Sustaining the self in later life: supporting older people in the community

2001 ◽  
Vol 21 (3) ◽  
pp. 255-278 ◽  
Author(s):  
DENISE TANNER
Keyword(s):  
Older People ◽  
Social Services ◽  
Service Provision ◽  
Sense Of Self ◽  
Unmet Need ◽  
Later Life ◽  
Small Scale ◽  
Older Person ◽  
Eligibility Criteria ◽  
The Uk

This paper emanates from a small-scale qualitative study, currently in progress, looking at the implications for older people of decisions made by a social services department that they are ineligible for service provision. While the operation of eligibility criteria in the UK has been shown to exclude an increasing number of prospective users from receiving a service, little is known about how those refused a service contend with their difficulties or the implications these strategies have for them. The paper focuses on themes that have emerged during the first phases of the study in relation to how older people endeavour to manage their ‘unmet need’. It is suggested that a key integrative theme concerns their efforts to maintain a positive sense of self indicating, it is argued, the need for processes involved in the seeking, receiving and giving of help to be managed in a way that sustains the sense of self of the older person.

Public perceptions of the neglect and mistreatment of older people: findings of a United Kingdom survey

2007 ◽  
Vol 27 (6) ◽  
pp. 919-940 ◽  
Author(s):  
SHEREEN HUSSEIN ◽  
JILL MANTHORPE ◽  
BRIDGET PENHALE
Keyword(s):  
Older People ◽  
Social Services ◽  
Multivariate Analyses ◽  
Elder Abuse ◽  
Public Perceptions ◽  
Older Person ◽  
The Subject ◽  
Relative Prevalence ◽  
The Uk ◽  
Vulnerable Adults

ABSTRACTLarge surveys of the general population's perceptions of the neglect and mistreatment of older people are few. This article provides evidence about the public's awareness of ‘elder abuse’ at a time of considerable media and political interest in the subject in many countries. It presents the findings of a survey of 1,000 adults' knowledge of the neglect and mistreatment of older people in the UK. Descriptive and multivariate analyses were used to examine: variations in the perception of the existence of neglect or mistreatment of older people, the perceived relative prevalence of knowing an older person who had been subject to such experiences, the type and place of such experiences and knowledge of sources of help in such circumstances. The key findings are that older people believed that there is less neglect and mistreatment of older people than younger people, that women perceived more than men, and that there were regional variations in these perceptions. One-quarter said they knew an older person who had experienced neglect or mistreatment, and such reports were most likely among the middle aged and women. The most frequently reported locations of abuse were care homes and hospitals, and the most commonly reported form was inadequate or insufficient personal care. Most people said they would contact social services or paid carers if they encountered neglect or mistreatment. The findings are discussed in the light of increased policy attention to the safeguarding of vulnerable adults, and the implications for research, practice and campaigning organisations are considered.

Prioritization and management of calls from older people to GP out-of-hours services

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Suzanne Smith ◽  
Lucia Carragher
Keyword(s):  
Older People ◽  
Service Provision ◽  
Emergency Services ◽  
Oldest Old ◽  
Community Dwelling ◽  
Third Party ◽  
Older Person ◽  
Out Of Hours ◽  
Accident And Emergency ◽  
Community Dwelling Older People

Abstract Background Urgent out-of-hours medical care is necessary to ensure people can remain living at home into older age. However, older people experience multiple barriers to using out-of-hours services including poor awareness about the general practitioner (GP) out-of-hours (GPOOH) service and how to access it. In particular, older people are reluctant users of GPOOH services because they expect either their symptoms will not be taken seriously or they will simply be referred to hospital accident and emergency services. The aim of this study was to examine if this expectation was borne out in the manner of GPOOH service provision. Objective The objective was to establish the urgency categorization and management of calls to GPOOH , for community dwelling older people in Ireland. Methods An 8-week sample of 770 calls, for people over 65 years, to a GPOOH service in Ireland, was analysed using Excel and Nvivo software. Results Urgency categorization of older people shows 40% of calls categorized as urgent. Recognition of the severity of symptoms, prompting calls to the GPOOH service, is also reflected in a quarter of callers receiving a home visit by the GP and referral of a third of calls to emergency services. The findings also show widespread reliance on another person to negotiate the GPOOH system, with a third party making 70% of calls on behalf of the older person seeking care. Conclusion Older people are in urgent need of medical services when they contact GPOOH service, which plays an effective and patient-centred gatekeeping role, particularly directing the oldest old to the appropriate level of care outside GP office hours. The promotion of GPOOH services should be enhanced to ensure older people understand their role in supporting community living.

scholarly journals Listening to student voice-understanding student and faculty experience at two UK graduate entry programmes

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. Abdulhadi Alagha ◽  
Linda Jones
Keyword(s):  
Sense Of Self ◽  
Field Analysis ◽  
Small Scale ◽  
Successful Implementation ◽  
Graduate Entry ◽  
Self Regulated Learning ◽  
Point Of Entry ◽  
Shortage Of Physicians ◽  
Elite Interviews ◽  
The Uk

