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Giummarra, Melita J., Betty Haralambous, Kirsten Moore, and Joan Nankervis. "The concept of health in older age: views of older people and health professionals." Australian Health Review 31, no. 4 (2007): 642. http://dx.doi.org/10.1071/ah070642.
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This study aimed to explore how older people and health professionals conceptualise health in older age. Thirty-six older people and 41 health professionals participated in 10 focus groups (five with older people and five with health professionals) and discussed concepts of health, the modifiable aspects of health, and barriers and motivators to undertaking health-promoting behaviour change. Both older people and health professionals were found to conceptualise health in a holistic manner. While health professionals tended to place the source of poor health on failures of social connectedness and poor service delivery, older people stressed the importance of taking ownership of one?s own health and actively seeking out health promoting activities and services.
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Ward, MC, and P. Higgs. "Psychosocial aspects of adjusting to disability in older people." Reviews in Clinical Gerontology 8, no. 3 (August 1998): 251–56. http://dx.doi.org/10.1017/s0959259898008375.
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Studies across the European Union have noted that chronic illness and chronic disabling conditions rather than acute infectious diseases are now the major causes of morbidity and mortality in member states. This transformation in the nature of health and illness has, and will continue to have, profound effects on the nature of both medicine and the policy and organization of health care. It is estimated that not only will the share of consultations with doctors about issues connected with problems of living with chronic conditions increase, but there will also be a corresponding shift in medical practice from cure to care.
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Rao, Rahul, and Ilana Crome. "Alcohol misuse in older people." BJPsych Advances 22, no. 2 (March 2016): 118–26. http://dx.doi.org/10.1192/apt.bp.115.014480.
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SummaryThe clinical and public mental health aspects of alcohol misuse in older people (both men and women) have increasing relevance for both old age and addiction psychiatrists. Clinical presentations are often complex and involve a number of different psychiatric, physical and psychosocial factors. The assessment, treatment and aftercare of alcohol-related and comorbid other mental disorders will also involve a broad range of interventions from a wide range of practitioners. Given its growing clinical relevance, there are particular areas, such as alcohol-related brain damage and drug interactions with alcohol, that deserve special attention.
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Werntoft, Elisabet, Ingalill R. Hallberg, and Anna-Karin Edberg. "Older People's Reasoning About Age-Related Prioritization in Health Care." Nursing Ethics 14, no. 3 (May 2007): 399–412. http://dx.doi.org/10.1177/0969733007075887.
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The aim of this study was to describe the reasoning of people aged 60 years and over about prioritization in health care with regard to age and willingness to pay. Healthy people (n = 300) and people receiving continuous care and services (n = 146) who were between 60 and 101 years old were interviewed about their views on prioritization in health care. The transcribed interviews were analysed using manifest and latent qualitative content analysis. The participants' reasoning on prioritization embraced eight categories: feeling secure and confident in the health care system; being old means low priority; prioritization causes worries; using underhand means in order to be prioritized; prioritization as a necessity; being averse to anyone having precedence over others; having doubts about the distribution of resources; and buying treatment requires wealth.
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Montgomery, Paul, and Lindsay D. Shepard. "Insomnia in older people." Reviews in Clinical Gerontology 20, no. 3 (June 28, 2010): 205–18. http://dx.doi.org/10.1017/s095925981000016x.
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SummaryInsomnia is a prevalent sleep complaint amongst older people, affecting physical and mental health as well as many aspects of life quality and well-being. For the lack of explicit guidelines for the assessment and treatment of insomnia in older people, this summary of available information represents the best evidence to inform current practice. Clinicians need to be more aware of their patients’ sleep and conduct formal assessments as appropriate. Despite past practice trends, non-pharmacological treatments should be considered first for chronic insomnia as a means to reduce dependency, adverse effects, and polypharmacy. Behavioural treatment methods such as stimulus control and sleep restriction are especially beneficial for older insomniacs as they target maladaptive sleep habits. Pharmacological treatment should be employed only if insomnia persists, involving the careful patient-specific consideration of the lowest effective dose, best intermittence of dosing, shortest effective duration, best gradual discontinuation scheme, and most effective elimination half-life.
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Soo Jung Chang, Kyung Ja Lee, In Sook Kim, and Won Hee Lee. "Older Korean People's Desire To Participate in Health Care Decision Making." Nursing Ethics 15, no. 1 (January 2008): 73–86. http://dx.doi.org/10.1177/0969733007083936.
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The purpose of this study was to identify how older Korean people seek information and their desire to participate in decision making about their health care. A total of 165 elderly people living in Seoul, South Korea, participated in the study. Data were collected during individual interviews using the Autonomy Preference Index. The mean information-seeking score was high. The mean score for their desire to participate with a physician in decision making was lower, but this was higher when family members were involved. The study indicates that many older people want to receive information about their health care. Families (or guardians), as well as older people themselves, should be included in the decision-making process. Nurses can encourage older people to express their wishes, while treating each individual with respect.
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Altendorf, Annette, Brian Draper, Chanaka Wijeratne, Jason Schreiber, and Daniella Kanareck. "Neglect of Older People: Touching on Forensic and Pathophysiological Aspects." Gerontologist 60, no. 6 (July 26, 2019): e449-e465. http://dx.doi.org/10.1093/geront/gnz084.
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Abstract Background and Objectives Neglect of older people is common and may result in fatal and nonfatal outcomes. Normal changes of aging and disease-related symptoms may overlap with markers of neglect and lead to under-detection. This review aims to delineate medical, psychiatric, and pathophysiological indicators in the victim—identified in forensic case reports—to point out areas of overlap and raise awareness in Health Care Professionals. Research Design and Methods Medical and forensic databases were searched with the search terms: neglect, elder, elderly, forensic, homicide for detailed case reports on elder neglect. Cases were reviewed as to victim age, sex, medical/psychiatric diagnosis, perpetrator, victim-to-perpetrator relationship, cause of death (if fatal), location of incident, autopsy findings (if fatal), and ancillary studies. A total of 168 publications were retrieved, of these 11 publications, containing a total of 25 cases, yielded sufficient detail on each case to be included in the qualitative analysis. Results Neglect is associated with poor physical, psychological, and mental health. Neglect can be a direct cause of death or contribute to a fatal outcome by exacerbating existing conditions. Red flags of neglect included malnutrition, dehydration, poor hygiene, untreated decubitus ulcers, hypothermia, contractures, and an uncooperative caregiver. However, incontrovertible evidence of neglect is not always easy to obtain due to age and disease-related changes. Discussion and Implications The findings document the extent and seriousness of elder neglect and highlight the importance of detailed documentation as well as collaboration between clinicians, allied health professionals, law enforcement and medical forensic services to improve patient outcomes and reduce the risk of further incidents.
