Search results for ‘Subject term:"very old people"’ Sort:
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Leisure activities and mobility device use among very old people in Latvia and in Sweden
- Authors:
- KYLBERG Marianne, et al
- Journal article citation:
- British Journal of Occupational Therapy, 80(4), 2017, pp.250-258.
- Publisher:
- Sage
Introduction: Opportunities for leisure activities and physical mobility are important for the ageing population. This study aims to describe leisure activities outside the home among very old (over 80 years of age) users and non-users of mobility devices in two European countries. Method: Survey data on mobility device use, self-rated physical mobility and leisure activities outside the home were utilised for a Latvian (n = 225) and Swedish (n = 314) sample. Differences in type and number of leisure activities were studied between the countries and for four groups of participants according to use/non-use of and level of physical mobility. Results: Significant differences in type and number of leisure activities were seen between the national samples and among the participant groups. In general, each participant group in the Swedish sample reported more leisure activities than did those in the Latvian sample. Non-users with good physical mobility reported significantly more leisure activities than all other participant groups. Conclusion: There are differences between the two national contexts in the type and number of leisure activities reported. To support very old people’s participation in outdoor leisure activities, the authors concludes that there needs to be more knowledge as to how physical, institutional and sociocultural environments affect very old people’s opportunities to engage in and perform such activities. (Edited publisher abstract)
Reducing hospital admissions through proactive care planning and integrated working
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2017
- Pagination:
- 4
- Place of publication:
- London
A case study of a primary care home model developed by the National Association of Primary Care (NAPC) and trialled by Thanet Health Community Interest Company. The model consists of an integrated nursing team providing an enhanced frailty pathway and an acute response team offering a range of treatment and personal care support to keep people out of hospital. The teams, comprising a GP, nurses, healthcare assistants, physiotherapist, occupational therapist, voluntary care and care agency, work closely with social services. They assess patients and put a package of care in place to enable them to remain at home or be discharged. Health and social care coordinators were also brought into GP surgeries to provide non-clinical support to patients, and GP surgery hours extended to include weekends and bank holidays. Initial findings show that the frail elderly are receiving better care out of hospital with fewer visits from different staff and being admitted to hospital less frequently. Over a ten-week trial period in 2016/17, non-elective admissions fell by 155 compared to the same period last year, suggesting potential annual savings of almost £300,000. Medication reviews have also brought down prescribing costs and reduced unnecessary treatment. Integrated teams and an integrated leadership board means all organisations are working much more closely together. There has also been a 19 per cent total drop in healthcare of older people (HCOOP) admissions over this period. (Edited publisher abstract)
An examination of resilience and coping in the oldest old using life narrative method
- Authors:
- BROWNE-YUNG Kathryn, WALKER Ruth B., LUSZCZ Mary A.
- Journal article citation:
- Gerontologist, 57(2), 2017, pp.282-291.
- Publisher:
- Oxford University Press
This study aimed to identify aspects of late-life resilience and sense of self-identity and locate them within a life narrative to provide insights into methods of coping with the challenges of aging. To do this, in-depth interviews were conducted with 20 oldest-old adults (aged 88–98 years) recruited from the Australian Longitudinal Study of Ageing. Design, analysis, and interpretation of the study were informed by McAdams’ life narrative theory, using concepts of redemption and contamination. Participants discussed their autobiographies and recounted significant life events. Interviews drew on McAdams’ approach to elicit positive, negative, vivid, and turning point experiences. Analysis involved coding transcripts of the emergent personal narratives specifically to understand a “resilience story.” This included data immersion and review of interview transcripts. Emergent codes were identified and discussed among the researchers. Although no contamination events were narrated, the authors identified the following themes: Adapting to ageing-related physical challenges; Changing social networks; Continuity in sense of identity to maintain unity and life’s purpose; and Redemptive capacity to cope positively with life challenges. This study fills a gap in knowledge on resilience from a personal perspective by the oldest old. Older people may benefit from interventions that harness positive coping strategies and foster social connections and meaningful activities, especially at times of loss or grief. (Edited publisher abstract)
Resilience in context: the special case of advanced age
- Authors:
- HAYMAN Karen J., KERSE Ngaire, CONSEDINE Nathan S.
