'Functional Ability and Strengths of the Aged’

Are family ties still important?

Post Author

Ageing is a global problem now. Few thousands of years ago, it was perhaps not a problem because we didn’t live long enough to suffer from it. Life was short because of:

  1. Poor health care facilities. Epidemics were endemic. Diseases kept killing human population, and we kept on looking helplessly. There was no organised health care system like WHO that could take a panoramic view of the whole situation and suggest and undertake the remedial measures.
  2. Battles and wars killed millions of people. The soldiers who were killed must have been in the prime of their life and never suffered from the problem of ageing.

With the advancement in science and technology there is better understanding of human body in health and disease. As s result lifespan has increased. Economic growth has contributed much to the physical comforts of mankind. 

In lands (countries) of abundance like in the west & other rich societies, it is seen that the life style of an a average individual is such that he/she is  busy  in earning money for physical comforts and pleasures. The humane aspect of humanity is vanishing. It is being realised and some effort are being made in the direction to check it. Group discussions, seminars and lectures are organised by universities, NGOs and other social bodies to draw the attention of the societies towards the wrong that is creeping in.

Despite all these, the Social structure has developed in such a way that the humans are becoming more individualist and egoist.

Neglect of ‘Aged population’ is a tip of the iceberg of this social evil.

This is a global phenomenon. Even UNO and WHO is concerned about it

The Baseline report of WHO brings together data available for measuring healthy ageing, defined as “the process of developing and maintaining the ‘functional ability’ that enables well-being in older age.” Optimizing “functional ability” is the goal of the Decade of Healthy Ageing.  It addresses five interrelated abilities that all aged people should enjoy:  

  1. The ability to meet basic needs.
  2. To continue to learn and make decisions.
  3. To be mobile.
  4. To build and maintain relationships
  5. To contribute to the society.


‘WHO has declared 2021-30 as the UN decade of Healthy ageing.

It is heartening to know that many social and cultural bodies have started working in the direction of increasing the ‘functional ability  of the aged population, as suggested by WHO.

Charity begins at home. The societies at large should understand and realise the importance and the need of increasing the ‘functional ability of the old age population’ The old age population should be motivated to achieve five goals suggested by WHO. They must understand that ‘ Old age is not a platform of inertia to wait for death ‘.

Long ago H W Longfellow said: “Life is real, life is earnest & grave is not its goal”.

If you don’t agree to it, then I think old age is the best recipe for suicide in instalments.  (तिल तिल कर मरना).

In India, particularly in Hindu way of life, ‘care of old age people ‘ is very well imbibed our lifestyle.

It is an integral part of our activities of daily living. Our day begins with showing respect to the elders (folding hands, touching feet etc.)  and getting their blessings (‘Ashirwad’). It is a usual morning chorus or ritual practiced in most of the Hindu families. All the social and cultural activities of the family and society at large begin and end with words of respect to the elders. There are functions and occasions where the elders and forefather are even worshiped.

In Indian (Hindu) way of life, life is divided into four segments namely


1. Brahmcharya Ashram (student life)

2. Ghrastha Ashram (household life)

3. Vanprastha Ashram (retired life)

4. Sanyas Ashram (renounced life)

A-common-ritual-in-Indian-(Hindu)-family
A common ritual in Indian (Hindu) family

The first three Ashramas are quite indicative of their contents & utility.

In our ‘Hindu view of life’, one qualifies to be called a ‘sanyasi’ after the attainment of the age of 75 yrs. i.e. one has to work hard for 75 yrs. to earn this title called ‘sanyasi’. It is not an age of retirement but a turning point in one’s life. it is a phase of change over where in masculine way of life is rather rapidly changed into intellectual lifestyle.

It is a position of pleasure and privilege in one’s life time.

During old age or so called ‘Sanyas’, we have both the wealth and culture. Wealth of knowledge and culture of experience!

Though some of us become physically weak, may be because of some ailment- acute or chronic. This can be compensated by yoga & meditation because you need a ‘healthy body to lodge a healthy mind’.

Illnesses (sicknesses) come & go. This phenomenon occurs since the day one to the last day of life.  We always conquer over the diseases & hence continue to live. Conventionally, When disease comes in old age, we  lose our hearts, morale goes down and we surrender to disease.