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Whitfield, Keith E., Jacqueline L. Angel, and Rebeca Wong. "Biobehavioral Aspects of Health and Aging Among People of Mexican Origin." Journal of Aging and Health 23, no. 7 (September 23, 2011): 1019–26. http://dx.doi.org/10.1177/0898264311423370.
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There is a growing interest in developing a deeper level of understanding of the complex phenomena that make up the aging process. Efforts to pursue questions using a multivariate and ecologically valid approaches that include biological and behavioral factors have led to significant advances in our knowledge. This special issue presents a collection of papers that represent this “biobehavioral” perspective. Little is known concerning the biobehavioral aspects of Hispanic health and there is a dearth of systematic study of how individual biological factors interact with the environmental and cultural factors to affect health outcomes among the swiftly growing older population of Mexican origin, a subgroup of older minorities that exhibits unique morbidity and mortality patterns. The group of papers here represents important contributions to understanding the health consequences in later life for individuals of Mexican descent and addresses several areas of interest including but not limited to diabetes, cognitive impairment, metabolic syndrome, frailty, socio-economic status and contextual factors that impact health. The papers presented here use interesting and useful transdisciplinary approaches that increase our knowledge of health processes in older people of Mexican descent. This special issue also provides excellent examples of the critical linkages between biological variables broadly defined and traditional social stratification, social inequalities, and social justice and the ways in which they interact. The papers taken together suggest that the processes involved in aging and health are complex, particularly in people of Mexican descent, and requires the understanding of mechanisms at multiple causes and levels of analysis.
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Vass, M., and C. Hendriksen. "Medication for older people—." Zeitschrift für Gerontologie und Geriatrie 38, no. 3 (June 2005): 190–95. http://dx.doi.org/10.1007/s00391-005-0310-1.
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Vass, M., and C. Hendriksen. "Polypharmacy and older people—." Zeitschrift für Gerontologie und Geriatrie 38, S1 (September 2005): i14—i17. http://dx.doi.org/10.1007/s00391-005-1104-1.
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Björnwall, Amanda, Ylva Mattsson Sydner, Afsaneh Koochek, and Nicklas Neuman. "Eating Alone or Together among Community-Living Older People—A Scoping Review." International Journal of Environmental Research and Public Health 18, no. 7 (March 27, 2021): 3495. http://dx.doi.org/10.3390/ijerph18073495.
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Research on healthy aging commonly concerns problems related to loneliness and food intake. These are not independent aspects of health since eating, beyond its biological necessity, is a central part of social life. This scoping review aimed to map scientific articles on eating alone or together among community-living older people, and to identify relevant research gaps. Four databases were searched, 989 articles were identified and 98 fulfilled the inclusion criteria. In the first theme, eating alone or together are treated as central topics of interest, isolated from adjoining, broader concepts such as social participation. In the second, eating alone or together are one aspect of the findings, e.g., one of several risk factors for malnutrition. Findings confirm the significance of commensality in older peoples’ life. We recommend future research designs allowing identification of causal relationships, using refined ways of measuring meals alone or together, and qualitative methods adding complexity.
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Jones, Rebecca L. "‘Older people’ talking as if they are not older people: Positioning theory as an explanation." Journal of Aging Studies 20, no. 1 (January 2006): 79–91. http://dx.doi.org/10.1016/j.jaging.2004.12.003.
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Draper, Brian, Tanya Jochelson, David Kitching, John Snowdon, Henry Brodaty, and Bob Russell. "Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People." Australian & New Zealand Journal of Psychiatry 37, no. 6 (December 2003): 735–40. http://dx.doi.org/10.1080/j.1440-1614.2003.01259.x.
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Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.
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Treas, Judith, and Shampa Mazumdar. "Older people in America's immigrant families." Journal of Aging Studies 16, no. 3 (August 2002): 243–58. http://dx.doi.org/10.1016/s0890-4065(02)00048-8.
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PETTIGREW, SIMONE, ELISSA BURTON, KAELA FARRIER, ANNE-MARIE HILL, LIZ BAINBRIDGE, PHIL AIREY, GILL LEWIN, and KEITH D. HILL. "Encouraging older people to engage in resistance training: a multi-stakeholder perspective." Ageing and Society 39, no. 8 (April 10, 2018): 1806–25. http://dx.doi.org/10.1017/s0144686x1800034x.
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AbstractResistance training is an important aspect of healthy ageing, yet participation rates are especially low among older people. Strategies are needed to ensure resistance training programmes are attractive to and appropriate for this target group. To inform the development of such strategies, individual interviews (N = 42) and focus groups (four groups, N = 37) were conducted with 79 Western Australians representing four stakeholder groups: instructors who deliver resistance training programmes to older people, health practitioners, policy makers and seniors. Results indicate that the need for personalised attention in the establishment and maintenance phases of a resistance training programme can constitute both a positive and negative aspect of older people's experiences. The negative aspects were identified as a series of tensions between the need for personalised attention and (a) the desire to participate in physical activity within social groups, (b) a preference for activity variation, (c) a dislike for large centres where personalised guidance is often available yet the surroundings can be considered unappealing, (d) cost issues and (e) the need for flexibility in attendance. Recommended strategies for overcoming these tensions include disseminating information about the benefits of resistance training in later life to increase motivation to participate, identifying additional methods of integrating resistance training into group exercise formats, making gyms more attractive to older people and providing non-gym alternatives for resistance training.
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Kiesswetter, Eva, Cornel C. Sieber, and Dorothee Volkert. "Protein intake in older people." Zeitschrift für Gerontologie und Geriatrie 53, no. 4 (April 14, 2020): 285–89. http://dx.doi.org/10.1007/s00391-020-01723-4.
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POTHIBAN, Linchong, Rojanee CHINTANAWAT, Nahathai WONGPAKARAN, Chomphoonut SRIRAT, and Khanokporn SUCAMWANG. "Quality of Life of Older People with Dementia in Thailand." Walailak Journal of Science and Technology (WJST) 17, no. 10 (September 30, 2020): 1066–76. http://dx.doi.org/10.48048/wjst.2020.5132.
