Strategies For Older People Research Articles

Future housing plans and funding for the care of older people

The Government recently launched a housing strategy for older people, which promises more inclusive housing and community design. Yet more needs to be done to ensure the strategy makes a real difference to older people's lives. Joe Oldman explains the situation for The British Journal of Community Nursing.

A Yoga-Based Exercise Program to Reduce the Risk of Falls in Seniors: A Pilot and Feasibility Study

The Journal of Alternative and Complementary MedicineVol. 14, No. 5 LETTERS TO THE EDITORA Yoga-Based Exercise Program to Reduce the Risk of Falls in Seniors: A Pilot and Feasibility StudyKevin D. Brown, James A. Koziol, and Martin LotzKevin D. BrownSearch for more papers by this author, James A. KoziolSearch for more papers by this author, and Martin LotzSearch for more papers by this authorPublished Online:19 Jun 2008https://doi.org/10.1089/acm.2007.0797AboutSectionsPDF/EPUB ToolsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byPrevalence and predictors of yogic breathing and meditation use – A nationally representative survey of US adult yoga practitionersComplementary Therapies in Medicine, Vol. 56Joint-angle-based yoga posture recognition for prevention of falls among older people17 October 2019 | Data Technologies and Applications, Vol. 53, No. 4A mixed methods evaluation of yoga as a fall prevention strategy for older people in India1 May 2018 | Pilot and Feasibility Studies, Vol. 4, No. 1Different types of bhastrika pranayama: repeated measures trials with different treatments to study the trend of the effects on static balance abilityHuman Movement, Vol. 18, No. 4Evaluation of Rewind Yoga on Physical Function Outcomes in Older Adults: A Preliminary Study6 July 2017 | Activities, Adaptation & Aging, Vol. 41, No. 4Development of a Falls Reduction Yoga Program for Older Adults- A Pilot StudyComplementary Therapies in MedicinePrevalence, Patterns, and Predictors of Yoga UseAmerican Journal of Preventive Medicine, Vol. 50, No. 2THE ROLE OF EXERCISE IN PREVENTING FALLS AMONG OLDER ADULTSACSM'S Health & Fitness Journal, Vol. 19, No. 3Interventions to promote health: Crossing networks of intellectual and developmental disabilities and agingDisability and Health Journal, Vol. 7, No. 1A qualitative study on the perceptions of preventing falls as a health priority among older people in Northern India25 June 2013 | Injury PreventionThe Effects of Yoga on Physical Functioning and Health Related Quality of Life in Older Adults: A Systematic Review and Meta-Analysis11 October 2012 | The Journal of Alternative and Complementary Medicine, Vol. 18, No. 10Yoga for Osteoarthritis: Nursing and Research ConsiderationsJournal of Gerontological Nursing, Vol. 38, No. 7Representation and Negotiation of Complementary and Alternative MedicineScience Communication, Vol. 34, No. 3Re-participation Experience of Exercise Program by the Elderly with Fall ExperienceQualitative Research, Vol. 12, No. 2Using Yoga to Promote Bone Health and Reduce Fracture Risk in the Geriatric PopulationTopics in Geriatric Rehabilitation, Vol. 27, No. 2Complementary therapies in health care23 March 2011 | Nursing & Health Sciences, Vol. 13, No. 1Does Yoga Engender Fitness in Older Adults? A Critical ReviewJournal of Aging and Physical Activity, Vol. 19, No. 1Effect of a 12-Week Yoga Intervention on Fear of Falling and Balance in Older Adults: A Pilot StudyArchives of Physical Medicine and Rehabilitation, Vol. 91, No. 4The Use of Yoga for Physical and Mental Health Among Older Adults: A Review of the Literature26 October 2009 | International Journal of Yoga Therapy, Vol. 19, No. 1 Volume 14Issue 5Jun 2008 Information© 2008 Mary Ann Liebert, Inc.To cite this article:Kevin D. Brown, James A. Koziol, and Martin Lotz.A Yoga-Based Exercise Program to Reduce the Risk of Falls in Seniors: A Pilot and Feasibility Study.The Journal of Alternative and Complementary Medicine.Jun 2008.454-457.http://doi.org/10.1089/acm.2007.0797Published in Volume: 14 Issue 5: June 19, 2008PDF download

Recognizing, valuing and celebrating care for older people

Recognizing, valuing and celebrating care for older people

Older people maintaining well‐being: an International Appreciative Inquiry study

This paper reports on the progress of an international study investigating older people's strategies for maintaining well-being in the UK, Germany, South Africa and Australia. It uses an Appreciative Inquiry framework for investigation.

