Elderly Depression In Health Care Health And Social Care Essay

Modern life imposes its rules on us. Very often we have to make a choice between career and family, love and money. Younger generation usually prefers material benefits to family values. Children often don’t take care of their parents. It is easier for them just to send elderly members of their family to a hospice and devote all their time to work and career. Younger generation has no moral obstacles doing this, but very often it turns into a real tragedy for the old one. Almost all the time the elderly suffer in hospices. They fall into depression, misery, because they feel that they are a burden for theirs relatives. They crave love and care and what’s more, they deserve it.

People used to have big families not too many years ago. A few generations lived together – grandparents, children, and grandchildren. Middle generation worked and the elderly one took care of the younger, then children tended their old parents. Such model of a family life was widely spread in all the countries through the centuries. But nowadays the situation has changed. The technical progress influenced every sphere of modern life. People are concentrated on their career and money. In the forefront of a young generation are the other priorities and values, but not those our predecessors used to have. They are not in a hurry to constitute their own families and unfortunately have no time to maintain close contacts with their parents. They stay face to face with their problems and illnesses when they become older. Their busy children usually make one decision common for everyone – to ship them off to an uncaring nursing house. "The average amount of elderly patients living in hospices rose substantially in the late 1980s and in the 1990s, which resulted in a rise of workload for general employed population".

In most cases the elderly are treated as worn out members of society who should be forgotten. They are isolated from the able-bodied people like some lepers, but in fact the elderly must be treated with respect and honor as any person who has a lifetime of experience deserves. Some of them are sick and feeble and they need love and special care of relatives. But in nursing house nobody would consider their wishes and needs. Service stuff in such medical institutions make people work under their care for a long hours – to produce something with their hands, knit, contrive, glue and so on.

Some of the elderly people need special treatment and professional nursing. And the matter in question is the quality of medical care that elderly people can get in hospices. Very often medical stuff at the hospice is not enough qualified. The pressing problem is that the reduction of long stay NHS beds for elderly people has increased the demand for medical workers taking care of this group of patients with high morbidity and disability. In reply to this situation, the measures taken by authorities for delivering care to nursing homes seem to be inconsistent and nonsufficient.

Another widespread problem concerns medicine treatment of elderly people. Besides the risks of excessive prescribing of inappropriate neuroleptic drugs, there is a problem of insufficient prescribing of potentially beneficial drugs.

The Governments should keep under control the usage of drugs in nursing houses. Care of elderly people is one of the priorities in social policy, and the quality of care given to patients is undergoing the increasing examination with the help of explicit measures directed to estimation of the process of care against specific standards. The main components of poor clinical care are: insufficient use of beneficial drugs; poor monitoring of chronic disease; and overuse of inappropriate or unnecessary drugs.

Some elderly are kicked out of theirs families to a nursing home because they have problems with taking care of themselves. They have to live out their days separated from their families and suffer knowing that they are useless and miserable now and what is the most terrible they are a burden to theirs families.

All these aspects have an influence on the behavior of the elderly. Problem behavior is most common, and up to 80% of nursing home residents exhibit problem behavior like physical aggression, repetitive vocalizations. Only three studies examined problem behavior and intervened with function-based treatment.

Aggression is not the only psychological problem of elderly in nursing houses. Depression is the reverse side of this problem. Both of these problems should be taken into consideration. But significant disparities exist in diagnosis and treatment of aggression and depression among elderly residents. Mental disorders are becoming widespread in modern society as people undergo stress and pressure in their everyday life. The elderly people are not an exception due to the fact that they are retired. One of five elderly people suffers from mental disorders and in all the cases the reason that provokes it should be examined carefully. The diagnosis of person’s mental condition is subjective by its nature; many sick people are not treated regularly. Depression in the elderly population is quite common, yet the diagnosis and treatment seem to fail.

Aggression and depression are the examples of a metal condition that may be given insufficient attention to be detected. In addition to that, elderly people may not have traditional symptoms of aggression or depression. Aged people may have unnoticed symptoms of mental problems due to the fact that those symptoms are associated with a different ailment. Also, some things connected with aggression or depression the society seems to take as a norm for our elders.

Talking about the psychological problems, it should be mentioned that there are few major differences between them in the young and old age. Elderly people tend to have more ideational symptoms, which are related to thoughts, ideas, and guilt. Elderly people are also more likely to have psychotic depressive, melancholic or aggressive symptoms such as anorexia and weight loss. Finally, older people tend to have more anxiety present in their depression than younger patients do.

Elderly people have a lot of potential reasons for depressive condition ranging from society’s perception of them to their own self-evaluation. The health of a person also begins to worsen as they age which aggravates the depressed condition of mind. The elderly deserve our respect and support in their physical and emotional difficulties. The diagnosis and treatment of mental problems of the elderly may seem to be not a simple task, but they deserve more attention and further advancement.

Elderly may seemed a burden to their relatives, but it is not the reason to kick them out to nursing houses. Of course, not in all the social care institutions old people are treated badly, there are some cases when elderly have no other choice, but go to a nursing house. But the younger generation has to take care of the elderly, at least because they gave the birth to them.

http://www.ncbi.nlm.nih.gov/pubmed/17998115 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC151522/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2078575/