An overview of rehabilitation for older people

1999 ◽  
Vol 9 (2) ◽  
pp. 183-196 ◽  
Author(s):  
John Young ◽  
Alex Brown ◽  
Anne Forster ◽  
Josie Clare
Keyword(s):  
Older People ◽  
Social Services ◽  
Elderly Care ◽  
Emergency Admissions ◽  
Health And Social Services ◽  
Lengths Of Stay ◽  
Core Concepts ◽  
Strategic Policy ◽  
Rehabilitation Needs ◽  
Based Medicine

‘When I use a word, it means just what I choose it to mean’. So it is with rehabilitation, except that several definitions and explanations have been proposed. Although the similarities between the definitions are considerable and far eclipse any differences, the perceived diversity of view has contributed to confusion over the purpose and process of rehabilitation. Is it ‘elderly care’? Is it ‘therapy’? Is it ‘post-acute’ care? The apparent ambiguity and the intangible qualities of rehabilitation contrast with the concrete ‘ologies’ of contemporary organ-based medicine and contribute to its vulnerability in our modern general hospitals. Pressures caused by rising emergency admissions and cost-driven bed closures have necessitated steadily reducing lengths of stay and rehabilitation, as a less visible component of care, has tended to be squeezed out. Paradoxically, the consequences of the ‘sicker and quicker’ discharge approach, with fresh burdens placed on community health and social services, have drawn attention to rehabilitation as a missing ingredient. We have now entered a phase of rediscovering at a strategic policy level the rehabilitation needs of older people but redefined in new terminology as ‘recuperation’ or ‘recovery’ This article will describe the core concepts of rehabilitation for older people and set the scene for forthcoming articles addressing specific rehabilitation topics.

Perceptions of Community Carers about Elderly People: A Sentence Completion Approach

1985 ◽  
Vol 56 (3) ◽  
pp. 889-890
Author(s):  
Chris Phillipson ◽  
Patricia Strang
Keyword(s):  
Health Care ◽  
Older People ◽  
Elderly People ◽  
Social Services ◽  
Sentence Completion ◽  
Preventive Strategies ◽  
Health And Social Services

In the present study a sentence completion list was administered to a range of community carers in the health and social services. Analysis of information from 334 respondents indicated statistically significant differences regarding perceptions about older people. The responses of the different groups indicated attitudinal support for developing a range of preventive strategies in the field of social and health care. There was some evidence, however, that workers held stereotyped views about the lives of 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.

scholarly journals Care services for frail older people in South Korea

2001 ◽  
Vol 21 (6) ◽  
pp. 701-720 ◽  
Author(s):  
KYEUNG MI OH ◽  
ANTHONY M. WARNES
Keyword(s):  
South Korea ◽  
Older People ◽  
Social Services ◽  
Standards Of Care ◽  
Frail Older People ◽  
Term Care ◽  
Social Transformations ◽  
Health And Social Services ◽  
Care Services ◽  
The Rich

This paper examines the changed social circumstances of older people in South Korea and specifically the increased need for formal health and social services for those who are frail and have no informal carers. The article begins with a summary account of the country's exceptionally rapid demographic, economic and social transformations, which demonstrates a widening gap between the population's expectations and needs, and health and social service provision. It then examines the recently initiated and now burgeoning welfare programmes, with particular attention to health and social services for sick and frail older people. Most extant care services are accessed mainly by two minorities: the very poor and the rich. The dominant policy influence of physicians and a history of conflict between traditional and western medicine probably underlies the low current priority for ‘care’ as opposed to ‘cure’, as also for the management of chronic conditions and rehabilitation. Neither long-term care services nor personal social services are well developed. There is a marked disparity between the acute services, which are predominantly provided by private sector organisations in a highly competitive market and broadly achieve high standards, and public primary care and rudimentary residential services. The latter are weakly regulated and there are many instances of low standards of care.

scholarly journals Funding health and social services for older people – a qualitative study of care recipients in the last year of life

2012 ◽  
Vol 105 (5) ◽  
pp. 201-207 ◽  
Author(s):  
Barbara Hanratty ◽  
Elizabeth Lowson ◽  
Louise Holmes ◽  
Gunn Grande ◽  
Julia Addington-Hall ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Social Services ◽  
Health And Social Services ◽  
Care Recipients