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The quality of life (QOL) of older people with dementia may depend on their care environment. This cross-sectional descriptive study aims to investigate the QOL of Thai older people with dementia in homes for the aged and those living in their own homes in the community, as well as the discrepancy between the QOL rated by the older people and by caregivers. The samples included 342 participants who met the inclusion criteria. Data were collected using the Quality of Life-Alzheimer’s Disease Scale (QOL-AD) and the EuroQol 5 Dimensions (EQ-5D) Questionnaire Thai Version Scale. Data were analyzed using descriptive statistics, t test, and Pearson’s correlation. The findings revealed that the overall QOL scores of participants in both groups were at a moderate level. Compared with participants in homes for the aged, those living in the community showed higher scores in 7 aspects of QOL-AD, including physical health, energy, living situation, memory, self as a whole, ability to do chores, and ability to make life fun, but lower scores in the aspects of family/members and marriage/closed persons. Self-rated and caregiver-rated scores were significantly different in the aspects of living situation, memory, relationship with family, and marriage/closed persons. The findings imply that health care professionals can also assess the QOL of older people with dementia through self-rating. Further research to find the most effective method for enhancing older peoples’ QOL is needed.
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Tetley, Josephine. "Optimizing healthy ageing in disadvantaged communities: insights into older people’s use of health and social care services." Nursing Reports 2, no. 1 (September 19, 2012): 11. http://dx.doi.org/10.4081/nursrep.2012.e11.
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The European Year of Healthy Ageing recognizes that health care systems need to be improved and reorganized if services are to optimize the opportunities for people to stay healthy and well in their own homes for as long as possible. However, current services tend to be fragmented and insensitive to the needs of older people and their carers resulting in services being underused or refused leading to increased admissions into acute hospital care that could have been prevented. The main aim of the study reported in this paper was to identify the factors that affected older peoples’ decision and choice-making processes, when using or contemplating the use of care services. Using a constructivist methodology, this study used participant observation and 23 interviews in three study settings: an African Caribbean support service, day centers for people with memory and cognition problems and luncheon clubs for older people. An inductive analysis of the data revealed that when older community dwelling people found themselves struggling with certain aspects of their daily care needs; they used adapting, coping and seeking as strategies to manage. Additional issues of how well services were able to meet individual’s aspirations for care and support were identified through themes of match-mismatch, fair-unfair, independence-dependence. The findings reported in this study provide important insights as to how people’s needs are complex yet are negatively affected by rigid state controlled services that ultimately affect individual decisions to use or refuse services.
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de Vries, Kay, Elizabeth Banister, Karen Harrison Dening, and Bertha Ochieng. "Advance care planning for older people: The influence of ethnicity, religiosity, spirituality and health literacy." Nursing Ethics 26, no. 7-8 (April 3, 2019): 1946–54. http://dx.doi.org/10.1177/0969733019833130.
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In this discussion paper we consider the influence of ethnicity, religiosity, spirituality and health literacy on Advance Care Planning for older people. Older people from cultural and ethnic minorities have low access to palliative or end-of-life care and there is poor uptake of advance care planning by this group across a number of countries where advance care planning is promoted. For many, religiosity, spirituality and health literacy are significant factors that influence how they make end-of-life decisions. Health literacy issues have been identified as one of the main reasons for a communication gaps between physicians and their patients in discussing end-of-life care, where poor health literacy, particularly specific difficulty with written and oral communication often limits their understanding of clinical terms such as diagnoses and prognoses. This then contributes to health inequalities given it impacts on their ability to use their moral agency to make appropriate decisions about end-of-life care and complete their Advance Care Plans. Currently, strategies to promote advance care planning seem to overlook engagement with religious communities. Consequently, policy makers, nurses, medical professions, social workers and even educators continue to shape advance care planning programmes within the context of a medical model. The ethical principle of justice is a useful approach to responding to inequities and to promote older peoples’ ability to enact moral agency in making such decisions.
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Forster, Julie, Ellen Tullo, Luisa Wakeling, and Rose Gilroy. "Involving older people in inclusive educational research." Journal of Aging Studies 56 (March 2021): 100906. http://dx.doi.org/10.1016/j.jaging.2020.100906.
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Merizzi, Alessandra. "Clinical supervision in older adult mental health services." Working with Older People 23, no. 4 (November 28, 2019): 241–50. http://dx.doi.org/10.1108/wwop-09-2019-0024.
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Purpose The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy. Design/methodology/approach The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults. Findings The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes. Practical implications The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed. Originality/value Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice.
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Hedman, Maria, Elisabeth Häggström, Anna-Greta Mamhidir, and Ulrika Pöder. "Caring in nursing homes to promote autonomy and participation." Nursing Ethics 26, no. 1 (April 20, 2017): 280–92. http://dx.doi.org/10.1177/0969733017703698.
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Background: Autonomy and participation are threatened within the group of older people living in nursing homes. Evidence suggests that healthcare personnel act on behalf of older people but are still excluding them from decision-making in everyday care. Objective: The purpose was to describe registered nurses’ experience of caring for older people in nursing homes to promote autonomy and participation. Research design: A descriptive design with a phenomenological approach was used. Data were collected by semi-structured individual interviews. Analysis was inspired by Giorgi’s method. Participants and research context: A total of 13 registered nurses from 10 nursing homes participated. Ethical considerations: Ethical approval was obtained from the Regional Research Ethics Committee. Informed consent was achieved and confidentiality guaranteed. Findings: The essence of caring for older people in nursing homes to promote autonomy and participation consisted of registered nurses’ awareness of older people’s frailty and the impact of illness to support health and well-being, and awareness of acknowledgement in everyday life and trusting relationships. Paying attention to older people by being open to the persons’ wishes were aspects that relied on registered nurses’ trusting relationships with older people, their relatives and surrounding healthcare personnel. The awareness reflected challenges in caring to promote older people’s right to autonomy and participation in nursing homes. Registered nurses’ strategies, hopes for and/or concerns about development of everyday life in nursing homes were revealed and mirrored their engagement in caring for older people. Discussion and conclusion: Awareness of older people’s frailty in nursing homes and the importance of maintained health and well-being were described as the main source for promoting autonomy and participation. Everyday life and care in nursing homes needs to be addressed from both older people’s and healthcare personnel’s perspectives, to promote autonomy and participation for residents in nursing homes.
