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Journal article

Cycles of adaptive strategies over the life course

Authors:
COOPER Margaret, BIGBY Christine
Journal article citation:
Journal of Gerontological Social Work, 57(5), 2014, pp.421-437.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

An increasing number of Australia’s ageing population are aging with long-term physical impairments. This study explored the life experiences of this group using a qualitative approach. In-depth interviews were conducted with 10 disabled Victorians, aged between 51 and 84 years, and an inductive thematic analysis undertaken. A relationship was found between the adaptive strategies that participants developed as they moved through life phases and the impairment stages. The implications of the emergence of a cyclical process of adaptation across the life course. and particularly in respect of aging, delivery of aged-care services and social workers in this sector are discussed. (Publisher abstract)

Journal article

Depression and frailty in later life: a synthetic review

Authors:
MEZUK Briana, et al
Journal article citation:
International Journal of Geriatric Psychiatry, 27(9), September 2012, pp.879-892.
Publisher:
Wiley-Blackwell

Frailty is defined as a state or indication of being vulnerable to declining health in later life. Depression in later life is predictive of many of the same kinds of outcomes as frailty, including cognitive impairment, disability, fracture, and mortality. The aim of this review was to explore the conceptual and empirical interrelationships between depression and frailty among older adults. A literature search was conducted using PubMed for publications through to 2010. Reviewers assessed the eligibility of each report and abstracted information on study design, sample characteristics, and key findings. Of these abstracted articles, 39 met the inclusion criteria. The findings from both cross-sectional and cohort studies indicated that frailty, its components, and functional impairment are risk factors for depression. Although cross-sectional studies indicated a positive association between depression and frailty, findings from cohort studies were less consistent. The majority of studies included only women and non-Hispanic Whites. None used diagnostic measures of depression or considered antidepressant use in the design or analysis of the studies.

Journal article

An integrated system for care

Author:
BURKE Kath
Journal article citation:
Local Government Chronicle, 21.09.06, 2006, pp.18-19.
Publisher:
Emap Business

Durham has streamlined care services with the introduction of a groundbreaking computer system. This article looks at the system which helps to facilitate seamless care for older people and people with physical disabilities by joining up 10 care teams over 4 localities.

Book

Promoting independence: candidate handbook: S/NVQ level 3

Author:
NOLAN Yvonne
Publisher:
Heinemann
Publication year:
2003
Pagination:
360p.
Place of publication:
Oxford

Candidates can now take a specialist route through their NVQ in order to work with the elderly or those with special needs. This title is specially written for these candidates. The title covers 5 mandatory units of the award and 10 of the option units, providing students with a choice in their selection of option units. Case studies encourage candidates to apply their learning in the context of the type of work they will be doing, whilst "Check It Out" sections aim to help candidates build on their own experiences and give them confidence in their work. "Test Yourself" sections ensure candidates understand all the theory they have learnt. "Active Knowledge" tasks help candidates to apply the theory in their own place of work.

Journal article

Trends in the use of assistive technology and personal care for late-life disability, 1992–2001

Authors:
FREEDMAN Vicki A., et al
Journal article citation:
Gerontologist, 46(1), February 2006, pp.124-127,.
Publisher:
Gerontological Society of America

The authors describe national trends during the 1990s in late-life difficulty and assistance with self-care activities. Among older Americans living in the community and experiencing difficulty with self-care activities, assistive-technology use increased substantially whereas use of personal care declined. Using a decomposition technique, they demonstrate that these shifts in assistance toward technology account for half the decline in the number of people dependent on personal care.

Book

Implementation of 'improving the life chances of disabled people': Age Concern's response

Author:
AGE CONCERN
Publisher:
Age Concern
Publication year:
2005
Pagination:
5p.
Place of publication:
London

'Improving the Life Chances of Disabled People' states that, by 2025, disabled people should have full opportunities and choices to improve their quality of life and be respected and included as equal members of society.

Journal article

A sea of change in the teacup!

Author:
JONES Ray
Journal article citation:
Journal of Integrated Care, 13(4), August 2005, pp.2-5.
Publisher:
Emerald

Considers five reports produced by the Government, which focus on disabled and older people, and which stretch across a wide continuum of perspectives and policy.

Journal article

Change in self-related health and mortality among community-dwelling disabled older women

Authors:
HAN Beth, et al
Journal article citation:
Gerontologist, 45(2), April 2005, pp.216-221.
Publisher:
Gerontological Society of America

This study assessed whether change in self-rated health is a stronger predictor of mortality than baseline self-rated health and the most recent self-rated health (prior to death or loss to follow-up) among disabled older women. The Women's Health and Aging Study examined disabled older women at baseline and every 6 months for 3 years. During the follow-up period, 253 out of the 905 examined participants died. Cox regression models with time-dependent covariates were used. After baseline characteristics were adjusted for, baseline self-rated health was not related to mortality. After covariates at the most recent observation and covariates measured only at baseline were controlled for, the most recent self-rated health was not associated with mortality either. After time-dependent covariates and covariates measured only at baseline were adjusted for, decline in self-rated health was significantly associated with increased mortality. Change in self-rated health is a stronger predictor of mortality than self-rated health at baseline and at the most recent observation. Older women with "fair" health are worse off if they are on a declining health trajectory than if their "fair" health is stable. Family caregivers and clinicians need to closely monitor change in self-rated health among disabled older women.

Journal article

Community care in Taiwan: mere talk, no policy

Authors:
CHOU Yueh-Ching, KROGER Teppo
Journal article citation:
Social Work in Mental Health, 2(2/3), 2004, pp.139-155.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

This article explores the policy definitions and the funder roles of central and local governments in community care in Taiwan. The notion of community care has been adopted in Taiwan following the model of Hong Kong but the main question of the article is whether this has resulted in actual service provisions at the community level, forming an alternative to institutional care. The data has been collected from several sources: policy documents, official statistics, surveys, general reports, funding provision reports, and empirical studies. The results show that neither central nor local authorities are seriously involved in caring for elderly people or persons with disabilities in Taiwan's communities. In Taiwan, community care for these groups of people still means, in practice, informal care provided by female family members without any support from public policies. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)

Journal article

The influence of nutritional health on physical function: a critical relationship for homebound older adults

Author:
SHARKEY Joseph R.
Journal article citation:
Generations, 28(3), 2004, pp.34-38.
Publisher:
American Society on Aging

Nutrition-related determinants have been identified among modifiable factors associated with increased physical disability. Reports on a study of homebound older adults receiving home-delivered meals in North Carolina. Concludes the development of physical disability is multidimensional and new evidence integrates nutritional health into the disability paradigm and emphasises the role of food intake in the development of health-related disability. Discusses implications and remedies.

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