Search results for ‘Subject term:"older people"’ Sort:
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The needs of older people with acquired hearing and sight loss
- Authors:
- PAVEY Sue, et al
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2009
- Pagination:
- 19p.
- Place of publication:
- London
Data for this research study were derived from secondary sources and 20 case studies involving life study interviews. It indicated that many such people experience high levels of psychological distress and experience difficulties in relation to access to information, communication and mobility and additional health problems and disabilities, leading to isolation, dependence, loss of control and fear for the future.
The needs of older people with acquired hearing and sight loss
- Authors:
- PAVEY Sue, et al
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2009
- Pagination:
- 7p.
- Place of publication:
- London
This publication summarises findings from the study of the same title which indicated that many such people experience high levels of psychological distress and experience difficulties in relation to access to information, communication and mobility and additional health problems and disabiliteis, leading to isolation, dependence, loss of control and fear for the future.
Personal and social resources and adaptation to chronic vision impairment over time
- Authors:
- REINHARDT Joann P., BOERNER Kathrin, HOROWITZ Amy
- Journal article citation:
- Aging and Mental Health, 13(3), May 2009, pp.367-375.
- Publisher:
- Taylor and Francis
This study aimed to examine the effect of personal (coping strategies and locus of control) and social resources (family and friendship support) on adjustment to chronic vision impairment in older adults at baseline (rehabilitation service application), 6 months, and 18 months later. Three hundred and thirteen community dwelling, English speaking older adult applicants to a vision rehabilitation agency in the northeast of America were interviewed in their homes following informed consent. A larger portion of variability was accounted for in positive compared to negative outcomes. Greater use of acceptance coping, less use of wishfulness coping, lower endorsement of chance locus of control, and higher family support were associated with better baseline adaptation, yet these predictors had little effect on short- or long-term change in adaptation. Higher friendship support predicted increased adaptation to vision loss at both follow-up points. Friendship support was also associated with decreased depression at Time 3, and lower use of wishfulness was related to decreased depression at Time 2. Results showed differential effects for positive versus negative outcome variables, short- versus long-term adaptation, personal and social resources, and within social resources, for family versus friendship support.
Understanding the experiences and needs of people with dementia and sight loss
- Authors:
- LAWRENCE Vanessa, MURRAY Joanna
- Journal article citation:
- Working with Older People, 13(3), September 2009, pp.29-33.
- Publisher:
- Emerald
The authors present the findings of their research into how sight loss and dementia affects the lives of older people and their carers, based on 19 case studies in London and the south east involving interviews with 17 people with sight loss and dementia, 17 family carers and 18 care professionals who worked with them. Analysis of the case studies identified 7 areas of concern: joint sight loss and dementia created a sense of disorientation in many older people; concerns about safety threatened older people's independence; experiencing one form of loss increased the difficulty of accepting the second; visual hallucinations were common and disruptive; older people were highly vulnerable to isolation; family carers faced considerable demands; there was a risk of sight loss being overlooked in dementia care. The authors conclude that it is important that service providers and staff within dementia care settings recognise that sight loss creates needs that require extra time and attention from staff in order to support individuals in a way that promotes rather than undermines their autonomy.
Obstacles to improving visual health in older people
- Authors:
- ILIFFE Steve, KHARICHA Kalpa, MYERSON Sybil
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2009
- Pagination:
- 7p.
- Place of publication:
- London
This publication summarises findings from research which aimed to explore the obstacles to improving visual health in an ageing population, and why screening does not lead to greater improvement. A mixed methodological approach was taken. Data from earlier health promotion studies was used and qualitative data were collected from older people. The conclusions include a proposal for an educational intervention. The research was funded by Thomas Pocklington Trust and carried out at the Research Department of Primary Care and Population Health, University College London.
Glaucoma screening of patients with and without dementia
- Authors:
- PANKOW Laura J., PRYOR Jerry L., LUCHINS Daniel J.
