scholarly journals Loneliness, older people and a proposed social work response

2020 ◽  
pp. 146801732092763 ◽  
Author(s):  
Robert Hagan
Keyword(s):  
Social Work ◽  
Older People ◽  
Later Life ◽  
Living Alone ◽  
Health Concern ◽  
Family Networks ◽  
Proposed Model ◽  
Work Intervention ◽  
The Uk

Summary This article is based upon a scoping review of literature about older people and loneliness. Findings Increasingly in the UK, older people’s experience of loneliness is conceptualised as a public health concern. Social workers will wish to respond appropriately to older adults reporting loneliness but may react on the basis of keenly held assumptions about loneliness in later life, with scant regard to distinct subcategorisation of the construct. Exploring what an appropriate social work response may be, this article first sets out four misconceptions related to older people’s loneliness: that older people are especially lonely, loneliness correlates with living alone, strengthening family networks is best for alleviating loneliness, and loneliness interventions should tackle the issue directly. Applications A proposed model is introduced regarding social work intervention, focusing upon direct assessment of needs, the maintenance of meaningful existing relationships and, if required, potential introduction of new social support avenues. Additionally, it is recognised that a separate response to long-term chronic loneliness may involve psychological work addressing cognition.

The Creative Benefits Scale

2017 ◽  
Vol 86 (3) ◽  
pp. 242-265 ◽  
Author(s):  
Carolyn E. Adams-Price ◽  
Danielle K. Nadorff ◽  
Linda W. Morse ◽  
Katherine T. Davis ◽  
Melanie A. Stearns
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Structural Equation Modeling ◽  
Older People ◽  
Factor Structure ◽  
Structural Equation ◽  
Later Life ◽  
Equation Modeling ◽  
Proposed Model

Long-term participation in creative activities has benefits for middle-aged and older people that may improve their adaptation to later life. We first investigated the factor structure of the Creative Benefits Scale and then used it to construct a model to help explain the connection between generativity and life satisfaction in adults who participated in creative hobbies. Participants included 546 adults between the ages of 40 and 88 (Mean = 58.30 years) who completed measures of life satisfaction, generativity, and the Creative Benefits Scale with its factors of Identity, Calming, Spirituality, and Recognition. Structural equation modeling was used to examine the connection of age with life satisfaction in older adults and to explore the effects of creativity on this relation. The proposed model of life satisfaction, incorporating age, creativity, and generativity, fit the data well, indicating that creativity may help explain the link between the generativity and life satisfaction.

Female genital mutilation in the UK: considerations for best nursing practice

2019 ◽  
Vol 28 (12) ◽  
pp. 788-791
Author(s):  
Bethany Rose
Keyword(s):  
Public Health ◽  
Female Genital Mutilation ◽  
Nursing Practice ◽  
Health Concern ◽  
Public Health Concern ◽  
Genital Mutilation ◽  
Health Complications ◽  
The Uk ◽  
Female Genital

Female genital mutilation (FGM) is any process that injures or removes part or all of the external female genital organs for non-medical reasons. FGM is a growing public health concern in the UK because of an increase in migration from countries where it is widely practised. Education on FGM for nurses is key to supporting women who have undergone the practice, as well as safeguarding girls and women who are at risk. Nurses must understand the history and culture of FGM as well as the long-term health complications to be able to support affected women both professionally and sensitively.

scholarly journals Fourth Ageism: Real and Imaginary Old Age

Societies ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 12
Author(s):  
Paul Higgs ◽  
Chris Gilleard
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Social Representations ◽  
Later Life ◽  
Chronological Age ◽  
Biological Parameters ◽  
Term Care ◽  
The Impact ◽  
State Responses

This paper is concerned with the issue of ageism and its salience in current debates about the COVID-19 pandemic. In it, we address the question of how best to interpret the impact that the pandemic has had on the older population. While many feel angry at what they see as discriminatory lock-down practices confining older people to their homes, others are equally concerned by the failure of state responses to protect and preserve the health of older people, especially those receiving long-term care. This contrast in framing ageist responses to the pandemic, we suggest, arises from differing social representations of later life, reflecting the selective foregrounding of third versus fourth age imaginaries. Recognising the tension between social and biological parameters of ageing and its social categorisations, we suggest, may offer a more measured, as well as a less discriminatory, approach to addressing the selective use of chronological age as a line of demarcation within society.

