‘May the man live for a hundred centenarians with all his senses intact till the end. Living is a process of continual changes. Infants become toddler, pubescent blossom into young men & female, dependent adolescents develop into responsible adult citizen. The continuation, of change into later life is natural & expected. The dream of the people all over the world to live long lives is now becoming a reality due to the socio-economic development of the people and advancement in sciences, particularly medical sciences. In India about 7.5% of the population is above 60 years and the life expectancy is increasing gradually.’ Nutrition is the key to staying strong, energetic, and healthy as a person gets get older. Hence nutritional status can be helpful in assisting older persons to adjust better to these role losses and provide seniors with the opportunity to widen their social networks, to stimulate new friendships, and to acquire positive new roles in their retirement. The past three decades have witnessed the emergence of over nutrition as a problem in developed countries and in affluent elderly in developing countries. Malnutrition is associated with both structural and functional capacity.
Methods Research Approach
Research Approach: Descriptive research approach. Research design used was Comparative survey. The conceptual framework based on health promotion model was used for the study which is developed by Pender. The setting for this study was the selected areas in old age homes and families in PCMC, Pune. Nonprobability Purposive Sampling Technique was used for 100 samples. The tool developed which includes section 1, the demographic variables, SECTION II: a) body mass index b) Mini nutritional assessment scale to assess nutritional status SECTION III: Modified Geriatric Functional capacity Rating Scale. Tool validity was done and tool found reliable. Study found feasible after pilot study.
Results: It has been observed that in this study Comparative Research Design was used. The population for the present study comprised of all elderly people above 60 years residing in old age homes& families at PCMC. Total 100 samples were taken, in that 50 from old age homes & 50 sample from families. Sample was collected through the use of Non Probability Purposive Sampling Technique. To ensures reliability of tool inter-ratter reliability method was done on 10 samples. Pearson’s correlation coefficient was found to be 0.8, the data was collected through semi structured interview schedule, checklist. The data was analyzed using descriptive & inferential statistics. Researcher applied two sample z test for comparison of nutritional status & functional capacity of elderly. Fisher’s Exact Test revealed that the Occupation of the elderly people was found to have significant association with their nutritional status & accommodation of the elderly people was found to have significant association with their functional capacity elderly people residing in old age homes & families in PCMC. On comparison Average nutritional score of those living in old age homes was 9.3 which were 9 for the ones living in families. Z-value for this comparison was 0.6. Corresponding p-value was 0.263. This indicates that there was no significant difference between the nutritional scores of elderly people in old age homes and staying with families. Average functional capacity score of those living in old age homes was 52 which were 39.5 for the ones living in families. Z-value for this comparison was 2.5. Corresponding p-value was 0.007 which was small (less than 0.05). This indicates that the functional capacity of elderly people living in old age homes was significantly better than those staying with their families.
Conclusion: It has been observed that in both comparative study indicates that comparison of nutritional status there is no significant difference between the nutritional scores of elderly people in old age homes and staying with families & comparison of functional capacity. This indicates that the functional capacity of the elderly people living in old age homes is significantly better than those staying with families.