The older person with diabetes: considerations for care

2019 ◽  
Vol 30 (6) ◽  
pp. 282-286
Author(s):  
Jill Hill
Keyword(s):  
Renal Impairment ◽  
Older People ◽  
Health Professionals ◽  
Diabetes Management ◽  
Competency Assessment ◽  
Ageing Population ◽  
Older Person ◽  
Glucose Lowering ◽  
The Status ◽  
The Uk

The UK has an ageing population more and more elderly people are living with diabetes. Jill Hill explores the condition as well as other healthcare challenges that comes with caring for this particular patient group With the increasingly ageing population worldwide, more older people are living with diabetes. The conditions that often accompany older age, such as dementia, renal impairment, visual impairment and manual dexterity difficulties, can make diabetes management complex and self-care challenging. However, the status of older people varies considerably, and so choice of glucose-lowering agents and clinical targets should be individualised to maximise safety and ensure that the risks of treatments do not outweigh the benefits. For many patients, there will be an increasing dependence on others to manage their diabetes care, therefore an appropriate skill mix among health professionals and carers, adequate training and regular competency assessment are crucial to support patients to remain safe and symptom free from diabetes.

scholarly journals Establishment of variation source and age-related reference interval models for 22 common biochemical analytes in older people using real-world big data mining

2020 ◽  
Vol 49 (6) ◽  
pp. 1062-1070
Author(s):  
Chaochao Ma ◽  
Liangyu Xia ◽  
Xinqi Chen ◽  
Jie Wu ◽  
Yicong Yin ◽  
...  
Keyword(s):  
Big Data ◽  
Older People ◽  
Real World ◽  
Reference Interval ◽  
Reference Intervals ◽  
Ageing Population ◽  
Factors Affecting ◽  
Age Related ◽  
The Status ◽  
Source Models

Abstract Background the ageing population has increased in many countries, including China. However, reference intervals (RIs) for older people are rarely established because of difficulties in selecting reference individuals. Here, we aimed to analyse the factors affecting biochemical analytes and establish RI and age-related RI models for biochemical analytes through mining real-world big data. Methods data for 97,220 individuals downloaded from electronic health records were included. Three derived databases were established. The first database included 97,220 individuals and was used to build age-related RI models after identifying outliers by the Tukey method. The second database consisted of older people and was used to establish variation source models and RIs for biochemical analytes. Differences between older and younger people were compared using the third database. Results sex was the main source of variation of biochemical analytes for older people in the variation source models. The distributions of creatinine and uric acid were significantly different in the RIs of biochemical analytes for older people established according to sex. Age-related RI models for biochemical analytes that were most affected by age were built and visualized, revealing various patterns of changes from the younger to older people. Conclusion the study analysed the factors affecting biochemical analytes in older people. Moreover, RI and age-related RI models of biochemical analytes for older people were established to provide important insight into biological processes and to assist clinical use of various biochemical analytes to monitor the status of various diseases for older people.

Care homes for older people

2013 ◽  
Author(s):  
Tom Dening ◽  
Alisoun Milne
Keyword(s):  
Older People ◽  
Residential Care ◽  
Physical Disability ◽  
Care Home ◽  
Developed Countries ◽  
Care Homes ◽  
Standards Of Care ◽  
Ageing Population ◽  
Behavioural Disturbance ◽  
The Uk

Although only 5% of the total over 65 population in developed countries lives in a care home, the lifetime risk of needing residential care is considerable. In the UK, 418 000 older people occupy nearly 12 000 care homes; the sector has a total value of around £14 billion. Care home residents tend to be very old, most are women, and most have complex co-morbid needs. Most people enter a care home because they can no longer live independently due to ill health, notably dementia. Dementia affects over two thirds of all residents; physical disability and functional impairment are also common. Behavioural disturbance is common as is depression. There are concerns about excessive reliance on medication, and more emphasis recently has been placed on improving standards of care. Evidence suggests that training and good leadership is effective. With the ageing population, the provision and the funding of care home places will come under increasing pressure. The solutions to this are yet to be determined.

The ageing population

2019 ◽  
Vol 12 (5) ◽  
pp. 239-242
Author(s):  
Zein Toukan
Keyword(s):  
Risk Factors ◽  
Older People ◽  
Healthcare System ◽  
Demographic Change ◽  
Morbidity And Mortality ◽  
Ageing Population ◽  
The Individual ◽  
The Uk

The UK is undergoing a significant demographic change, due to a steadily ageing population. By 2040 nearly one-in-four people will be aged 65 years or over. This will have several implications for the individual, society, the healthcare system and the economy. This article aims to highlight some of the risk factors that contribute to increased morbidity and mortality in older people and to outline strategies aimed at reducing ill health and disability.

