Physical–spatial–technological environments and successful ageing

2021 ◽  
pp. 43-50
Author(s):  
Clemens Tesch-Römer ◽  
Hans-Werner Wahl ◽  
Suresh I. S. Rattan ◽  
Liat Ayalon

In this chapter the authors argue that physical, spatial, and technological environments are relevant to successful ageing both in a conceptual and in a practical sense. Conceptually, efforts towards ageing successfully cannot be discussed separately from the various external forces that serve as constraining or enhancing influences in this respect. From a practical point of view, interventions aimed at improving one’s environment become increasingly relevant as an individual’s resources and reserve capacities dwindle. Environments for ageing successfully may be characterized in terms of person–environment docility vs proactivity, person–environment fit vs lack of fit, and person–environment agency vs belonging. The authors link these concepts with various models of successful ageing and discuss practical implications for housing, long-term care environments, neighbourhoods, municipalities, and use of digital technology.

2021 ◽  
pp. 51-58
Author(s):  
Clemens Tesch-Römer ◽  
Hans-Werner Wahl ◽  
Suresh I. S. Rattan ◽  
Liat Ayalon

Social bonds and care are important factors for successful ageing. Most people do not grow old in isolation, but together with other people, supporting them and being supported by them. While ageing, people are embedded into a social network formed by family, friends, and neighbours. These social bonds are a necessary precondition for successful self-development over the course of our lives. The process of growing very old is characterized by morbidity, functional loss, and care needs. Hence, it is important to account for factors that enable successful ageing even in a life phase when social support and long-term care are becoming more important for a good life. Therefore, successful ageing must be seen in the context of advanced old age.


Author(s):  
Michael I. MacEntee

The mouth contributes to nutrition, respiration, and communications but it also contains potential pathogens that threaten other parts of the body. It is readily accessible to spot early signs of immune, endocrine, haematological, gastrointestinal, metabolic, and neoplastic disorders. Teeth are destroyed rapidly by the sugar-laden diets and poor oral hygiene that are common occurrences among residents of long-term care facilities. Moreover, the adverse effect of rampant dental caries from medications that disturb salivary flow is too often overlooked by physicians and pharmacists. Oral cancer causes more deaths than each of colorectal, gastric, prostate, and breast cancers, while oral mucositis can be an excruciatingly painful side effect of chemotherapy and radiotherapy. Overall, impairments and disabilities of the mouth and teeth influence physical and cognitive homeostasis and frailty, whereas effective management of oral disorder is an essential component of good geriatric care for successful ageing and quality of life in old age.


2017 ◽  
Vol 20 (3) ◽  
pp. 110-120 ◽  
Author(s):  
Paul Willis

Purpose This paper is a conceptual discussion of the ways in which the diverse lives, identities and collective politics of lesbian, gay and bisexual (LGB) people can be made visible, and how they are made visible, in long-term care environments for older people. The purpose of this paper is to problematise strategies of visibility as methods for promoting social inclusion in care environments. Design/methodology/approach This is a conceptual discussion that draws on several social theorists that have previously discussed the politics of visibility, knowledge and sexuality. Findings Promoting increased visibility in itself does not fully grapple with the ways in which older LGB can be represented and known as particular kinds of sexual citizens. This potentially curtails a more holistic recognition of their needs, interests and wishes, inclusive of their sexual lives and histories. Making LGB lives visible in care environments may not always be a productive or affirmative strategy for dismantling homophobic views and beliefs. Practical implications The theoretical implications of a politics of visibility warrant a deeper consideration of strategies for promoting visibility. The paper concludes with a discussion of some of the practical implications for rethinking strategies of visibility in care environments. Originality/value Critical discussions about the application of visibility strategies, and the problematic assumptions contained within such strategies, are lacking in relation to mainstream housing and social care provision for older LGB people. This paper seeks to initiate this important discussion.


2019 ◽  
Author(s):  
Constanze Janda

The textbook is dealing with the fundamental legal aspects of the long-term care insurance and the fields of law related to that. The latest legislative developments and reforms, such as the two “Pflegestärkungsgesetze” are presented, thus the book is higly up-to-date. After defining and discussing the concept of “need of care”, the authors present the eligibility criteria and benefits in the long-term care insurance from the claimants’ point of view. Additionally, the legal relations between service providers and the cost-bearers as well as matters of quality assurance are reflected. The focus is set on the social care insurance (SGB XI), but benefits of the health care insurance (SGB V) and the social assistance scheme (SGB XII) related to care are dealt with, too. Schedules, case studies and sample examinations questions make the book a very helpful guide through the law of care for students of law, social work and care. Besides, pracitioners can get a concise overwiev on the recent development in care.


