scholarly journals Frailty, Vulnerability, and Plasticity: Towards a New Medicine of Complexity

Author(s):  
Sara Palermo

There is no single way of ageing, but different types of ageotypes have been identified. Frailty is the most problematic expression of the ageing population. The understanding of the route linking ageing, frailty and 2nd order criticalities open new and intriguing operational perspectives. Indeed, frailty might be reversible or attenuated by interventions put in place to avoid its evolution over time. This is most true when traditional therapeutic approaches are combined with the promotion of healthy lifestyles. Not only the European Innovation Partnership on Active and Healthy (EIP-AHA) is actively involved in the promotion of healthy and active ageing, but a more aware geriatric culture toward a new medicine of complexity is spreading. The fight against frailty takes place in a lifespan and multisystemic perspective. Indeed, every individual is a dynamic, interacting, adaptable system in which the disease triggers a cause-and-effect model that cannot be considered linear. Frailty in the elderly requires therefore a customized multidimensional approach according to the principle of “taking care of the patient and not only of the disease”. A bio-psycho-social model can help us to define the most appropriate interventions to promote health in terms of the best possible quality of life.

2019 ◽  
Vol 17 (9) ◽  
Author(s):  
Norhaslina Jumadi ◽  
Noorsidi Aizuddin Mat Noor ◽  
Ahmad Ariffian Bujang ◽  
Nurul Hana Adi Maimun ◽  
Dzurllkanian@Zulkarnain Daud ◽  
...  

Malaysia is expected to face ageing population in year 2030. This phenomenon is a challenge that hinders the provision of an excellent environment, including housing them. Active ageing refers to the process of improving the quality of life amongst the elderly in terms of health, social, physical, and environmental aspects. Provision of environment that is conducive and promotion of active surrounding highly influence the elderly to stay active. Nonetheless, literature pertaining to this particular topic area from the stance of elderly Muslims is in scarcity. Hence, the objective of this study is to determine terms associated to active ageing from the Muslim perspective and to identify the appropriate housing environment for them. Data collected from questionnaires distributed to 411 respondents residing in Johor were analysed quantitatively. The outcomes suggest that active ageing amongst elderly Muslims displayed positive effects on spiritual and religious activities. Upon providing housing for them, active ageing is essential so as to perceive active living and exceptional well-being


Author(s):  
José Álvarez-García ◽  
Amador Durán-Sánchez ◽  
María del Río-Rama ◽  
Diego García-Vélez

Population ageing is one of humanity’s greatest achievements with the elderly who offer valuable resources and make an important contribution to the structure of our societies. At the same time, this ageing population poses great challenges, as it requires greater economic and social needs. Institutions such as the World Health Organization (WHO) are promoting policies that aim at promoting active ageing, which is understood as the process of optimizing health, participation and security opportunities in order to improve people’s quality of life as they get older. The main objective of this study is to identify scientific production related to the area of Active Ageing. The work methodology used is the bibliometric analysis of the articles indexed in the multidisciplinary databases WoS and Scopus. There were 171 articles in WoS and 234 in Scopus that were selected, with a time limit in 2017. In the analysis carried out it is observed that active ageing is a topic that has aroused interest among researchers in recent years, proof of this is the increase both in the number of articles published in scientific journals and in the citations received. The Scopus database presents a greater coverage of the subject. The Overlap Index shows that Scopus covers 90.06% of the WoS articles and its Single Documents index is 34.19% versus 9.94% of WoS.


Author(s):  
Orazio Licciardello ◽  
Manuel Mauceri ◽  
Graziella Di Marco ◽  
Maria Giuseppina Cardella

