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Exploring Elder Care in Different Settings in West Bengal: A Psycho-Social Study of Private Homes, Hospitals and Long-Term Care Facilities

Authors: Tulika Bhattacharyya, Suhita C. Chatterjee

Abstract:

West Bengal, one of the most rapidly ageing states in India, has inadequate structure for elder care. Therefore, there is an urgent need to improve elder care which involves focusing on different care settings where the elderly exists, like - Homes, Hospitals and Long-Term Care facilities (e.g. - Old Age Homes, Hospices). The study explores various elder care settings, with the intention to develop an understanding about them, and thereby generate comprehensive information about the entire spectrum of elder care in Kolkata. Empirical data are collected from the elderly and their caregivers in different settings. The tools for data collection are narratives, in-depth interviews and focus group discussions, along with field observations. Mixed method design is adopted to analyze the complexities of elder care in different set ups. The major challenges of elder care in private Homes are: architecturally inadequate housing conditions, paucity of financial support and scarcity of skilled caregivers. While the key factors preventing the Hospital and Long-Term Care Facilities from providing elder care services are inadequate policies and set governmental standards for elder care for the hospitalized elderly in various departments of the Hospital and the elderly residing in different kinds of Long Term Care Facilities. The limitations in each care setting results in considerable neglect and abuse of the elderly. The major challenges in elder care in West Bengal are lack of continuum between different care settings/ peripheral location of private Homes within public health framework and inadequate state Palliative policy- including narcotic regulations. The study suggests remedial measures to improve the capacity to deliver elder care in different settings.

Keywords: Elder care settings, family caregiver, home care, geriatric hospital care, long term care facility.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1131896

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References:


[1] The Economist Intelligence Unit. The 2015 Quality of Death Index: Ranking Palliative Care across the World: The Economist; 2015.
[2] Srinivas, P.J., &Manju, Bhasini. 2014. A Study on Morbidity profile among elderly population in Vishakhapatnam district, Andhra Pradesh. IOSR Journal of Dental and Medical Science, 13(9), 21-25.
[3] Salins, N., Johnson, J. &Macaden, S. 2017. Feasibility and acceptability of implementing the integrated care plan for the dying in the Indian setting: Survey of perspectives of Indian Palliative care providers. Indian Journal of Palliative Care, 23(1), 3-12. Retrieved 20 March, 2017 from http://www.jpalliativecare.com/temp/IndianJPalliatCare2313-5234848_143228.pdf
[4] Situation Analysis of The Elderly in India, June 2011, Ministry of Statistics and Programme Implementation, Government of India.
[5] Sharma, D., Mazta, S.R. and Parashar, A. 2013.Morbidity Pattern and Health-seeking Behavior of Aged Population residing in Shimla Hills of North India: A Cross-Sectional Study. Journal of Family medicine and Primary Care, 2(2): 188–193. Retrieved July 22, 2016 (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3894043/)
[6] Naeim, Arash. Reuben, David and Ganz, Patricia. 2011. Management of Cancer in the Older Patient. Philadelphia, United States: Elsevier.
[7] Bajpai, V. 2014. The Challenges Confronting Public Hospitals in India, Their Origins, and Possible Solutions. Advances in Public Health.
[8] Yolekar, M., & Mehta, S. 2008. ICU Care in India - Status and Challenges. Journal of the Associations of the Physicians in India, 221-2.
[9] Kumar, P., Shinge, N., & Parameshswar, S. 2010. Bed blockers: A study on the elderly patients in a teaching hospital in India. Online journal of Health and Allied Sciences.
[10] Raghavan, B., Palat, G., & Rajagopal, M. 2005. Are our patients getting palliative too late? An audit. Indian Journal of Pallaitive Care, 11 (2), 108-10.
[11] Mani, R. K., Amin, P., Chawla, R., Divatia, J. V., Kapadia, F., Khilnani, P., &Uttam, R. 2012. Guidelines for end-of-life and palliative care in Indian intensive care units: ISCCM consensus Ethical Position Statement. Indian Journal of Critical Care Medicine, 16(3), 166.
[12] Macaden, S., Salins, N., Muckaden, M., Kulkarni, P., Joad, A., Nirabhawane, V., et al. 2014. End of life care policy for the dying: Consensus position statement of indian association of palliative care. Indian Journal of Palliative Care, 20 (3), 171-81.
[13] Jyotsna M. Kalavar & D. Jamuna (2011) Aging of Indian Women in India: The Experience of Older Women in Formal Care Homes, Journal of Women & Aging, 23:3, 203-215.
[14] Viveki, R.G., Halappanavar, A.B., Joshi, A.V., Pujar, K and Patil, S. 2013. Sociodemographic and health profile of inmates of old age homes in and around Belgaum city, Karnataka. Journal of the Indian Medical Association 111(10), 682-685.
[15] Tiwari, Pandey, and Singh. 2012. Mental health problems among inhabitants of old age homes: A preliminary study. Indian Journal of Psychiatry, 54(2): 144–148.
[16] Varma, G.R., Kusuma, Y.S. and Babu, B.V. 2010. Health-related quality of life of elderly living in the rural community and homes for the elderly in a district of India. Zeitschrift für Gerontologie und Geriatrie, 43 (4), 259–263.
[17] Gupta, R., Pillai, V., & Levy, E. 2012. Relationship Quality and Elder Caregiver burden in India. Journal of Social Intervention: Theory and Practice, 21 (2), 39-62.
[18] Gupta, R., Rowe, N., & Pillai, V. 2009. Perceived Caregiver burden in India: Implications for social. Journal of Women and Social Work, 24, 69-81.
[19] Swaroop, N, Ravi, S., Goud, B., Archana, M., Pius, T., et al. 2013. Burden among Caregivers of Mentally- Ill Patients: A rural community-based study. International Journal of Research and Development of Health, 1 (2), 29-34.
[20] SRS Statistics. (2013). Estimates of Fertility Rate. From web: Govt. of India.
[21] Kumar, A., & Anand, N. 2006. Poverty Target Programs for the Elderly in India with Special Reference to National Old Age Pension Scheme, 1995.Chronic Poverty Research Centre Working Paper, (2008-09).
[22] Arokiasamy, P., Parasuraman, S., Sekhar, T., & Luhngdim, H. 2013. Study on Ageing and Adult Health-Wave 1: India National Report. World Health Organisation.
[23] Alam, M., Majumder, S., Chakravarty, I., & Yadav, P. 2014. The Status of Elderly in West Bengal, 2011. Available from web:http://countryoffice.unfpa.org/india/drive/Book_BKPAI_WestBengal_20thFeb2014- lowres.pdf: UNFPA.
[24] Alam, M., James, K., Gridhar, G., Sathyanarayana, K., Kumar, S., Siva Raju, S., et al. 2011. Report on the Status of Elderly in Select States of India, 2011. UNFPA.
[25] Bandyopadhyay, S., Dutta, A., & Ghose, A. 2014. Analysing efficiency of government hopsitals in West bengal. Retrieved January 15, 2015, from Ideas for India http://ideasforindia.in/article.aspx?article_id=361
[26] HelpAge,India. 2010. Report on elder abuse in India. New Dehli, India.
[27] Stjernswärd J, Foley, KM, & Ferris FD (2007). The public health strategy for palliative care. Journal of Pain & Symptom Management,33 (5), 486-93.
[28] Broadsky, J., Habib, J., & Hirschfeld, M. (2003). Long-term Care in Developing Countries Ten Case studies. Geneva: World Health Organisation.
[29] Stevenson, J., & Spencer, L. (2002). A guide for health and social services professionals.
[30] Bhattacharyya T, Chatterjee SC, Chand D, Chatterjee D, Sengupta J. Assessment of private homes as spaces for the dying elderly. Indian J Palliat Care 2017; 23:325-30.
[31] Tarricone, R., & Tsouros, A. D. (2008). Home care in Europe: the solid facts. WHO Regional Office Europe.