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Shamsikhani, Soheila, Fazlollah Ahmadi, Anoshirvan Kazemnejad, and Mojtaba Vaismoradi. "Typology of Family Support in Home Care for Iranian Older People: A Qualitative Study." International Journal of Environmental Research and Public Health 18, no. 12 (June 11, 2021): 6361. http://dx.doi.org/10.3390/ijerph18126361.
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The world population is rapidly aging. In older people, age-related biological decline in most body systems causes functional decline, an increase in dependence, and an increased need for support, especially by their family members. The aim of this study was to explore the main aspects of family support for older parents in home care. This qualitative study was conducted using a deductive qualitative content analysis approach. Participants were 21 older parents living in their own homes, as well as four family members of some participants. Data were collected using semi-structured interviews and then were analyzed using the primary matrix developed based on the existing literature. The main aspects of family support for older parents were grouped into five predetermined categories and one new category: “instrumental support”, “financial support”, “psycho-emotional support”, “healthcare-related support”, “informational-technological support”, and “social preference support “. Family support for older people in home care is a multi-dimensional phenomenon. Family members can identify the needs of their older parents and provide them with appropriate support in collaboration with healthcare professionals to enhance their quality of life, autonomy, and satisfaction with life.
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Ericson-Lidman, Eva, and Gunilla Strandberg. "Dealing with troubled conscience in municipal care of older people." Nursing Ethics 20, no. 3 (January 29, 2013): 300–311. http://dx.doi.org/10.1177/0969733012462054.
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Troubled conscience may jeopardize the health of healthcare personnel and, hence, the quality of care provided. Learning more about how personnel deal with their troubled conscience therefore seems important. The aim of this study was to describe personnel’s experiences of how they deal with troubled conscience generated in their daily work in municipal care of older people. Interviews were conducted with 20 care providers and analysed with a thematic content analysis. The findings show that in order to deal with troubled conscience, personnel dialogued with themselves and with others. They took measures in a direction they perceived to be correct, and they expressed a need for distancing and re-energizing. It is of importance to share situations that generate troubled conscience in order to find ways to deal with them. Reconsidering one’s ways of dealing with troubled conscience may give care providers an opportunity to reach consensus within themselves.
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Lesakova, Dagmar. "THE IMPACT OF HEALTH PERCEPTION AND HEALTH-RELATED DETERMINANTS ON HEALTHY FOOD CONSUMPTION IN OLDER PEOPLE IN SLOVAKIA." Acta Scientiarum Polonorum. Oeconomia 19, no. 1 (March 12, 2020): 33–40. http://dx.doi.org/10.22630/aspe.2020.19.1.4.
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The main objective of the paper is to explore the impact of health perception and health-related determinants on achieving healthy food consumption among the elderly and to indicate how possession and importance of different determinants influence the eating behaviour of the elderly population. In our research 18 specific determinants and their manifestation in healthy food consumption were explored. The purpose of the exploration of health perception is to identify seniors’ beliefs about food and health-related aspects. Empirical research was conducted on a sample of 400 elderly participants aged above 65 years and living in their own flats. The relationship between health perceptions, health-related determinants and healthy eating behaviour was confirmed by employing correlation analysis. These findings can be used also in other areas such as food choice motives, where behaviour can be investigated by exploring the contribution of various determinants.
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Gillin, C. T. "Educational Gerontology: International Perspectives. Frank Glendenning (Ed.). New York: St. Martin's Press, 1985, pp. 240. ($25.00 U.S.)." Canadian Journal on Aging / La Revue canadienne du vieillissement 5, no. 2 (1986): 135–39. http://dx.doi.org/10.1017/s0714980800016275.
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Summary AbstractThe book identifies the three distinct but related aspects of Educational Gerontology, specifically, educational opportunities for older people, education about aging for the general population, and education of professionals and para-professionals who work with the elderly. The first aspect, education for older people—including pre-retirement preparation—is emphasized. The volume has an international character with contributions from Britain, the United States, Denmark and Canada.
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Doğan, Hanzade, and Mebrure Değer. "Nursing Care of Elderly People at Home and Ethical Implications: an experience from Istanbul." Nursing Ethics 11, no. 6 (November 2004): 553–67. http://dx.doi.org/10.1191/0969733004ne738oa.
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Elderly people are a particularly vulnerable group in society and have special health problems. The world population of older people is increasing. People who are 65 years or older constitute 6% of the Turkish population, 90% of whom have chronic health problems. In Turkey, there is a high possibility that elderly people’s requirements are not met by today’s health care system in the way they would wish. They prefer not to be hospitalized when they have health problems. From a wider perspective, various countries are still seeking how to provide the best care for elderly people. Our goal was to characterize home-based care for elderly people using an ethical approach as an area of interest for nurses and other health care professionals now and in the future, both for Turkey specifically and from a global perspective. We studied four case histories and then prepared a composite scenario and a short questionnaire for elderly people living in a specific district of Istanbul to evaluate their expectations from the health care system. We compared our findings with situations in other countries and have proposed some practical solutions. The results showed that these older people preferred to receive nursing care at home instead of in hospital in Turkey, and also in many other countries. In this article we discuss our findings, comparing them with those in the literature, and suggest that there should be nursing care at home with insurance coverage while using a proper ethical approach.
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Gan, Daniel Rong Yao, John Chye Fung, and Im Sik Cho. "Neighborhood Experiences of People Over Age 50: Factor Structure and Validity of a Scale." Gerontologist 60, no. 8 (August 27, 2019): e559-e571. http://dx.doi.org/10.1093/geront/gnz111.
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Abstract Background and Objectives Various aspects of the neighborhood environment have been shown to correlate with older adults’ health. Socio-ecological models of health posit that interventions in the living environment can influence population health. Yet, there are no scales to comprehensively measure older people’s experiences of their neighborhoods especially in dense urban contexts. This study analyzes the psychometric properties and factor structure of a holistic measure of Older People’s Neighborhood Experience (OpenX) to understand constituent factors of residential satisfaction and well-being in dense urban contexts. Research Design and Methods Participants were 1,011 community-dwelling older adults aged 50 and older in Singapore. Face-to-face interviews were conducted. Questions were drawn to measure physical and social aspects of the neighborhood as well as sociodemographic variables. Exploratory and confirmatory factor analyses were conducted to obtain a shorter version; content validity, internal consistency, and external validity were assessed. Results The OpenX has a 4-dimensional structure, explaining 45.5% of the variance of neighborhood experience. They are communal affordance, embeddedness, environment pleasantness, and time outdoors. Good reliability and validity were found, including Cronbach’s alpha of 0.827. The correlation between neighborhood experience and objectively measured proximity to parks and fitness corners approached significance (p = .082). Discussion and Implications The 16-item OpenX demonstrated good psychometric properties. With reference to the transdisciplinary neighborhood health framework, it is useful for assessing older adults’ neighborhood environment, identifying neighborhoods for pilot population health interventions, and understanding how the neighborhood environment affects older adults’ health.
