ACTIVE AGEING ,COLLABORATIVE STUDIES 2009-2013
NEW DELHI, GURGAON
MISSION AND VISION OF DFI
• THE AIM OF THE DEVELOPMENT AND IMPLEMENTATION OF ACTIVE
AGING MODEL IS TO EMPOWER COMMUNITY DWELLING ELDERLY FOR
CHRONIC DISEASE PREVENTION AND CONTROL AT THE COMMUNITY
• TO EVALUATE THE MORBIDITY PROFILE OF THE YOUTH AND ELDERLY
• TO FIND OUT THE IMPACT OF ACTIVE AGEING MODEL ON QUALITY OF
LIFE IN ELDERLY PEOPLE.
• OPPORTUNITIES TO PERMIT OLDER ADULTS TO HAVE PRODUCTIVE
SOCIAL PARTICIPATION, AND UTILIZE THEIR RESOURCES IN COMMUNITY
DEVELOPMENT PROGRAMS.
POPULATION AGEING
INDIA HAS AROUND 100 MILLION ELDERLY AT PRESENT
AND THE NUMBER IS EXPECTED TO INCREASE TO 323
MILLION, CONSTITUTING 20 PER CENT OF THE TOTAL
POPULATION, BY 2050
(UNITED NATIONS POPULATION FUND (UNFPA) AND HELP AGE INTERNATIONAL).
•URBANISATION
• NUCLEARISATION OF FAMILY
•MIGRATION
•DUAL CAREER FAMILIES
PROBLEMS IN ELDERS: CAUSES
STRESSORS
(HEALTH AND SOCIAL PROBLEMS OF THE ELDERLY: A CROSS-SECTIONAL STUDY IN UDUPI TALUK,
KARNATAKA.A LENA, K ASHOK, M PADMA,1 V KAMATH, AND A KAMATH)
HEALTH
ISOLATIONFINANCES
ELDERLY CARE MODELS IN INDIA:
• VERY LITTLE EFFORT HAS BEEN MADE TO DEVELOP A
MODEL OF HEALTH AND SOCIAL CARE IN TUNE WITH
THE CHANGING NEED AND TIME
1. OLD AGE HOME
2. ASSISTED LIVING
3. RECREATION CENTRE
• OPPORTUNITY FOR INNOVATION IN SOCIAL SYSTEM
DEVELOPMENT, IS A MAJOR CHALLENGE.
ELDERLY CARE MODELS IN INDIA:
• ELDERLY SUFFER FROM MULTIPLE AND CHRONIC DISEASES.
• THEY NEED LONG TERM AND CONSTANT CARE.
• THUS A MODEL OF CARE PROVIDING COMPREHENSIVE
HEALTH SERVICES TO ELDERLY AT ALL LEVELS OF HEALTH
CARE DELIVERY IS IMPERATIVE TO MEET THE GROWING
HEALTH NEED OF ELDERLY.
(NATIONAL PROGRAMME FOR THE HEALTH CARE OF THE ELDERLY (NPHCE) AN APPROACH TOWARDS ACTIVE AND HEALTHY
AGEING ,OPERATIONAL GUIDELINES, DIRECTORATE GENERAL OF HEALTH SERVICES MINISTRY OF HEALTH & FAMILY WELFARE
GOVERNMENT OF INDIA)
SOLUTION
• ELDERLY ACCESS TO AGE-FRIENDLY AND AFFORDABLE
INFORMATION AND SERVICES
• AGEING IN PLACE
ACTIVE AGEING
• ACTIVE AGEING IS THE PROCESS OF OPTIMIZING
OPPORTUNITIES FOR HEALTH, PARTICIPATION AND
SECURITY IN ORDER TO ENHANCE QUALITY OF LIFE AS
PEOPLE AGE.
• IT APPLIES TO BOTH INDIVIDUALS AND POPULATION
GROUPS
ELDERLY : A VALUABLE RESOURCE IN
COMMUNITY
• IT WOULD BE INTERESTING TO UTILIZE THE ELDERLY
MANPOWER RESOURCES IN THE NEXT YEARS TO REVIEW
COMPLEXITY OF ELDERLY ISSUES.
• THE TALENTS OF AN ELDER, WHO HAS EXPERIENCE AND TIME,
CAN BE UTILIZED AS THE MANPOWER RESOURCES BRINGING
ABOUT CHANGES IN COMMUNITY.
AGEING IN PLACE: ACTIVE AGEING
• ACTIVE AGEING DEPENDS ON A VARIETY OF INFLUENCES OR
DETERMINANTS E.G. PHYSICAL ,ENVIRONMENTS, SUPPORT
SERVICES, ECONOMICAL AND SOCIAL SITUATIONS
• IN TERMS OF INDIVIDUAL PERSPECTIVE, THE THREE BASIC
PILLARS OF ACTIVE AGEING ARE FULL PARTICIPATION IN
SOCIOECONOMIC, CULTURAL, SPIRITUAL AND CIVIC AFFAIRS,
ACCORDING TO BASIC HUMAN RIGHTS, CAPACITIES, NEEDS
AND PREFERENCES.
STUDY PROJECTS
DECEMBER 2009-SEPTEMBER 2013
INAUGURATION OF ACTIVE AGEING
PROGRAM IN DECEMBER 2009
ADOPTION OF 4
LOCAL ELDER ORGANIZATION
1. RREWA (GURGAON)
2. EFFORTS GROUP (SAFDURJUNG ENCLAVE),NEW DELHI
3. MATRI MANDIR (SAFDURJUNG ENCLAVE) NEW DELHI
4. VARISHTHA NAGRIK KENDRA SANSTHA
(CHATTARPUR)NEW DELHI
METHODOLOGY: ACTIVE AGEING
1. SELECTION OF VOLUNTARY MEMBERS OF 4
ORGANIZATION WHO COULD TAKE THE
RESPONSIBILITY OF A LOCAL SUPERVISOR S
2. WORKSHOPS FOR ELDERS ON PREVALENT CHRONIC
DISEASES
3. DISSEMINATION OF INFORMATION THROUGH
TEXTBOOKS/MANUALS
•SELECTION OF LOCAL SUPERVISORS AMONGST ELDER
(SELECTION PROCESS LEFT ON SENIORS OF THE ORGANIZATION)
•SELECT MEMBERS FROM THE ORGANIZATION(ACTIVE OR
INACTIVE)
•EACH LOCAL SUPERVISOR TO TAKE CARE OF 10 ELDER
MEMBERS
•WORKSHOPS ON CHRONIC HEALTH AND SOCIAL ISSUES
UTILIZE THE CONCEPTS OF ACTIVE AGEING, ON SELF
CARE, MUTUAL HELP, AND SELF PROMOTION.
