Aging and Health: A New Relationship

2020 ◽  
pp. 1-7

Old age is not of itself a pure neurological ‘problem’, pathology or statement of need. ‘Older people’ or an ‘aging population’ are not a homogeneous group and categorisation as a distinct service user group is, arguably, contentious. Furthermore, since the advent of personalisation in the UK for, conceptualizing support by user groups is considered by many as obsolete. People do not receive health services by virtue of being ‘older’. Rather they are in need of a service - for example, because of ill health, physical impairment, mental health difficulties, addiction or offending. This article will enable us to consider the implications of the re-figuring of the relationship between the state, older people and health professions and social work. This constructs an ambiguous place for older people: they feature either as a resource - captured in the idea of the ‘active citizen’, as affluent consumers, volunteers or providers of childcare- or as a problem in the context of poverty, vulnerability and risk.

2007 ◽  
Vol 8 (4) ◽  
pp. 18-27 ◽  
Author(s):  
Peter Scourfield

This paper comments on emerging themes derived from recent official publications on older people's advocacy in the UK. There is an examination of relevant policy documents and the responses from service user groups. Discussion includes: clarity in defining advocacy; the nature of the advocacy relationship; sustained and reliable financing of advocacy services; the uneven nature of provision; lack of inter‐agency connectivity; the need to establish national standards for advocacy; problems of mental capacity; and advocacy for care home residents and for minority groups. The need for and direction of further research is proposed.


2016 ◽  
Vol 16 (2) ◽  
pp. 283-292 ◽  
Author(s):  
Kayleigh Garthwaite

Foodbanks and other forms of charitable welfare provision are fast becoming an established feature of the UK social security system. Drawing on over two years of ethnographic observation in a Trussell Trust foodbank in North East England, this paper explores the relationship between the construction of the ‘active citizen’ and lived experiences of foodbank users and volunteers. Findings show how participants’ experiences and behaviour challenges popular political and policy narratives that individuals are using foodbanks because of poor lifestyle choices. The internalisation or rejection of this narrative is then examined, contrasting the different forms of citizenship that arise. Through the significant work that goes into living on a low income, people both aligned with and challenged the ideas underpinning ‘active citizenship’.


Publications ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 31
Author(s):  
Pascal-Nicolas Becker ◽  
Michele Mennielli ◽  
Katharina Trachte

Open Source Software (OSS) communities are often international, bringing together people from diverse regions with different linguistic and cultural backgrounds. National user groups can bolster these international communities by convening local events, championing the software to peers, welcoming and onboarding new contributors, raising money to support the broader community, and collecting important information on user’s needs. The open source community-led software DSpace has had great success encouraging the creation of national user groups; in the UK, North America, and Germany, the Groups have been active for many years. However, it was in 2018, thanks to a renewed focus on international engagement and more diverse representation of the global community in governance groups, that the national communities entered into a new phase: 15 new national User Groups have been formed all over the world since then, while the German user group evolved into the “DSpace-Konsortium Deutschland”, founded by 25 institutions, marking a pivotal point for membership options and National User Group participation within DSpace Governance. This article will offer an overview of the historical development of the DSpace community and its governance model, as well as DuraSpace’s international engagement strategy, including its benefits and challenges. Subsequently, we will present a case study on the DSpace-Konsortium Deutschland and explain its relation to the broader context of how to build national user groups within global communities.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Nana-fatima Taini Ozeto ◽  
Thérèse Allan

Previous research has identified the heightened amount of perceived stress experienced by migrants in the West. Muslim women specifically may be at a greater exposure to perceived stress, easily being identified as different from others due to the observance of the hijab (Ahmed, 1992). However, Muslims in the UK generally have one of the lowest rates of accessing mental health services (Joint Commissioning Panel for Mental Health, 2014). Current research shows the positive role religion plays in managing perceived stress and the potential development of mental health difficulties. Few studies have been conducted on migrant populations and even fewer with female Muslim migrants. The current study aimed to investigate religiosity, as a mediator of the relationship between religious coping and perceived stress in migrant Muslim women. It also aimed to investigate the relationship between perceived stress and migration. The results found religiosity to mediate the relationship between religious coping and perceived stress, that is, individuals with higher religiosity used religious coping and had lower perceived stress. However, there was no significant relationship between experiences of migration and perceived stress. These findings provide possible directions for mental health practitioners when working with clients from such backgrounds.


2018 ◽  
Vol 25 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Hugh Middleton ◽  
Joanna Moncrieff

SUMMARYCritical psychiatry has often been confused with what is widely known as ‘anti-psychiatry’. In this article the distinction is clarified and the particular contribution critical psychiatry makes is outlined. That contribution is constructive criticism: of the relationship between medicine and mental health practice, of the way drug and psychotherapeutic treatments for mental health difficulties might be better understood. These have implications for everyday clinical practice and there is much to be gained by openly embracing the controversies critical psychiatry highlights.LEARNING OBJECTIVES•Understand the origins of critical psychiatry and recognise some of the difficulties that arise from identifying psychiatry with medicine•Appreciate the differences between disease-centred and drug-centred approaches to prescribing psychiatric medication•Become aware of implications that arise from psychotherapeutic outcomes researchDECLARATION OF INTERESTSH. M. and J. M. are co-chairs of the UK Critical Psychiatry Network.


Author(s):  
Jason L. Powell

This article looks in more detail at the incidence and consequence of social policies for older people through the distinctly French post-structuralist lens of governmentality (Foucault, 1977). This will enable us to consider the implications of the re-figuring of the relationship between the state, older people and social work. This re-figuring constructs an ambiguous place for older people: they feature either as a resource - captured in the idea of the „active citizen‟, as affluent consumers, volunteers or providers of child care - or as a problem in the context of poverty, vulnerability and risk. In many ways, policy provides three trajectories for older people: first, as independent self-managing consumers with private means and resources; second, as people in need of some support to enable them to continue to self-manage; and third, as dependent and unable to commit to self-management. Governmentality provides the theoretical framework through which to view policy and practice that is largely governed by discourses of personalisation, safeguarding, capability and risk.