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Heenan, Deirdre. "Social capital and older people in farming communities." Journal of Aging Studies 24, no. 1 (January 2010): 40–46. http://dx.doi.org/10.1016/j.jaging.2008.09.002.
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Foster, Liam, Mark Tomlinson, and Alan Walker. "Older people and Social Quality – what difference does income make?" Ageing and Society 39, no. 11 (July 2, 2018): 2351–76. http://dx.doi.org/10.1017/s0144686x1800048x.
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AbstractThis article explores the relationship between Social Quality and income in later life and represents the first application of the concept to a United Kingdom data-set with an explicit focus on older people. In order to undertake this analysis, confirmatory factor analysis models are employed in conjunction with the British Household Panel Survey (BHPS). This enables various dimensions or domains of Social Quality to be measured and then subjected to further scrutiny via regression analysis. Initially, the paper explores links between low income, poverty and older people, prior to outlining the concept of Social Quality and its four conditional factors. Following the methodology, the impact of income on Social Quality domains is explored. We identify that differences in income in older age provide a partial explanation of differences in individual Social Quality. While there is a statistically significant relationship between income and certain aspects of Social Quality such as economic security, altruism, social networks and culture/participation, other factors such as health, identity and time did not have a statistically significant relationship with income. This indicates that improvements in the income of older people are likely to positively impact on aspects of their Social Quality. Finally, some policy implications of the finding are outlined with particular reference to the potential role for pensions in enhancing aspects of Social Quality in retirement.
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Draper, Peter. "Patronizing speech to older patients: a literature review." Reviews in Clinical Gerontology 15, no. 3-4 (August 2005): 273–79. http://dx.doi.org/10.1017/s0959259806001869.
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This review summarizes research into the phenomenon of patronizing speech addressed to older people by doctors, nurses, health professionals and other carers. Patronizing speech is defined and illustrated and its negative impact on the dignity and well-being of older people described. Key empirical and theoretical perspectives of patronizing speech are reviewed. Different aspects of the practice are examined and practical recommendations made for how it can be recognized and avoided. The beneficial effects of training and education of health professionals are discussed.
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Milutinovic, Dragana, Dragana Simin, Jelena Kacavendic, and Vesna Turkulov. "Knowledge and attitudes of health care science students toward older people." Medical review 68, no. 11-12 (2015): 382–86. http://dx.doi.org/10.2298/mpns1512382m.
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Introduction. Education of health science students in geriatrics is important in order to provide optimal care for the growing number of elderly people because it is the attitudes of health professionals toward the elderly that play the key role in the quality of care provided. Therefore, the aim of this study was to assess the knowledge and attitudes of health care science students towards ageing and care for the elderly. Material and Methods. The present cross-sectional study was carried out on a sample of 130 students (medical, nursing and special education and rehabilitation) of the Faculty of Medicine, University of Novi Sad. The students were divided into two groups. The first group (E) included students having been taught geriatrics and nursing older adults and the other group (C) included students who had not been trained in this subject. The authors used Palmore?s facts on Ageing Quiz for the knowledge evaluation and Kogan?s Attitude toward Older People Scale for the attitude evaluation. Results. The results of Facts on Aging Quiz showed the average level of students? knowledge and statistically significant difference between E and C group. The analysis of Kogan?s Attitudes toward Old People Scale showed that both groups had neutral attitudes toward older people. Furthermore, a positive correlation between students? knowledge and attitudes was found. Conclusion. There is increasing evidence on the correlation between education, knowledge and attitudes toward older people which suggests that by acquiring better insights into all aspects of ageing through their education the students develop more positive attitudes and interest in working with older adults.
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Brannelly, Tula. "Sustaining citizenship: People with dementia and the phenomenon of social death." Nursing Ethics 18, no. 5 (September 2011): 662–71. http://dx.doi.org/10.1177/0969733011408049.
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Social death is apparent when people are considered unworthy of social participation and deemed to be dead when they are alive. Some marginalized groups are more susceptible to this treatment than others, and one such group is people with dementia. Studies into discrimination towards older people are well documented and serve as a source of motivation of older people’s social movements worldwide. Concurrently, theories of ageing and care have been forthcoming in a bid to improve the quality of responses to older people in times of need. Included in this theorizing has been the analysis of values and approaches that paid carers convey to citizens who require their help. In this article, the values and approaches of social workers and mental health nurses bring to people with dementia are considered within the context of social life and social death. It is based on a small study that undertook to critically examine how participation of people with dementia was facilitated. A thanatological lens was used to interpret inclusive and exclusive practices which potentially create opportunity for participation or reinforce the loss of citizenship for older people with dementia.
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Iglesias, Sergio, and Ana V. Arias. "Structural and functional social support in elderly objective and subjective health ratings." European Journal of Investigation in Health, Psychology and Education 5, no. 2 (August 4, 2015): 243–52. http://dx.doi.org/10.1989/ejihpe.v5i2.116.
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This paper aims to investigate the causes that explain the discrepancies between the effects of social relationships on health and wellness of the elderly people. Several disciplines of health sciences have developed different theories to explain the evidence that confirm the positive effects of social relations. Furthermore, there is acumuative evidence confirming most of the predictions derived from its principles. However, the empirical evidence has not always confirmed these beneficial relationships and sometimes these evidences contradict some of the theoretical predictions. Even, it is not difficult to find reversed effects. In this paper we follow some of the approaches developed from Social Psychology which analyze the different effects of social relationships on the health of older people. Two types of aspects of social relations have served to this purpose. First, the structural aspects (i.e., frequency of intercourse). Second, qualitative-functional aspects of great tradition in estudies of quality of life and wellbeing of older people (i.e. social support). Following the Convoy Model, we measured perceived social support and frecuency of relationships in 168 spaniards, men and women (aged 62 years old and more). We analyze these discrepancies in the light of the underlying mechanisms.