ARRANGE SOCIAL INTERACTION IN SMALLER GROUPS
WHERE LOCAL SUPERVISORS TO CONDUCT
EXERCISES/RECREATIONAL ACTIVITIES/DISCUSSIONS
Group Activities
MOTIVATE ,FOSTER MORE LOCAL
SUPERVISORS
TECHNOLOGY IN ACTIVE AGEING HAS BEEN ONE OF
THE ACTIVE RESEARCHES DONE GLOBALLY.
TECHNOLOGY HAS BEEN PROVEN TO FIND
SUSTAINABLE SOLUTIONS THAT WILL HELP EASE THE
TRANSITION OF AGING POPULATIONS
INTRODUCING TECHNOLOGY AND
ACTIVE AGEING
• COMMUNICATION AND ENGAGEMENT THROUGH
COMMUNICATION TECHNOLOGY
MOBILE PHONES, INTERNET, CHAT, E-MAIL, WEB
SURFING, FACEBOOK, AND SMARTPHONES FORM
PART OF DAILY LIFE.
• 2. SAFETY AND SECURITY (HOME HEALTHCARE
MONITORS)
MOBILE PERSONAL EMERGENCY RESPONSE
SYSTEMS PASSIVE FALL DETECTION SYSTEMS ,
SENSOR-BASED HOME MONITORS WEB CAMERAS
3.HEALTH AND WELLNESS
PRODUCTS DESIGNED FOR COGNITION ,BALANCE
IMPAIRMENTS, WITH NINTENDO’S WIIFIT, X BOX
ETC
FOR CHRONIC DISEASE MANAGEMENT,
REMOTELY MONITORING DIABETES OR
CONGESTIVE HEART FAILURE. OVER TIME,
INTEGRATION OF THESE WITH HEALTH SYSTEMS’
(ELECTRONIC HEALTH RECORDS)IN HOSPITALS
CAN BECOME STANDARD PROCEDURES IN
HEALTH SYSTEMS.
4. LEARNING AND CONTRIBUTING THROUGH
EDUCATION TECHNOLOGY
TELEVISION, INTERNET SURFING: INFORMATION ON
CULTURE, HEALTH, SPIRITUAL, POLITICS
ELDER REMAIN ACTIVE IN AND KNOWLEDGEABLE ABOUT
SOCIETY, CONTRIBUTE TO IT THROUGH VOLUNTEERING OR BY
LEAVING A LEGACY OF STORIES AND SHARED GENEALOGY FOR
THOSE WHO LOVE THEM.
CASE STUDY
ACTIVE AGEING
VNKS, CHATTARPUR EXTENSION, NEW DELHI
2011-2013
OBJECTIVES
• TO CREATE NEW MEANINGFUL PARTNERSHIPS IN OTHER
AREAS OF INDIA TO CREATE MORE SERVICE PROVIDERS,
EDUCATIONAL PROGRAMS AND MEDICAL CENTRE’S
LINKED WITH ASSOCIATIONS OF LOCAL ELDERS
• MULTI SECTORAL NGOS OF ELDERLY CAN BE LINKED
WITH LOCAL GOVERNMENT FOR COMMUNITY
INITIATIVES
345 ELDER MEMBERS OF VNKS CHOSEN FOR STUDY
• PATRON OF COMMUNITY ELDERS OF VNKS WERE
INTRODUCED BY DFI TO THE DEPARTMENT OF SOCIAL
WELFARE AND EMPOWERMENT, NEW DELHI.
• THE ACTIVE MEMBERS OF VNKS WORKED
RELENTLESSLY TO ADVOCATE WITH LOCAL GOVERNMENT
FOR CHATTARPUR EXTENSION TO BE AGE FRIENDLY.
THE MAIN FOCUS WERE
ON ROADS, WATER
WORKS AND STREET
LIGHTS WHICH WERE
HAZARDOUS FOR
ELDERS CAUSING
MOBILITY IMPAIRMENT
DUE TO UNFRIENDLY
ENVIRONMENT
2011
ROADS, WATER
WORKS, ELECTRICITY
REPAIRED THROUGH
EFFORTS OF VNKS IN
COLLABORATION
WITH LOCAL MLA
2013
ON SEPTEMBER 11TH 2013,
INAUGURATION STONE OF AN
OLD AGE HOME WAS LAID BY
THE MINISTER OF SOCIAL
WELFARE AND EMPOWERMENT
OF DELHI AT CHATTARPUR
EXTENSION
DFI HAS SET UP A WELLNESS CLINIC FOR THE
ELDERS AT THE VNKS OFFICE.
DFI HAS INTRODUCED STUDY ON TECHNOLOGY TO
IMPROVE POINT OF CARE TESTING ,BALANCE AND
DEPRESSION, PAIN, RESPIRATION
WITH INTRODUCTION OF THE ACTIVE AGEING PROGRAM
AT CHATTARPUR EXTENSION ENCLAVE THE DFI UTILIZED
THE INEXPLICABLE RESOURCE OF THE ELDER MEMBERS OF
VNKS THROUGH SELF CARE, MUTUAL HELP AND SELF
PROMOTION
STUDY ONE
USING INTERNATIONAL CLASSIFICATION OF
FUNCTIONING TO UNDERSTAND ATTITUDE OF
COMMUNITY DWELLING ELDERLY TOWARDS
COMMUNICATION AND EDUCATION TECHNOLOGY IN
NEW DELHI, INDIA
USING INTERNATIONAL CLASSIFICATION OF FUNCTIONING TO UNDERSTAND
ATTITUDE OF COMMUNITY DWELLING ELDERLY TOWARDS COMMUNICATION
AND EDUCATION TECHNOLOGY IN NEW DELHI, INDIA.
ICF category Facilitator
Satisfied Neither
satisfied
nor
dissatisfied
Dissatisfied
4
95-100%
3
51-95%
2
26-50%
1
4-25%
-1
4-25%
-2
26-50%
-3
51-95%
-4
95-100%
Communicatio
n Technology
(e125)
37.7% 10.3% 8% 29% 11.3% 1.7% 1.7% 0 0.3%
Education
Technology
(e130)
39% 10% 6.7% 28% 14% 1.6% 0.7% 0 0
• AMONG THE 300 PARTICIPANTS, 85% INDICATED THEIR
DAILY LIFE WAS FACILITATED BY COMMUNICATION
TECHNOLOGY (MOBILE PHONES, INTERNET CALLING,
TELEVISION, COMPUTER)
• 83.6% REPORTED THAT THEY BENEFITED FROM
EDUCATION TECHNOLOGY (E.G., CAPTURING
INFORMATION ON HEALTH/EMPLOYMENT/CURRENT
AFFAIRS THROUGH COMPUTERS)
FUTURE STUDY (WITH APUHC-
UNSW)
• UTILIZE A USER-CENTRIC APPROACH AND WORKING
CLOSELY WITH ELDERS TO DESIGN A MOBILE PHONE-
BASED APPLICATION TO SUPPORT AGED CARE.
