Social Problems of the Elderly and the Impact of Chronic Diseases: From Dialysis to Community Integration

Rezumat

Population ageing represents one of the most significant demographic transformations of the 21st century, with complex implications for both social and healthcare systems. In Romania, this process is intensified by the migration of the young population and the fragility of the social infrastructure, leading to increased vulnerability among older adults. This paper offers a theoretical review of the specialized literature on the interdependence between chronic diseases particularly renal failure and the social integration of the elderly. The analysis explores the medical, psychosocial, and community dimensions of ageing, emphasizing the need for an integrated socio-medical approach. The article highlights the importance of developing community services, psychological support programs, and public policies aimed at active and dignified ageing. This work provides a significant contribution by integrating the medical and social dimensions of ageing within an interdisciplinary conceptual framework. The narrative analysis offers an updated perspective on active ageing, using recent international research and focusing on the role of community support and psychosocial interventions in improving the quality of life among older adults. The results offer valuable insights into the formulation of public policies grounded in integrated care and social inclusion.