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Iglesias, Sergio, and Ana V. Arias. "Structural and functional social support in elderly objective and subjective health ratings." European Journal of Investigation in Health, Psychology and Education 5, no. 2 (August 4, 2015): 243–52. http://dx.doi.org/10.3390/ejihpe5020023.
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This paper aims to investigate the causes that explain the discrepancies between the effects of social relationships on health and wellness of the elderly people. Several disciplines of health sciences have developed different theories to explain the evidence that confirm the positive effects of social relations. Furthermore, there is acumuative evidence confirming most of the predictions derived from its principles. However, the empirical evidence has not always confirmed these beneficial relationships and sometimes these evidences contradict some of the theoretical predictions. Even, it is not difficult to find reversed effects. In this paper we follow some of the approaches developed from Social Psychology which analyze the different effects of social relationships on the health of older people. Two types of aspects of social relations have served to this purpose. First, the structural aspects (i.e., frequency of intercourse). Second, qualitative-functional aspects of great tradition in estudies of quality of life and wellbeing of older people (i.e. social support). Following the Convoy Model, we measured perceived social support and frecuency of relationships in 168 spaniards, men and women (aged 62 years old and more). We analyze these discrepancies in the light of the underlying mechanisms.
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Thomas, Alan. "Is depression really different in older people?" International Psychogeriatrics 25, no. 11 (July 9, 2013): 1739–42. http://dx.doi.org/10.1017/s1041610213001038.
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As politicians and pollsters are well aware, it is easy enough to get different answers to the same question by adjusting the details of the question posed. So I clarify at the outset that I am not considering depression in the broadest sense of any depression occurring in any older person. It seems self-evident that differences are present when defined this way; that is, this includes people with depression in dementia, post-stroke depression, depression in the context of other chronic illnesses and so any assessment of clinical or biological factors would yield differences (in cognition, physical symptoms, and so on) compared to a similar sample of depression in all younger adults. Rather I focus the question on unipolar major depressive disorder (MDD). This is because if there are no differences in late-life MDD compared with younger adults, then it seems unlikely that such differences are present in broader constructs of unipolar disorder (minor depression and dysthymia) and pragmatically because this more tightly defined group has been better assessed. A problem in addressing this question is that relatively few studies have directly compared aspects of depression in older and younger people. Thus, the answer will necessarily be limited and subject to a potential “absence of evidence” error. Here, three key areas of evidence where such comparisons have been made will be examined.
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TOWNSEND, JEAN, MARY GODFREY, and TRACY DENBY. "Heroines, villains and victims: older people's perceptions of others." Ageing and Society 26, no. 6 (October 19, 2006): 883–900. http://dx.doi.org/10.1017/s0144686x06005149.
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This paper examines older people's contrasting images of older people as ‘those like us’ and as ‘others’. It draws on data from a qualitative study about the experience of ageing that was undertaken in partnership with two local groups of older people in England. Whilst the informants acknowledged their chronological age, changes in appearance and physical limitations, most did not describe themselves as old. They challenged the idea of older people as being ‘past it’. Older people who personified their own values of inter-dependence, reciprocity and keeping going were seen as ‘heroines’ of old age, but negative stereotypes were ascribed simultaneously to others, ‘the villains’. Aspects of behaviour which evoked censure were ‘giving up’; ‘refusal to be helped’ and ‘taking without putting back’, and were usually attributed to acquaintances known only at a distance. The victims of old age were primarily people with dementia, who were perceived as ‘needing to be looked after’ and objects of pity and concern. The paper explores the ways in which these various images of old age related to people's self-identity and management of the ageing process; especially in a society that has ambivalent conceptions of old age. The findings contribute to an understanding of how people's values underpin their conception of ‘a good old age’ and how they shape their interpretation of societal stereotypes. They also indicate the importance of considering whose voices are heard in the context of exploring the identity and contributions of older people to achieve a more inclusive society.
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Bowes, Alison, Alison Dawson, and Rosalie Ashworth. "Time for care: exploring time use by carers of older people." Ageing and Society 40, no. 8 (March 29, 2019): 1735–58. http://dx.doi.org/10.1017/s0144686x19000205.
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AbstractThe paper focuses on temporal aspects of informal caring for older people. Limitations of large-scale surveys in capturing such data are noted and time-use methodology, despite its own limitations, is proposed as a promising alternative. Adopting a critical perspective on time that includes carers’ own conceptualisations, we report the findings of a qualitative study of carers’ time use. Sixty-two interviews with carers, male/female, co-resident/not co-resident, employed/not employed, and located across Great Britain were conducted. Analysis considered people's own diverse and ambiguous views of their care activities. Carers’ accounts of their time revealed non-linear experiences and a sense of being permanently on call. Interviewees often travelled distances to engage in support activities with or for older people. Changes over time were pervasive, increasing or reducing care requirements. Unanticipated events could precipitate radical changes in time use. Managing time, exercising temporal agency, was particularly apparent in accounts of care, employment, other family responsibilities and choices about friendship. Measurement of carers’ time use which draws on the conceptual foundation of carers’ own perspectives on time may provide more effective quantitative understanding of the temporal aspects of caring. It should not pre-define time, must grasp a variety of tasks, take account of intermittent activity, incorporate the 24–7 experience of many carers and demonstrate how caring time interacts with other time.
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SOBIESZCZYK, TERESA, JOHN KNODEL, and NAPAPORN CHAYOVAN. "Gender and wellbeing among older people: evidence from Thailand." Ageing and Society 23, no. 6 (October 29, 2003): 701–35. http://dx.doi.org/10.1017/s0144686x03001429.
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Researchers and international organisations frequently suggest that older women are disadvantaged in comparison with older men. This analysis of census and survey data from Thailand, however, indicates a far more complex association between gender and various aspects of ageing. Through an examination of various demographic, economic, psychosocial and health variables, it is found that older Thai women do face certain disadvantages compared to their male counterparts, including lower education and literacy, far higher levels of widowhood and living alone, and a lower likelihood of receiving formal retirement benefits. Older Thai men, however, also face relative disadvantages, including worse survivorship, a lower likelihood of receiving money from adult children, a greater probability of debt and other financial problems, and lower satisfaction with their financial situation. Many other demographic, psychosocial and economic measures are not significantly associated with gender. Our analysis provides some support for a lifecourse perspective, that relates gender differences in old age to differences in earlier life experiences, roles and reward structures, particularly access to retirement pensions and the type of support older men and women provide for their co-resident children. Marital status often mediates gender differences in wellbeing among older people. The study concludes with research and policy recommendations.