• EVALUATE IMPACT OF TECHNOLOGY ON ELDERS’
PHYSICAL, SOCIAL AND MENTAL HEALTH.
STUDY TWO
SMART BREATHE: PROCATOR, SWEDEN
N=35 elders
N=16 Females
N=19 Males
Duration of Study-3 months
RESULT OF STUDY
CLINICAL OUTCOMES
• Hypertension
• Diabetes
• Respiratory
disorders
RESULT OF STUDY
QUALITY OF LIFE
• BETTER SLEEP
• BETTER APPETITE
• DISCIPLINED LIFESTYLE
• SOCIAL INTERACTION
• ENERGETIC
• CARING AND RESPONSIBILITY TOWARDS OTHERS
RESULT: SF-36(Quality of Life)
PHYSICAL
FUNCTIONI
NG
ROLE
LIMITATION
DUE TO
PHYSICAL
HEALTH
ROLE
LIMITATI
ON DUE
TO
EMOTIO
NAL
PROBLE
M
ENERGY/
FATIGUE
EMOTIO
NAL
WELL
BEING
SOCIAL
FUNCTIO
NING
PAIN GENERAL
HEALTH
91 86 79 83 84 85 68 81 67 90 85 87 86 83 70 84
STUDY THREE
10/3/2015 46
Low-Cost Center-of-Gravity Biofeedback For Static
Posturing - Smart Mirror
10/3/2015 47
IMBALANCE AND FALLS IN ELDERLY
Increasing age Poor vision
Diabetes Low Grip
Arthritis Strength
Low socio-economic status
(Veuas et al; 1997)
10/3/2015 48
PROJECT HISTORY
• During a workshop on balance and depression
with the community-dwelling elderly at
Chattarpur, Delhi, we found that Center of
Mass (CoM)-Center of Pressure (CoP)
parameters were more sensitive, and should
be used along with Berg Balance Scale BBS for
point-of-care balance monitoring in elderly
ref.: “Low-cost visual postural feedback with Wii Balance Board and Microsoft Kinnect - a
feasibility study,” IEEE-EMBS POCHT 2013 conference, Bangalore, India
49 10/3/2015
•CREATE AWARENESS ABOUT ELDER PROBLEMS.
•FALLS DUE TO IMBALANCE IN ELDERS.
•INTRODUCE TECHNOLOGY TO PREVENT FALLS IN ELDERS.
•VALUABLE FUTURE LEARNING OF THEIR OWN LIFE.
OBJECTIVES OF HIGH SCHOOL WORKSHOP
10/3/2015 50
PROJECT TEAM
• STUDENTS INVOLVEMENT
– MR. RISHABH SEHGAL
• UNDERGRADUATE INTERN, ELECTRONICS & COMMUNICATION ENGG., NATIONAL
INSTITUTE OF TECHNOLOGY HAMIRPUR, INDIA
– 5 HIGH SCHOOL STUDENTS
– ROOHI KAPOOR
– SACHIN SETHI
– MRIDUL KHANNA
– HIMANSHU KHANNA
– ADITYA CHOPRA
• SAMPLE SIZE: 75 ELDERS
• DURATION OF STUDY 2
YEARS
• OBJECTIVE : RISK OF FALL
IN FALL IN ELDERS
10/3/2015 52
Project Team Prior Experiences with Wii Balance
Board and MS Kinect
Low cost devices like
Wii Balance Board
and Microsoft Kinect
can provide an easy
rehabilitation tool
however a natural
visual biofeedback
platform such as
Smart Mirror is
necessary for
conducting posture
training exercises for
elderly
10/3/201552
For details on integration of
WiiBB and Microsoft Kinect,
please refer to our paper at CSI
2012 conference
Balance training protocol
1.Sitting to standing
2. Standing unsupported
3. Sitting with back unsupported but feet supported
on floor or on a stool
4. Standing to sitting
5. Transfers
6. Standing unsupported with eyes closed
7. Standing unsupported with feet together
8. Reaching forward with outstretched arm while
standing
9. Pick up object from floor from a standing position
10. Turning to look behind over left and right
shoulders while standing
11. Turn 360 degrees
12. Placing alternate foot on step or stool while
standing unsupported
13. Standing unsupported one foot in front
14. Standing on one leg
10/3/2015 53
10/3/2015 55
PROJECT TEAM EXPERIENCES
MR. RISHABH SEHGAL: SUMMER INTERNSHIP WITH PROJECT ADVISOR–DR. ANIRBAN DUTTA,
RESEARCH SCIENTIST, DEMAR-LIRMM, FRANCE (VIDEO DEMONSTRATION AT
HTTP://WWW.YOUTUBE.COM/WATCH?V=EES9T2RTA_S)
POINT OF CARE TESTING
FUTURE STUDY: PREVENTIVE HEALTHCARE
CONNECTING COMMUNITY DWELLING ELDERLY TO HEALTHCARE
FACILITIES THRU TECHNOLOGY
STUDY FOUR
EFFICACY OF GROUP BASED EXERCSIES IN
COMMUNITY DWELLING ELDERLY DIABETIC
PATIENTS
PURPOSE
TO SIGNIFY THE EFFECT OF GROUP BASED EXERCISES IN
IMPROVING QUALITY OF LIFE IN COMMUNITY DWELLING
ELDERS WITH DIABETES.
METHODOLOGY
AREA OF STUDY
• VARISTHA NAGRIK KALYAN SAMITI,CHATTARPUR AND SAFDARJUNG LIBRARY CUM
RECRATIONAL CENTRE FOR ELDERLY (NEW DELHI)
SAMPLE SIZE-
• 34 elderly,(6 female ,28 males)
DURATION OF STUDY-
• 2 MONTHS
OUTCOME MEASURE-
• BBG AND SF-36
DURATION OF SESSION-
• 45 MINS TWICE A WEEK.