Unfortunately, social & intellectual atmosphere all over the globe is such that, as age advances, we get depressed and loose our morale. This is further enhanced by the Information available on audio Visual clippings and other written matter of similar nature.   Somehow in old age an attitude of ‘wait and watch’ creeps in and we are hesitant to take steps to ‘face and solve’ the problem.

This attitude of ‘inertia & wait’ pushes us in to a state of ‘Melancholia’, spontaneous and or reactive.

During this journey of 75 years, there are many islands of thought blocks that come in every one’s life. We ignore them, overlook them, neglect them for want of time, economic limitations, social compulsions, or lack of knowledge.

Old age is the golden era of life if you are living in joint family. You are the boss with no responsibility. The generation next is robust, physically active and mentally alert. They listen to your suggestions and commands.

You have a team of small children to play & fondle with, to listen their chats & tell them your stories.

Why is the Joint family system is breaking away?

A word of caution about joint family system. It is breaking fast, not because of children but because of the elders. It is the ego, dominating nature & obstinacy on part of elders that generates the feeling of revenge & retaliation in the mind of younger generation. After all ‘ obstinacy breeds obstinacy ‘.

Here I recollect faintly Chanakya in relation to up bringing of children. He said ‘ललायैत पंच वषाणि ताडियेत वरषाणि दस’ & do मित्र वर वर्ताव thereafter. Meaning there by that, once the child has grown to adolescent age, we should treat them as friend & colleague rather than our subordinates.


Children are our asset and not property. Preserve them and protect them and understand their viewpoint. Reason out their thoughts. Treat them as a separate individual with a separate personality cult. They have their own likes and dislikes. Respect them. They may have a different view on the same issue because at least 25 yrs. have passed since we were of their age and much changes have taken place in all walks of life ever since then. We must learn and teach them ‘to agree to disagree’

A-typical-3-Generation-Indian-Hindu-Family
A typical 3 Generation Indian Hindu Family

When a child is born and the umbilical cord is cut, he/she is a different, separate individual with his own personality, aura and ego. Their existence must be accepted as such and respected. If it is not done so, and we begin to impose your views on them, they will retaliate and will not accept our existence.
In Hindu way of life, lot of emphasis is laid on rebirth and reincarnation. A number of duties are ascribed to the children and elders in regard to their inter personal relationships.


Lot of rituals are ascribed to the children, particularly to sons that they have to perform at the time of last rites of the father. If they fail to do those rituals, then they will get divine punishments in their next birth. This creates a sense of fear and feeling of responsibility towards their parents and other family members. After all, भय बिन प्रीति ना भैई गोसाई–तुलसी दास।

I think this is a big force that keeps the family united and propagates joint family system. This keeps the son and his family with the parents in their old age and particularly at the time of their death.

Joint family system, no doubt is good for the ‘old age people’ as it meets their so many day to day requirements and also fulfils  all the 5 clauses of  ‘functional ability’  as talked by WHO, namely

1. The ability to meet basic needs
2. To continue to learn and make decisions
3. To be mobile
4. To build and maintain relationships
5. To contribute to society

Joint family system is as much needed for the proper development of the children.

India is the only part of planet (earth) where joint family system is prevalent, though in fading stage. It is sad, but it is true. It is required for the seniors. It is even more desirable for the children for their proper development — In an atmosphere of love & affection. It will help them to become better citizens- more understanding, more tolerant & more accommodative.
Ill effects of absence of joint family system are seen in the form of ‘ road rage’, unprovoked shootings in schools, marketplaces, churches, and other places of worship all over the world.

Another reason for breaking of the joint family system is the modern education system.
I would request the concerned authorities in WHO and UNO in general and other international NGOs to initiate discussions in this direction & invite all the thinkers, academicians & education planners from all over the world, to think & work on the implementation joint family system, and make it a global success.

27 Comments

  1. Dr. N.C. Gupta has taken good step to make people aware of the old age problem
    it is in fact the most flaming problem of our society.it seems as if he has peeped deeplly inside the hearts of old age people.
    In very few words he has touched every aspect related to this problem.Rather I will say that he has filled (gagar mein sagar) .

  2. In the old times people had so much of patience and had time for others, now life is very fast and so much to do.

    The various age groups and age gaps gives different point of views which then in turn creates a difference.. joint family system like in other countries is now becoming a distant idea in India.

    Although, personally I would like a joint family but people are now becoming such strong individuals that compromising for each other is difficult.