‘You have to learn to live with it’: a qualitative and quantitative study of older people with asthma

Asthma mortality has declined overall because of a range of public health initiatives. In western countries, the majority of asthma deaths now occur in people over the age of 50. The reasons for the poorer response of older age groups to public health asthma initiatives are not known. We undertook a study to investigate the disease perspectives of older people with asthma and barriers which may exist and prevent optimal asthma care. Fifty-five participants (16 male and 39 female) aged over 50 from an inner city, suburban area and a rural region were recruited. Lung function was measured, and questionnaire data on asthma symptoms, knowledge and control, medication use and respiratory health were collected. Participants were also interviewed in-depth, and the quantitative and qualitative data were triangulated. Participants with a duration of asthma for >30 years reported significantly fewer symptoms and better quality of life irrespective of asthma severity, indicating less appreciation of symptoms in those with a long asthma duration. Interviews revealed this was related to previous asthma management strategies when treatment options were limited. Participants with a recent diagnosis sought understanding of asthma and the reason for their illness. Initiatives to improve asthma care in older people need to reflect these findings. Self-management strategies for older people need to be tailored according to the time of disease onset and the duration of disease.

Falling is an early warning marker of unmet need in an older person.

About one third of people over 65 have a significant fall each year and this rises to half in women over 80. There is compelling evidence for the effectiveness of prevention strategies for older people living in the community with some studies reporting a 30 to 50 per cent reduction in falls per year.

Implementing strategy for older people in wales

Implementing strategy for older people in wales

Starting with Lives

• Summary: A recent summary of research findings concluded that social policy and practice should use older people's lives as the starting point to plan and evaluate services (Joseph Rowntree Foundation, 2004). Based on the findings of a small-scale qualitative study and related research, this article explores the strategies and ways of coping used by older people to manage changes and difficulties that accompany ageing. • Findings: It is suggested that older people's strategies and ways of coping can be understood as efforts to sustain a sense of self in later life and a model of some key processes involved is presented. The empirical findings of the study are related to theoretical models of ageing and identity management. Attention is directed to the interaction between structural resources and constraints, dominant cultural norms and values, and older people's individual capacities for reflexivity and interpretation. • Applications : It is argued that this understanding has significant implications for the planning and delivery of social work and social care services that aim to promote the well-being of older people. In particular, practitioners need to understand the meaning and significance that difficulties and different approaches to managing them have for individuals. Interventions should be sensitive to, and seek to support, older people's cognitive ways of coping, as well as their practical strategies.

Capital care for London's older people.

London has its first draft strategy for older people.

Explaining about … older people's strategies

Explaining about … older people's strategies

The physiology of falling: assessment and prevention strategies for older people

Balance calls upon contributions from vision, peripheral sensation, vestibular sense, muscle strength, neuromuscular control and reaction time. With increased age, there is a progressive loss of functioning of these systems and an increased likelihood of falls. Falls can mark the beginning of a decline in function and independence and are the leading cause of injury-related hospitalisation in older people. By using simple tests of vision, leg sensation, muscle strength, reaction time and standing balance, it is possible to identify accurately older people at risk of falls and assess intervention outcomes. This approach overcomes the limitations associated with traditional methods of assessing falls risk via medical diagnoses, including varied severity between individuals. Using a physiological approach provides information at the impairment and functional capacity levels to assist in understanding falls and developing and evaluating optimal falls prevention strategies for older people.