EXERCISE PROTOCOL
1. RELAXED DEEP BREATHING EXERCISES(3 MINS)
2. RANGE OF MOTION EXERCISES FOR BILATERAL ANKLE
JOINTS(5 MINS)
3. FUNCTIONAL BALANCE TRAINING
• SIT TO STAND(5 TIMES)
• STANDING WEIGHT SHIFT(5 TIMES)
• FUNCTIONAL REACH SIDEWARDS AND ANTERIOR FOR TOUCHING TARGET SET BY
THERAPISTS(5 TIMES)
• BIPEDAL HEEL RAISE(20 SECONDS)
• UNIPEDAL STANDING FOR 15 SECONDS(5 TIMES)
• UNIPEDAL STANDING FOR 15 SECONDS WITH KNEE
BENDING(5 TIMES)
4. WOBBOLE BOARD TRAINING (6 MINS)
5. GAIT TRAINING
• TANDEM WALKING (5 MINS)
• SPOT MARCHING(5 MINS)
RESULTS (Balance and Blood Sugar)
SUBJECTS PRE-
INTERVENTION
BBG
PRE-
INTERVENTION
GLUCOSE
POST-
INTERVENTION
BBG
POST-
INTERVENTION
GLUCOSE
1 36 170 40 166
2 51 165 51 164
3 53 154 54 155
4 52 164 54 168
5 50 159 53 145
6 48 142 51 134
MEAN 48.3 50.5
Balance
0
10
20
30
40
50
60
1 2 3 4 5 6
Pre BBG
Post BBG
0
20
40
60
80
100
120
140
160
180
1 2 3 4 5 6
Pre Glucose
Post Glucose
Blood Sugar
RESULTS (Quality of Life)
ANALYSIS BERG
BALANCE
SCALE
SF-36
PHYSICAL
HEALTH
SF-36
ROLE
LIMITATION
DUE TO HEALTH
PROBLEMS
SF-36
ROLE
LIMITATION DUE
TO EMOTIONAL
PROBLEMS
MEAN Pre-39.8
Post-46.2
Pre-43
Post-58
Pre-19.4
Post-45
Pre-39.8
Post-46.2
DEGREES OF
FREEDOM
4 4S 4 4
t STAT -3.78439934 -2.070196678 -1.447321271 -3.784399334
P(T<=t)ONE-
TAIL
0.009681078 0.053603133 0.110681412 0.074141741
t CRITICAL
ONE-TAIL
2.131846782 2.131846782 2.131846782 2.131846782
RESULTS (Quality of Life)
ANALYSIS BERG
BALANCE
SCALE
SF-36
PHYSICAL
HEALTH
SF-36
ROLE
LIMITATION
DUE TO HEALTH
PROBLEMS
SF-36
ROLE
LIMITATION DUE
TO EMOTIONAL
PROBLEMS
MEAN Pre-39.8
Post-46.2
Pre-43
Post-58
Pre-19.4
Post-45
Pre-39.8
Post-46.2
DEGREES OF
FREEDOM
4 4S 4 4
t STAT -3.78439934 -2.070196678 -1.447321271 -3.784399334
P(T<=t)ONE-
TAIL
0.009681078 0.053603133 0.110681412 0.074141741
t CRITICAL
ONE-TAIL
2.131846782 2.131846782 2.131846782 2.131846782
RESULTS(Quality of Life)
ANALYSIS SF-36-
ENERGY/FAT
IGUE
SF-36-
EMOTIONAL
WELL BEING
SF-36-
SOCIAL
FUNCTION
SF-36-
PAIN
SF-36-
GENRAL
HEALTH
MEAN Pre-43
Post-60
Pre-47.8
Post-56
Pre-55
Post-75
Pre-52.5
Post-79
Pre-46
Post-68
DEGREES OF
FREEDOM
4 4 4 4 4
t STAT -4.54344 -1.2085 -6.53197 -4.53638 -5.047146145
P(T<=t)ONE-
TAIL
0.005235 0.146705 0.001419 0.005263 0.003622796
t CRITICAL
ONE-TAIL
2.131847 2.131847 2.131847 2.131847 2.131846782
DISCUSSION
THE ABOVE RESULTS DEFINE THAT THERE WERE CHANGES
ELDERS PARTICIPATING IN GROUP EXERCISES IN
NEIGHBOURHOOD COMMUNITY CENTRES HAVE IMPROVED
THEIR QUALITY OF LIFE.
PERIODIC, RESULT ORIENTED MEETING/SOCIALIZING OF
ELDERS HAVING SIMILAR PROBLEM, IN THIS CASE DIABETES
SHOWED IMPROVEMENT IN SOCIAL FUNCTIONS, EMOTIONAL
WELL BEING AND GENERAL HEALTH .
CONCLUSION :ACTIVE AGEING
• ACCESS TO THE ENTIRE RANGE OF HEALTH AND SOCIAL
SERVICES THAT ADDRESS THE NEEDS AND RIGHTS OF
OLDER ADULTS; AND PROTECTION, DIGNITY AND CARE
IN EVENTS THAT OLDER ADULTS ARE NO LONGER ABLE
TO SUPPORT AND PROTECT THEMSELVES.
(ACTIVE AGEING AND INDEPENDENT LIVING SERVICES: CORE PROPOSITIONS LEADING TO A CONCEPTUAL
FRAMEWORK MARK LEYS, SOFIE DE ROUCK VRIJE UNIVERSITEIT BRUSSEL, (SMIT-MESO) )
CONCLUSION..CONTD
• EXERCISES ARE PROVEN TO BENEFIT CHRONIC NON
COMMUNICABLE DISEASE LIKE DIABETES ,THEREFORE DECREASES
RISKS OF CARDIAC, BRAIN STROKE, NEUROPATHY ETC
• GROUP EXERCISES OF ELDERS HAVING SIMILAR PROBLEM, MAKES
A BETTER COMRADESHIP AND UNDERSTANDING AMONGST ELDERS.
• GROUPS OF ELDERLY SOCIALIZING WITH A SIMILAR PURPOSE , IS
AN IMPORTANT COMPONENT OF ACTIVE AGEING FRAMEWORK
WHICH IMPROVES QUALITY OF LIFE IN ELDERS.
CONCLUSION..CONTD
• WE HOPE WITH INTRODUCTION OF THE ACTIVE
AGEING PROGRAM, DFI CAN UTILIZE THE INEXPLICABLE
RESOURCE OF THE ELDER POPULATION IN INDIA
THROUGH SELF CARE, MUTUAL HELP AND SELF
PROMOTION.
• OUR FUTURE PROPOSAL IS TO CREATE RESEARCH
MODELS NEEDS IN THE COMMUNITY TO UNDERSTAND
BEST PRACTICES FOR COMMUNITY CARE AND
IMPROVEMENT IN QOL OF THE ELDERLY IN INDIA.
CONCLUSION..CONTD
• RESEARCH ON TECHNOLOGY TO ENCOURAGE ACTIVE AGEING IN
INDIA SHOULD BE ENCOURAGED, FOR FUTURE ELDERS OF THE
COUNTRY.
• WE MUST BE SERIOUS ABOUT THE WORK OF BUILDING CARING
PROGRAMS, TRAINING HELPERS, AND INCREASING SELF CARE
AMONG WE WHO, SOONER OR LATER, WILL NEED SUCH
ASSISTANCE.