  3. Really a nice and well illustrated article about problems of old age.With the growing facilities and advancement in medical care available, these days the life span is increasing ,thereby no. Of people in Sanyas Ashram is on the rise.
    Real problem starts here, Many old couples are lonely as their children and grand children are settled abroad due to lack of proper educational and job opportunities.
    Lack of infrastructure and basic amenities in India.
    Rampant corruption and unhygienic living conditions deter children from returning to India, despite their best desires.
    So old couples have no choice except to live alone .
    They can not go and settle with children due to,
    1 Declining health
    2 Poor medical facilities abroad especially for visitors
    3 Children and Grandchildren are all pre occupied with their own work or studies and you are almost a misfit in that environment.
    Keeping all this in mind it is best to live in India and try to find some vocational avenues to keep busy for self and society at large.

    1. My Dear Dr. Agarwal,

      Before writing any reply on your comments I wish to confirm if your complete name is Dr. Yogesh Mohan Agarwal. If it is so are you a general surgeon had worked in Railways for few years and then settled down at Panchkula in your private Nursing Home.

      We have established this Association for the care of the aged. Please go through the website in details and you may find some more interesting blogs / pages.

      You have rightly mentioned in detail and your suggestion “Keeping all this in mind it is best to live in India and try to find some vocational avenues to keep busy for self and society at large”. Can we collectively take up this matter with the Government of India and suggest something complete that how the old individuals who are mentally and physically fit to take up some part time work so that remain busy and this will help the society at large. Would you like to be a member of this Association and the chairman for this cause of the aged. If so Kindly open ‘Join’ tab and complete the proforma online for making the subscription through bank transfer, please follow the instructions provided their in.

  4. Truly a good read.

    The life of all human beings has changed after the advent of internet and mobile, people are engrossed in their small screens and even young kids are doing the same. People now live in their own small space where there is less to no space for anybody.

    But the unconditional love and blessings showered by the elderly cannot be replaced by anything.

  5. The article relating to old age problems is worth reading. We must pause for a while to ponder over the views/ suggestions expressed by different personalities.A little care by our younger generation towards our elders helps them realize that their lives are worth living and they are not burden on their families. Better late than never.

  6. 1. Very well written about our system of living
    and nicely described
    2. Our systems have changed due to family planning
    Now children don’t live with Grandparents unless business is common
    Old people require 4 things
    1. house of their own
    2. Physical mobility
    3.Financial Independence
    4.companion
    If anything is not there there are difficulties
    Children need to be tutored all the time
    When Grand Parents used to live together their used to be lot of guidance but not anymore

  7. Nicely written and described the Indian Joint family system
    All the systems changed due to
    1 family planning one child or two children has changed the things sometimes for better and sometimes worst
    2 At old age besides mobility good bank balance is most important
    3 Prime requirement is your own house and your companion presence and financial independence from children takes care of everything
    Our system has not failed but our way of life has changed from the past where all finance was controlled by eldest having Pagdi on his head

  8. The write up by Dr. Gupta is an excellent contribution to the society for which any amount of appreciation and commendation falls short of the desired level. The grown ups and seniors are aware of some of the issues raised and discussed by Dr Gupta but the young minds are almost ignorant of these. My wishful thinking is that this article or its contents
    should be made part of the syllabus of school going children and college going young minds.

  9. Very good writing.joint family system is the best remedy for India.Education system needs improvement,reminding children about our culture n teaching the respect for parents n Gurus.

  10. Care of the aged is need of the hour. Our social system has become so deteriorated that once a child is married. He wants to live separate from the parents and moreover the jobs of the children are such that they leave their parents to earn their livelihood. The solution will be, we should inculcate the SANSKAR of the children from the early life and show them practically the advantage of joint families and must impress upon them the drawbacks of nuclear families. There should be a mass movement otherwise most of the elders will ruin their later life in ashrams and nursing homes.

    1. True exposition of the behaviour of young couples.
      But Elders are also responsible.
      They have learned something from us also as well.
      It calls for introspection by elders.

  11. Many says age is a number, however time has its own toll affecting both body and mind. Aging population increase world over increasing due to better health services and I individual care, and this trend is very much seen in our country too. Domiciliary care of aged has delayed oncoming memory deficits, emotional support keep seniors busy continuing thier purpose of life; and palliative care by the families inculcate the best value to live life, to the youngester. Such simple measures can be followed by one and all which will go longway addressing the objective of healthy aging.