Pain relief strategies used by older people with chronic pain: an exploratory survey for planning patient‐centred intervention

To explore pain relief interventions used by older people with chronic pain in Hong Kong. The frequency and perceived effectiveness of non-prescription measures were also explored. With increasing life expectancy, the incidence of chronic illness and chronic pain also increases. Chronic pain robs older people of their quality of life. This was a descriptive qualitative study. Forty-four older people (37 female and seven male) who were residents of a nursing home in Hong Kong took part in this study. Their ages ranged from 65 to 82 years, median age was 75 years. Almost 80% had experienced moderate to severe pain during the previous three months. The most common sites of pain were muscles and joints; 35% of subjects reported continuous pain, 27% reported pain associated with activities of daily living, and 38% reported pain during exercise but not at rest. Only a few of the study group had taken prescribed medication to relieve pain, and only two of the 44 subjects studied had used a combination of drug and non-prescription intervention for pain relief. The majority of participants used non-prescription intervention only and the most commonly used were topical analgesics with massage. The majority (58%) of the subjects perceived the used of non-prescription intervention to be very effective in pain relief. The prevalence of pain was found to be high among older people in this study. Yet, they were taking a pro-active and responsible role in treating their chronic pain by using non-pharmacological patient-initiated intervention; also older people perceive themselves to have control over their pain status. This active role of older people in their pain relief is likely to enhance the effect of education seminars and workshops aimed at novel, non-pharmacological pain relief strategies for older people with chronic pain.

Primary Health Care and Aging

From 21-25 February 2000, in San Jose, Costa Rica, a WHO Consultative Group was held on the topic of Primary Health Care for Older Persons, with representatives from 13 countries from around the world, as well as Headquarters and Regional offices of WHO and the private sector. In the policy statement that emerged from the meeting four basic principles were highlighted: universal accessibility and coverage on the basis of need, community and individual involvement, intersectoral action for health, and appropriate use of cost effective technologies in relation to the available resources. Three complementary integration functions are mentioned: functional with an integrated approach to the health needs of individuals over their life course taking precedence over episodic management of disease; organizational, with a focus on how health centers should function with interdisciplinary teams; and educational which addresses the knowledge and skills and attitudes needed by health professionals that will facilitate communication, networking, advocacy and mediation of resources. The proceedings go on to outline the objectives to be included in national plans on health of older people, as well as the extended benefits and outcomes to be expected from PHC strategies for older people. In promoting quality of care for older persons, positive and negative factors are mentioned, as are strategies to: stimulate interest in geriatric care, motivate general practitioners to focus on the care of elders, encourage teamwork among PHC staff, and encourage multi-sectoral collaboration in promoting the health of older persons. An example is provided of healthy ageing from Canada. The recommendations include defining and measuring an ageing friendly health center (with specific indicators for the latter), defining the role of the PHC team in promoting healthy ageing, characteristics that programs should have to promote “age friendly” services in the primary care setting, and outcome indicators for quality of care of elders at the PHC level.

NCGNP 23rd Annual Convention call for abstracts (oral and poster presentations)

Preparing the nursing workforce to meet the challenges of an ageing population is a priority for many countries. The development of an Older Person's Nurse Fellowship (OPNF) programme for senior clinical nurses is an important innovation.This article describes the philosophical development, delivery and early evaluation of the OPNF.In 2014, Health Education England funded 24 senior clinical nurses to participate in the OPNF. The Fellowship was designed to build clinical leadership and innovation capability and develop a network of nurses to influence local and national strategy for older people's care. The Fellows selected were drawn from mental health (n = 4), community/primary care (n = 9) and acute care (n = 11). The twelve month programme consisted of two Masters-level modules, delivered through study days and e-learning. The first cohort (n = 12) commenced the course in November 2014 with a module designed to enhance clinical knowledge and skills.Evaluation data were collected from the first cohort using anonymous surveys (n = 11) and focus group interviews (n = 9). Descriptive statistics are presented for the quantitative data and common themes are described in the qualitative data.The overall satisfaction with the clinical module was high with a median score of 18/20 (range 17–20). Topics such as comprehensive geriatric assessment, frailty, pharmacology and cognitive assessment were regarded as highly relevant and most likely to result in a change to clinical practice. In the focus group interviews students discussed their learning experience in terms of: module specificity, peer-to-peer learning and using the OPNF as leverage for change.The OPNF is a timely innovation and a positive commitment to developing an academic pathway for senior nurses. It marks an important step in the future development of the older person's nursing workforce.

