Improving Health And Health Care For The Elderly "home Care"

Author(s): 
Guzel Discigil
Adnan Menderes University Department of Family Medicine, Aydin
Text: 
Many people prefer to age at their own familiar surrounding and most of the elderly prefer to get care at their home rather than in a nursing home. Considering the aim of an autonomous and independent life as a central aspect of successful living in the older population, measures to achieve this aim have to be taken.
There have been many demographic and social changes in the 20th century. Concerns about the well-being of the elderly population grew especially in the second half of the 20th century as problems arose to afford for the care of the growing number of elderly people. As traditional care at home fades away efforts for formal home care started to grow. Formal home care provides services in the elderly own home. These services may include medical or psychological assessment, medication, wound care, physical therapy, occupational therapy, life assistance services (daily tasks), transportation and companionship. Home care services can be given in a very broad spectrum from 1-24 hours/day and the team includes doctor, nurse, physical therapist, social worker, health aide.
There are formal home care programs in many developed countries. There are also some projects and home care programs in Turkey. However, the lack of fundamental law regulations needs urgent attention.
Another possible strategy to improve health among older people is preventive home visiting programs. The aim of preventive home visits to elderly persons is to reduce mortality, to avoid admissions to nursing homes and hospitals and to improve the functional status and general well-being of the elderly.
Literature: 
Improving Health and Health Care for the Elderly "Home Care"