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Older people talk about how frailty can lead to loneliness and isolation
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2014
- Pagination:
- 8 minutes 41 seconds
- Place of publication:
- London
As part of Age UK's research into frailty in later life, older people talk about how frailty can lead to loneliness and isolation and the strategies they use to cope with loneliness. (Edited publisher abstract)
Relationship between depression and risk of malnutrition among community-dwelling young-old and old-old elderly people
- Authors:
- YOSHIMURA Kazuya, et al
- Journal article citation:
- Aging and Mental Health, 17(4), 2013, pp.456-460.
- Publisher:
- Taylor and Francis
A cross-sectional design was implemented to explores the association between nutritional status and depression among healthy community-dwelling young-old (aged 65–74) and old-old elderly (aged 75 and older). A total of 274 community-dwelling older individuals (142 young-old; 132 old-old) were assessed using the Geriatric Depression Scale (GDS), Mini-Nutritional Assessment Short-Form (MNA-SF) and Life-Space Assessment. Logistic regression analysis was used to determine if depression was independently associated with risk of malnutrition, stratified by age (young-old vs. old-old). In the logistic regression model for young-old, being at risk of malnutrition Was strongly associated with depression. In contrast, in the old-old group, the model was not statistically significant. This study reveals that not only the factors correlated with but also the symptoms of depression may vary among different age stratifications of the elderly. (Edited publisher abstract)
Living with ageing and dying: palliative care and end of life care for older people
- Editors:
- GOTT Merryn, INGLETON Christine, (eds.)
- Publisher:
- Oxford University Press
- Publication year:
- 2011
- Pagination:
- 304p.
- Place of publication:
- Oxford
This book identifies ways of improving the end of life experiences of older people by taking an interdisciplinary and international approach. It brings together contributions from leading international experts from different disciplinary backgrounds. Ageing populations mean that end of life care for older people needs to be given greater priority. In particular, there is a perceived need to improve the experiences of older people at the end of life; those that have been identified as the 'disadvantaged dying'. Most current models of care are underpinned by the ideals of specialist palliative care services which were developed to meet the needs of predominantly 'young old' people, and evidence suggests these may not be adequate for the older group. The contributions provide a synergy between the currently disparate literature of gerontology and palliative care. Some authors take a theoretical focus, others a very practical approach rooted in clinical and research experience. The issues covered are diverse and related to a wide range of geographical settings. The book is aimed at both academics and practitioners (doctors and nurses) in palliative care, geriatrics, and gerontology but is also expected to be of interest to social workers, policy makers and anyone with an interest in older people in relation to public health.
Home care in London
- Author:
- BRADLEY Laura
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2011
- Pagination:
- 40p.
- Place of publication:
- London
Like the rest of the UK, London’s over-80 population is increasing; the Greater London Authority estimates it will rise by 40% over the next 30 years. Public services must adapt to the challenge that this poses. Home-based care has the potential to reduce the pressure on more costly public services such as hospital beds and care home places, and can enable older people to remain in their homes for longer. This paper explores the issue of home-based social care in London. It aims to provide policymakers and commissioners with a clearer idea of what makes for good quality home-based care, the challenges that exist for delivering it, and how the increasing demand can be met. Research undertaken for this paper involved analysis of secondary information as well as 50 semi-structured interviews conducted with service providers, carers and service users. The paper starts by outlining the current context for home-based care in the UK, looking at where it fits within the overall approach to social care and the current financial environment. It then covers home-based care in London by giving an analysis of the home care market and some characteristics unique to London. Three key tests are provided that ensure home care is of good quality, and it is considered whether home care in London is successfully meeting each of these tests. Recommendations to address the emerging issues are provided.
Positive approaches to the fourth age
- Authors:
- BANO Ben, BENBOW Susan Mary
- Journal article citation:
- Quality in Ageing and Older Adults, 11(2), June 2010, pp.29-34.
- Publisher:
- Emerald
In this paper, the authors reflect on the outcomes of From the Cradle to Beyond the Grave, a multi-faith conference on the theme of positive approaches to the fourth age held in 2008, discussing participants views' on what makes life worth living at different stages and the spiritual needs in the fourth age. The article looks at transcendence and spiritual needs, and needs and roles in the context of Maslow's hierarchy of needs and the social role inventory, a tool that develops a profile of the roles a person is performing or might perform. The authors conclude that there is a developing consensus that services need to understand and meet the spiritual and transcendence needs of older people in the fourth age, and that the developing focus on social inclusion needs to ensure that people in the fourth age are considered and involved in national and local initiatives.
Experiences of loneliness among the very old: the Umea 85+ project
- Authors:
- GRANEHEIM Ulla H., LUNDMAN Berit
- Journal article citation:
- Aging and Mental Health, 14(4), May 2010, pp.433-438.