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Burns, Alistair, Anne Beevor, Paul Lelliott, John Wing, Andrew Blakey, Martin Orrell, John Mulinga, and Stuart Hadden. "Health of the Nation Outcome Scales for Elderly People (HoNOS 65+)." British Journal of Psychiatry 174, no. 5 (May 1999): 424–27. http://dx.doi.org/10.1192/bjp.174.5.424.
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BackgroundHealth of the Nation Outcome Scales (HoNOS) have been developed to measure outcomes in people with mental health problems.AimsThe particular physical and cognitive problems affecting older people requires a specific scale for their measurement. We describe the development of such a scale, named HoNOS 65+.MethodPilot, validity and reliability studies were carried out on an amended scale. Validity was assessed by comparison with existing scales reflecting depression, cognitive function, psychiatric symptomatology, activities of daily living and functional abilities. Reliability was measured in two centres.ResultsHoNOS 65+ was successfully amended to include specific aspects of mental health problems in older people including the phenomenology of depression, delusions occurring in the presence of dementia, incontinence and agitation/restlessness. HoNOS 65+ was able to discriminate between people suffering from organic and functional illnesses. Correlations with other scales indicated reasonable validity. Reliability was satisfactory.ConclusionsAversion of HoNOS 65+ is presented (see pp. 435–438, this issue) which is appropriate for use in elderly people with mental health problems.
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RICHARDSON, JANE C., JANET C. GRIME, and BIE NIO ONG. "‘Keeping going’: chronic joint pain in older people who describe their health as good." Ageing and Society 34, no. 8 (April 11, 2013): 1380–96. http://dx.doi.org/10.1017/s0144686x13000226.
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ABSTRACTIt is common for people with chronic conditions to report their health as good, although models of healthy ageing do not account for this. The concept of successful ageing focuses on overcoming problems, in contrast to the concept of resilience, which can acknowledge vulnerability. Osteoarthritis (OA) is the main cause of joint pain in older people, but research in this area has tended to focus on OA as an illness. Consequently, our research aimed to explore OA from the perspective of wellness. We undertook a longitudinal qualitative study to explore ‘wellness and resilience’ in a group of older people who reported chronic joint pain and considered themselves healthy. We interviewed 27 people and followed them up with monthly diary sheets, responding to reports of changes using their chosen contact method. This article focuses on how resilience relates to how people consider themselves to be well. Participants' experience of the adversity of their pain varied, and was influenced by context and meaning. Participants described ‘keeping going’ in body, mind and everyday life. Flexibility and pragmatism were key aspects of keeping going. The findings support a broader version of resilience that incorporates vulnerabilities. In the context of health care we suggest that treating the frail body should not come at the expense of undermining an older person's sense of a resilient self.
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Bird, Steve, William Kurowski, and Gillian Dickman. "Evaluating a Model of Service Integration for Older People with Complex Health Needs." Evaluation Journal of Australasia 4, no. 1-2 (March 2005): 34–41. http://dx.doi.org/10.1177/1035719x05004001-206.
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Background Older people with multiple chronic conditions and complex health care needs require a comprehensive, accessible and well-coordinated system of services. To address this growing problem, a consortium of acute and community-based health care organisations implemented a ‘Patients First’ model of service integration for the target population. The project evaluation utilised a combination of quantitative and qualitative methods in an action research framework. Findings The evaluation process not only demonstrated the benefits of the project to patients and the health care system, but also contributed to the identification of pivotal components in the model, aspects requiring attention and consequently their refinement. It was also a vehicle for the development of a sense of ownership amongst staff and has evolved into an integral part of the model.
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Abendstern, Michele, Christian Brand, Val Harrington, Rowan Jasper, Sue Tucker, Mark Wilberforce, and David Challis. "CMHTs for older people: team managers’ views surveyed." Journal of Integrated Care 22, no. 5/6 (December 15, 2014): 208–19. http://dx.doi.org/10.1108/jica-07-2014-0029.
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Purpose – The purpose of this paper is to identify features of community mental health teams (CMHTs) for older people valued by their managers, and those they would most like to change. Design/methodology/approach – Content analysis was used to analyse “free text” responses to open questions from a national survey about CMHTs’ organisational structures and processes. Responses were sorted into statements which were categorised into content areas and higher level dimensions. Findings – Free text information was provided by 376 teams (an 88 per cent response rate). Eight higher level dimensions were identified. One related specifically to integration with social care services, whilst several more included material about other aspects of intra-team integration (e.g. documentation and location). The largest proportion of statements related to staffing and teamwork. Statements about inter-personal and inter-professional issues were largely positive, whilst statements about resources, bureaucracy and integration with social care services typically detailed desired changes. Practical implications – Four key issues emerged comprising a high level of support from managers to develop integrated practices; a need to define the focus of CMHTs for older people and to be fully resourced; and the importance of a nurturing and supportive team environment. Originality/value – The methodology provides a bridge between qualitative and quantitative research, exploring the volume of statements on particular topics and their meaning.
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Borglin, Gunilla, Anna-Karin Edberg, and Ingalill Rahm Hallberg. "The experience of quality of life among older people." Journal of Aging Studies 19, no. 2 (May 2005): 201–20. http://dx.doi.org/10.1016/j.jaging.2004.04.001.
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GALČANOVÁ, LUCIE, and DANA SÝKOROVÁ. "Socio-spatial aspects of ageing in an urban context: an example from three Czech Republic cities." Ageing and Society 35, no. 6 (March 10, 2014): 1200–1220. http://dx.doi.org/10.1017/s0144686x14000154.
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ABSTRACTThe purpose of this study is to examine how older people make sense of the changing urban environment – that is, how they experience, perceive and interpret their everyday interaction with its materiality, as well as their social ties, networks and relations. The results, based on seven focus groups and 37 individual in-depth interviews with older residents of the three most populous Czech cities, show how older people maintain the continuity of their activities, autonomy and independence within the limits of their personal resources in an active relationship with a changing urban environment and within the post-socialist context. The research supports the results of former studies that emphasise the ability of older adults to negotiate their position and actively cope with change while they age in place.
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Miranti, Riyana, and Peng Yu. "Why Social Exclusion Persists among Older People in Australia." Social Inclusion 3, no. 4 (July 24, 2015): 112–26. http://dx.doi.org/10.17645/si.v3i4.214.
