Developing collaborative relationships with rural-dwelling older men with dementia in the UK:

2020 ◽  
pp. 151-184 ◽  
Author(s):  
Ben Hicks ◽  
Anthea Innes
Author(s):  
Ben Hicks ◽  
Anthea Innes

This chapter discusses the process of developing collaborative working relationships with a particularly hard-to-reach population; rural-dwelling older men with dementia. It draws on theoretical knowledge around masculinities as well as reflexive practice undertaken in rural areas within the UK to detail potential challenges facilitators may be faced with when engaging this population. It concludes by providing a list of recommendations for facilitators to consider when delivering community initiatives to rural-dwelling older men with dementia.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ashley McAllister ◽  
Lee Bentley ◽  
Henrik Brønnum-Hansen ◽  
Natasja Koitzsch Jensen ◽  
Lotta Nylen ◽  
...  

2020 ◽  
pp. 1-12
Author(s):  
Arpita Das ◽  
Robert G Cumming ◽  
Vasi Naganathan ◽  
Fiona Blyth ◽  
David G Le Couteur ◽  
...  

Abstract Objectives: To examine changes in micronutrient intake over 3 years and identify any associations between socio-economic, health, lifestyle and meal-related factors and these changes in micronutrient intakes among older men. Design: Prospective study. Setting: Dietary adequacy of individual micronutrient was compared to the estimated average requirement of the nutrient reference values (NRV). Attainment of the NRV for twelve micronutrients was incorporated into a dichotomised variable ‘not meeting’ (meeting ≤ 6) or ‘meeting’ (meeting ≥ 7) and categorised into four categories to assess change in micronutrient intake over 3 years. The multinomial logistic regression analyses were conducted to model predictors of changes in micronutrient intake. Participants: Seven hundred and ninety-four men participated in a detailed diet history interview at the third wave (baseline nutrition) and 718 men participated at the fourth wave (3-year follow-up). Results: The mean age was 81 years (range 75–99 years). Median intakes of the majority of micronutrients decreased significantly over a 3-year follow-up. Inadequacy of the NRV for thiamine, dietary folate, Zn, Mg, Ca and I were significantly increased at a 3-year follow-up than baseline nutrition. The incidence of inadequate micronutrient intake was 21 % and remained inadequate micronutrient intake was 16·4 % at 3-year follow-up. Changes in micronutrient intakes were significantly associated with participants born in the UK and Italy, low levels of physical activity, having ≥2 medical conditions and used meal services. Conclusions: Micronutrient intake decreases with age in older men. Our results suggest that strategies to improve some of the suboptimal micronutrient intakes might need to be developed and implemented for older men.


2018 ◽  
Vol 49 (5) ◽  
pp. 1234-1253 ◽  
Author(s):  
Hannah Bows

AbstractDespite half a century of research on both domestic violence and elder abuse, homicide of older people by a partner or family member (domestic homicide (DH)) remains largely unexplored. This article presents data drawn from a larger parent study examining homicide of older people (aged sixty and over) in the UK. This analysis is based on a subset of cases that would fall within current definitions of DH (n = 221). Analysis reveals differences in DH of older men and women in relation to the perpetrator gender and relationship and differences between intimate-partner homicides and those perpetrated by other family members. Implications for research, theory and practice are discussed.


2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 142-142
Author(s):  
Sara Faithfull ◽  
Jonathan Aning ◽  
Karen Poole ◽  
John Saxton ◽  
Bruce Griffin ◽  
...  

142 Background: Evidence from large observational studies suggests that men with prostate cancer have a higher risk of cardiovascular events due to accelerated atherosclerosis linked to androgen deprivation therapy (ADT). Adults > 70 years of age have poorer outcomes from cancer treatment in the UK. However, it is not yet clear what might be contributing to poorer outcomes among older men with prostate cancer. Thus the purpose of this study was to assess the health and fitness of a cohort of prostate cancer survivors, from 2 regions in the UK, and identify factors that may influence cardiovascular health. Methods: Baseline assessments from 83 men with prostate cancer with no evidence of distant disease particpated. Men undertook a Cardiopulmonary Exercise Test (CPET), sit to stand, step test, grip strength, hip to waist ratio, self-reported exercise questionnaire (Godin), and co-morbidity index. Men were 1-3 years post diagnosis. Age-group comparisons were made using analysis of covariance against cardiac risk profile (QRisk2). Results: Men who were older ( > 75) were more likely to have poorer cardiopulmonary fitness, as measured by VO2 Peak , and worse grip strength than age standardised values. Increased obesity across all groups (raised BMI) and higher B/P all contributed to a raised QRisk2 (mean: 36.9±6.1), which is higher than men of a similar age. Older men perceived themselves to be less physically active and were more likely to be on ADT. Conclusions: In our sample, men older than 75 had greater CVD risk, poorer physical function and lower strength. Improvements in diet and physical activity could improve physical function and reduce cardiovascular risk factors. Older men were more likely to be on ADT so to reduce long term co-morbidities other risk factors need to be addressed. More comprehensive functional health assessment at point of treatment could help clinicians optimise therapy to reduce long term comorbidities. [Table: see text]


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Kotronia ◽  
S G Wannamethee ◽  
O A Papacosta ◽  
P H Whincup ◽  
L T Lennon ◽  
...  

Abstract Background To examine the association between oral health markers and disability 4 years later in two population-based studies of older people in the UK and USA. Methods Analyses were conducted in the British Regional Heart Study (BRHS) comprising older men (n = 2147) and the Health, Aging and Body Composition (HABC) Study comprising American older men and women (n = 3075). Data from a 4-year follow up period were used. Oral health measures included tooth loss, periodontal disease, dry mouth, and self-rated oral health. Mobility limitations and Activities of Daily Living (ADL) were markers of disability. Logistic regression was performed and analyses were adjusted for confounders (age, socioeconomic position, lifestyle factors, and chronic diseases). Results Over a 4-year follow-up, 15% of subjects in the BRHS and 19% in the HABC Study developed mobility limitations. In both studies, 12% of participants developed ADL problems. In the BRHS, tooth loss (complete and partial), periodontal disease, dry mouth and accumulation of oral health problems were associated with an increased risk of developing mobility limitations after adjustment for confounders (partial tooth loss, OR = 1.86, 95% CI 1.18-2.94, ≥3 dry mouth symptoms, OR = 1.97, 95%CI 1.25-3.09). Similar results were observed for the risk of developing ADL problems. In the HABC Study, complete tooth loss and accumulation of oral health problems were associated with greater risk of incident mobility limitations (OR = 1.77, 95%CI 1.13-2.76; OR = 1.18, 95% CI 1.02-1.37, respectively). Moreover, self-rated oral health was associated with increased risk of ADL problems, after adjustment for confounders. Conclusions Poor oral health was associated with increased risk of developing disability in community-dwelling older people. Screening tools of oral health may be helpful in identifying oral health problems, improving oral health status and promoting health and good quality of life. Key messages Poor oral health is associated with a higher risk of developing disability in later life. This highlights the importance of oral health on maintaining independence in older people.


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