- Publisher:
- Taylor and Francis
This study is part of the ongoing Umea 85+ project, which focuses on people aged 85 years and over to examine successful ageing as well as threats against successful ageing. The losses associated with becoming old include the loss of friends and family members, which may contribute to experiences of loneliness. This study aimed to elucidate experiences of loneliness among the very old who live alone. The participants were 23 women and 7 men, aged 85-103 years, who were interviewed about their experiences of loneliness. The text was subjected to qualitative content analysis. The descriptions of loneliness were twofold: on the one hand, living with losses and feeling abandoned represented the limitations imposed by loneliness; and on the other, living in confidence and feeling free represented the opportunities of loneliness. The findings indicate that experiences of loneliness among the very old are complex, and concern their relations in the past, the present, and the future. The article concludes that experiences of loneliness among the very old can be devastating or enriching, depending upon life circumstances and outlook on life and death.
Aging without agency: theorizing the fourth age
- Authors:
- GILLEARD Chris, HIGGS P.
- Journal article citation:
- Aging and Mental Health, 14(2), March 2010, pp.121-128.
- Publisher:
- Taylor and Francis
This article looks at the ‘fourth age’ as a manifestation of the fragmentation of old age, attempting to give it a more cogent status within gerontology. It argues that the fourth age emerges from the institutionalisation of the infirmities of old age set against the appearance of a third-age culture that negates past representations of old age. The historical marginalisation of old age is outlined from early modern society to the contemporary concentration of infirmity within long-term care which makes of old age an undesirable social imaginary. As old age fades from the social world, the article likens this to the impact of a social or cultural ‘black hole’ distorting the gravitational field surrounding it, unobservable except for its traces. At this stage, choice, autonomy, self-expression, and pleasure collapse into a silent negativity. Within this perspective, the fourth age can be understood by examining not the experience itself but its impact on the discourses that surround and orientate themselves to it.
At risk alcohol drinking in primary care patients aged 75 years and older
- Authors:
- WEYERER Siegfried, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(12), December 2009, pp.1376-1385.
- Publisher:
- Wiley
This study looks at alcohol consumption patterns among older patients. The subjects were 3,224 non-demented patients aged 75 and over attending general practitioners in 6 cities in Germany. Detailed assessment of alcohol consumption was determined by structured clinical interviews. The results showed that 50.1% were abstainers and that 43.4% were moderate drinkers. The prevalence of at-risk alcohol consumption (over 20g alcohol per day for women and over 30g alcohol per day for men) was 6.5%. This was significantly higher for men (12.1%) than women (3.6%). Compared to moderate drinking, at-risk drinking was significantly higher in men, individuals with liver disease, and current smokers. Apart from the liver disease, at-risk drinking in this population was associated with relatively good physical and mental health. The authors suggest that public prevention measures should focus on at-risk drinkers to make them aware of potential risks of high alcohol consumption in old age.
Inability to get up after falling, subsequent time on floor, and summoning help: prospective cohort study in people over 90
- Authors:
- FLEMING Jane, BRAYNE Carol
- Journal article citation:
- British Medical Journal, 29.11.08, 2008, pp.1279-1282.
- Publisher:
- British Medical Association
This study describes the incidence and extent of lying on the floor for a long time after being unable to get up from a fall among people aged over 90; and to explore their use of call alarm systems in these circumstances. The design used a 1 year follow-up of participants in a prospective cohort study of ageing, using fall calendars, phone calls, and visits. Participants were 90 women and 20 men aged over 90 (n=110), surviving participants of the Cambridge City over-75s Cohort, a population based sample. In one year’s intensive follow-up, 54% (144/265) of fall reports described the participant as being found on the floor and 82% (217/265) of falls occurred when the person was alone. Of the 60% who fell, 80% (53/66) were unable to get up after at least one fall and 30% (20/66) had lain on the floor for an hour or more. Difficulty in getting up was consistently associated with age, reported mobility, and severe cognitive impairment. Cognition was the only characteristic that predicted lying on the floor for a long time. Lying on the floor for a long time was strongly associated with serious injuries, admission to hospital, and subsequent moves into long term care. Call alarms were widely available but were not used in most cases of falls that led to lying on the floor for a long time. Comments from older people and carers showed the complexity of issues around the use of call alarms, including perceptions of irrelevance, concerns about independence, and practical difficulties. Lying on the floor for a long time after falling is more common among the "oldest old" than previously thought and is associated with serious consequences. Factors indicating higher risk and comments from participants suggest practical implications. People need training in strategies to get up from the floor. Work is needed on access and activation issues for design of call alarms and information for their effective use. Care providers need better understanding of the perceptions of older people to provide acceptable support services.
Pain in residential aged care facilities: management strategies
- Author:
- AUSTRALIAN PAIN SOCIETY
- Publisher:
- Australian Pain Society
- Publication year:
- 2005
- Pagination:
- 84p.
- Place of publication:
- North Sydney, NSW
An Implementation Kit to accompany The Australian Pain Society's Pain in Residential Aged Care Facilities: Management strategies