Health and Social Services for Older People II (HeSSOP II): Changing Profiles from 2000 to 2004

2005 ◽  
Author(s):  
Ann O'Hanlon ◽  
◽  
Hannah McGee ◽  
Maja Barker ◽  
Rebecca Garavan ◽  
...  
Keyword(s):  
Older People ◽  
Social Services ◽  
Health And Social Services

Intermediate care

2001 ◽  
Vol 11 (3) ◽  
pp. 205-207 ◽  
Author(s):  
S Thompson ◽  
P Crome
Keyword(s):  
Older People ◽  
Social Services ◽  
Care Home ◽  
Age Discrimination ◽  
Intermediate Care ◽  
National Service ◽  
Health And Social Services ◽  
Department Of Health ◽  
National Service Framework ◽  
Service Framework

The proportion of older people in our society is increasing more rapidly than any other section of the population. This group uses health and social services more than the young do and this is reflected in the NHS and social service budgets from recent years. For example, 40% of the NHS budget was spent on patients over 65 years in 1998. The much-heralded National Service Framework (NSF) for Older People, recently published by the Department of Health in England, was therefore awaited with much anticipation by all sections of the community concerned with older people’s health. This document is described as the ‘key vehicle for ensuring that the needs of older people are at the heart of the government’s reform programme for health and social services’. It has as its first and fundamental standard ‘rooting out age discrimination’. The sections on prevention and treatment of stroke, general hospital care, the management of falls and mental health have been generally well received and when implemented fully are likely to be beneficial to older people. Some areas such as the treatment of care home residents have not been addressed in nearly enough detail. In contrast, one particular section, that on ‘Intermediate Care’, has been heavily criticized, including a fierce attack by two of the United Kingdom’s leading geriatricians.

Independence and aging

1997 ◽  
Vol 7 (2) ◽  
pp. 137-146 ◽  
Author(s):  
L Cordingley ◽  
C Webb
Keyword(s):  
Older People ◽  
Social Services ◽  
Health And Social Services ◽  
A Priority

The maintenance of independence by older people is seen as a priority by health and social services, and by people themselves. This review explores the constructs of independence and dependence in relation to aging, and considers the ways that discourses surrounding these topics affect our thinking about growing older.

Asian Older People: Housing, Health and Access to Services

1997 ◽  
Vol 17 (2) ◽  
pp. 141-165 ◽  
Author(s):  
WAQAR I. U. AHMAD ◽  
REG WALKER
Keyword(s):  
Older People ◽  
Family Support ◽  
Social Services ◽  
Social Care ◽  
Access To Services ◽  
Health And Social Services ◽  
Welfare Benefits ◽  
Health And Social Care ◽  
Inadequate Housing ◽  
Low Levels

We report the findings of a survey of 104 Asian older people in Bradford. For a high proportion, their condition was characterised by poverty, limited entitlements, inadequate housing, low levels of knowledge of health and social services, and problems of access to welfare benefits, health and social care. The situation of women was of particular concern. The study also highlights the problems of divided families, caused by restrictive immigration rules, resulting in many elderly people having no family support in this country.

Exploring the community-based service delivery model: Elderly care in China

2011 ◽  
Vol 54 (3) ◽  
pp. 374-387 ◽  
Author(s):  
Qingwen Xu ◽  
Julian C. Chow
Keyword(s):  
Service Delivery ◽  
Older People ◽  
Social Services ◽  
Mixed Model ◽  
Elderly Care ◽  
Social Work Practice ◽  
Community Practice ◽  
Service Delivery Model ◽  
Community Based ◽  
Delivery Model

In response to the rapidly growing need for social services among China’s population, particularly for older people, the government has begun to explore the community-based service delivery model. Using the recent developments in China’s care of older people as a case study example, this article documents the progress of community-based service delivery for the aged living in the community, and explores the community’s evolving role in China’s social service delivery system. China’s model — a horizontal—vertical mixed model — presents a new perspective of defining service delivery and community practice, which has various implications and broadens the view of Western social work practice.

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