THANK YOU

Active ageing,collaborative studies,2009-2013

  • 1.
    ACTIVE AGEING ,COLLABORATIVESTUDIES 2009-2013 NEW DELHI, GURGAON
  • 2.
    MISSION AND VISIONOF DFI • THE AIM OF THE DEVELOPMENT AND IMPLEMENTATION OF ACTIVE AGING MODEL IS TO EMPOWER COMMUNITY DWELLING ELDERLY FOR CHRONIC DISEASE PREVENTION AND CONTROL AT THE COMMUNITY • TO EVALUATE THE MORBIDITY PROFILE OF THE YOUTH AND ELDERLY • TO FIND OUT THE IMPACT OF ACTIVE AGEING MODEL ON QUALITY OF LIFE IN ELDERLY PEOPLE. • OPPORTUNITIES TO PERMIT OLDER ADULTS TO HAVE PRODUCTIVE SOCIAL PARTICIPATION, AND UTILIZE THEIR RESOURCES IN COMMUNITY DEVELOPMENT PROGRAMS.
  • 3.
    POPULATION AGEING INDIA HASAROUND 100 MILLION ELDERLY AT PRESENT AND THE NUMBER IS EXPECTED TO INCREASE TO 323 MILLION, CONSTITUTING 20 PER CENT OF THE TOTAL POPULATION, BY 2050 (UNITED NATIONS POPULATION FUND (UNFPA) AND HELP AGE INTERNATIONAL).
  • 4.
    •URBANISATION • NUCLEARISATION OFFAMILY •MIGRATION •DUAL CAREER FAMILIES PROBLEMS IN ELDERS: CAUSES
  • 5.
    STRESSORS (HEALTH AND SOCIALPROBLEMS OF THE ELDERLY: A CROSS-SECTIONAL STUDY IN UDUPI TALUK, KARNATAKA.A LENA, K ASHOK, M PADMA,1 V KAMATH, AND A KAMATH) HEALTH ISOLATIONFINANCES
  • 6.
    ELDERLY CARE MODELSIN INDIA: • VERY LITTLE EFFORT HAS BEEN MADE TO DEVELOP A MODEL OF HEALTH AND SOCIAL CARE IN TUNE WITH THE CHANGING NEED AND TIME 1. OLD AGE HOME 2. ASSISTED LIVING 3. RECREATION CENTRE • OPPORTUNITY FOR INNOVATION IN SOCIAL SYSTEM DEVELOPMENT, IS A MAJOR CHALLENGE.
  • 7.
    ELDERLY CARE MODELSIN INDIA: • ELDERLY SUFFER FROM MULTIPLE AND CHRONIC DISEASES. • THEY NEED LONG TERM AND CONSTANT CARE. • THUS A MODEL OF CARE PROVIDING COMPREHENSIVE HEALTH SERVICES TO ELDERLY AT ALL LEVELS OF HEALTH CARE DELIVERY IS IMPERATIVE TO MEET THE GROWING HEALTH NEED OF ELDERLY. (NATIONAL PROGRAMME FOR THE HEALTH CARE OF THE ELDERLY (NPHCE) AN APPROACH TOWARDS ACTIVE AND HEALTHY AGEING ,OPERATIONAL GUIDELINES, DIRECTORATE GENERAL OF HEALTH SERVICES MINISTRY OF HEALTH & FAMILY WELFARE GOVERNMENT OF INDIA)
  • 8.
    SOLUTION • ELDERLY ACCESSTO AGE-FRIENDLY AND AFFORDABLE INFORMATION AND SERVICES • AGEING IN PLACE
  • 9.
    ACTIVE AGEING • ACTIVEAGEING IS THE PROCESS OF OPTIMIZING OPPORTUNITIES FOR HEALTH, PARTICIPATION AND SECURITY IN ORDER TO ENHANCE QUALITY OF LIFE AS PEOPLE AGE. • IT APPLIES TO BOTH INDIVIDUALS AND POPULATION GROUPS
  • 10.
    ELDERLY : AVALUABLE RESOURCE IN COMMUNITY • IT WOULD BE INTERESTING TO UTILIZE THE ELDERLY MANPOWER RESOURCES IN THE NEXT YEARS TO REVIEW COMPLEXITY OF ELDERLY ISSUES. • THE TALENTS OF AN ELDER, WHO HAS EXPERIENCE AND TIME, CAN BE UTILIZED AS THE MANPOWER RESOURCES BRINGING ABOUT CHANGES IN COMMUNITY.
  • 11.
    AGEING IN PLACE:ACTIVE AGEING • ACTIVE AGEING DEPENDS ON A VARIETY OF INFLUENCES OR DETERMINANTS E.G. PHYSICAL ,ENVIRONMENTS, SUPPORT SERVICES, ECONOMICAL AND SOCIAL SITUATIONS • IN TERMS OF INDIVIDUAL PERSPECTIVE, THE THREE BASIC PILLARS OF ACTIVE AGEING ARE FULL PARTICIPATION IN SOCIOECONOMIC, CULTURAL, SPIRITUAL AND CIVIC AFFAIRS, ACCORDING TO BASIC HUMAN RIGHTS, CAPACITIES, NEEDS AND PREFERENCES.
  • 12.
  • 13.
    INAUGURATION OF ACTIVEAGEING PROGRAM IN DECEMBER 2009
  • 14.
    ADOPTION OF 4 LOCALELDER ORGANIZATION 1. RREWA (GURGAON) 2. EFFORTS GROUP (SAFDURJUNG ENCLAVE),NEW DELHI 3. MATRI MANDIR (SAFDURJUNG ENCLAVE) NEW DELHI 4. VARISHTHA NAGRIK KENDRA SANSTHA (CHATTARPUR)NEW DELHI
  • 15.
    METHODOLOGY: ACTIVE AGEING 1.SELECTION OF VOLUNTARY MEMBERS OF 4 ORGANIZATION WHO COULD TAKE THE RESPONSIBILITY OF A LOCAL SUPERVISOR S 2. WORKSHOPS FOR ELDERS ON PREVALENT CHRONIC DISEASES 3. DISSEMINATION OF INFORMATION THROUGH TEXTBOOKS/MANUALS
  • 16.
    •SELECTION OF LOCALSUPERVISORS AMONGST ELDER (SELECTION PROCESS LEFT ON SENIORS OF THE ORGANIZATION) •SELECT MEMBERS FROM THE ORGANIZATION(ACTIVE OR INACTIVE) •EACH LOCAL SUPERVISOR TO TAKE CARE OF 10 ELDER MEMBERS •WORKSHOPS ON CHRONIC HEALTH AND SOCIAL ISSUES
  • 17.