- Journal article citation:
- Aging and Mental Health, 21(6), 2017, pp.577-585.
- Publisher:
- Taylor and Francis
Objectives: Advanced age is a time shaped by the current experience of physical, social and psychological characteristics associated with living into an eighth decade and beyond and also by reflection upon past experiences. Understanding the specific factors that contribute to ageing well is increasingly important as greater numbers of older people remain living independently in the community and may require targeted and sustainable support to do so. This paper offers a conceptualisation of resilience for advanced age (age 85+), a life stage currently under-researched. Method: The authors utilise a developmental and socio-historical context to develop key arguments about adversity, resources and positive outcomes that affect the experience of resilient ageing. Results: Very late life is characterised by a unique balance between losses, associated with vulnerability and resource restrictions, and potential gains based upon wisdom, experience, autonomy and accumulated systems of support, providing a specific context for the expression of resilience. Post-adversity growth is possible, but maintenance of everyday abilities may be more relevant to resilience in advanced age. Conclusion: An increasing life-span globally necessitates creative and conscientious thought about wellbeing, and resilience research has the important aim to focus health and wellness on success and what is possible despite potential limitations. (Edited publisher abstract)
An investigation into the patterns of loneliness and loss in the oldest old – Newcastle 85+ Study
- Authors:
- BRITTAIN Katie, et al
- Journal article citation:
- Ageing and Society, 37(1), 2017, pp.39-62.
- Publisher:
- Cambridge University Press
Old age is often characterised as being associated with neglect, isolation and loneliness, not least since established risks factors for loneliness include widowhood, living alone, depression and being female. Cross-sectional data have challenged the notion that loneliness is especially an old-age phenomenon but longitudinal data on loneliness is scarce. Moreover, an under-represented group in prior studies are the oldest old, those aged 85 years and more. This paper addresses these knowledge gaps using data from the Newcastle 85+ Study, a large population-based cohort aged 85 years at first interview with follow-up interviews at 18 months and three years. At baseline over half (55%) reported being always or often alone, and 41 per cent reported feeling more lonely than ten years previously, although only 2 per cent reported always feeling lonely. Women spent more time alone than men and reported more loneliness both currently and compared to the past. Length of widowhood was a key factor, with those recently widowed having twice the risk of feeling lonely and those widowed for five or more years having a lower risk of reporting increased loneliness. Overall, the findings show that loneliness is a minority experience in the oldest old but is strongly driven by length of widowhood, challenging the notion that loneliness in later life is a static experience. (Publisher abstract)
Evidence to inform the commissioning of day centres for older people
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Publisher:
- King's College London. Institute of Gerontology
- Publication year:
- 2017
- Pagination:
- 2
- Place of publication:
- London
This briefing summarises the findings of research into the role and purpose of generalist day centres for older people. The results show that day centres result in benefits for older people attending centres, their family carers and centre volunteers. These include enriching the lives of socially isolated people who were unable to go out without support and improvements in the quality of life for family carers. In addition, day centres can provide access to information and support, monitoring of health and wellbeing and signposting to health and care services. The study also identified the potential for their development and optimisation to improve older people’s health and wellbeing, support carers and maximise the impact of health and social care services. The briefing highlights the implications of the findings for commissioners, which include the need to look beyond the obvious costs when commissioning or reviewing day centre provision. (Edited publisher abstract)
A systematic review of questionnaires used to measure the time spent on family care for frail older people
- Authors:
- CES Sophie, et al
- Journal article citation:
- International Journal of Care and Caring, 1(2), 2017, pp.227-245.
- Publisher:
- Policy Press
Time spent on family care of frail older people is difficult to substantiate because of its complex nature. The aim of this study is to check the content validity of existing questionnaires measuring the time spent on caring. Comparing the activities mentioned in the questionnaires with those from other data sources (three validated scales measuring the functional limitations in day-to-day activities and a qualitative study) enabled identification of important drawbacks in the questionnaires reviewed. A comprehensive list of activities was built in order to help future researchers to conduct effective data collection and thereby enable an in-depth analysis of family care supply. (Publisher abstract)
Participation in advanced age: enacting values, an adaptive process
- Author:
- SUGARHOOD Paul
- Journal article citation:
- Ageing and Society, 37(8), 2017, pp.1656-1680.