  12. Thanks for the appreciation.
    Care of the ‘old’ is a real a social problem.
    In this decade of ‘old’, WHO should consider joint family system as a solution to the problem.

  13. Dr Gupta has highlighted the importance of Healthy mind and body to keep up the 5 cluses of functional ability in an aged individual. If these five clauses are not achieved collectively and even one not up to mark, the other clauses are also affected.
    If old individual is with his children and the grand children he forgets the sufferings of old age. Instead of crutches if two shoulders of the grand children are available for an old person for mobility he rather walks with a grandeur feeling. In such situations the old man is in Heaven.

    1. Thanks. Dr Bansal
      Care of the ‘old’ is being is being recognized as a universal truth.
      You have rightly emphasised that a support to the elderly by the family members is far more cherishable than by best of the medical contraptions.

  14. Dr Gupta has highlighted the importance of Healthy mind and body to keep up the 5 cluses of functional ability in an aged individual. If these five clauses are not achieved collectively and even one not up to mark, the other clauses are also affected.
    If old individual is with his children, grand children he forgets the sufferings of old age. Instead of crutches if two shoulders of the grand children are available for an old person for mobility he rather walks with a grandeur feeling. In such situations the old man is in Heaven.

  15. Really nice article, outlining the values of living in a family. Globally, people are looking and paying for experience. Elderly or ‘aged’ as one would say, are the ones with experience. It’s time we reap the benefits of their wisdom and rich know how

    1. Thanks. Dr Bansal
      Care of the ‘old’ is being is being recognized as a universal truth.
      You have rightly emphasised that a support to the elderly by the family members is far more cherishable than by best of the medical contraptions.

Leave a Reply

Your email address will not be published. Required fields are marked *

Previous Posts

aging and law
Ageing
Dr R R Kishore

Aging and the Law: Global Context and the Indian milieu

 Dr. R. R. Kishore, MD, LLB Advocate Supreme Court of India President, Indian Society for Health Laws and Ethics, Telfax:  91-11-40570705;  Mob:    9667937465 email:  [email protected]   That time of year thou mayst in me beholdWhen yellow leaves, or none, or few, do hangUpon those boughs which shake against the cold,Bare ruined choirs, where late the

Read More »
Body Mind and Soul Dr Suresh Bansal
Ageing Brain
Dr Suresh Kumar Bansal

THE MIND – DO YOU WANT TO CHANGE ?

Dr. Suresh Bansal is highly experienced Neurologist having nearly 55 years experience in the health services of Himanchal Pradesh, India: Post Graduate Institute of Medical Education and Research, and in practice. To understand the brain and the mind is a difficult subject. As I go through his videos on this subject I am of the

Read More »
Age-Well-age-management-india
Ageing
VPBansal

10 Helpful tips to Age Well

10 Helpful tips to Age Well Managing your age after 60 years can be a challenging task. It requires making significant lifestyle changes, prioritizing your health and well-being, and adapting to the changes that come with aging. Here are some tips to help you manage your age after 60: Stay Active: Staying active is important

Read More »
lets talk about an important behaviour
Family
Dr Suresh Kumar Bansal

Let’s talk about an important human behavior

Dr. Suresh Bansal, our President of IAAM is a senior neurologist who had devoted lot of time in studying human behavior and its affects on interpersonal relationships with the people from various walks of life. Though he has not mentioned but this is evident from his presentation that the human behavior is going to have

Read More »
Prostate-specificantigen
Ageing
VPBansal

Gents – Things to know about your Prostate Specific Antigen (PSA)

Gents Things to know about your PSA (Prostate Specific Antigen) Prostate specific antigen (PSA) is a protein produced by the prostate gland in males. It is primarily used as a screening test for prostate cancer, which is the most common cancer in men. In this essay, we will discuss PSA and its importance in detecting

Read More »
Relationship-fatigue-India
Family
Dr Suresh Kumar Bansal

Coping with Relationship Fatigue

Coping with Relationship Fatigue Dr. Suresh Kumar Bansal MBBS Hon’s 1971, MD Medicine PGI 1976, DM Neurology PGI 1985 Former Associate Professor Neurology PGI, Chandigarh President Indian Association of Age Management The mind and body are reciprocative to each other, and equal attention to both will help a perfect balance of achieving self-love- identity to

Read More »