27“What Matters to You”: Setting the Compass of Care in the Right Direction for Older People in Ireland

Age (and its changing structure amongst the wider population) is one of the most relevant aspects required to better understand and forecast the needs, interests and associated consumption behaviours of tourists. This research used age to investigate the expenditure patterns amongst a sample of visitors to the Table Mountain National Park (TMNP), South Africa. In March 2010, visitors to the TMNP were found to differ significantly from those at other parks, as they were younger and most of them were foreigners. This study found that younger visitors (18–29 years) were higher spenders when compared to those aged 30–49 years. As parks are generally visited by older people, this study showed the economic importance of the younger market. The research also made clear implications and recommendations for park management as to how to address these findings. Conservation implications: Conservation is dependent on funding. One of the main sources of income is tourism and tourism related activities. This research can assist marketers and managers to target the right markets in order to be more sustainable. This research also shows the importance of environmental education at an early age in order to grow awareness and to target the right markets.

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It’s Time to Retire Ageism against Older Workers

University of Toronto Quarterly ◽

10.3138/utq.90.2.07 ◽

2021 ◽

Vol 90 (2) ◽

pp. 155-168

Author(s):

Raza M. Mirza ◽

Lynn Mcdonald ◽

Laura Tamblyn-Watts

Keyword(s):

Older Adults ◽

Older People ◽

Competitive Advantage ◽

Older Workers ◽

Intergenerational Relationships ◽

Workplace Diversity ◽

Institutional Practices ◽

Workplace Policies ◽

The Right ◽

The City

Ageism in the workplace can have significant implications for older adults. While every individual should feel equal and have the right to employment free from discrimination due to age, many practices and policies do not appear to uphold this right in the labour market. Institutional practices and policies seem to perpetuate stereotypes about older people. A “pro-aging” campaign to raise awareness about ageism in the workplace was run in the City of Toronto in 2019. The campaign included posters and pop-up advertising of a fake aging cream and research on attitudes toward aging and understanding the “too old” narrative as part of inclusive workplace policies. Workplace diversity policies often do not include age considerations, and understanding the factors that lead to ageism may allow for the development of strategies to help combat it. Age-diverse workplaces may gain competitive advantage by learning to harness the power of intergenerational relationships.

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Conclusion: What Matters Is the Right Balance

The Quintessence of Supply Chain Management - Quintessence Series ◽

10.1007/978-3-662-48515-6_5 ◽

2016 ◽

pp. 143-146

Author(s):

Rolf G. Poluha

Keyword(s):

The Right ◽

What Matters

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309 The Growing Need for Advance Care Planning Discussion: An Admission to Die for?

Age and Ageing ◽

10.1093/ageing/afz103.199 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii17-iii65

Author(s):

Aoife McFeely ◽

Cliona Small ◽

Susan Hyland ◽

Jonathan O'Keeffe ◽

Graham Hughes ◽

...

Keyword(s):

Palliative Care ◽

Older People ◽

End Of Life ◽

End Of Life Care ◽

Care Planning ◽

Life Care ◽

Advance Care ◽

Early Decision ◽

One Year ◽

The Right

Abstract Background Older people living in nursing homes (NHs) are among the most frail and vulnerable in our community. Over the last 5 years, a review of our local NH admission database revealed a 7% increase in the number of unscheduled hospital attendances from NHs (1015 in 2012/13 vs 1435 in 2016/17). Additionally we have seen an increase in the number of NH residents experiencing ≥2 unscheduled re-admissions within one year (21.1% in 2012/13 vs 30.45% in 2016/17). Our aim was to examine the proportion of patients from NHs who died within 24 hours of presentation, prompting a review of methods that could prevent inappropriate hospital transfers and promoting dignified and comfortable end of life care. Methods A prospective database was collected between 01/01/2016 - 31/12/2017. This recorded all emergency admissions of older people from NHs recording length of stay, readmission rates and mortality. The data was retrospectively analysed, looking specifically at patients who died in hospital ≤ 24 hours Results Of 1435 ED admissions, 49 patients (3.4%) died in hospital ≤ 24 hours after presentation. Of these, 31 patients (61%) died in palliative care suites. 8 patients (16.3%) died in the ED. Conclusion A small number of NH residents presenting to our hospital died within 24 hours. A large proportion of these patients died in a palliative care suite, suggesting poor prognosis was identified rapidly after presentation. We wonder if some of these hospital transfers were avoidable and could certain patients have experienced less disruptive deaths in their NHs? Advanced Care Planning can be difficult for all involved. However, it plays an essential role in ensuring people receive the right care, at the right time, in the right place, from the right team. We support the collaborative roles of a palliative care CNS or Geriatric ANP, and integration with NH Outreach services, to facilitate early decision-making and promote better end of life care.

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Hypertension management: experiences, wishes and concerns among older people—a qualitative study

BMJ Open ◽

10.1136/bmjopen-2019-030742 ◽

2019 ◽

Vol 9 (8) ◽

pp. e030742 ◽

Cited By ~ 2

Author(s):

Emma van Bussel ◽

Leony Reurich ◽

Jeannette Pols ◽

Edo Richard ◽

Eric Moll van Charante ◽

...

