scholarly journals ‘A longitudinal room of possibilities’ – perspectives on the benefits of long-term preventive home visits: A qualitative study of nurses’ experiences

2019 ◽  
Vol 40 (1) ◽  
pp. 6-14
Author(s):  
Mette Tøien ◽  
Ida Torunn Bjørk ◽  
Lisbeth Fagerström
Keyword(s):  
Older Persons ◽  
Functional Decline ◽  
Home Visits ◽  
Healthcare Services ◽  
Service Planning ◽  
Structural Factors ◽  
Structured Interviews ◽  
Preventive Home Visits ◽  
Age Related

Preventive home visits carried out by healthcare professionals are intended to promote the health and independence of home-dwelling older persons and to prevent functional decline. The aim of this study was to describe nurses’ experiences of the benefits from long-term follow up with annual preventive home visits to older people in a Norwegian context. We conducted semi-structured interviews with nine nurses who performed the service. Manifest and latent content analysis revealed benefits within three themes: sustained ability to live independently and thrive despite age-related changes, eased transition to other healthcare services, and improved healthcare service planning. Two headlines describe the longitudinal processes involved in the creation of benefits: ‘The processes of establishing, sustaining, and widening a longitudinal room of possibilities’, and ‘The individualized health-promoting processes – the ongoing gardening work. Professional, contextual and structural factors influenced the nurses’ ability to support older persons’ changing needs during the aging process and thus their health and independence.

scholarly journals How Do Older Persons Understand the Purpose and Relevance of Preventive Home Visits? A Study of Experiences after a First Visit

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Mette Tøien ◽  
Morten Heggelund ◽  
Lisbeth Fagerström
Keyword(s):  
Qualitative Research ◽  
Older Persons ◽  
Home Visit ◽  
Functional Decline ◽  
Home Visits ◽  
Specific Information ◽  
Positive Outcomes ◽  
Preventive Home Visits ◽  
Research Interviews ◽  
Latent Content

The aim of this study was to explore and describe older persons’ experiences of their first Preventive Home Visit. Preventive Home Visits (PHV) are health services that aim to promote older persons' health, prevent functional decline, and reduce the need for comprehensive healthcare. The knowledge base to guide the design of effective PHV interventions is scarce. Studies that explore older persons' experiences of the first visit are essential, as compliance with the service is a prerequisite for positive outcomes. An explorative and descriptive design was applied. Qualitative research interviews with ten older persons who had received the first PHV the previous year were analysed with regard to manifest and latent content. The findings revealed that the understanding of the purpose of PHV varied. For some participants, the concepts and aims of health promotion and disease prevention were difficult to comprehend. The possibility to prepare for the visit was sought. All participants appreciated the service; the dialogue quality was good and a trusted municipal contact person provided security. To enhance compliance and ensure effective PHV, the invitation to the PHV service should include clearly stated aims and specific information about the first visit. An individualised, person-centred approach should be applied.

scholarly journals South Sudanese or Australian or Both or Caught in Between? A Qualitative Study Examining Identity Among South Sudanese Refugees Living in Sydney, Australia.

2021 ◽  
Author(s):  
Geraldine Vaughan ◽  
Tafadzwa Nyanhanda ◽  
Sabitra Kaphle ◽  
Jenny Kelly ◽  
Lal Rawal ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Lived Experiences ◽  
Early Years ◽  
Structural Factors ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Making Sense ◽  
South Sudanese ◽  
Sudanese Refugees

