Role In Older People Research Articles

An Evaluation of the Important Aspects of Community Nursing Day Care Services for Older People, a Qualitative Review

Abstract Background Day Care Services can support healthy ageing and help prevent social isolation and loneliness amongst older people. However, there is little evidence about the aspects of Day Care Services that are most important and how it effects their overall health and wellbeing. This survey was developed to evaluate the benefits of Day Care Services from the perspectives of the service user. The aim was to: Methods The qualitative evaluation asked two questions. 7 Day Care Services participated, the survey was given to over 300 people and there was over 50% response rate. The data was analysed using qualitative content analysis to identify themes and opportunities for improvement. Results The participants described every aspect of Day Care Services as very important for them. It supports routine, social activity (“gets me out of the house”) and interaction (“meeting people”), provides meals and appropriate nursing interventions. Staff acted as “familiar faces” that can be approached easily and support their service user’s health and well-being. Overall, the majority of attendees would recommend Day Care Services to other people. Conclusion The findings suggest that all aspects of Day Care Services are important for older people to feel part of a community and have healthcare workers to support them on a regular basis. Day Care Services positively affect service users overall health and wellbeing, in particular the social aspect. This would suggest that Day Care Services play an important role in older people's experience of loneliness or social isolation.

Results from the ENJOY MAP for HEALTH: a quasi experiment evaluating the impact of age-friendly outdoor exercise equipment to increase older people’s park visitations and physical activity

BackgroundRecreational parks can play a significant role in older people’s health, with emerging evidence suggesting that changes in the physical environment, such as refurbishments of local parks, can increase park visitations and physical activity engagement. The ENJOY MAP for HEALTH aimed to evaluate the impact of Seniors Exercise Park installations and associated capacity building activities on older people’s park visitation, and park-based physical activity.MethodThe ENJOY MAP for HEALTH was a quasi-experiment study design that involved the installation of specialised Seniors Exercise Park equipment as part of park refurbishment, supported by promotion and community capacity building activities in six municipalities in Victoria, Australia. Direct observations of park users took place prior to park upgrades, one-month post upgrade and 12-months from baseline. The overall number and characteristics of park visitors, and the type and level of physical activity undertaken, were summarised descriptively. Generalised linear models were used to examine the impact of park refurbishment (equipment installation and site activation) on the total number of older people observed in the park, and their engagement in physical activity, accounting for site and seasonal effects.ResultsOverall number of visits increased following park upgrades, with the largest number of visitors observed one-month post upgrade (n = 12,501). The proportion of older people observed at the parks remained relatively low prior to and one-month post upgrade compared to other age groups. However, after adjusting for site and seasonal effects, the number of older people observed in the parks increased significantly post upgrade and site activation compared to prior to the refurbishment (incidence rate ratios (IRR) 3.55; 95% CI 2.68, 4.70). The number of older people observed to be exercising at the Seniors Exercise Park also increased by 100% at 12-months post-installation relative to one-month post upgrade (IRR 2.00; 95% CI 1.26, 3.17).ConclusionInstallation of the Seniors Exercise Parks and the supportive programs and activities following six park upgrades resulted in an increase in older people’s park visitation and engagement in physical activity. Community engagement and training of volunteers with the support of local governments are likely to contribute to the increased park usage by older people.Trial registrationThis trial was registered with the Australian New Zealand Clinical Trials Registry. Trial registration number ACTRN12621000965808. https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=380745&isReview=true.

The dhikr and the mental health of the elderly in Aceh, Indonesia.

The ageing population in Indonesia is increasing. However, biological and social changes and declines may trigger mental health problems among the elderly. Existing data show that the prevalence of mental health problems (depression) among the elderly in Indonesia is above 15%. This study aims to investigate the relationship between the Majelis Zikir (dhikr assembly) and the mental health of the elderly. The research was conducted in Aceh Barat District, Aceh Province, Indonesia. This study uses a retrospective cohort design. The study sample consists of individuals aged 60 years or older. The total sample size was 114 (57 exposed and 57 unexposed groups). The research instrument was in the form of a questionnaire. The respondents had an average age of 67.61 years, with more females (63.2%), more educated (67.5%), more unemployed (71.1%) and 61.4% felt that their income was sufficient. The analysis showed that the relative risk value of members of the dhikr assembly was 1.857 (95% CI: 1.266-2.724) and showed a significant relationship between the dhikr assembly and mental health. Dhikr, as one of the forms of religious activities in Islam, has a positive role in older people's mental health. Elderly members of the dhikr assembly are likelier to achieve better mental health. The findings in this study can assist healthcare professionals and policymakers in their efforts to maintain and improve the mental health of the elderly through dhikr.