- Publisher:
- Cambridge University Press
The concept of participation, introduced through models such as the International Classification of Functioning, Disability and Health, has become increasingly important in health and social care. However, it has not been consistently defined or operationalised, and there is very limited research into participation in the context of advanced age and disability. This article reports a study which explored participation from the perspectives of community-living people aged over 80 years with physical rehabilitation needs. Using a grounded theory methodology, 11 participants aged 81–96 years were recruited from a National Health Service Trust in the United Kingdom. The main finding was that participation was experienced as the enacting of values. Values provided the motivation for specific ways of participating in life, guided actions and behaviours, and were the means through which participation was interpreted. Commonly enacted values were: connecting with others; maintaining autonomy; affirming abilities; doing the best you can; being useful; maintaining self-identity; and pursuing interests. A process was evident whereby participation was challenged by deteriorating health and losses and the participants adapted (or not) to overcome these challenges. To promote participation in advanced age, health and social care policy and practice must consider the values important to older people. Interventions should be congruent with these values and promote strategies through which they can be enacted. (Publisher abstract)
Applying a general measure of frailty to assess the aging related needs of adults with intellectual and developmental disabilities
- Authors:
- McKENZIE Katherine, OUELLETTE-KUNTZ Helene, MARTIN Lynn
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 14(2), 2017, pp.124-128.
- Publisher:
- Wiley
Adults with intellectual and developmental disabilities often experience premature ageing and high levels of frailty. Frailty characterises health complexities and identifies adults with increased risks for adverse outcomes. This paper compared the prevalence of frailty amongst adults (aged 18-99 years) with and without intellectual and developmental disabilities. Frailty was measured using the Frailty Marker, based on the Adjusted Clinical Groups-Predicative Model, and was compared between a cohort of 51,138 adults with intellectual and developmental disabilities and a random sample of 3,272,080 adults without intellectual developmental disabilities. Approximately 9% of persons with intellectual and developmental disabilities were frail, compared to only 3% of persons without intellectual and developmental disabilities. Women, older adults, and adults with mental illness or addiction(s), were more likely to be frail. Adults with intellectual and developmental disabilities are increasingly vulnerable as they age. However, to appropriately characterise frailty in this population, measures should be more inclusive of health characteristics and fluctuations that are related to frailty. Future research should investigate alternative measures of frailty for persons with intellectual and developmental disabilities, including measures derived from standardised health assessments, to meet the needs of the ageing population. (Edited publisher abstract)
Effects on leisure activities and social participation of a case management intervention for frail older people living at home: a randomised controlled trial
- Authors:
- GRANBOM Marianne, KRISTENSSON Jimmie, SANDBERG Magnus
- Journal article citation:
- Health and Social Care in the Community, 25(4), 2017, p.1416–1429.
- Publisher:
- Wiley
Frailty causes disability and restrictions on older people's ability to engage in leisure activities and for social participation. The objective of this study was to evaluate the effects of a 1-year case management intervention for frail older people living at home in Sweden in terms of social participation and leisure activities. The study was a randomised controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to intervention (n = 80) or control groups (n = 73). The intervention group received monthly home visits over the course of a year by nurses and physiotherapists working as case managers, using a multifactorial preventive approach. Data collections on social participation, leisure activities and rating of important leisure activities were performed at baseline, 3, 6, 9 and 12 months, with recruitment between October 2006 and April 2011. The results did not show any differences in favour of the intervention on social participation. However, the intervention group performed leisure activities in general, and important physical leisure activities, to a greater extent than the control group at the 3-month follow-up (median 13 vs. 11, P = 0.034 and median 3 vs. 3, P = 0.031 respectively). A statistically significantly greater proportion of participants from the intervention group had an increased or unchanged number of important social leisure activities that they performed for the periods from baseline to 3 months (93.2% vs. 75.4%, OR = 4.48, 95% CI: 1.37–14.58). Even though statistically significant findings in favour of the intervention were found, more research on activity-focused case management interventions is needed to achieve clear effects on social participation and leisure activities. (Publisher abstract)