Abstract Context Shortage of physicians in the UK has been a long-standing issue. Graduate entry medicine (GEM) may offer a second point of entry for potential doctors. However, the challenges of developing and implementing these programmes are still unrecognised. This small-scale study aimed to briefly explore the opportunities and challenges facing students at two UK GEM programmes. Methods Two case studies were conducted at Imperial College and Scotland’s GEM (ScotGEM) and used a triangulated qualitative approach via semi-structured and elite interviews. Data analysis, informed by grounded theory, applied thematic and force-field analysis in an empirical approach to generate evidence and instrumental interpretations for Higher Education Institutions. Results Although GEM forms an opportunity for graduates to enter medicine, the different drivers of each programme were key in determining entry requirements and challenges experienced by postgraduates. Three key dilemmas seem to influence the experiences of learners in GEM programmes: (a) postgraduate identity and the everchanging sense-of-self; (b)self-directed and self-regulated learning skills, and (c) servicescape, management and marketing concepts. Conclusions Graduate entry programmes may support policy makers and faculty to fill the workforce gap of healthcare professionals. However, their successful implementation requires careful considerations to the needs of graduates to harness their creativity, resilience and professional development as future healthcare workers.

Replication of Nonvocal System for Teaching Nonreaders to Read in an Adult Training Centre

1988 ◽  
Vol 66 (1) ◽  
pp. 192-194
Author(s):  
Alan Hills
Keyword(s):  
Social Services ◽  
Service Provision ◽  
Original Study ◽  
Training Centre ◽  
Sheltered Workshop ◽  
Communication Difficulties ◽  
Educational Situation ◽  
Mental Handicaps ◽  
Adult Training ◽  
The Uk

An attempt was made to replicate a study to evaluate a system used by Kuntz, et al. in 1978 to teach children with mental handicaps to read. The original study was done in a children's hospital training centre with children who had considerable communication difficulties, whereas the present study was undertaken with adults with mental handicaps in an adult training centre. In the UK, adult training centres are currently at the centre of service provision by Social Services for the instruction of adults with mental handicaps, providing both a sheltered workshop and a practical educational situation. Nine out of 33 nonreaders completed the programme so the success rate was well short of that of the original study.

scholarly journals THE HISTORY OF BEAUTY AND THE AESTHETICS OF LONGEVITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S307-S307
Author(s):  
Naomi Woodspring
Keyword(s):  
Gender Differences ◽  
Older People ◽  
Old Age ◽  
Sense Of Self ◽  
Research Question ◽  
Central Research ◽  
Self Presentation ◽  
Cultural Narrative ◽  
The Public Sphere ◽  
The Uk

Abstract A long standing cultural narrative is aging appearance is neither attractive nor acceptable. This has not always been the case; the aesthetics of older appearance has been appreciated other times in history. Significant numbers of older people in the public sphere, as a result of the longevity revolution, has created a sense of visibility of among older people, particularly women. The aim of this qualitative study was to explore current notions of beauty and age among the postwar generation. A diverse group of thirty-four women and men (born between 1945 -1955) from the US and the UK were interviewed with a focus on their own self-presentation and the acts of seeing and being seen. This paper explores the some of the findings from this study which asked the central question – can old people be beautiful and, if so, how is age and beauty defined? The majority of research participants answered in the affirmative and responded with clearly defined notions of age and beauty. The findings found significant gender differences; not within the central research question but in regard to their own appearance. There were also significant gender differences in terms of a ‘competitive’ or ‘cooperative’ gaze when observing other older people. This small study invites further research and points to a possible shift in the aesthetics of old age, in part, as a result of the longevity revolution. It provides an outline for further exploration of the importance of appearance, meaning, and a sense of self in old age.

Socio-economic disadvantage and poverty

2020 ◽  
pp. 105-114
Author(s):  
Alisoun Milne
Keyword(s):  
Older People ◽  
Later Life ◽  
Poverty Line ◽  
Developed Countries ◽  
Economic Disadvantage ◽  
Fundamental Building Block ◽  
Age Related ◽  
The Uk ◽  
State Pension ◽  
The Impact

Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a lifecourse status. It amplifies what is already present. In 2016/17 one million older people were living in poverty; an additional 1.2 million were living just above the poverty line. These numbers are rising. Those aged 85 years or over, frail older people, older women and single older people are particularly at risk. Poor older people are also more likely to live in poor housing and be exposed to fuel poverty. Being poor - and its concomitants - compromises mental health in a number of profound ways. It undermines an older person’s capacity to make choices, retain independence, save for a crisis, maintain social contacts and be digitally included. It is linked with worry, loss of control over life and shame. Poor older people are at heightened risk of isolation and loneliness, stress, anxiety and depression. The UK has a weak policy record, compared with other developed countries, of sustainably and coherently addressing poverty in later life. One of the cornerstones of doing so is a continued commitment to the basic state pension as a fundamental building block of a secure old age. Addressing poor housing is also pivotal.

scholarly journals Unmet need for social care among older people

2017 ◽  
Vol 39 (4) ◽  
pp. 657-684 ◽  
Author(s):  
ATHINA VLACHANTONI
Keyword(s):  
Older People ◽  
Activities Of Daily Living ◽  
Family Environment ◽  
Daily Living ◽  
Social Care ◽  
Economic Status ◽  
Unmet Need ◽  
Later Life ◽  
Individual Characteristics ◽  
Older Individuals

