Q1. Answer the following questions within 750 words.
- 1) Raghav ji and Nupur Ji aged 72 and 69 years are staying in a two-bed room apartment of a colony. Five years ago both their children get settled abroad. Gradually they restrain themselves from going out for a walk, visits to the places of their relatives and friends. They confine themselves in home. Which rehabilitation strategy you would use to help them to deal with their loneliness? (750 words)
- 2) An 80-year old man was recently diagnosed with cancer. His family is arguing about what to do. His son wishes for surgery followed by chemotherapy to begin but his wife does not want to see him in any pain. Neither fully understand the medical issues and treatment to follow. The patient demonstrates understanding of the diagnosis and treatment. What are the ethical principles involved in this case? (750 words)
Key Points:
- Geriatric loneliness rehabilitation requires multidisciplinary assessment of physical, mental, and social needs.
- Strategies include community re-engagement, digital literacy for communication, and home-based support.
- Psychosocial interventions like counseling are crucial for addressing underlying emotional distress in lonely seniors.
- Patient autonomy is paramount in medical decision-making for capacitated older adults, even with family dissent.
Answer: The following response addresses the two sub-questions based on principles of geriatric medicine, focusing on rehabilitation strategies for loneliness and ethical considerations in end-of-life care for the elderly. Each sub-question is answered comprehensively, adhering to the principles of person-centered care, autonomy, and beneficence, crucial in geriatric practice. The answers are structured into short, digestible paragraphs for clarity and readability.