노인의 사회참여 유형에 따른 우울과 인지기능의 차이

Objective : The following study uses data from the “2020 Analysis of Living Conditions of the Elderly” and aims to recognize difference in mood and cognition based on how elderly people participate in society.
 Methods : Based on the data from “2020 Analysis of Living Conditions of the Elderly”, provided by the Korean Institute for Health and Social Affairs, a secondary data analysis was performed on 10069 elderly citizens over the age of 65. In order to spot influences on depression, a Geriatric Depression Scale-K test had been conducted, and a Korean version of Mini-Mental State Examination was used to analyze what could potentially alter cognition.
 Results : According to the analysis on how social interactions affected the mood and cognition of elderly people, the results showed that those who didn’t participate in social groups had the highest levels of depression and cognition decline. Additionally, lower levels of depression and increased mental capacity was proportional to the amount of social participation. 
 Conclusion : Social participation plays a big role in older people’s mood and cognition, thus it is essential to facilitate those needs.

Study on the Influence and Optimization of Neighborhood Space on the Perceived Restoration of Rural Left-Behind Older People: The Case of Changsha, China

Neighborhood space profoundly impacts the sustainable development of left-behind older people and the realization of a healthy goal. This study examines the effects of neighborhood space on perceived restoration in rural left-behind older people. Based on a survey in a severely aging village, we use a structural equation model to analyze the relationship between the environmental perception of neighborhood space as a potential restorative environment and the perceived restoration of older people’s specific forms of attention (i.e., fascination, novelty, escape, conformity, and compatibility), with the former having a positive impact on the latter. Neighborhood social cohesion and place attachment are the mediating mechanisms for older people to obtain perceived restoration through the environmental perception of neighborhood space. Moreover, female older people, older people in poor health, and older people living alone are more likely than others to obtain perceived restoration from neighborhood spaces. The study highlights that accessibility, safety, openness, and familiarity of neighborhood spaces play a critical role in older people’s perceived restoration. These findings provide a promising approach for policymakers and planners to implement the perceived health of left-behind older people and support sustainable health aging in rural communities through space-based interventions.

Resting respiration rate predicts all-cause mortality in older outpatients.

Although respiratory rate has been a sensitive predictor for prognosis in acute settings, resting respiratory rate (RRR) is undervalued in chronic care. The clinical significance of RRR among older people is not well documented. We investigated the association between RRR and all-cause mortality among older outpatients. A retrospective cohort study exhaustively included patients who had undergone medical checkups in a facility between April 2017 and March 2018 and followed up for at least 2 years. We excluded patients who were less than 60years of age or had not undergone regular outpatient appointments. Sex, age, smoking habits, history of hospitalization, polypharmacy, long-term care insurance certification status, Mazzaglia index, pulse rate, systolic blood pressure, and Charlson Comorbidity Index were measured at the baseline medical checkup. Survival was confirmed by chart review and by contacting physicians in charge. The risk ratios were estimated by converting the odds ratios derived from the multivariable logistic regression models. Of the 853 patients who underwent baseline checkups, 749 were enrolled in the analyses; death occurred in 53 patients (7.1%), with no loss to follow-up. The RRR was independently associated with all-cause mortality after adjusting for covariates [adjusted risk ratio of RRR per 1bpm = 1.14, 95% confidence interval (CI): 1.06 - 1.22]. Given the independent association of RRR for existing predictors, this simple index seems worthy of consideration in further studies aimed at defining its predictive role in older people and in different settings. RRR was independently associated with all-cause mortality.