2020 ◽  
Vol 214 ◽  
pp. 03047
Author(s):  
SU Bo ◽  
FENG Si-qi ◽  
GUAN Cui-ling

China is a country with an aging population, and the social risks brought by the incapacitated elderly and demented elderly are constantly increasing. It is difficult for families to bear the financial burden of long-term care for the incapacitated elderly and demented elderly independently, so they must rely on external forces to provide financial support for long-term care. The advantages of Traditional Chinese Medicine in the treatment and rehabilitation of senile diseases are increasingly prominent, but there is still a lack of integration between Traditional Chinese Medicine services and long-term care of the elderly, which should guide social subjects to enter the field of long-term care of the elderly in Traditional Chinese Medicine. This paper analyzes the feasibility of “3+1” model in which multiple subjects, such as family, government, market, charity and public welfare organizations, share the financial burden of long-term care for the incapacitated elderly and demented elderly, and studies the construction of an effective financial supply integration mechanism.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Rebecca Baxter ◽  
Per-Olof Sandman ◽  
Sabine Björk ◽  
Anders Sköldunger ◽  
David Edvardsson

Abstract Background Thriving has emerged as a contemporary and health-promoting concept for older people living in nursing homes; however, there has been limited research to explore how nursing home staff identify thriving in their everyday practice. The aim of this study was to explore how staff recognize expressions of thriving among persons living in nursing homes. Methods Semi-structured interviews were conducted with 14 nurses working at a nursing home in Victoria, Australia. The interviews were audio-recorded, transcribed and analyzed using qualitative content analysis. Results The analysis resulted in six sub-categories and three main categories. Expressions of thriving were recognized in relation to how staff understood thriving, observed thriving and sensed thriving. Staff described comparing and contrasting clinical assessment indicators with their own personal and professional understandings of thriving, as well as their overall sense of the individual person within the wider situational and environmental context. Conclusions Our results illuminate how staff recognize everyday expressions of thriving for people living in nursing homes and emphasizes the importance of utilizing person-centred care principles in clinical assessments. These findings have practical implications with regards to how thriving is identified and assessed in long-term care, and could be used to inform and guide staff education, person-centred care strategies, and organizational policies to better support and promote thriving in nursing homes.


2018 ◽  
Vol 49 ◽  
pp. 267-286
Author(s):  
Jacek Sieradzan

Purpose. Showing the ethical nature of the meeting of anthropologist and journalist Krzysztof Renik with Buddhist monk Tashi, in an environment alien to both of them. Analysis of Renik’s book to find out whether the borders between traveler, pilgrim and tourist are luminal and fluid in nature. Method. Critical analysis of literature. Results. Affirmation of the theory regarding the fluid nature of social categories, in this case that of the traveler, pilgrim and tourist. Both Renik and Tashi are pilgrims, but also travelers/ pilgrims who wander through unknown countries. Research and conclusions limitations. No possibility of contact with the monk, the main character of the book. Practical implications. The article can have meaning for persons who try to understand the religious and social landscape of Hindu countries, and want to broaden their perspective of the world taking the point of view of an anthropologist who practiced long-term observation of the behavior of a Buddhist monk into account. Originality. Renik’s book is probably the first work relating the day-by-day common pilgrimage of the Ladakhian Buddhist monk and the Catholic anthropologist and journalist. The latter wanting to better understand Tashi’s engagement, also participated in Buddhist practices. Being a traveler and anthropologist, he becomes a pilgrim, and pilgrim Tashi frequently behaves like a traveler or common tourist. Type of paper. Case study.


2008 ◽  
Vol 23 (1) ◽  
pp. 29-33
Author(s):  
Ryuichi KUSAKA ◽  
Masahiko KOMORI ◽  
Yasuyuki TANAKA ◽  
Nobuko OSAKA ◽  
Kiyoshi NAGANO ◽  
...  

2020 ◽  
pp. 108482232096961
Author(s):  
Kyungmi Woo

This study aimed to examine the concept of Managed Long Term Care service from a care manager’s perspective. The Walker and Avant concept analysis approach was applied. The defining attributes include (1) chronic disease or disability, (2) coordination of care, and (3) services. Core components of Managed Long Term Care service were found to be a network of providers and capitation. A conceptual model of Managed Long Term Care service was developed with Managed Long Term Care service operationally defined as “a program with a set of services delivered to patients who have a chronic illness or disability and wish to stay safe and healthy at home in the community. The services or benefits are coordinated by a care manager who serves as a point of contact for the patient and provider(s), and are delivered by providers in the network.” Care management is a core concept of Managed Long Term Care. The triple aims of Managed Long Term Care are to deliver the right care at the right time at the right cost to Managed Long Term Care eligible patients. This paper sought to illuminate and clarify varied perspectives on the concept of Managed Long Term Care service. Without a clear understanding of a community-based service or program, delivery of nursing care may be less effective. This study was the first to examine this widely used but often imprecisely defined community health service from a case manager’s point of view.


Sign in / Sign up

Export Citation Format

Share Document