Abstract.We conducted some researches in order to explore “fields” or dimensions of elderly people’s Quality of Life (QoL), both as self-perception and hetero-perception. A set of researches were conducted in Italy and Spain, involving seniors and university students. The aim was to explore the seniors’ QoL from both their and the students’ point of view. Results showed elderly people perceived their own life better than the “other” attributed to them; they were quite good at managing Positive and Negative Emotions. Spanish university students represented more positively the elderly people’s QoL than Italian colleagues. A Positive Affect as well as an empathic attitude towards seniors affected a better representation about elderly people’s QoL. Another set of studies was focused on the elderly people’s QoL and New Technologies (NTs) as these may offer opportunities both to maintain an independent lifestyle and to being involved in relevant activities. Most participants had nor any digital skills neither prejudices on the NTs; the perceived QoL was quite positive; Self-Efficacy believes were really high. The QoL was affected only by Self-Efficacy. A workshop was held, involving a small group of both disabled and healthy seniors; it was focused on the NTs, as tools to promote an active citizenship. After Training our seniors improved their Digital Skills and their own Quality of Life. In the end, a study was conducted in order to verify how both empathy (Empatic Concern; Perspective Taking), Theory on Mind (RMET) and contact worked well to improve QoL levels attributed to elders by a group of university students. On an applicative plan, empathy and TOM should represent the backdrop in supervised experiences of contact between students and elders. Further research will be conduct on this path.Key-Words: Active ageing; Quality of Life; Social Representations; Contact; Empathy.


Author(s):  
Özlem Kuman Tunçel ◽  
Hayriye Elbi

Turkey has a rapidly ageing population, the issues of which are new to the country. To date, there is no National Dementia Strategy. The strong tradition of family caregiving in Turkey has perhaps influenced the demand for access to formal care services. Informal care provided by families, which includes living together with the elders and providing the most comfort, is one of the strongest aspects of dementia care in Turkey. Another positive aspect is new legal regulation of the social security system for the elderly. Moreover, there is an increasing awareness of dementia and dementia care, which will hopefully give new impetus to further advancements in dementia care. The future of dementia care in Turkey should ideally include: (1) the development of a National Dementia Strategy, (2) improvement of informal care, including support for caregivers, and (3) an increase in the number, as well as improved quality, of in-hospital geriatric services.


2011 ◽  
Vol 5 (2) ◽  
pp. 543
Author(s):  
Pedro Miguel Fernandes Almeida ◽  
Maria De Fátima Sousa Batinas ◽  
Maria Araújo Leão Rita

ABSTRACTObjective: to reflect on active ageing as a strategy designed for the health promotion of the elderly population. Method: this article aims at reflecting on active Ageing. It is grounded on a selection of on-line literature, namely from the Virtual Health Library (Lilacs, Medline, Scielo). The descriptors used for the research were the following: Ageing, Quality of Life; Strategies, Health Promotion. Results: this study focuses on the importance of active ageing as a health promotion strategy, in order to enhance the active participation of the elderly in society. Final considerations: health promotion enhances both the quality of life and the independence of the elderly as well as of all those who are undergoing the ageing process. Hence, the need to implement health promotion strategies directed at this target group, within the framework of active ageing. Descriptors: ageing; quality of life; strategies; health promotion.RESUMOObjetivo: refletir sobre o envelhecimento ativo como estratégia de promoção da saúde da população idosa. Método: trata-se de um artigo reflexivo sobre o envelhecimento ativo. A selecção das publicações foi feita por meio eletrônico, na Biblioteca Virtual em Saúde (Lilacs, Medline, Scielo). Os descritores utilizados para a pesquisa foram os seguintes: envelhecimento; qualidade de vida; estratégias; promoção da Saúde. Resultados: o estudo situa a importância do envelhecimento ativo como estratégia de promoção da saúde, de modo a proporcionar a participação ativa dos idosos na sociedade. Considerações finais: é importante promover a saúde de forma a alcançar a qualidade de vida e independência dos que envelheceram ou daqueles que estão no processo de envelhecimento. Considera-se então necessária a implementação de estratégias dirigidas a este grupo etário visando a promoção da saúde, numa perspectiva do envelhecimento ativo. Descritores: envelhecimento; qualidade de vida; estratégias; promoção da saúde.RESUMENObjetivo: reflectir sobre el envejecimiento activo como estrategia de promoción de la salud de la población anciana. Método: se trata de un artigo reflectivo sobre el Envejecimiento Activo. La seleción de las publicaciones se há realizado por medio electrónico, en la Biblioteca Virtual de Salud (Lilacs, Medline, Scielo). Los descriptores utilizados para la búsqueda han sido los siguientes: envejecimiento; calidad de vida; estrategias; promoción de la salúd. Resultados: el estudio situa la importancia del envejecimiento activo como estrategia de promoción de la salud, de forma a proporcionar la participación activa de los ancianos en la sociedad. Consideraciones finales: es importante promover la salud de forma a atingir la calidad de vida e independencia de los que han envejecido o de aquellos que estan en el proceso de envejecimiento. Se considera por ello necesario la implementación de estrategias dirigidas a este grupo etario com el objetivo de promover la salud, en una perspectiva de envejecimiento activo. Descriptores: envejecimiento; calidad de vida; estrategias de promoción de la salud.