ABSTRACTUnderstanding the nature and extent of unmet need for social care among older people is a critical policy priority in the United Kingdom and beyond, as national governments juggle the provision of adequate social care for a growing older population with competing funding priorities. Several factors can heighten the experience of unmet need among older people, for instance their family environment, and their health and socio-economic status. This paper contributes empirical evidence on the patterns of unmet need for social care among older people in England today, focusing on the individual characteristics associated with experiencing unmet need in relation to mobility tasks, activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The results show that about 55 per cent of older individuals with an ADL difficulty had unmet need, compared to 24 per cent of those with an IADL difficulty and 80 per cent of those with a mobility difficulty. Characteristics reflecting greater vulnerability were more strongly associated with the risk of experiencing unmet need for ADLs, and such vulnerability was greater for particular ADLs (e.g. bathing), and for a higher number of ADLs. The findings reaffirm the complexity of conceptualising and empirically investigating unmet need in later life, and add to our understanding of the challenges of providing adequate and appropriate social care to older people.

scholarly journals Care of older people with mental illness

1999 ◽  
Vol 23 (2) ◽  
pp. 117-120 ◽  
Author(s):  
D. J. Jolley
Keyword(s):  
Mental Illness ◽  
Older People ◽  
Social Services ◽  
Significant Proportion ◽  
Developed Countries ◽  
Major Health ◽  
Health And Social Services ◽  
People With Mental Illness ◽  
Social Difficulties ◽  
The Uk

Older people comprise an increasingly significant proportion of the population of the UK and other developed countries. Most remain fit and able to make continuing contributions to their families and society, but they are at risks of periods of ill health and other stresses. Dementia, especially Alzheimer's disease, is one of the major health problems of our times and particularly affects older people. Mental ill health, physical ill health and social difficulties are often intertwined, calling for close working between health and social services to provide appropriate help for patients and their carers.

The older person with diabetes: considerations for care

2019 ◽  
Vol 30 (6) ◽  
pp. 282-286
Author(s):  
Jill Hill
Keyword(s):  
Renal Impairment ◽  
Older People ◽  
Health Professionals ◽  
Diabetes Management ◽  
Competency Assessment ◽  
Ageing Population ◽  
Older Person ◽  
Glucose Lowering ◽  
The Status ◽  
The Uk

The UK has an ageing population more and more elderly people are living with diabetes. Jill Hill explores the condition as well as other healthcare challenges that comes with caring for this particular patient group With the increasingly ageing population worldwide, more older people are living with diabetes. The conditions that often accompany older age, such as dementia, renal impairment, visual impairment and manual dexterity difficulties, can make diabetes management complex and self-care challenging. However, the status of older people varies considerably, and so choice of glucose-lowering agents and clinical targets should be individualised to maximise safety and ensure that the risks of treatments do not outweigh the benefits. For many patients, there will be an increasing dependence on others to manage their diabetes care, therefore an appropriate skill mix among health professionals and carers, adequate training and regular competency assessment are crucial to support patients to remain safe and symptom free from diabetes.

Third sector partnerships for older people: insights from live at home schemes in the UK

2018 ◽  
Vol 22 (3) ◽  
pp. 148-153 ◽  
Author(s):  
Olumide Adisa
Keyword(s):  
Older People ◽  
Online Survey ◽  
Third Sector ◽  
Later Life ◽  
Evidence Base ◽  
Content Type ◽  
Health And Social Care ◽  
Wide Range ◽  
The Uk ◽  
At Home

Purpose While there is a rich literature on the role of partnerships between statutory agencies and third sector organisations for public service delivery in health and social care, the evidence base on, partnerships between community-based groups and charities for older people in the UK is lacking. Drawing on quantitative and qualitative data, the purpose of this paper is to examines partnerships within 46 live at home (LAH) schemes. These schemes were specifically designed to tackle isolation and promote independence and wellbeing by providing a wide range of activities, based on the needs of its members. Design/methodology/approach This study is based on an online survey of 46 LAH schemes and face-to-face interviews with seven scheme managers to capture data on the various partnership initiatives within the LAH schemes. Findings Third sector partnerships for older people varied by type – formal, semi-formal and informal. In addition, third sector partnership working fosters the achievement of clear outcomes for older people who LAH and could be a mechanism for building social capital in communities. The study also identified barriers to developing third sector partnerships within this context. Mapping existing partnerships in LAH schemes were considered to be useful in engaging with partners. LAH scheme managers were better able to identify partnerships that could be deepened and broadened, depending on the desired outcomes. Originality/value To the author’s knowledge, there are few studies on third sector partnership working in LAH schemes for older people. According to Age UK, there are 1.2m chronically lonely older people in the UK. Over half of all people aged 75 and over live alone (ONS, 2015). Loneliness and social isolation in later life are considered to be two of the largest health concerns we face. Scaling up these third sector partnerships may offer a credible way to shore up support for older people who live alone or want to live at home.

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