- Journal article citation:
- Journal of Evidence-Based Social Work, 6(1), January 2009, pp.29-39.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study tested the hypothesis that, in patients aged 60 years or more, screening for glaucoma would result in patients with dementia being referred for further evaluation at a significantly higher rate than in those without dementia. An observational cross-sectional research design with a categorical outcome variable was used. Glaucoma screening was performed on 103 subjects at two geriatric primary health care centres in Chicago. There were 75 females and 28 males with an average age of 75 years and 75% were African American. Thirty three subjects had dementia. Referral rate for further ophthalmologic evaluation was significantly higher in those with dementia (54%) than those without dementia (27%), affirming the study hypothesis. The authors comment that lack of glaucoma screening and treatment follow-up by a majority of primary care physicians treating geriatric patients demonstrates a need for medical professionals to address function, particularly mobility, to discuss glaucoma’s effects with patients and caregivers, and to consider measuring intraocular pressure.
Risk factors for depression among older adults with dual sensory loss
- Author:
- McDONNALL Michele Capella
- Journal article citation:
- Aging and Mental Health, 13(4), July 2009, pp.569-576.
- Publisher:
- Taylor and Francis
Survey data was collected from a US sample of 203 adults aged 55 years and older with significant hearing and vision loss. Independent variables included demographics (as control variables), sensory loss-related factors, activity factors, and social factors. A large proportion of participants experienced depression. Risk factors typically associated with depression in the elderly were also significant for this group, with the exception of functional disability, but only one variable directly related to sensory loss was significant in the final model. The block of variables with the greatest relationship to depression was the social factor. Receipt of rehabilitation services and use of assistive devices are two strategies that could be used to address the issue of depression with this population. Interventions could target some of the variables found to be associated with depression in this study: communication problems, loss of activity, and physical activity.
An exploratory qualitative study of equity and the social care needs of visually impaired older people in England
- Authors:
- CHARLES Nigel, MANTHORPE Jill
- Journal article citation:
- British Journal of Visual Impairment, 27(2), May 2009, pp.97-109.
- Publisher:
- Sage
This article describes the findings of a small study of the ways in which social care practitioners describe their assessment practice with visually impaired older people in England. The study interviewed 14 social care staff in three local authorities that had different organizational arrangements for assessments. Using a vignette method, the study explored staff's definitions of social care needs. Possible differences between the practice of specialists in visual impairment and those who were not working or trained specifically in the area of visual impairment are explored, as is the context of policy assessments for social care services. The potential impact of differences and context on equity is discussed.
Validation of Fuld object memory evaluation for the detection of dementia in nursing home residents
- Authors:
- CHUNG Jenny C.C., HO Winnie S.K.
- Journal article citation:
- Aging and Mental Health, 13(2), March 2009, pp.274-279.
- Publisher:
- Taylor and Francis
This study aimed to examine the psychometric properties of the Fuld Object Memory Evaluation (FOME) as an instrument to detect dementia in nursing home residents in Hong Kong. Ninety-six elderly participants were recruited into a dementia group (n = 30) and a normal control group (n = 66). Forty participants (12 dementia, 28 normal controls) had visual impairment. The test-retest reliability and parallel-form reliability of FOME were excellent, with intraclass correlation coefficients of 0.92 and 0.96, respectively. Satisfactory convergent validity of FOME was established with the Cantonese version of Mini-Mental State Examination, and the Memory subscale and the Initiation/Perseveration subscale of the Chinese version of Dementia Rating Scale. The FOME total retrieval (TR) score and delayed recall (DR) score showed good discriminative power to screen for dementia. Optimal cutoff scores for TR and DR were suggested as 33 (93% sensitivity, 82% specificity) and 7 (87% sensitivity, 76% specificity) respectively. The performance of FOME was not influenced by age, educational level and visual impairment. The findings suggest that FOME is a valid assessment to screen for dementia in older nursing home residents and can be used with older individuals with limited education and those with visual impairments.
Impact of sight loss in older people in Britain
- Authors:
- FLETCHER Astrid, EVANS Jennifer, SMEETH Liam
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2009
- Pagination:
- 7p.
- Place of publication:
- London
This publication summarises findings from research to assess the impact of visual impairment on the risk of hospital and institutional admissions and health-related quality of life in people aged 75 years and above in Britain. The project used data collected from participants in the Medical Research Council (MRC) Trial of the Assessment and Management of Older People in the Community.