scholarly journals Social Exclusion in Older-Age and the European Pillar of Social Rights

2021 ◽  
pp. 421-431
Author(s):  
Maciej Kucharczyk
Keyword(s):  
Older People ◽  
Labour Market ◽  
Social Exclusion ◽  
Working Conditions ◽  
Social Protection ◽  
Later Life ◽  
Social Rights ◽  
Term Care ◽  
Goods And Services

AbstractThe European Pillar of Social Rights is about delivering new and more effective rights for Europeans. It builds upon 20 key principles, structured around three categories: equal opportunities and access to the labour market; fair working conditions; and social protection and inclusion. Directly relevant to older people, the Pillar has the potential to address the multidimensionality of exclusion in later life from a rights-based perspective – for example, by enhancing the rights to quality and affordable health and long-term care, to adequate pensions to live in dignity, to age-friendly working conditions and an inclusive labour market, or to access goods and services. Despite these valuable elements, there remains significant uncertainly around how the Pillar will achieve this and what kind of implemental actions might emerge across member states. This chapter analyses the potential of the European Pillar to address social exclusion of older people in Europe, the challenges that might impede its efforts, and the measures necessary to overcome such challenges.

Socio-economic disadvantage and poverty

2020 ◽  
pp. 105-114
Author(s):  
Alisoun Milne
Keyword(s):  
Older People ◽  
Later Life ◽  
Poverty Line ◽  
Developed Countries ◽  
Economic Disadvantage ◽  
Fundamental Building Block ◽  
Age Related ◽  
The Uk ◽  
State Pension ◽  
The Impact

Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a lifecourse status. It amplifies what is already present. In 2016/17 one million older people were living in poverty; an additional 1.2 million were living just above the poverty line. These numbers are rising. Those aged 85 years or over, frail older people, older women and single older people are particularly at risk. Poor older people are also more likely to live in poor housing and be exposed to fuel poverty. Being poor - and its concomitants - compromises mental health in a number of profound ways. It undermines an older person’s capacity to make choices, retain independence, save for a crisis, maintain social contacts and be digitally included. It is linked with worry, loss of control over life and shame. Poor older people are at heightened risk of isolation and loneliness, stress, anxiety and depression. The UK has a weak policy record, compared with other developed countries, of sustainably and coherently addressing poverty in later life. One of the cornerstones of doing so is a continued commitment to the basic state pension as a fundamental building block of a secure old age. Addressing poor housing is also pivotal.

scholarly journals Ageing and vulnerable elderly people: European perspectives

2006 ◽  
Vol 26 (1) ◽  
pp. 105-134 ◽  
Author(s):  
EMILY GRUNDY
Keyword(s):  
Older People ◽  
Evaluation Studies ◽  
Later Life ◽  
Poor Quality ◽  
Psychological Help ◽  
Rigorous Evaluation ◽  
Support Policy ◽  
Vulnerable Elderly

This paper considers the processes and circumstances that create vulnerability among older people, specifically to a very poor quality of life or an untimely or degrading death. Models of ageing processes are used to define vulnerable older people as those whose reserve capacity falls below the threshold needed to cope successfully with the challenges they face. Compensatory supports may intervene to mitigate the effects of challenges and to rebuild reserve. The dimensions of reserve, challenges and compensation are discussed, with emphasis on demographic and other influences on the availability of family and social support. Policy initiatives to reduce vulnerability can focus on each part of the dynamic process that creates vulnerability, namely, ensuring that people reach later life with ‘reserve’, reducing the challenges they face in later life, and providing adequate compensatory supports. The promotion through the lifecourse of healthy lifestyles and the acquisition of coping skills, strong family and social ties, active interests, and savings and assets, will develop reserves and ensure that they are strong in later life. Some of the physical and psychological challenges that people may face as they age cannot be modified, but others can. Interventions to develop compensatory supports include access to good acute care and rehabilitation when needed, substitute professional social and psychological help in times of crisis, long-term help and income support. Our knowledge of which interventions are most effective is however limited by the paucity of rigorous evaluation studies.

