Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

BIOLOGICAL AND PSYCHOSOCIAL DETERMINANTS OF QUALITY OF LIFE OF THE ELDERLY AND SENILE THAT RECEIVE HOME CARE

Sultanovа S.S. 1 Ponomareva I.Р. 2 Ilnitski A.N. 2
1 St. Petersburg Institute of Bioregulation and Gerontology
2 «Gerontology» Research Medical Center
The article describes the essence of the notion «quality of life of elderly and senile age», which is particularly important, especially regarding the demographic ageing of society. The study identifies the biological and psychosocial determinants of quality of life of the elderly and senile, and the most significant and scientifically based biological and psychosocial factors that affect indicators of quality of life. The study shows that the major biological determinants of quality of life in caring for older people at home are reducing asthenic phenomena through active physiotherapy; adequate pain management; proper skin care; providing comfortable temperatures; ensuring adequate hydration of the body. The study describes the different institutional forms of palliative care for the elderly and aged with progressive somatic diseases in multidisciplinary hospitals, departments of multidisciplinary hospitals, geriatric homes, by mobile medical teams. The choice of assistance depends on the level of financing and needs of people of the regions. The main psychosocial determinants of quality of life in the care of older people are creating an environment for communication; active participation of the family (the microenvironment) in the process of care; ensuring confidence in the health and social workers, involved in the care of the clergy; physical access to essential medicines; to sever anxiety - depressive syndromes.