A Qualitative Exploration of Factors Associated with Malnutrition among Community-dwelling Malnourished Older People in Kandy District, Sri Lanka

Introduction: Nutrition plays an important role in older people. Numerous factors are associated with malnutrition among community-dwelling older people. However, little is known about how malnourished older people experience their nutritional status. This study aimed to explore how malnourished community-dwelling older people perceive the factors associated with their nutritional status. Methods: An explorative qualitative design was performed in Kandy District, Sri Lanka. A group of 150 malnourished community-dwelling older people identified from a cross sectional survey were invited for Focus Group Discussions (FGDs). A purposive sampling method was used. Fifteen FGDs were conducted among 85 participants. A thematic analysis was done to identify relevant themes related to malnutrition status. Results: The mean age of the participants was 68.74 years (SD± 6.32). Their age range was 60 to 97 years. Four main themes were identified through FGDs: (1) factors affecting dietary patterns, (2) food choices, (3) health status, and (4) psychological challenges.
 Conclusions: Community-dwelling malnourished older people stated factors associated with their dietary patterns, such as age-related factors, food choices, health status and mental status, lead to their malnutrition status. Public health professionals must understand and recognize these realities to improve the nutritional status of community-dwelling older people.
 Keywords: Community-dwelling, Malnutrition, Older people, Sri Lanka

Healthcare workers' perceptions and experiences of communicating with people over 50 years of age about vaccination: a qualitative evidence synthesis.

Healthcare workers' perceptions and experiences of communicating with people over 50 years of age about vaccination: a qualitative evidence synthesis.

Механізми подолання соціальної ексклюзії осіб похилого віку

Based on a theoretical analysis of the older generation’s problems and a longitudinal sociological study conducted by the author, the article proposes effective mechanisms of social practice to overcome the social exclusion of the elderly. It is emphasized that scientific research of the social problems of the elderly in Ukraine is caused by the rapid growth of this part of the population over the past fifty years, the need to overcome their social exclusion in current historical conditions and the view of older people as independent subjects of social and historical action. Based on the modern areas of scientific reflection on the changing social roles of older people (the theory of active ageing, the theory of separation and the theory of successful ageing), an attempt is made to build a model of overcoming social exclusion of the elderly in the theory of successful ageing. The author describes the contradictory situation in the Ukrainian society under the influence of public opinion and mass media. On the one hand, there is the uncertainty of social and personal identification of older people, because of which a significant proportion of this social group considers itself quite active to perform various economic and social functions. On the other hand, members of the 60+ generation increasingly feel limited in rights, unclaimed and devalued, state the presence of low self-esteem due to latent or overt ageism on the part of society. The conducted sociological research revealed the vectors of effective inclusive social practice for the elderly people in the public organization “Gardeners’ Club” in Kharkiv, which unites people following their vital interests, values, and behaviour patterns. The study results confirmed the hypothesis of the possibility of building a model for overcoming the social exclusion of the elderly on the positions of the theory of success, included in society ageing.

Osteoporosis guidelines from a rehabilitation perspective: systematic analysis and quality appraisal using AGREE II.

People affected by osteoporosis and fragility fractures often report disability and poor health-related quality of life. Albeit rehabilitation has a crucial role in older people, post-menopausal women and other subjects with high risk of fragility fractures, the rehabilitation perspective has been poorly investigated in the available guidelines for osteoporosis. The aim of this systematic review was to systematically evaluate the quality of guidelines for osteoporosis from a rehabilitation perspective. On May 2020, we performed a systematic search on medical literature of all guidelines published in the last 10 years on PubMed, Pedro, and international guideline databases. The study selection was based on key terms "exercise," "physical activity" or "rehabilitation." All authors independently assessed the methodological quality through the Appraisal of Guidelines for Research and Evaluation (AGREE) II instrument, consisting of six domains (scope, stakeholder involvement, rigor and development, clarity of presentation, applicability, editorial independence). Out of 331 documents retrieved, a total of 34 guidelines were selected after the screening phases. Twenty (58.8%) high quality guidelines were reported. According to AGREE II instrument, a mean score of 78.1±21.8% was reported for "scope and purpose" domain; for stakeholder involvement, the mean score was 58.1±22.1%; the rigor of development was good (mean score of 61.3±27.3%); for clarity of presentation the mean score was 79.4±20.3%; the applicability was poor (mean score of 30.9±25.2%); for editorial independence the mean score was 75.1±24.6%. Rehabilitation recommendations for osteoporotic patients were reported in 21 (61.8%) of the selected guidelines. This is the first systematic analysis evaluating quality of the guidelines for osteoporosis using AGREE II instrument. Starting from a state of the art of the currently available evidence, we could conclude that therapeutic exercise at moderate to high intensity is encouraged by several guidelines for the management of people with osteoporosis and fragility fractures. More than half of guidelines were of high-quality. However, most guidelines are lacking specific indications about exercise features. This study might support the implementation of a rehabilitation perspective in the guidelines for osteoporotic patients.