    UTILIZE THE CONCEPTSOF ACTIVE AGEING, ON SELF CARE, MUTUAL HELP, AND SELF PROMOTION. ARRANGE SOCIAL INTERACTION IN SMALLER GROUPS WHERE LOCAL SUPERVISORS TO CONDUCT EXERCISES/RECREATIONAL ACTIVITIES/DISCUSSIONS
  • 18.
  • 19.
    MOTIVATE ,FOSTER MORELOCAL SUPERVISORS
  • 20.
    TECHNOLOGY IN ACTIVEAGEING HAS BEEN ONE OF THE ACTIVE RESEARCHES DONE GLOBALLY. TECHNOLOGY HAS BEEN PROVEN TO FIND SUSTAINABLE SOLUTIONS THAT WILL HELP EASE THE TRANSITION OF AGING POPULATIONS INTRODUCING TECHNOLOGY AND ACTIVE AGEING
  • 21.
    • COMMUNICATION ANDENGAGEMENT THROUGH COMMUNICATION TECHNOLOGY MOBILE PHONES, INTERNET, CHAT, E-MAIL, WEB SURFING, FACEBOOK, AND SMARTPHONES FORM PART OF DAILY LIFE. • 2. SAFETY AND SECURITY (HOME HEALTHCARE MONITORS) MOBILE PERSONAL EMERGENCY RESPONSE SYSTEMS PASSIVE FALL DETECTION SYSTEMS , SENSOR-BASED HOME MONITORS WEB CAMERAS
  • 22.
    3.HEALTH AND WELLNESS PRODUCTSDESIGNED FOR COGNITION ,BALANCE IMPAIRMENTS, WITH NINTENDO’S WIIFIT, X BOX ETC FOR CHRONIC DISEASE MANAGEMENT, REMOTELY MONITORING DIABETES OR CONGESTIVE HEART FAILURE. OVER TIME, INTEGRATION OF THESE WITH HEALTH SYSTEMS’ (ELECTRONIC HEALTH RECORDS)IN HOSPITALS CAN BECOME STANDARD PROCEDURES IN HEALTH SYSTEMS.
  • 23.
    4. LEARNING ANDCONTRIBUTING THROUGH EDUCATION TECHNOLOGY TELEVISION, INTERNET SURFING: INFORMATION ON CULTURE, HEALTH, SPIRITUAL, POLITICS ELDER REMAIN ACTIVE IN AND KNOWLEDGEABLE ABOUT SOCIETY, CONTRIBUTE TO IT THROUGH VOLUNTEERING OR BY LEAVING A LEGACY OF STORIES AND SHARED GENEALOGY FOR THOSE WHO LOVE THEM.
  • 24.
    CASE STUDY ACTIVE AGEING VNKS,CHATTARPUR EXTENSION, NEW DELHI 2011-2013
  • 25.
    OBJECTIVES • TO CREATENEW MEANINGFUL PARTNERSHIPS IN OTHER AREAS OF INDIA TO CREATE MORE SERVICE PROVIDERS, EDUCATIONAL PROGRAMS AND MEDICAL CENTRE’S LINKED WITH ASSOCIATIONS OF LOCAL ELDERS • MULTI SECTORAL NGOS OF ELDERLY CAN BE LINKED WITH LOCAL GOVERNMENT FOR COMMUNITY INITIATIVES
  • 26.
    345 ELDER MEMBERSOF VNKS CHOSEN FOR STUDY
  • 27.
    • PATRON OFCOMMUNITY ELDERS OF VNKS WERE INTRODUCED BY DFI TO THE DEPARTMENT OF SOCIAL WELFARE AND EMPOWERMENT, NEW DELHI. • THE ACTIVE MEMBERS OF VNKS WORKED RELENTLESSLY TO ADVOCATE WITH LOCAL GOVERNMENT FOR CHATTARPUR EXTENSION TO BE AGE FRIENDLY.
  • 28.
    THE MAIN FOCUSWERE ON ROADS, WATER WORKS AND STREET LIGHTS WHICH WERE HAZARDOUS FOR ELDERS CAUSING MOBILITY IMPAIRMENT DUE TO UNFRIENDLY ENVIRONMENT 2011
  • 29.
    ROADS, WATER WORKS, ELECTRICITY REPAIREDTHROUGH EFFORTS OF VNKS IN COLLABORATION WITH LOCAL MLA 2013
  • 30.
    ON SEPTEMBER 11TH2013, INAUGURATION STONE OF AN OLD AGE HOME WAS LAID BY THE MINISTER OF SOCIAL WELFARE AND EMPOWERMENT OF DELHI AT CHATTARPUR EXTENSION
  • 31.
    DFI HAS SETUP A WELLNESS CLINIC FOR THE ELDERS AT THE VNKS OFFICE.
  • 32.
    DFI HAS INTRODUCEDSTUDY ON TECHNOLOGY TO IMPROVE POINT OF CARE TESTING ,BALANCE AND DEPRESSION, PAIN, RESPIRATION WITH INTRODUCTION OF THE ACTIVE AGEING PROGRAM AT CHATTARPUR EXTENSION ENCLAVE THE DFI UTILIZED THE INEXPLICABLE RESOURCE OF THE ELDER MEMBERS OF VNKS THROUGH SELF CARE, MUTUAL HELP AND SELF PROMOTION
  • 33.
  • 34.
    USING INTERNATIONAL CLASSIFICATIONOF FUNCTIONING TO UNDERSTAND ATTITUDE OF COMMUNITY DWELLING ELDERLY TOWARDS COMMUNICATION AND EDUCATION TECHNOLOGY IN NEW DELHI, INDIA
  • 35.
    USING INTERNATIONAL CLASSIFICATIONOF FUNCTIONING TO UNDERSTAND ATTITUDE OF COMMUNITY DWELLING ELDERLY TOWARDS COMMUNICATION AND EDUCATION TECHNOLOGY IN NEW DELHI, INDIA. ICF category Facilitator Satisfied Neither satisfied nor dissatisfied Dissatisfied 4 95-100% 3 51-95% 2 26-50% 1 4-25% -1 4-25% -2 26-50% -3 51-95% -4 95-100% Communicatio n Technology (e125) 37.7% 10.3% 8% 29% 11.3% 1.7% 1.7% 0 0.3% Education Technology (e130) 39% 10% 6.7% 28% 14% 1.6% 0.7% 0 0
  • 36.
    • AMONG THE300 PARTICIPANTS, 85% INDICATED THEIR DAILY LIFE WAS FACILITATED BY COMMUNICATION TECHNOLOGY (MOBILE PHONES, INTERNET CALLING, TELEVISION, COMPUTER) • 83.6% REPORTED THAT THEY BENEFITED FROM EDUCATION TECHNOLOGY (E.G., CAPTURING INFORMATION ON HEALTH/EMPLOYMENT/CURRENT AFFAIRS THROUGH COMPUTERS)
  • 37.
