Living Well and Dying Well: Tales of Counselling Older People, Helen Kewell (2019)

2021 ◽  
Vol 7 (1) ◽  
pp. 153-155
Author(s):  
Caitlin Cairns
Keyword(s):  
Older People ◽  
Living Well

Review of: Living Well and Dying Well: Tales of Counselling Older People, Helen Kewell (2019) Monmouth: PCCS Books, 157 pp., ISBN 978-1-91091-941-5, p/bk, £11 ($14.61)

17 Conversations on Living and Dying: Facilitating Advance Care Planning for Older People Living with Frailty. A Qualitative Study

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i1-i6
Author(s):  
S Combes ◽  
C Nicholson ◽  
K Gillett ◽  
C Norton
Keyword(s):  
Older People ◽  
Advance Care Planning ◽  
Behavioural Change ◽  
Family Members ◽  
Community Dwelling ◽  
Care Planning ◽  
Structured Interviews ◽  
Living Well ◽  
Advance Care ◽  
Community Dwelling Older People

Abstract Introduction Advance care planning (ACP) is a process that supports people to articulate their future care preferences. This process is a priority for older people living with frailty due to their vulnerability to sudden deterioration, something that has been highlighted during the current pandemic. However, ACP is uncommon for older people living with frailty, hindering choice and person-centred end-of-life care. This study aimed to identify the barriers, facilitators and behaviours required to support cognitively-able, community-dwelling older people living with frailty to engage with ACP. Findings will inform the development an ACP intervention underpinned by behavioural change theory. Methods Semi-structured interviews with community-dwelling older people living with frailty (Clinical Frailty Score 6 or 7) and family members were audio-recorded, filmed and transcribed verbatim. A thematic analysis framework was developed using a recent systematic review, and expanded to reflect new themes. Results Ten older people living with frailty and eight family members were interviewed. The older people’s median age was 85 and seven were female. Family members were spouses (n = 4) and children (n = 4). The key findings were that: the meaning of ACP could be unclear and at times confusing; many of the older people believed ACP was not relevant to them; relationships and relational autonomy were of greater relevance to older people than autonomous decision-making; older people were more interested in living well now than in planning for the future. Conclusions Older people living with frailty need to be engaged with ACP in a way that helps them to understand what ACP is and why it is relevant for them. Professionals need to develop their skills in assessing readiness and facilitating ACP conversations with this population at the older person’s pace. Reframing ACP to include living well now alongside encouraging family inclusion would also relate better to this populations’ lives.

Living well in later life in Scotland

2017 ◽  
Vol 21 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Anne Hendry
Keyword(s):  
Older People ◽  
Social Care ◽  
Action Plan ◽  
Later Life ◽  
Ageing Population ◽  
Content Type ◽  
Living Well ◽  
Care Services ◽  
Health And Social Care ◽  
Scottish Government

Purpose The purpose of this paper is to describe the development, implementation and early impact of a national action plan for active and healthy ageing in Scotland. Design/methodology/approach The Joint Improvement Team, NHS Health Scotland, the Scottish Government and the Health and Social Care Alliance Scotland (ALLIANCE) co-produced the action plan with older people from the Scottish Older People’s Assembly. Together they supported partnerships to embed the action plan as an important element of the reshaping care for older people transformation programme in Scotland. Findings A cross-sector improvement network supported health, housing and care partnerships to use a £300 million Change Fund to implement evidence based preventative approaches to enable older people to live well. Older people in Scotland spent over two million days at home than would have been expected based on previous balance of care and impact of ageing. Practical implications Improving the health and wellbeing of older people is not just the responsibility of health and social care services. Enabling older people to live independent, active and fulfilling lives requires coordinated effort that spans national and local government policy areas, mobilises all sectors of society, and involves all health and care disciplines. Success starts with listening to what matters to older people, and working together, and with older people and local communities, to make that a reality. Originality/value This case study from Scotland offers transferable learning for other systems who have an ageing population and an ambitions to enable them to live well in later life.

Ageing in place: creativity and resilience in neighbourhoods

2018 ◽  
pp. 157-180
Author(s):  
Cathy Bailey ◽  
Rose Gilroy ◽  
Joanna Reynolds ◽  
Barbara Douglas ◽  
Claire Webster Saaremets ◽  
...  
Keyword(s):  
Public Policy ◽  
Older People ◽  
Local Level ◽  
Participatory Approach ◽  
State Responsibility ◽  
Policy And Practice ◽  
Ageing In Place ◽  
Living Well ◽  
Participatory Engagement

This chapter explores older people's experiences of resilience in their neighbourhoods through a creative, participatory approach. Creative participatory engagement can help to translate public conversations into public policy and practice. The chapter argues that solutions cannot all be created within the neighbourhood. The notion that ageing and living well in neighbourhoods is down to individual capability, or can be managed collectively at a local level, is an abdication of state responsibility. If resilience is built from the situated self, then neighbourhoods need to be ‘ready for ageing’ and to recognise that older people wish to remain involved, connected, and engaged with all generations. Such resilient neighbourhoods should enable everyone to age well in place, particularly if influenced by a responsive policy landscape and strong lobbying for appropriate resources.

Architecture and the Swedish welfare state: three architectural competitions that innovated space for dependent and frail older people

2014 ◽  
Vol 35 (4) ◽  
pp. 837-864 ◽  
Author(s):  
JONAS E. ANDERSSON
Keyword(s):  
Older People ◽  
Architectural Design ◽  
Past Century ◽  
Built Environments ◽  
Frail Older People ◽  
Living Well ◽  
Swedish Society ◽  
Architectural Competitions ◽  
The Relationship

ABSTRACTIn 2012, three architectural competitions were held as part of the strategic programme ‘Living Well, Growing Old’, launched by the Swedish government in 2010. The intention was to use the innovative quality of the architectural competition in order to conceive future-oriented built environments for the ageing Swedish society. In Sweden, several architectural competitions with a focus on space for dependent and frail older people have been organised over the past century. Architectural design has been incorporated into reforms for social care of older people. This study focuses on the relationship between architecture and socio-political visions in three architectural competitions, realised in 1907, 1948 and 1979. The study demonstrates that architectural competitions within this field are more than a list of functional and spatial requirements for architects to respect. Instead, they are socio-political statements that define spatial frameworks within an ideological view on how ethically to provide care for dependent and frail older people in a welfare regime.

The Care of Older People

1952 ◽  
Vol 36 (2) ◽  
pp. 569-583 ◽  
Author(s):  
R. Ian Macdonald
Keyword(s):  
Older People

Self and Meaning in the Lives of Older People

2015 ◽  
Author(s):  
Peter G. Coleman ◽  
Christine Ivani-Chalian ◽  
Maureen Robinson
Keyword(s):  
Older People

The Relationship Between Antioxidant Nutrient Intake and Cataracts in Older People

2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  
Keyword(s):  
Vitamin C ◽  
Older People ◽  
Dietary Intake ◽  
Protective Effect ◽  
Elderly People ◽  
Nutrient Intake ◽  
Institutionalized Elderly ◽  
Weighing Method ◽  
The Relationship

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.

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