Health Promotion Among Home-Dwelling Elderly Individuals in Turkey

AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.

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Nurse competencies for health promotion in the mental health context

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002012000900025 ◽

2012 ◽

Vol 25 (spe2) ◽

pp. 157-163 ◽

Cited By ~ 2

Author(s):

Maria Isis Freire de Aguiar ◽

Hélder de Pádua Lima ◽

Violante Augusta Batista Braga ◽

Priscila de Souza Aquino ◽

Ana Karina Bezerra Pinheiro ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Health Promotion ◽

Professional Competence ◽

Care Delivery ◽

Care Practice ◽

Health Care Practice ◽

Patient Health ◽

Health Care Delivery Systems

OBJECTIVE: To identify the competencies of nurses to health promotion in psychiatric and mental health context. METHODS: Integrative review of literature performed through search using the keywords: "mental health" and "professional competence", in the databases SciELO, LILACS, CINAHL, PubMed, Scopus and Cochrane, in the period of 2003 to 2011. 215 studies were identified, of these, six followed the inclusion criteria. RESULTS: Based on the National Panel for Psychiatric Mental Health NP Competencies, the competencies were identified on the evaluated studies: Monitoring and ensuring the quality of health care practice, management of patient health/illness status, cultural competence, managing and negotiating health care delivery systems, the nurse practitioner-patient relationship. CONCLUSION: The studies analysis evidenced the need for education and training so that nurses may develop the competencies of health promotion in diverse psychiatric care and mental health contexts, in order to broaden knowledge and skills.

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A Measure of Family Functioning for Health Care Practice and Research in Israel

Journal of Comparative Family Studies ◽

10.3138/jcfs.15.2.211 ◽

1984 ◽

Vol 15 (2) ◽

pp. 211-230 ◽

Cited By ~ 6

Author(s):

S. Linder-Pelz ◽

S. Levy ◽

A. Tamir ◽

T. Spenser ◽

L. M. Epstein

Keyword(s):

Health Care ◽

Family Functioning ◽

Care Practice ◽

Health Care Practice

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Ethical Visions for the Development of Patient Care in the Health Care Practice

Journal of Intercultural Management and Ethics ◽

10.35478/jime.2019.1.04 ◽

2019 ◽

Vol 2 (1) ◽

pp. 27-34

Author(s):

Richard Moreno ◽

◽

Cristinel Ștefănescu ◽

Beatrice Gabriela Ioan ◽

Mariana Cuceu ◽

...

Keyword(s):

Health Care ◽

Patient Care ◽

Care Practice ◽

Health Care Practice

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Internal barriers to efficiency: why disinvestments are so difficult. Identifying and addressing internal barriers to disinvestment of health technologies

Health Economics Policy and Law ◽

10.1017/s1744133121000037 ◽

2021 ◽

pp. 1-16

Author(s):

Bjørn Hofmann

Keyword(s):

Health Care ◽

Health Economics ◽

Cognitive Biases ◽

Care Practice ◽

Core Concept ◽

Health Care Practice ◽

Health Technologies ◽

Sound Foundation ◽

Internal Barriers ◽

Efficient Care

Abstract Although efficiency is a core concept in health economics, its impact on health care practice still is modest. Despite an increased pressure on resource allocation, a widespread use of low-value care is identified. Nonetheless, disinvestments are rare. Why is this so? This is the key question of this paper: why are disinvestments not more prevalent and improving the efficiency of the health care system, given their sound foundation in health economics, their morally important rationale, the significant evidence for a long list of low-value care and available alternatives? Although several external barriers to disinvestments have been identified, this paper looks inside us for mental mechanisms that hamper rational assessment, implementation, use and disinvestment of health technologies. Critically identifying and assessing internal inclinations, such as cognitive biases, affective biases and imperatives, is the first step toward a more rational handling of health technologies. In order to provide accountable and efficient care we must engage in the quest against the figments of our minds; to disinvest in low-value care in order to provide high-value health care.

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Ongoing processes of managing consent: the empirical ethics of using video-recording in clinical practice and research

Clinical Ethics ◽

10.1258/ce.2011.011040 ◽

2011 ◽

Vol 6 (4) ◽

pp. 179-185 ◽

Cited By ~ 14

Author(s):

Michelle O'Reilly ◽

Nicola Parker ◽

Ian Hutchby

Keyword(s):

Health Care ◽

Video Recording ◽

Empirical Ethics ◽

Video Data ◽

Care Practice ◽

Reflecting Team ◽

Recording Equipment ◽

Health Care Practice ◽

Ethical Concerns ◽

Sensitive Topics

Using video to facilitate data collection has become increasingly common in health research. Using video in research, however, does raise additional ethical concerns. In this paper we utilize family therapy data to provide empirical evidence of how recording equipment is treated. We show that families made a distinction between what was observed through the video by the reflecting team and what was being recorded onto videotape. We show that all parties actively negotiated what should and should not go ‘on the record’, with particular attention to sensitive topics and the responsibility of the therapist. Our findings have important implications for both clinical professionals and researchers using video data. We maintain that informed consent should be an ongoing process and with this in mind we present some arguments pertaining to the current debates in this field of health-care practice.

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