2015 ◽  
Vol 36 (5) ◽  
pp. 1008-1030 ◽  
Author(s):  
GARETH O'ROURKE

ABSTRACTPersonalisation of social care for adults is a key policy objective in the United Kingdom (UK), as in many other welfare states, having gained wide acceptance as essential for the empowerment of service users and as a means of managing increasing population demand. The system of personal budgets being established in the UK pursues twin objectives: aiming to ‘empower’ individuals to achieve ‘more for less’. However, there is mixed evidence that either objective is being achieved in practice. This is especially so in respect of older people who are less likely to accept a personal budget and more likely to be dissatisfied with their experience of using one. A qualitative study of eight cases in two local authority areas in England explored older people's experience of using a personal budget taken in the form of a direct payment. Data were elicited through a series of three in-depth interviews with each participant. The study was concerned with understanding the relationship between participants' experience of ‘Self’ and personalised services. Participants experienced personalisation when paid carers perceived and accommodated their ‘special requirements of Self’. In most cases this was achieved despite the consumerist aspects of personalisation rather than because of them, and often gave rise to risk and dilemma. The findings emphasise the importance of holistic assessment, and commissioning for quality over maximising choice.


2006 ◽  
Vol 76 (6) ◽  
pp. 359-366 ◽  
Author(s):  
Rodríguez-Rodríguez ◽  
Ortega ◽  
López-Sobaler ◽  
Aparicio ◽  
Bermejo ◽  
...  

This study investigated the relationship between the intake of antioxidant nutrients and the suffering of cataracts in 177 institutionalized elderly people (61 men and 116 women) aged ≥ 65 years. Dietary intake was monitored for 7 consecutive days using a "precise individual weighing" method. Subjects, who during their earlier years were exposed by their work to sunlight, had a greater risk of suffering cataracts (OR = 3.2; Cl: 1.1–9.3, P < 0.05) than those who worked indoors. A relationship was found between increased vitamin C intake and a reduced prevalence of cataracts (i.e., when comparing those above P95 for vitamin C intake with those below P5; (OR = 0.08; Cl: 0.01–0.75, P 0.05). Among subjects with cataracts, 12.1% had vitamin C intakes of < 61 mg/day (P10) and only 2.2% had intakes of > 183 mg/day (P95) (p < 0.01). Subjects who consumed > 3290 μg/day (P95) of lutein were less likely to have cataracts (OR = 0.086; Cl: 0.007–1.084; p < 0.05) than those whose consumption was < 256 μg/day (P5). In men, high intakes of zeaxanthin seemed to provide a protective effect against the problem (OR = 0.96; Cl: 0.91–0.99; p < 0.05). The results suggest an association exists between exposure to sunlight and the development of cataracts, and that vitamin C, lutein, and zeaxanthin offer some protection against this disorder.


1994 ◽  
Vol 72 (03) ◽  
pp. 426-429 ◽  
Author(s):  
S Kitchen ◽  
I D Walker ◽  
T A L Woods ◽  
F E Preston

SummaryWhen the International Normalised Ratio (INR) is used for control of oral anticoagulant therapy the same result should be obtained irrespective of the laboratory reagent used. However, in the UK National External Quality Assessment Scheme (NEQAS) for Blood Coagulation INRs determined using different reagents have been significantly different.For 18 NEQAS samples Manchester Reagent (MR) was associated with significantly lower INRs than those obtained using Diagen Activated (DA, p = 0.0004) or Instrumentation Laboratory PT-Fib HS (IL, p = 0.0001). Mean INRs for this group were 3.15, 3.61, and 3.65 for MR, DA, and IL respectively. For 61 fresh samples from warfarin-ised patients with INRs of greater than 3.0 the relationship between thromboplastins in respect of INR was similar to that observed for NEQAS data. Thus INRs obtained with MR were significantly lower than with DA or IL (p <0.0001). Mean INRs for this group were 4.01, 4.40, and 4.59 for MR, DA, and IL respectively.We conclude that the differences between INRs measured with the thromboplastins studied here are sufficiently great to influence patient management through warfarin dosage schedules, particularly in the upper therapeutic range of INR. There is clearly a need to address the issues responsible for the observed discrepancies.


2015 ◽  
Vol 15 (3) ◽  
pp. 33-39 ◽  
Author(s):  
David Evans

This paper considers the relationship between social science and the food industry, and it suggests that collaboration can be intellectually productive and morally rewarding. It explores the middle ground that exists between paid consultancy models of collaboration on the one hand and a principled stance of nonengagement on the other. Drawing on recent experiences of researching with a major food retailer in the UK, I discuss the ways in which collaborating with retailers can open up opportunities for accessing data that might not otherwise be available to social scientists. Additionally, I put forward the argument that researchers with an interest in the sustainability—ecological or otherwise—of food systems, especially those of a critical persuasion, ought to be empirically engaging with food businesses. I suggest that this is important in terms of generating better understandings of the objectionable arrangements that they seek to critique, and in terms of opening up conduits through which to affect positive changes. Cutting across these points is the claim that while resistance to commercial engagement might be misguided, it is nevertheless important to acknowledge the power-geometries of collaboration and to find ways of leveling and/or leveraging them. To conclude, I suggest that universities have an important institutional role to play in defining the terms of engagement as well as maintaining the boundaries between scholarship and consultancy—a line that can otherwise become quite fuzzy when the worlds of commerce and academic research collide.


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