Search results for ‘Subject term:"older people"’ Sort:
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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)
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
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.
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.
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:
- Oxford University Press
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.
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.
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:
- Oxford University Press
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.
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)
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.
Rural disabled elders
- Authors:
- DePOY Elizabeth, GILSON Stephen French
- Journal article citation:
- Journal of Gerontological Social Work, 41(1/2), 2003, pp.175-190.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Discusses the tension between nomothetic and idiographic thinking about populations, and advances a definition which embodies both. Argues that rural disabled elders are therefore a diverse set of members who both share some commonalities and are rich in their diversity and difference. To belong to this group, members must live outside of urban areas, be advanced in age and experience, and exhibit at least one atypical characteristic that carries an explanation which fits legitimate disability determination by a formal source. Advances an approach to social work practice guided by the synthesis of two ideologies, self determination and legitimacy, and informed by systematic examination and analysis of social problems that affect individuals and groups. Concludes by advancing positive and negative principles for practice.
Research into practice
- Author:
- WINGHAM Gaynor
- Journal article citation:
- Community Care, 4.4.02, 2002, p.41.
- Publisher:
- Reed Business Information
Looks at research in northern England that investigates the links between services for older people and disabled people.