Development and evaluation of intermediate care.

Intermediate care is being developed as part of the national strategy for older people in England and Wales to prevent their admission to hospital and facilitate early discharge. Evaluation of intermediate care is implicit within current policy directives. This project evaluated the client information across a number of intermediate care schemes within one National Health Service community trust for 3 months and disseminated the results to staff as part of a reflective workshop which also provided an opportunity for additional data collection. Rates of referral and acceptance on intermediate care were high for all the schemes except one, indicating reliable referral and inclusion criteria. Older people were the recipients of intermediate care with nearly half of them having experienced falls. A number of developments were identified by staff covering both current services and long-term strategy for intermediate care and indicating the importance of involving providers in the evaluation and development of services. Fall prevention initiatives and involvement of users and carers in the evaluation and development of intermediate care were also identified.

Welsh strategy will improve lives, Hutt pledges.

A strategy for older people launched by the Welsh Assembly Government is to be backed by £10 million in funding, health and social services minister Jane Hutt has announced.

National Service Framework for Older People: promoting health.

In March 2001, the National Service Framework (NSF) for Older People set out standards for the care and treatment of the over 60s in England. In Wales, a strategy for older people is expected in 2002. The eight standards of the NSF for Older People include strategies to reduce falls, strokes and poor mental health among older people as well as improving general and intermediate care. The final standard "Promoting health and active life in older age" is an overarching theme. As well as strategies to promote health in older people, the NSF requires service providers to develop long-term strategies to promote health throughout life in order to prevent chronic illness. This should include the prevention and treatment of osteoporosis. In promoting positive role models, the NSF for Older People is reflecting social trends in tackling ambivalence about ageing. Key themes of the standard include empowerment and improving quality of life for older people. Patient-centred care and the appointment of older people's champions are possible routes towards this aim. Although there is evidence of some patient-focused models of health promotion, a review of the literature suggests that these are limited.

Re-thinking metabolic strategies for older people with type 2 diabetes mellitus: implications of the UK Prospective Diabetes Study and other recent studies.

Re-thinking metabolic strategies for older people with type 2 diabetes mellitus: implications of the UK Prospective Diabetes Study and other recent studies.

Primary health care for older people: progress towards an integrated strategy?

The importance of providing integrated, holistic and cohesive primary care for older people has been increasingly emphasized in recent policy initiatives and directives in the UK. These have sometimes proved to be elusive goals, however, as an ageing population and rapidly changing health care environment have increased the pressures on the primary care team to keep pace with the growing level of need. As primary care faces a new set of challenges presented by the development of Primary Care Groups (PCGs), opportunities may be found to address older people's health needs in a more coordinated way. In South Buckinghamshire, a multi-agency group, Health for All (HFA), has been keen to develop collaborative and inter-agency working in older peoples' services and commissioned an evaluation to inform their work. This paper focuses on some of the key findings from the evaluation with reference to primary care. The purpose of the evaluation was to provide a snapshot of service provision for older people, identifying the level of access, availability of services and areas of unmet need. Twelve user groups were consulted and interviews held with 58 service representatives from health and social services agencies in the statutory and voluntary sectors. Primary care was considered in the wider context of service provision and key issues from the perspectives of providers and users were identified. A number of problems specific to primary care were identified which echo experiences in other parts of the country. However, also identified were common issues across a wide range of service provision, suggesting the need for coordinated strategies and more effective user participation. The HFA group is using the recommendations of the evaluation to assist in a priority setting exercise, which will inform the development of a strategy for older people in South Buckinghamshire.

Elderly Self Care Education: A Low Technology Primary Health Care Option for Developing Countries

This article presents a number of perspectives on the curriculum building processes as well as the methodology and content of a self care training curriculum and information packet that were prepared and field for the development of a model self care education program for older persons. Course content and topical areas are outlined, and various training agenda and educational materials are described. Although this program was undertaken as part of the national goal to develop a health promotion and disease prevention strategy for older people in the United States, a number of insights, principles and implications drawn from the curriculum development activities and field testing experiences are applicable to other countries, especially developing nations where the problems and needs of the aged are becoming increasingly apparent in the face of ever shrinking resources.