Keyword(s):

Decision Making ◽

Older People ◽

Community Dwelling ◽

Hypertension Management ◽

Anticipated Regret ◽

Qualitative Interview Study ◽

Data Saturation ◽

Explicit Consideration ◽

Perceived Involvement ◽

The Right

ObjectivesSixty-five per cent of older people have hypertension, but little is known about their preferences and concerns regarding hypertension management. Guidelines on hypertension lack consensus on how to treat older people without previous cardiovascular disease (CVD). This asks for explicit consideration of patient preferences in decision making. Therefore, the aim of this study was to explore older peoples’ experiences, preferences, concerns and perceived involvement regarding hypertension management.DesignQualitative interview study.SettingParticipants were selected from 11 general practitioner (GP) practices in the Netherlands and purposively sampled until data saturation was achieved. Semistructured interviews were conducted, audio recorded and analysed by two researchers using thematic analysis.ParticipantsFifteen community dwelling older people aged 74–93 years with hypertension and without previous CVD participated.ResultsInterviewees rarely started the conversation about hypertension management with their GP, although they did have concerns. Reasons for not discussing the subject included low priority of hypertension concerns, reliance on GPs or trust in GPs to make the right decision on their behalf. Also, interviewees anticipated regret of reducing medication, fearing vascular incidents. Interviewees would like to discuss tailoring treatment to their needs, deprescription of medication and ways to reduce side effects. They expected GPs to be more transparent on treatment effects.ConclusionOlder people describe having little involvement in hypertension management, although they have several concerns. Since GPs are also known to be hesitant to bring up this subject, we signal a conspiracy of silence about antihypertensive medication. Through breaking this silence, GPs can facilitate shared decision-making on hypertension management and better tailored care.

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Diabetes in older people: making the right nutritional choices

Nursing and Residential Care ◽

10.12968/nrec.2014.16.7.372 ◽

2014 ◽

Vol 16 (7) ◽

pp. 372-376 ◽

Cited By ~ 1

Author(s):

Anne Phillips ◽

Stephen Phillips

Keyword(s):

Older People ◽

The Right

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Social connectedness: what matters to older people?

Ageing and Society ◽

10.1017/s0144686x1900165x ◽

2019 ◽

pp. 1-19 ◽

Cited By ~ 1

Author(s):

Tessa Morgan ◽

Janine Wiles ◽

Hong-Jae Park ◽

Tess Moeke-Maxwell ◽

Ofa Dewes ◽

...

Keyword(s):

Older Adults ◽

Older People ◽

Interpersonal Relationships ◽

Social Connectedness ◽

Diverse Group ◽

Cultural Backgrounds ◽

Positive Health ◽

Group Interviews ◽

Depth Interviews ◽

What Matters

Abstract While social connectedness is heralded as a key enabler of positive health and social outcomes for older people, rarely have they themselves had the opportunity to express their views about the concept. Working with a diverse group of Pacific, Māori, Asian and New Zealand European older adults, this paper explores what matters to older people when discussing social connectedness? We draw from individual, in-depth interviews with 44 older adults, and three group interviews comprising 32 older adults. Data were analysed using thematic and narrative analyses. The three themes identified were: getting out of the house, ability to connect and feelings of burden. Fundamental to social connectedness was participants’ desire to be recognised as resourceful agents able to foster relationships on the basis of mutual respect. Social connectedness was conceptualised as multi-levelled: relating to interpersonal relationships as much as neighbourhoods and wider society. Alongside these similarities we also discuss important differences. Participants preferred to socialise with people from similar cultural backgrounds where they shared taken-for-granted social customs and knowledges. This is in the context where racism, poverty and inequalities clearly impeded already minoritised participants’ sense of social connection. Key structural ways to improve social connectedness should focus on factors that enable cohesion between levels of connection, including stable neighbourhoods serviced with accessible public transport, liveable pensions and inclusivity of cultural diversity.

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Refugees: The politically oppressed

Philosophy & Social Criticism ◽

10.1177/0191453720931924 ◽

2020 ◽

pp. 019145372093192

Author(s):

Felix Bender

Keyword(s):

Human Rights ◽

Specific Situation ◽

Political Rights ◽

Classical Approach ◽

Refugee Status ◽

The Core ◽

Political Status ◽

Normative Foundation ◽

The Right ◽

What Matters

Who should be recognized as a refugee? This article seeks to uncover the normative arguments at the core of legal and philosophical conceptions of refugeehood. It identifies three analytically distinct approaches grounding the right to refugee status and argues that all three are normatively inadequate. Refugee status should neither be grounded in individual persecution for specific reasons (classical approach) nor in individual persecution for any discriminatory reasons (human rights approach). It should also not be based solely on harm (humanitarian approach). Rather, this article argues, it should be based on political oppression – on persons lacking public autonomy, formally expressed as a lack of legal–political status. The normative foundation for a claim to refugee status lies in the inability of a person to control, amend and seek recourse to the specific situation she faces. It lies in the lack of public autonomy expressed as a lack of legal–political rights. What matters for a claim to refugee status is thus the legal–political disenfranchisement of a person, ultimately leaving her with no recourse to the particular situation she faces other than flight. Refugees, then, are not only those who fear harm or persecution, but those who are politically oppressed.

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