Designing clinical networks to manage the oral health of older people

2011 ◽  
Vol 2 (3) ◽  
pp. 118-122
Author(s):  
Vanita Brookes
Keyword(s):  
Oral Health ◽  
Older People ◽  
Total Population ◽  
Ageing Population ◽  
Clinical Networks ◽  
The Uk ◽  
Older Citizens

The UK has an ageing population. The population of older people is increasing in both absolute and relative terms, with older people forming a larger proportion of the population. In 1984, 15% of the population was over 65. By 2034 this will increase to 23%. Between 2009 and 2034 the number of people over the age of 85 is projected to more than double, accounting for 5% of the total population by that time.1 Dental clinical networks can, and no doubt will, play a major role in caring for our older citizens.

scholarly journals Surgery in the older person: Training needs for the provision of multidisciplinary care

2016 ◽  
Vol 98 (6) ◽  
pp. 367-370 ◽  
Author(s):  
L Pearce ◽  
J Bunni ◽  
K McCarthy ◽  
J Hewitt
Keyword(s):  
Older People ◽  
Perioperative Care ◽  
Health Care Professionals ◽  
Geriatric Medicine ◽  
Multidisciplinary Care ◽  
Surgical Patients ◽  
Surgical Patient ◽  
Ageing Population ◽  
Older Person ◽  
Surgical Trainees

Introduction Many older surgical patients are exposed to high risks of morbidity and mortality when undergoing both elective and emergency surgery. Methods We provide an overview of perioperative care teams and the educational opportunities available to surgeons who undertake surgery in the older person. Findings The number of older people undergoing surgery is increasing at a rate faster than the proportion of older people in the overall population. Management of the older surgical patient throughout the surgical pathway forms part of the Specialty Training Curriculum for Geriatric Medicine. While ‘surgery in childhood’ continues to form part of the general surgical higher training syllabus, surgery in the later years of life does not. There are limited postgraduate courses and training opportunities currently available to surgeons in this field. There is clear societal need to address perioperative care for older surgical patients, which has proved successful in some centers. Moreover, surgical trainees support the inclusion of geriatric medicine issues into their training. Conclusions The ageing population requires a multidisciplinary perioperative approach, with dedicated and appropriately trained clinicians and allied health care professionals to improve outcomes.

scholarly journals Prerequisites for a healthy and independent life among older people: a Delphi study

2020 ◽  
pp. 1-17
Author(s):  
Annelie K. Gusdal ◽  
Rose-Marie Johansson-Pajala ◽  
Viktoria Zander ◽  
Petra von Heideken Wågert
Keyword(s):  
Health Care ◽  
Older People ◽  
Health Professionals ◽  
Delphi Study ◽  
Social Life ◽  
Older Persons ◽  
Personal Control ◽  
Ageing Population ◽  
Next Of Kin ◽  
Independent Life

Abstract The number of older people (aged 65+) will more than double by 2050 in Sweden. The ageing population is an increasing concern due to rising health-care costs and a shortage of health professionals. Older people generally prefer ageing in place, as long as they feel confident and comfortable. However, preventive and supportive measures are needed to maintain older people's independence and active participation in society. The aim of this study is to explore the prerequisites for a healthy and independent life among older people in Sweden. A Delphi study was conducted in three rounds. In round 1, seven focus group interviews were performed with older persons aged 65–79, older persons aged ⩾80, next of kin of older persons, health professionals in primary and home health care, assistant nurses in home care, care managers and local politicians. The data were analysed using thematic analysis, resulting in 35 statements of the prerequisites needed for a healthy and independent life. These statements were sent to the participants from round 1, who were asked to evaluate the degree to which they agreed with each statement in round 2, and again in round 3. There was an agreement of at least 80 per cent for 31 of the 35 statements. When asked to identify the three prerequisites of most importance for a healthy and independent life, most participants stated: to have a social life, to have freedom of choice and power over one's own situation, and to have the possibility to choose independently one's type of housing. There was an overall high group agreement on the prerequisites needed for a healthy and independent life among older people. The main areas of importance were to have a social life, several dimensions of feeling safe and to retain one's personal control.