Preventing falls and falls-injuries in hospitals and long-term care facilities

2007 ◽  
Vol 17 (2) ◽  
pp. 75-91 ◽  
Author(s):  
David Oliver
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Falls Prevention ◽  
Care Homes ◽  
Term Care ◽  
Long Term Conditions ◽  
Global Challenge ◽  
The Uk ◽  
Developed Nations

Falls are predominantly a problem of older people. In the UK, people over 65 currently account for around 60% of admissions and 70% of bed days in hospitals. There are approximately half a million older people in long-term care settings – many with frailty and multiple long-term conditions. The proportion of the population over 65 years is predicted to rise 25% by 2025, and that over 80 by 50%, with a similar increase in those with dependence for two or more activities of daily living. Despite policies to drive care to the community, it is likely that the proportion of older people in hospitals and care homes will therefore increase. Accidental falls are the commonest reported patient/resident safety incidents. Similar demographic trends can be seen in all developed nations, so that the growing problem of fall prevention in institutions is a global challenge. There has been far more focus in falls-prevention research on older people in ‘community’ settings, but falls are a pressing issue for hospitals and care homes, and a threat to the safety of patients and residents, even if a relatively small percentage of the population is in those settings at any one time.

The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings

2005 ◽  
Vol 25 (5) ◽  
pp. 731-748 ◽  
Author(s):  
GERALDINE BOYLE
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Structured Interviews ◽  
Term Care ◽  
Domiciliary Care ◽  
Private Households ◽  
National Service Framework ◽  
The Uk

This paper examines the extent of mental ill-health and probable depression among older people in long-term care. It presents selected findings from a study in Greater Belfast, Northern Ireland, that compared the quality of life, autonomy and mental health of older people living in nursing and residential homes with those of older people living in private households who were receiving domiciliary care. Structured interviews were conducted with 214 residents in institutions and 44 older people receiving domiciliary care. The study found that those in private households were more severely physically-impaired and had a higher level of mental ill-health than the residents of institutional homes. It is suggested, however, that the mental ill-health effects were associated less with physical impairments than with the restrictions placed on the older person's decisional autonomy, and that long-term care environments that constrain the older person's autonomy contribute to the development of depression. Although the UK National Service Framework for Older People specified that those with depression should be given treatment and support, priority should also be given to preventing the depression associated with living in long-term care settings.

scholarly journals Older and ‘staying at home’ during lockdown: informal care receipt during the COVID-19 pandemic amongst people aged 70 and over in the UK

2020 ◽  
Author(s):  
Maria Evamdrou ◽  
Jane Falkingham ◽  
Min Qin ◽  
Athina Vlachantoni
Keyword(s):  
Older People ◽  
Daily Living ◽  
Community Action ◽  
Living Alone ◽  
Care Needs ◽  
Different Types ◽  
Household Members ◽  
The Uk ◽  
Staying At Home ◽  
At Home

On 23 March 2020 the UK went into lockdown in an unprecedented step to attempt to limitthe spread of coronavirus. Government advice at that time was that all older people aged 70and over should stay at home and avoid any contact with non-household members. This studyuses new data from the Understanding Society COVID 19 survey collected in April 2020,linked to Understanding Society Wave 9 data collected in 2018/19, in order to examine theextent of support received by individuals aged 70 and over in the first four weeks oflockdown from family, neighbours or friends not living in the same household, and how thatsupport had changed prior to the outbreak of the coronavirus pandemic. The researchdistinguishes between different types of households as, given with guidance not to leavehome and not to let others into the household, those older people living alone or living onlywith a partner also aged 70 and above are more likely to be particularly vulnerable. Theresults highlight both positive news alongside causes for concern. The receipt of assistancewith Instrumental Activities of Daily Living (IADLs), especially shopping, has increasedparticularly among those living alone or with an older partner, reflecting the rise ofvolunteering and community action during this period. However, not all older people reporteda rise, and the majority reported ‘no change’, in the support received. Moreover, amongstthose older people reporting that they required support with at least one Activity of DailyLiving (ADL) task prior to the pandemic, around one-quarter reported receiving no care fromoutside the household and one-in-ten of those with two or more ADL care needs reportedreceiving less help than previously. Although formal home care visits have continued duringthe pandemic to those who have been assessed by the local government to be in need, it isimportant to acknowledge that some older people risk not having the support they need.

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