Context:There are many factors which compelled older adults to live in old age homes (OAHs) and vulnerable to psychological problems. Studies reported high prevalence of mental health problems (20%–60%) among elderlies of OAHs. Therefore, the study was conducted to explore prevalence of psychiatric illness (PI) among residents of OAHs of Northern India.Settings and Design:The present study was conducted in OAHs of Districts Bareilly, Lucknow, Varanasi, Dehradun, and Haridwar, using cross-sectional descriptive study method. Sample Size were 306 (male – 98 [32.5%] and female n = 208 [68%]) residing in OAHs selected by means of purposive sampling.Subjects and Methods:Inclusion criteria: (a) older adults aged 60 years and above residing in OAHs and able to communicate. (b) Staying in OAHs for 6 months or more. (c) Able to understand comprehends and reply to questions and (d) Giving written informed consent. Exclusion criteria: (a) Residents who declined/not interested to participate in the study. (b) Residents having any sensory impairment/physical health problem which can impede the interview. Research tools were (i) a semi-structured pro forma, (ii) Hindi Mental Status Examination, (iii) Survey psychiatric assessment schedule, and (iv) Schedules for clinical assessment in neuropsychiatry-based clinical interview for diagnosis of PIs according to International Classification of Disease 10.Statistical Analysis Used:The quantitative data obtained was analyzed by means of frequency tables.Results:The results show overall prevalence of PI is 43% among residents of OAHs. The prevalence of PI was found to be higher among females compared to males. Depression was the most common among the residents of OAHs.Conclusions:There is an urgent need of trained professionals to provide professional help for highly prevalent psychiatric disorders among residents of OAHs.

Background: Now-a-days, almost all the old age homes (OAHs) in India are fully occupied with residents. Why Indian elderly have to reside in old age homes? It was explored during the Ph.D. study titled ‘A Study of Psychiatric Morbidity, Quality of Life and   Expectations of Inmates of Old Age Homes in Northern India’. The object of this study was to explore the factors compelling elderly to reside in old age homes.  Methods: This study was carried out on 174 elderly residing in 14 different OAHs of Uttar Pradesh, India. Factors responsible for their settlement in OAHs were explored using interview method. Results: Misbehaviour of son and daughters-in-law (29.8%) was found to be most common reasons for residing in old age home. Conclusions: Many elderly in India are opting OAHs as their place of stay in their later life. Foreseeing the future the government and voluntary agencies in India must make arrangements for institutional support and care for the elderly.

This chapter describes how cardiovascular disease in industrialized nations the proportion is higher, reaching 90%. Ageing has a remarkable effect on the heart and arterial system, out of which leading to an increase in cardiovascular disease including atherosclerosis, hypertension, myocardial infarction, and stroke. Cardiovascular disease is one of the leading causes of Cardiovascular Disease morbidity and mortality today. Coronary heart disease accounts for 70 to 80 per cent of deaths in men and women in adults over 60 years of age. Congestive Heart Failure is the most common cause of hospitalization in the elderly. Since a significant proportion of the population is and will be elderly and the morbidity and mortality of cardiovascular disease in this population is so profound, it is important to understand the evaluation and treatment of cardiovascular disease in the elderly

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Aging is a part of natural developmental process in the life of any living being. For human beings it is not just a biological phenomenon but it has psychological and social implications too. Some of the areas that would be affected include those related to health and health care, family composition, living arrangement, housing and migration. As a result of these socio-demographic evolutions and situations, older adults at times are forced to shift from their own homes to institutions/ Old age homes OAH. Living in OAH evokes a picture of apathy, dependence, and sadness which make the older adults increasingly vulnerable to mental health problems. Further there is also a strong need to develop suitable strategies to implement better mental health programmes and guidelines for the CMI in old age homes.