    FUTURE STUDY (WITHAPUHC- UNSW) • UTILIZE A USER-CENTRIC APPROACH AND WORKING CLOSELY WITH ELDERS TO DESIGN A MOBILE PHONE- BASED APPLICATION TO SUPPORT AGED CARE. • EVALUATE IMPACT OF TECHNOLOGY ON ELDERS’ PHYSICAL, SOCIAL AND MENTAL HEALTH.
  • 38.
  • 39.
  • 40.
    N=35 elders N=16 Females N=19Males Duration of Study-3 months
  • 41.
    RESULT OF STUDY CLINICALOUTCOMES • Hypertension • Diabetes • Respiratory disorders
  • 42.
    RESULT OF STUDY QUALITYOF LIFE • BETTER SLEEP • BETTER APPETITE • DISCIPLINED LIFESTYLE • SOCIAL INTERACTION • ENERGETIC • CARING AND RESPONSIBILITY TOWARDS OTHERS
  • 43.
    RESULT: SF-36(Quality ofLife) PHYSICAL FUNCTIONI NG ROLE LIMITATION DUE TO PHYSICAL HEALTH ROLE LIMITATI ON DUE TO EMOTIO NAL PROBLE M ENERGY/ FATIGUE EMOTIO NAL WELL BEING SOCIAL FUNCTIO NING PAIN GENERAL HEALTH 91 86 79 83 84 85 68 81 67 90 85 87 86 83 70 84
  • 44.
  • 45.
    10/3/2015 46 Low-Cost Center-of-GravityBiofeedback For Static Posturing - Smart Mirror
  • 46.
    10/3/2015 47 IMBALANCE ANDFALLS IN ELDERLY Increasing age Poor vision Diabetes Low Grip Arthritis Strength Low socio-economic status (Veuas et al; 1997)
  • 47.
    10/3/2015 48 PROJECT HISTORY •During a workshop on balance and depression with the community-dwelling elderly at Chattarpur, Delhi, we found that Center of Mass (CoM)-Center of Pressure (CoP) parameters were more sensitive, and should be used along with Berg Balance Scale BBS for point-of-care balance monitoring in elderly ref.: “Low-cost visual postural feedback with Wii Balance Board and Microsoft Kinnect - a feasibility study,” IEEE-EMBS POCHT 2013 conference, Bangalore, India
  • 48.
    49 10/3/2015 •CREATE AWARENESSABOUT ELDER PROBLEMS. •FALLS DUE TO IMBALANCE IN ELDERS. •INTRODUCE TECHNOLOGY TO PREVENT FALLS IN ELDERS. •VALUABLE FUTURE LEARNING OF THEIR OWN LIFE. OBJECTIVES OF HIGH SCHOOL WORKSHOP
  • 49.
    10/3/2015 50 PROJECT TEAM •STUDENTS INVOLVEMENT – MR. RISHABH SEHGAL • UNDERGRADUATE INTERN, ELECTRONICS & COMMUNICATION ENGG., NATIONAL INSTITUTE OF TECHNOLOGY HAMIRPUR, INDIA – 5 HIGH SCHOOL STUDENTS – ROOHI KAPOOR – SACHIN SETHI – MRIDUL KHANNA – HIMANSHU KHANNA – ADITYA CHOPRA
  • 50.
    • SAMPLE SIZE:75 ELDERS • DURATION OF STUDY 2 YEARS • OBJECTIVE : RISK OF FALL IN FALL IN ELDERS
  • 51.
    10/3/2015 52 Project TeamPrior Experiences with Wii Balance Board and MS Kinect Low cost devices like Wii Balance Board and Microsoft Kinect can provide an easy rehabilitation tool however a natural visual biofeedback platform such as Smart Mirror is necessary for conducting posture training exercises for elderly 10/3/201552 For details on integration of WiiBB and Microsoft Kinect, please refer to our paper at CSI 2012 conference
  • 52.
    Balance training protocol 1.Sittingto standing 2. Standing unsupported 3. Sitting with back unsupported but feet supported on floor or on a stool 4. Standing to sitting 5. Transfers 6. Standing unsupported with eyes closed 7. Standing unsupported with feet together 8. Reaching forward with outstretched arm while standing 9. Pick up object from floor from a standing position 10. Turning to look behind over left and right shoulders while standing 11. Turn 360 degrees 12. Placing alternate foot on step or stool while standing unsupported 13. Standing unsupported one foot in front 14. Standing on one leg 10/3/2015 53
  • 53.
    10/3/2015 55 PROJECT TEAMEXPERIENCES MR. RISHABH SEHGAL: SUMMER INTERNSHIP WITH PROJECT ADVISOR–DR. ANIRBAN DUTTA, RESEARCH SCIENTIST, DEMAR-LIRMM, FRANCE (VIDEO DEMONSTRATION AT HTTP://WWW.YOUTUBE.COM/WATCH?V=EES9T2RTA_S)
  • 54.
  • 55.
    FUTURE STUDY: PREVENTIVEHEALTHCARE CONNECTING COMMUNITY DWELLING ELDERLY TO HEALTHCARE FACILITIES THRU TECHNOLOGY
  • 56.
  • 57.
    EFFICACY OF GROUPBASED EXERCSIES IN COMMUNITY DWELLING ELDERLY DIABETIC PATIENTS
  • 58.
    PURPOSE TO SIGNIFY THEEFFECT OF GROUP BASED EXERCISES IN IMPROVING QUALITY OF LIFE IN COMMUNITY DWELLING ELDERS WITH DIABETES.
  • 59.
    METHODOLOGY AREA OF STUDY •VARISTHA NAGRIK KALYAN SAMITI,CHATTARPUR AND SAFDARJUNG LIBRARY CUM RECRATIONAL CENTRE FOR ELDERLY (NEW DELHI) SAMPLE SIZE- • 34 elderly,(6 female ,28 males) DURATION OF STUDY- • 2 MONTHS OUTCOME MEASURE- • BBG AND SF-36 DURATION OF SESSION- • 45 MINS TWICE A WEEK.
  • 60.
    EXERCISE PROTOCOL 1. RELAXEDDEEP BREATHING EXERCISES(3 MINS) 2. RANGE OF MOTION EXERCISES FOR BILATERAL ANKLE JOINTS(5 MINS) 3. FUNCTIONAL BALANCE TRAINING • SIT TO STAND(5 TIMES) • STANDING WEIGHT SHIFT(5 TIMES) • FUNCTIONAL REACH SIDEWARDS AND ANTERIOR FOR TOUCHING TARGET SET BY THERAPISTS(5 TIMES) • BIPEDAL HEEL RAISE(20 SECONDS)
  • 61.