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The existing literature on social exclusion among older people, though relatively limited, suggests that disadvantage among older people is cumulative in nature. Some aspects of disadvantage starting at early life stages have long-term consequences. As such, older people with disadvantages may be subject to higher risks of persistent social exclusion. This article aims to improve understanding of social exclusion and its persistence among senior Australians in three ways. Firstly, the incidence of social exclusion among older people is analysed using selected indicators. Secondly, the study examines whether an older person experiencing social exclusion at one time is more likely to experience it again (persistence). Thirdly, it investigates what factors may be protecting older people from social exclusion. The analysis is conducted using the first eight waves of the Household, Income and Labour Dynamics in Australia (HILDA) Survey. The sample of older people is disaggregated into a younger group (55–64 years at wave 1) and an older group (65+ years). The article suggests that higher education and income, as well as better health conditions and previous employment experiences, are important protective factors from social exclusion for older Australians.
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Namjoo, Shamsedin, Hamid Allahverdipour, Abdolreza Shaghaghi, and Amir H. Pakpour. "Psychometric Properties of Jacelon’s Attributed Dignity Scale with Iranian Older People." Nursing Ethics 27, no. 2 (May 28, 2019): 372–80. http://dx.doi.org/10.1177/0969733019845125.
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Objective: The main purpose of this study was the psychometric assessment of Jacelon’s Attributed Dignity Scale among Iranian older population. Methods: Using a standard “forward-backward” translation procedure, the original English version of Jacelon’s Attributed Dignity Scale was translated into Persian. Internal consistency of the scale was checked by the Cronbach’s α coefficient. Convergent validity of the instrument was appraised by the Social Skills Scale and General Health Questionnaire. Factor structure of the Iranian version of Jacelon’s Attributed Dignity Scale and possible interplay between its subscales were checked through recruiting a convenient sample of 300 Iranian older people and performing the confirmatory factor analysis. Findings: The estimated Cronbach’s α and intraclass correlation coefficients for the Iranian version of Jacelon’s Attributed Dignity Scale were in the vicinity of acceptable range, that is, 0.87 and 0.93, respectively. The output of confirmatory factor analysis revealed that a four-factor model best fitted the study data (χ2 = 323.49; df = 129; p < 0.001; comparative fit index = 0.913; Tucker–Lewis index = 0.901; root mean square error approximation = 0.074; standardized root mean square residual = 0.078). Rasch estimates of item difficulty ranged from –1.28 (less difficult) to 1.33 (more difficult). No significant cross-gender differences were observed regarding the Iranian version of Jacelon’s Attributed Dignity Scale’s items indicating its invariant psychometric properties for use in the Iranian men and women subgroups. Ethical Considertaion: This study was approved by the Ethics Committee at the Tabriz university of medical science. Informed consent, information confidentiality, and voluntary participation were guaranteed. Conclusion: The study findings were indicative of applicability of the Iranian version of Jacelon’s Attributed Dignity Scale as a reliable tool in measurement of the perceived social dignity among Iranian and probably other Persian-speaking older populations.
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Merodio, Guiomar, Mimar Ramis-Salas, Diana Valero, and Adriana Aubert. "How Much Is One Life Worth? The Right to Equity Healthcare for Improving Older Patients’ Health Infected by COVID-19." Sustainability 12, no. 17 (August 23, 2020): 6848. http://dx.doi.org/10.3390/su12176848.
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Ageism has a tremendous negative impact on elderly persons and society. Discrimination against the elderly is a driver of health and social inequalities. The COVID-19 pandemic has posed new social and health challenges regarding resource scarcity and shortfalls. Under these difficult circumstances, discourses excluding, and discrimination against, older people have aroused. This article gathers evidence on hospital healthcare experiences of older people infected by COVID-19 during the pandemic outbreak in Spain and it analyzes elements that have positively influenced older patients’ perceived health and well-being. We conducted nine qualitative in-depth interviews in Madrid—one of the regions of Spain most affected by COVID-19—with older people that were hospitalized and recovered from COVID-19, family members of old patients infected with COVID-19, and nurses that attended infected older patients. Findings show the challenging experiences faced by older people who were hospitalized due to COVID-19, on the one hand, and the relevance of transformative aspects related to family relationships, solidarity actions, and humanized care that overcame age discrimination, favoring social and equity healthcare for the elderly on the other hand.
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Vass, Mikkel, Kirsten Avlund, Carsten Hendriksen, Lotte Philipson, and Povl Riis. "Preventive home visits to older people in Denmark." Zeitschrift für Gerontologie und Geriatrie 40, no. 4 (August 2007): 209–16. http://dx.doi.org/10.1007/s00391-007-0470-2.
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Tuominen, Leena, Helena Leino-Kilpi, and Riitta Suhonen. "Older people’s experiences of their free will in nursing homes." Nursing Ethics 23, no. 1 (December 8, 2014): 22–35. http://dx.doi.org/10.1177/0969733014557119.
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Background: Older people in institutional care should be allowed to live a meaningful life in a home-like environment consistent with their own free will. Research on actualisation of older people’s own free will in nursing home context is scarce. Objectives: The purpose of this study was to describe older people’s experiences of free will, its actualisation, promoters and barriers in nursing homes to improve the ethical quality of care. Research design: Fifteen cognitively intact older people over 65 years in four nursing homes in Southern Finland were interviewed. Giorgi’s phenomenological method expanded by Perttula was used to analyse the data. Ethical considerations: Chief administrators of each nursing home gave permission to conduct the study. Informants’ written informed consent was gained. Findings: Older people described free will as action consistent with their own mind, opportunity to determine own personal matters and holding on to their rights. Own free will was actualised in having control of bedtime, dressing, privacy and social life with relatives. Own free will was not actualised in receiving help when needed, having an impact on meals, hygiene, free movement, meaningful action and social life. Promoters included older people’s attitudes, behaviour, health, physical functioning as well as nurses’ ethical conduct. Barriers were nurses’ unethical attitudes, institution rules, distracting behaviour of other residents, older people’s attitudes, physical frailty and dependency. Discussion: Promoting factors of the actualisation of own free will need to be encouraged. Barriers can be influenced by educating nursing staff in client-orientated approach and influencing attitudes of both nurses and older people. Conclusion: Results may benefit ethical education and promote the ethical quality of older people’s care practice and management.