Diabetes in older people: making the right nutritional choices

2014 ◽  
Vol 16 (7) ◽  
pp. 372-376 ◽  
Author(s):  
Anne Phillips ◽  
Stephen Phillips
Keyword(s):  
Older People ◽  
The Right

scholarly journals Which age group spends the most in a national park?

Koedoe ◽  
2014 ◽  
Vol 56 (2) ◽  
Author(s):  
Francesca Cini ◽  
Melville Saayman
Keyword(s):  
South Africa ◽  
Older People ◽  
National Park ◽  
Economic Importance ◽  
Early Age ◽  
Age Group ◽  
Expenditure Patterns ◽  
Conservation Implications ◽  
Table Mountain ◽  
The Right

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.

It’s Time to Retire Ageism against Older Workers

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.

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

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.

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

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e030742 ◽  
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.

Echocardiographic B-mode evaluation of the right heart in older people: The ActiFE Study

2016 ◽  
Vol 67 ◽  
pp. 145-152 ◽  
Author(s):  
Roman Laszlo ◽  
Tobias Baumann ◽  
Hannah Konz ◽  
Dhayana Dallmeier ◽  
Jochen Klenk ◽  
...  
Keyword(s):  
Older People ◽  
Right Heart ◽  
The Right

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

2018 ◽  
Vol 47 (suppl_5) ◽  
pp. v13-v60
Author(s):  
Deirdre Lang ◽  
Carmel Hoey ◽  
Greg Price ◽  
Mila Whelan
Keyword(s):  
Older People ◽  
The Right ◽  
What Matters

Doing the Right Thing: A Geriatrician's Perspective on Medical Care for the Person with Advanced Dementia

2012 ◽  
Vol 40 (1) ◽  
pp. 51-56 ◽  
Author(s):  
Muriel R. Gillick
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Older People ◽  
Medical Care ◽  
Oldest Old ◽  
Advanced Dementia ◽  
People With Dementia ◽  
Reasonable Approach ◽  
The Right ◽  
Number Of Individuals

America is aging. But even more striking than the rise in the proportion of the population over age 65 is the unprecedented number of individuals who are living into their eighties and nineties. While many people remain robust well into advanced age, the dramatic increase in the number of the oldest old has brought with it an epidemic of Alzheimer’s disease and other dementias. Dementia is a highly prevalent condition — currently 5.4 million Americans have Alzheimer’s disease, a number which may rise to 16 million by 2050 if there is no breakthrough in the prevention or treatment of the disease — but it disproportionately affects those over age 85, striking between one-third and one-half of this cohort. Developing a reasonable approach to the medical care of older people with dementia will be essential in the coming decades.

Effects of livelihood transformation on older persons in the Nordic Arctic: a gender-based analysis

Polar Record ◽  
2015 ◽  
Vol 52 (2) ◽  
pp. 159-169 ◽  
Author(s):  
Shahnaj Begum
Keyword(s):  
Older People ◽  
Older Persons ◽  
Research Question ◽  
Field Studies ◽  
Main Research ◽  
Standard Set ◽  
United Nations Convention ◽  
Gender Based ◽  
The Right ◽  
Rapid Transformation

ABSTRACTThis paper addresses the transformation that has occurred in livelihoods in the Nordic Arctic, showing how it affects gender equality among the region's older people. The region's population includes the Sámi, an indigenous people, who have traditionally relied for their livelihood on activities such as reindeer herding, making handicrafts, farming, fishing, hunting, trapping and gathering. In recent years these have faced enormous challenges because of the rapid transformation of the region in the wake of climate change and globalisation. Overall, these and other processes have precipitated socio-economic, cultural, environmental and infrastructural changes that are transforming the local economies and severely impacting older people in particular. The main research question examined in this article is whether gender inequality has arisen among older people because of the ongoing transformation of livelihoods. To this end, the paper provides an empirical analysis based on experiences gathered from field studies conducted by the author in Finnish and Swedish Lapland. The research also presents the experiences of older persons in light of the standard set by General Recommendation 27 of the Committee on the Elimination of Discrimination against Women, which oversees the United Nations Convention on the Elimination of All Forms of Discrimination Against Women. The Recommendation sets out the right of older women to equality and non-discrimination. The findings of the present research contribute to filling a gap in the literature on the topic.

From Right Place - Wrong Person, to Right Place - Right Person: Dignified Care for Older People

2012 ◽  
Vol 17 (2_suppl) ◽  
pp. 30-36 ◽  
Author(s):  
Win Tadd ◽  
Alex Hillman ◽  
Michael Calnan ◽  
Sian Calnan ◽  
Simon Read ◽  
...  
Keyword(s):  
Older People ◽  
Participant Observation ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Frontline Staff ◽  
Close Proximity ◽  
Opposite Sex ◽  
Care Health ◽  
The Right ◽  
Care For Older People

Objectives To examine: older people's and their relatives' views of dignified care; health care practitioners' behaviours and practices in relation to dignified care; the occupational, organizational and cultural factors that impact on care; and develop evidence-based recommendations for dignified care. Methods An ethnography of four acute trusts in England and Wales involving semi-structured interviews with recently discharged older people (n = 40), their relatives (n = 25), frontline staff (n = 79) and Trust managers (n = 32), complemented by 617 hours of non-participant observation in 16 wards in NHS trusts. Results ‘Right Place - Wrong Person’ refers to the staffs' belief that acute wards are not the ‘right place’ for older people. Wards were poorly-designed, confusing and inaccessible for older people; older people were bored through lack of communal spaces and activities and they expressed concern about the close proximity of patients of the opposite sex; staff were demoralised and ill-equipped with skills and knowledge to care for older people, and organizational priorities caused patients to be frequently moved within the system. In none of the wards studied was care either totally dignified or totally undignified. Variations occurred from ward to ward, in the same ward when different staff were on-duty and at different times of the day. Conclusions The failure to provide dignified care is often a result of systemic and organizational factors rather than a failure of individual staff and it is these that must be addressed if dignified care is to be ensured.

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