Abstract Background: The majority of the current South Sudanese population in Australia arrived as refugees in the early 2000s, facing challenges related to dislocation, navigating a new culture while honouring their own own. Much of the research on the South Sudanese experience has been conducted in the early years after arrival, with resettlement stressors likely to influence narratives of identity as new immigrants.This study aimed to understand the lived experiences of identity among South Sudanese who are long-term residents of Australia after fleeing their birth country, migration, and re-building their lives.Methods: The qualitative study was underpinned by a phenomenological framework that characterised the experiences of study participants. Purposive and snowball sampling was used to recruit Sydney-residing adults who arrived in Australia through its humanitarian refugee program 10 or more years ago and were born in South Sudan. Semi-structured interviews explored how participants identified themselves in Australia, changes in their experiences over time, their social and general life situation in Australia, and perceptions (self and other) of South Sudanese people in Australia.Results: The 26 participants from refugee backgrounds all had similar experiences of dislocation, most arriving in Australia 10-19 years ago with family members. Most participants were in employment and had attained (sometimes multiple) educational qualifications.Participants described a multiplicity of interconnected domains that governed the negotiating and making sense of identity. Three key themes were identified: mutable identities - dependent on context; Identity in relation to children; and the influence of limited opportunities. These themes were mediated by other interwoven personal and structural factors that shaped experience and perception. Expressions of hope, pride and achievement were threaded through several of the interviews, particularly in relation to their children. There was also frustration related to employment challenges and discrimination that limited identity reconstruction.Conclusions: Our exploration of long-term lived experiences for South Sudanese migrants highlights the evolving and often conflicting factors that shape domains of integration and identity construction. The deeper, more nuanced understandings of bicultural identity within a strengths-based framework calls for better partnerships and services to support strengthened community and acculturalisation.

Long-term recreational gymnastics provides a clear benefit in age-related functional decline and bone loss. A prospective 6-year study

2006 ◽  
Vol 17 (8) ◽  
pp. 1154-1164 ◽  
Author(s):  
K. Uusi-Rasi ◽  
H. Sievänen ◽  
A. Heinonen ◽  
I. Vuori ◽  
T. J. Beck ◽  
...  
Keyword(s):  
Bone Loss ◽  
Functional Decline ◽  
Age Related

scholarly journals Determinants of Health Care Utilization among Retirees in Rural Akwa Ibom State, Nigeria

2020 ◽  
Vol 18 (1) ◽  
pp. 72-86
Author(s):  
Dorothy N. Ononokpono ◽  
Moses I. Peters ◽  
Nsidibe Akpan Usoro
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Health Care Services ◽  
Participant Observation ◽  
Healthcare Services ◽  
Health Facilities ◽  
Healthcare Personnel ◽  
Care Utilization ◽  
Structured Interviews ◽  
Quality Healthcare

The rising population of the elderlyis one of the most important demographic phenomena in recent times globally. In Nigeria, the estimated population of older persons is about 6 million, and this group of people are confronted with various health challenges and a reduction in earnings, which exacerbates their poor health and healthcare utilization. Studies have shown that healthcare is a fundamental requirement for living a socially and economically productive life; however, in many developing countries including Nigeria, healthcare services utilization among older persons and particularly retirees has received less attention. The main objective of this study was to examine the determinants of healthcare services use among retired primary school teachers in Etinan Local Government in Akwa Ibom State. We utilized Andersen’s healthcare model to explain the factors associated with retirees’ healthcare utilization.Data were collected throughnon-participant observation and semi-structured interviews, conducted with 217 respondents.Data on socio-demographic characteristics of respondents were analyzed using descriptive statistics, while qualitative narratives were analyzed thematically and presented verbatim. Findings from the study revealed that the majority of respondents attributed difficulties in the utilization of health care services to inadequate health facilities, lack of trained healthcare personnel, high cost of health services, distance to health facilities, and late payment of pension, among other factors. Study findings suggest the need for the provision of quality healthcare infrastructure for the retired adults and timely payment of pensions as a panacea for poor healthcare accessibility and utilization.

scholarly journals Presidential Symposium: Physiological vs. Molecular Clocks, Studies From Mice to Humans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 32-32
Author(s):  
Blanka Rogina
Keyword(s):  
Functional Decline ◽  
Biological Significance ◽  
Molecular Clocks ◽  
Cellular Mechanisms ◽  
Nutritional Interventions ◽  
Age Related ◽  
Increased Risk ◽  
Extended Longevity ◽  
Species Specific

