Nursing Management of Old Age Senility: The Bangladesh Perspective

Abstract

The Title of the study is “Nursing management of Old Age Senility:The Bangladesh Perspective”. The purpose or the objectives of the study is to identify age related physiological changes in various systems, such as- cardio vascular, central nervous system, and musculoskeletal systems of the elderly, recognize the common health problems that occur with age, prevent or reduce common risk factors contribute to functional decline, impaired quality of life, and access disability in older adults, find out the common old age senility associated with later life, reduce the incidence and prevalence of old age senility among elderly people, establish the appropriate nursing assessment and management procedure, and modeling on the basis of our collected data and predicting the elderly people who develop old age senility. The design of the study is Cross-sectional both qualitative and quantitative study. The study was carried out in the In-Patient and Out Patient Department of Medical College Hospital, Khulna, General Hospital Khulna, Private Clinics, one ward and one surrounding community under city corporation, Khulna. For this study the above mentioned places were selected for the following reason. Researcher selected Two Divisions of Bangladesh randomly out of Seven through lottery. Dhaka Division, Choose Two Places- Boyosko Punerbason Kendra, Gazipur Probin Hitaishi Songho and Institute of Geriatric Medicine, Agargaon out of Four places. In Khulna Division, Selected Three Places-KMCH, GMCH, One Rural Community conveniently out of Five in the same way. The study was conducted for a period of three years, June 2011 to June 2014. Study population was selected as age group defined According to WHO. UN agreed Cutoff is 60+ years to refer to the elderly population. Elderly persons aged 60 years and above both male and female. The study is based on primary data. The tools used for the study are in-depth interview, structured questionnaire and geriatric depression scale for screening. A standard questionnaire was developed which include- Anthropometric information, Socio-economic information, Information of general health, illness and treatment. Information on nursing management. Questionnaire was pretested and modified on the basis of the present study. Sample size : 384. Calculation of sample size:n = Z2P(1-P) / d2 .The Technique of the sampling is Three stages cluster random sampling. The criteria of selection of sample was One person from each household, every day attendance at hospital OPD, application of Geriatric Depression Scale to exclude senility before starting final interview.----