Home Care Nursing for Elderly in India: Addressing the Needs and Challenges of a Rapidly Aging Society

Abstract

India is experiencing varied demographic changes, where the increase in the aged population is predicted to rise from 153 million to 347 million by 2050. Such an unprecedented phase must draw attention to geriatric home care at the present times, especially considering the rise in chronic diseases and care by untrained informal caregivers. We require a trained workforce with expertise in psychological support, preventive care, rehabilitative care, digital literacy, and effective communication. From a demand perspective, multiple systemic constraints inhibit the realization of quality care, ranging from restricted training to inadequate financial sustenance, social frowns, and burnout levels of caregivers. Frameworks like Niti Aayog's Senior Care Reforms and WHO's Integrated Care for Older People (ICOPE) offer pragmatic strategies that focus on holistic person-centered care, digital enablement, and support for caregivers. In this piece, we identify critical gaps in various competencies and advocate for the development of a professional geriatric home care curriculum that is in alignment with both national and global subject matters. Furthermore, integrating aforementioned measures with policies and financial incentives and developing infrastructure will provide greater accessibility and retention for caregivers. Fortifying the geriatric care platform will require the working collaboration of policymakers, care providers, and educators as an assurance for the aging population of India to receive equitable, compassionate, and quality care at home while also empowering caregivers to give sustained support.