Abstract Aging is associated with a functional decline in metabolic, physiological, proliferative, and tissue homeostasis leading to deterioration at the organismal level, and an increased risk for disease and death. Genetic, pharmacological and nutritional interventions have been successfully used to preserve metabolic health, which leads to preserved healthspan and extended longevity. However, the rate at which animals in a population become impaired by age-related frailty and disease is highly variable and several aging clocks that measure different age-modulated processes in the organism are being use as potential markers of the rate of aging. These molecular clocks allow to a more accurate quantification of the biological age of animals. Nevertheless, there is still room for further discussion in terms of the strengths and weaknesses of these biomarkers, in order to probe their biological significance, cellular mechanisms, and epidemiological potential to further explore their long-term benefit of increasing healthspan. This symposium will discuss new approaches to delineate physiological versus molecular clocks based on studies in mice and humans. We will also discuss species-specific metabolic mechanisms based on longitudinal studies in mice, monkeys and humans.

scholarly journals Obesity, sarcopenia and their functional consequences in old age

2010 ◽  
Vol 70 (1) ◽  
pp. 114-118 ◽  
Author(s):  
Marjolein Visser
Keyword(s):  
Muscle Strength ◽  
Functional Status ◽  
Old Age ◽  
Muscle Mass ◽  
Older Persons ◽  
Functional Decline ◽  
Overweight And Obesity ◽  
Community Dwelling ◽  
Age Related ◽  
The Impact

The prevalence of obesity is high in older persons and recent trends show a rapid increase in this prevalence. Results from observational and intervention studies (i.e. weight loss studies) show the strong negative impact of obesity on functional status in old age. There are different potential pathways through which obesity may lead to functional decline in older persons. Furthermore, the presence of overweight and obesity during the life course and trends in medical care are likely to influence the impact of obesity on disability. The concepts sarcopenia (age-related loss of muscle mass) and dynapenia (age-related loss of muscle strength) receive a lot of research attention as potential determinants of functional decline in old age. There is no consensus on the definitions of these concepts. Recent studies conducted in large cohort studies of mainly community-dwelling older persons show that poor muscle strength is strongly associated with functional decline compared to low muscle mass. In several studies, no association between muscle mass and functional status was observed. Current research on the combination of obesity with poor muscle strength (dynapenic-obesity) suggests a potential additive effect of both components on poor functional status in old age which seems independent of the level of physical activity.

scholarly journals Preventive home visits to older home-dwelling people and different functional decline patterns

2007 ◽  
Vol 4 (3) ◽  
pp. 107-113 ◽  
Author(s):  
M. Vass ◽  
K. Avlund ◽  
E. T. Parner ◽  
C. Hendriksen
Keyword(s):  
Functional Decline ◽  
Home Visits ◽  
Preventive Home Visits

scholarly journals Access to Prenatal Testing and Ethically Informed Counselling in Germany, Poland and Russia

2021 ◽  
Vol 11 (9) ◽  
pp. 937
Author(s):  
Marcin Orzechowski ◽  
Cristian Timmermann ◽  
Katarzyna Woniak ◽  
Oxana Kosenko ◽  
Galina Lvovna Mikirtichan ◽  
...  
Keyword(s):  
Ethical Issues ◽  
Pregnancy Termination ◽  
Prenatal Testing ◽  
Healthcare Services ◽  
Structural Factors ◽  
Structured Interviews ◽  
Non Invasive ◽  
Expectant Mothers ◽  
Or Organization

The development of new methods in the field of prenatal testing leads to an expansion of information that needs to be provided to expectant mothers. The aim of this research is to explore opinions and attitudes of gynecologists in Germany, Poland and Russia towards access to prenatal testing and diagnostics in these countries. Semi-structured interviews were conducted with n = 18 gynecologists in Germany, Poland and Russia. The interviews were analyzed using the methods of content analysis and thematic analysis. Visible in all three countries is a connection of prenatal medicine with the politically and socially contentious issue of pregnancy termination. Respondents in Poland and Russia concentrated on the topic of inadequate resources. Quality of information for expectant mothers is an important point in all three countries. Only in Germany was the issue of language barriers in communication raised. With regard to non-invasive prenatal testing (NIPT) respondents in Germany focused on the ethical issues of routinization of testing; in Poland and Russia they concentrated on fair access to NIPT. Challenges in all three countries arise from structural factors such as imprecise and prohibitive regulations, lack of resources or organization of healthcare services. These should be addressed on a political and medico-ethical level.

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