2015 ◽  
Vol 30 (4) ◽  
Author(s):  
Mary Redmayne ◽  
Olle Johansson

AbstractOur environment is now permeated by anthropogenic radiofrequency electromagnetic radiation, and individuals of all ages are exposed for most of each 24 h period from transmitting devices. Despite claims that children are more likely to be vulnerable than healthy adults to unwanted effects of this exposure, there has been no recent examination of this, nor of comparative risk to the elderly or ill. We sought to clarify whether research supports the claim of increased risk in specific age-groups. First, we identified the literature which has explored age-specific pathophysiological impacts of RF-EMR. Natural life-span changes relevant to these different impacts provides context for our review of the selected literature, followed by discussion of health and well-being implications. We conclude that age-dependent RF-EMR study results, when considered in the context of developmental stage, indicate increased specific vulnerabilities in the young (fetus to adolescent), the elderly, and those with cancer. There appears to be at least one mechanism other than the known thermal mechanism causing different responses to RF-EMR depending upon the exposure parameters, the cell/physiological process involved, and according to age and health status. As well as personal health and quality-of-life impacts, an ageing population means there are economic implications for public health and policy.


2008 ◽  
Vol 60 ◽  
pp. 154-163 ◽  
Author(s):  
Jane McCann

We are at the beginning of a new industrial revolution with the merging of textiles and electronics. Current markets for clothing and electronics have been separate. Medical devices have been developed for ‘ill people’ with little aesthetic appeal and wearable technology has not been readily accepted by some intended markets due to badly designed user-interfaces. Little has been done to address the design requirements of older wearers with regard to aspects of human physiology in terms of sizing, fit, predominant posture, thermal regulation, moisture management, protection and the psychological ‘feel good factor’. Emerging technologies may be confusing to traditional clothing designers, while electronics and medical experts are not normally conversant with textile technology. A shared 'language' and vision is needed to easily communicate between these sectors and older wearers. The application of smart textiles in a clothing ‘layering system’ may enhance the quality of life of the active ageing. To be acceptable, clothing must be comfortable, stylish and function reliably in relation to the technical, aesthetic and cultural userneeds. This paper will focus on the needs of the 65-75 year old age group who have experienced the influence of design throughout their lives. A design methodology, driven by meaningful end-user research, will be introduced that addresses the potential for a comfortable and stylish clothing system to promote the wellness and autonomy of this growing community.


2013 ◽  
Vol 2 (3) ◽  
pp. 5-5
Author(s):  
Ario Santini

Increased life expectancy is causing an explosion of the ageing population that will continue for the foreseeable future. Improved quality of life at old age will demand tooth retention and, consequently, the need for appropriate restorative care. Retaining teeth and maintaining them in spite of the multitude of risk factors associated with old age is a multifaceted challenge. The dental profession must be ever sensitive to the special needs of the elderly patient in order to render a service that is sensitive and caring. As the healthcare system as a whole adjusts to the changing demographics of the UK population, it is essential that dental professions effectively manage caries across the generations.


2018 ◽  
Vol 16 (5) ◽  
Author(s):  
Nadhirah Nordin ◽  
Hitoshi Nakamura

Globally, developed nations such as Japan are currently facing an ageing population. The health and social care system in the living environment for the elderly population in Japan must engender strong social ties and social networks that can connect the elderly people and promote active ageing. This research aims to identify the extent of social capital among the ageing population in Haraichi-danchi and Oyamadai-danchi, which are housing complexes located in Ageo City, a suburb of Tokyo. This article focuses on residents in the 60s and 70s age groups. A questionnaire survey was conducted and was divided into three parts which include the basic attributes of the residents, the elements of bonding social capital and bridging social capital. Then, cross-tabulations were done between the age groups and both the social capital categories. Next, chi-square and further post-hoc analyses were conducted to determine the strongest association between the variables. The results show a significant association between the 60s and 70s age groups for both bonding and bridging social capital. The variation of results may be influenced by the physical environment of the housing complexes in which they are currently living.


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