Resilience, Relationality, and Older People: The Importance of Intergenerationality

2020 ◽  
Vol 25 (4) ◽  
pp. 644-660
Author(s):  
Anne Chappell ◽  
Elaine Welsh
Keyword(s):  
Older People ◽  
Qualitative Data ◽  
Social Process ◽  
Well Being ◽  
Ageing Population ◽  
The Past ◽  
The Social ◽  
Nuanced Understanding ◽  
The Uk ◽  
Intergenerational Connections

In this article, we examine the concept of resilience. Debates range from defining it as an individualised attribute to understanding it as a relational social process. Concerns about an ageing population alongside a growing interest in well-being have led to an increase in the use of the term ‘resilience’ in UK policy and political rhetoric. Developing strategies for ‘bouncing back’ from difficult circumstances has been at the heart of much discussion of resilience. Drawing on qualitative data from interviews and focus groups with older people in the UK, we explore their perspectives on resilience. We found that relationships, including intergenerational ones, are crucial to older people’s understandings of resilience. Our data showed that narratives from the past were used to sustain resilience in the present and that negotiation and exchange between generations, as well as intergenerational connections in the community, fostered resilience among our participants. We found that relationality was at the heart of older people’s perspectives on resilience and that the social process of resilience was acted out in their everyday interactions with others as well as through their memories of past interactions. This article argues that recognising the significance of these daily practices contributes to a more nuanced understanding of resilience.

Physiotherapists and Evidence Based Practice: An Opportunity or Threat to the Profession?

2001 ◽  
Vol 6 (1) ◽  
pp. 62-74 ◽  
Author(s):  
Rose Wiles ◽  
Sue Barnard
Keyword(s):  
Health Professionals ◽  
Evidence Based Practice ◽  
Central Element ◽  
Professional Autonomy ◽  
Future Research ◽  
Evidence Based ◽  
The Status ◽  
Using Data ◽  
The Uk ◽  
The Impact

The profession of physiotherapy in the UK is undergoing a period of change. Prominent among these aspects of change is the movement to evidence based practice (EBP). EBP is a central element of policy in the National Health Service (NHS). It is being implemented in physiotherapy as a means of securing contracts with purchasers but also as a means of contesting challenges from alternative practitioners and health professionals to the areas of work that physiotherapists view as their territory. Using data collected from a qualitative study of 56 physiotherapists of different grades working in different sectors of the NHS, this paper explores physiotherapists’ views of EBP and the impact that they expect it to have on professional boundaries and on the status and practice of physiotherapy. The study indicated that physiotherapists’ views may differ according to their position in the profession. Senior physiotherapists appeared to view the development of EBP as a threat to the profession which would decrease professional autonomy and the status of the profession. In contrast, junior and superintendent physiotherapists appeared to view EBP as an opportunity for strengthening the profession. The impact EBP will have on the profession of physiotherapy and its relationships with a range of health professionals is as yet unknown as are the responses that physiotherapists are likely to have to this development. This study identifies the areas in which conflicts are likely to be played out. A focus for future research analysing the impact of EBP is suggested.

The Benefits of an Ageing Population: Case Studies from Rural Hokkaido, Japan

2009 ◽  
Vol 24 (6-7) ◽  
pp. 555-567 ◽  
Author(s):  
Kayo Murakami ◽  
Rose Gilroy ◽  
Jane Atterton
Keyword(s):  
Case Study Research ◽  
Economic Benefits ◽  
Ageing Population ◽  
Older Person ◽  
Community Based ◽  
The Social ◽  
The Face ◽  
Rural Municipalities ◽  
The Uk

This paper explores the strategies employed by Japanese rural municipalities to support growing numbers of older people in the face of dwindling financial and human resources. Drawing on case study research from a study visit made by the authors, the paper considers the social and economic benefits gained by taking a community based approach as seen in Kuriyama and an older-person centred approach to spatial planning as seen in Nanporo. It concludes by considering what lessons rural municipalities in the UK might draw from these approaches.

scholarly journals Can an Ageing Scotland Afford Independence?

2014 ◽  
Vol 227 ◽  
pp. R32-R39 ◽  
Author(s):  
Katerina Lisenkova ◽  
Marcel Mérette
Keyword(s):  
Computable General Equilibrium ◽  
Population Ageing ◽  
Status Quo ◽  
Ageing Population ◽  
Additional Increase ◽  
Tax Rate ◽  
Percentage Points ◽  
The Status ◽  
The Difference ◽  
The Uk

The aim and scope of this paper is to isolate the effects of population ageing in the context of potential Scottish independence. A dynamic multiregional Overlapping Generations Computable General Equilibrium (OLG-CGE) model is used to evaluate the two scenarios. The status quo scenario assumes that Scotland stays part of the UK and all government expenditures associated with its ageing population are funded on a UK-wide basis. In the independence scenario, Scotland and the rest of the UK pay for the growing demands of their ageing populations independently. The comparison suggests that Scotland is worse off in the case of independence. The effective labour income tax rate in the independence scenario has to increase further compared with the status quo scenario. The additional increase reaches its maximum in 2035 at 1.4 percentage points. The additional rise in the tax rate is non-negligible, but is much smaller than the population ageing effect (status quo scenario) which generates an increase of about 8.5 percentage points by 2060. The difference for government finances between the status quo and independence scenarios is thus relatively small.

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