, such as the Vivifrail Exercise Program, may enhance …

Older And Better: A Narrative Review Of Successful Aging And Adaptation To Pain In Late Life, Emanuel Narcis Husu

Faculty, Staff and Students Publications

"Invariably, the self-assessed QoL was far better than I, as a physician, would have anticipated from the diseases and disabilities that you reported." -Ben Eiseman, MD, based on a survey of his octogenarian Yale University classmates.

Background: Chronic pain control is a high priority for the elderly; it is one of the most frequently encountered medical problems in this group. Chronic pain affects 60%-75% of people aged 65 years and older. Chronic pain's prevalence is even higher in those living in assisted living or nursing homes. Based on epidemiological data, the prevalence of chronic pain is directly proportional to age …

The Frailty Trajectory's Additional Edge Over The Frailty Index: Retrospective Cohort Study Of Veterans With Heart Failure, Javad Razjouyan, Ariela R Orkaby, Molly J Horstman, Parag Goyal, Orna Intrator, Aanand D Naik

Faculty, Staff and Students Publications

No abstract provided.

The Hidden Struggle: Challenges Older Women Face In Nevada, Annie Vong

Student Research

In 2020, almost one in five Nevadans was over the age of 65.[1] However, within this age group, women outnumber men due to longer life expectancies[2] and migration patterns. Women over 65 years of age make up an estimated 18.1% of the female population in Nevada.[3] Of the male population in Nevada, 15.1% are over 65 years of age.[4] Older women are less likely to be married, are less likely to have completed a bachelor’s degree, are more likely to drop out of the labor force, and are more likely to be living in poverty in …

A Beginner's Guide To Gerontological Counseling: A Summary Of Considerations For Counselors Providing Psychotherapy To Older Adults In Rural Settings, Kelly D. Higgins

Educational Specialist, 2020-current

The elderly population continues to rapidly increase in the United States, leading to a significant need for mental health care among older adults. While older adults experience significant role changes, increased potential for physical and cognitive limitations, and heightened social isolation, all of which contribute to an increased psychiatric need, very few counselors are specially trained to provide adequate geriatric treatment. This is especially true in rural populations, where accessibility limitations are often more significant and mental health professionals are few and far between. This project provides a brief review of the literature regarding these various considerations, challenges, and areas …

Academic Detailing As A Health Information Technology Implementation Method: Supporting The Design And Implementation Of An Emergency Department-Based Clinical Decision Support Tool To Prevent Future Falls, Hanna J Barton, Apoorva Maru, Margaret A Leaf, Daniel J Hekman, Douglas A Wiegmann, Manish N Shah, Brian W Patterson

Faculty, Staff and Student Publications

BACKGROUND: Clinical decision support (CDS) tools that incorporate machine learning-derived content have the potential to transform clinical care by augmenting clinicians' expertise. To realize this potential, such tools must be designed to fit the dynamic work systems of the clinicians who use them. We propose the use of academic detailing-personal visits to clinicians by an expert in a specific health IT tool-as a method for both ensuring the correct understanding of that tool and its evidence base and identifying factors influencing the tool's implementation.

OBJECTIVE: This study aimed to assess academic detailing as a method for simultaneously ensuring the correct …

Transitional Care Medical House Call: A Pilot Project, Ron Billano Ordona

Dissertations

Vulnerable, homebound older adults are highly susceptible to unplanned 30-day hospital readmissions, which is costly for the healthcare system. As a result, health care expenditures for this population continue to rise. Studies have shown that transition of care programs, when complemented with home-based primary care delivery, may improve health care outcomes for this population.

The purpose of this quality improvement pilot project was to implement medical house calls as a component of transitional care management (TCM) and measure patient outcomes such as unplanned 30-day readmission rates and correlate predictors of readmission. As a secondary outcome, the project explored, tracked, and …

Prevalence Of Preoperative Delirium And Associated Factors In Elderly Hip Fracture Patients At King Chulalongkorn Memorial Hospital, Paul Thisayakorn

Chulalongkorn Medical Journal

Background: Preoperative delirium in hip fracture is under-studied. Effective diagnosis, prevention, and management of preoperative delirium may be able to reduce the incidence of the postoperative complications.

Objective: To study the prevalence of preoperative delirium and its associated factors in elderly patients who underwent hip fracture surgery.

Methods: This is a cross-sectional study which collected the data from patients aged more than 65 years who underwent hip surgery at King Chulalongkorn Memorial Hospital. Preoperative cognitive status assessment was done by using the Thai Mental State Examination (TMSE) and The Confusion Assessment Method-Thai (CAM-T) on the day before surgery. The DSM-V …

Step Squad Bundle In Older Adults With Multiple Myeloma Hospitalized For An Autologous Stem Cell Transplant, Nadya Panjwani

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Multiple Myeloma (MM) is a hematological malignancy with demographic disparities. MM is a debilitating cancer mainly affecting older adults, with 66% over the age of 70. Additionally, 33% of older patients with MM are frail with weakness, fatigue, slow gait, weight loss, and malnutrition.

PICOTS: The purpose of this Doctor of Nursing (DNP) scholarly project is to implement an evidence-based practice (EBP) change consisting of a Step Squad Bundle that will identify frailty in older patients with MM hospitalized for an Autologous Stem Cell Transplant (ASCT) to reduce morbidity and mortality and increase the chances of a quality of …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Tandem Walking Exercise To Improve Cognitive Function In The Elderly, I Made Dhita Prianthara, Iga Sri Wahyuni Novianti, I Putu Prisa Jaya, Ni Putu Diah Anantari, Ni Kadek Yuni Fridayani

Jurnal Keolahragaan

Decreased cognitive function in the elderly is the leading cause of inability to carry out normal daily activities, as well as a high level of reliance on others in caring for themselves. The many problems that arise due to decreased cognitive function require a healthy aging process so that decreased cognitive function does not cause health problems in the lives of the elderly. Decreased cognitive function in the elderly is the biggest cause of inability to carry out normal daily activities and is also the cause of the elderly experiencing a high level of dependence on others in caring for …

Factors Associated With Depressive Symptoms Among Community-Dwelling Older People In East-Coast Malaysia, Siti Suhana Zakaria, Siti Nur Illiani Jaafar, Muhammad Kamil Che Hasan, Nik Noor Kaussar Nik Mohd Hatta, Wan Nor Aliza Wan Abdul Rahman

Jurnal Keperawatan Indonesia

Older people are increasing in number globally, and they are likely to have mental health problems, including de- pression. In this population, the risk of having depressive symptoms is very high due to multidimensional factors, but these symptoms are often undertreated. This study aimed to determine the prevalence and associated factors of de- pressive symptoms among community-dwelling older people living on the East Coast of Malaysia. A cross-sectional study was conducted in several areas of the state of Terengganu based on multilayered stratified sampling. A total of 240 participants were randomly selected. Several instruments were employed, such as the Geriatric …