    • UNIPEDAL STANDINGFOR 15 SECONDS(5 TIMES) • UNIPEDAL STANDING FOR 15 SECONDS WITH KNEE BENDING(5 TIMES) 4. WOBBOLE BOARD TRAINING (6 MINS) 5. GAIT TRAINING • TANDEM WALKING (5 MINS) • SPOT MARCHING(5 MINS)
  • 62.
    RESULTS (Balance andBlood Sugar) SUBJECTS PRE- INTERVENTION BBG PRE- INTERVENTION GLUCOSE POST- INTERVENTION BBG POST- INTERVENTION GLUCOSE 1 36 170 40 166 2 51 165 51 164 3 53 154 54 155 4 52 164 54 168 5 50 159 53 145 6 48 142 51 134 MEAN 48.3 50.5
  • 63.
    Balance 0 10 20 30 40 50 60 1 2 34 5 6 Pre BBG Post BBG 0 20 40 60 80 100 120 140 160 180 1 2 3 4 5 6 Pre Glucose Post Glucose Blood Sugar
  • 64.
    RESULTS (Quality ofLife) ANALYSIS BERG BALANCE SCALE SF-36 PHYSICAL HEALTH SF-36 ROLE LIMITATION DUE TO HEALTH PROBLEMS SF-36 ROLE LIMITATION DUE TO EMOTIONAL PROBLEMS MEAN Pre-39.8 Post-46.2 Pre-43 Post-58 Pre-19.4 Post-45 Pre-39.8 Post-46.2 DEGREES OF FREEDOM 4 4S 4 4 t STAT -3.78439934 -2.070196678 -1.447321271 -3.784399334 P(T<=t)ONE- TAIL 0.009681078 0.053603133 0.110681412 0.074141741 t CRITICAL ONE-TAIL 2.131846782 2.131846782 2.131846782 2.131846782
  • 65.
    RESULTS (Quality ofLife) ANALYSIS BERG BALANCE SCALE SF-36 PHYSICAL HEALTH SF-36 ROLE LIMITATION DUE TO HEALTH PROBLEMS SF-36 ROLE LIMITATION DUE TO EMOTIONAL PROBLEMS MEAN Pre-39.8 Post-46.2 Pre-43 Post-58 Pre-19.4 Post-45 Pre-39.8 Post-46.2 DEGREES OF FREEDOM 4 4S 4 4 t STAT -3.78439934 -2.070196678 -1.447321271 -3.784399334 P(T<=t)ONE- TAIL 0.009681078 0.053603133 0.110681412 0.074141741 t CRITICAL ONE-TAIL 2.131846782 2.131846782 2.131846782 2.131846782
  • 66.
    RESULTS(Quality of Life) ANALYSISSF-36- ENERGY/FAT IGUE SF-36- EMOTIONAL WELL BEING SF-36- SOCIAL FUNCTION SF-36- PAIN SF-36- GENRAL HEALTH MEAN Pre-43 Post-60 Pre-47.8 Post-56 Pre-55 Post-75 Pre-52.5 Post-79 Pre-46 Post-68 DEGREES OF FREEDOM 4 4 4 4 4 t STAT -4.54344 -1.2085 -6.53197 -4.53638 -5.047146145 P(T<=t)ONE- TAIL 0.005235 0.146705 0.001419 0.005263 0.003622796 t CRITICAL ONE-TAIL 2.131847 2.131847 2.131847 2.131847 2.131846782
  • 67.
    DISCUSSION THE ABOVE RESULTSDEFINE THAT THERE WERE CHANGES ELDERS PARTICIPATING IN GROUP EXERCISES IN NEIGHBOURHOOD COMMUNITY CENTRES HAVE IMPROVED THEIR QUALITY OF LIFE. PERIODIC, RESULT ORIENTED MEETING/SOCIALIZING OF ELDERS HAVING SIMILAR PROBLEM, IN THIS CASE DIABETES SHOWED IMPROVEMENT IN SOCIAL FUNCTIONS, EMOTIONAL WELL BEING AND GENERAL HEALTH .
  • 68.
    CONCLUSION :ACTIVE AGEING •ACCESS TO THE ENTIRE RANGE OF HEALTH AND SOCIAL SERVICES THAT ADDRESS THE NEEDS AND RIGHTS OF OLDER ADULTS; AND PROTECTION, DIGNITY AND CARE IN EVENTS THAT OLDER ADULTS ARE NO LONGER ABLE TO SUPPORT AND PROTECT THEMSELVES. (ACTIVE AGEING AND INDEPENDENT LIVING SERVICES: CORE PROPOSITIONS LEADING TO A CONCEPTUAL FRAMEWORK MARK LEYS, SOFIE DE ROUCK VRIJE UNIVERSITEIT BRUSSEL, (SMIT-MESO) )
  • 69.
    CONCLUSION..CONTD • EXERCISES AREPROVEN TO BENEFIT CHRONIC NON COMMUNICABLE DISEASE LIKE DIABETES ,THEREFORE DECREASES RISKS OF CARDIAC, BRAIN STROKE, NEUROPATHY ETC • GROUP EXERCISES OF ELDERS HAVING SIMILAR PROBLEM, MAKES A BETTER COMRADESHIP AND UNDERSTANDING AMONGST ELDERS. • GROUPS OF ELDERLY SOCIALIZING WITH A SIMILAR PURPOSE , IS AN IMPORTANT COMPONENT OF ACTIVE AGEING FRAMEWORK WHICH IMPROVES QUALITY OF LIFE IN ELDERS.
  • 70.
    CONCLUSION..CONTD • WE HOPEWITH INTRODUCTION OF THE ACTIVE AGEING PROGRAM, DFI CAN UTILIZE THE INEXPLICABLE RESOURCE OF THE ELDER POPULATION IN INDIA THROUGH SELF CARE, MUTUAL HELP AND SELF PROMOTION. • OUR FUTURE PROPOSAL IS TO CREATE RESEARCH MODELS NEEDS IN THE COMMUNITY TO UNDERSTAND BEST PRACTICES FOR COMMUNITY CARE AND IMPROVEMENT IN QOL OF THE ELDERLY IN INDIA.
  • 71.
    CONCLUSION..CONTD • RESEARCH ONTECHNOLOGY TO ENCOURAGE ACTIVE AGEING IN INDIA SHOULD BE ENCOURAGED, FOR FUTURE ELDERS OF THE COUNTRY. • WE MUST BE SERIOUS ABOUT THE WORK OF BUILDING CARING PROGRAMS, TRAINING HELPERS, AND INCREASING SELF CARE AMONG WE WHO, SOONER OR LATER, WILL NEED SUCH ASSISTANCE.
  • 72.