Post-discharge medicines management: the experiences, perceptions and roles of older people and their family carers.

BackgroundMultiple changes are made to older patients’ medicines during hospital admission, which can sometimes cause confusion and anxiety. This results in problems with post‐discharge medicines management, for example medicines taken incorrectly, which can lead to harm, hospital readmission and reduced quality of life.AimTo explore the experiences of older patients and their family carers as they enacted post‐discharge medicines management.DesignSemi‐structured interviews took place in participants’ homes, approximately two weeks after hospital discharge. Data analysis used the Framework method.Setting and participantsRecruitment took place during admission to one of two large teaching hospitals in North England. Twenty‐seven participants aged 75 plus who lived with long‐term conditions and polypharmacy, and nine family carers, were interviewed.FindingsThree core themes emerged: impact of the transition, safety strategies and medicines management role. Conversations between participants and health‐care professionals about medicines changes often lacked detail, which disrupted some participants’ knowledge and medicines management capabilities. Participants used multiple strategies to support post‐discharge medicines management, such as creating administration checklists, seeking advice or supporting primary care through prompts to ensure medicines were supplied on time. The level to which they engaged with these activities varied.Discussion and conclusionParticipants experienced gaps in their post‐discharge medicines management, which they had to bridge through implementing their own strategies or by enlisting support from others. Areas for improvement were identified, mainly through better communication about medicines changes and wider involvement of patients and family carers in their medicines‐related care during the hospital‐to‐home transition.

21 The Jean Bishop Team, Hull: A New Model of Care for Comprehensive Geriatric Assessment of the Frail Population

Abstract Introduction Hull CCG recognised system’s over-reliance on reactive, hospital care and workforce deficits, requiring a modernised service model for frail older people that moved from individual provider focus to system-wide perspective, with emphasis on proactive care. Methods Electronic Frailty Index (eFI) in primary care system identified 3,200 out of 300,000 Hull residents Hull with severe frailty. Recruited 9 GPs with extended role in older people’s care and Advanced Nurse Practitioners to support 4 Community Geriatricians. Redesigned roles for pharmacy, social services and non-clinical care coordinator teams. New therapy roles created, multiple third sector organisations involved, including carer support, and purpose-built location with older people in mind. Interventions Structured and anticipatory comprehensive geriatric assessment of all 3200 residents (either at home or in care homes) by the multidisciplinary multiagency team. Pre-assessment home visit by support worker to complete patient concern’s questionnaire. Dedicated patient transport and one-stop multi-disciplinary team assessment in one building. Proactive discussion of RESPECT and advance care planning, electronic personalised care plan delivered with system-wide record sharing across providers, Same day basic diagnostics available. Complex care coordinators ongoing support in community. Multi-disciplinary outreach to care homes and truly housebound. Results 99.7% patients and carers extremely likely/likely to recommend the service 21,000 interventions for 2,500 patients seen since June 2018 Majority of patients moderately frail by Clinical Frailty Score Average saving on drug costs - £110.17 /patient/year 15% reduction in ED attendances, 29% reduction in emergency admissions Patients’ survey: adequate time and opportunity to discuss health problems/concerns, felt informed and empowered during consultation and in future planning Very high levels of staff satisfaction Conclusions and future Innovative high quality, cost-effective new model of care delivering improved patient care and experience with emphasis on proactive care and future planning High levels of patient and staff satisfaction Future expansion with disease specific teams including COPD, parkinsonism and diabetes and targeting moderately frail by eFI. Redesign of community services with improved integration across teams and providers can be a blue-print for other services.

ВОЗРАСТ КАК ФАКТОР УЯЗВИМОСТИ РАБОТНИКА В ТРУДОВОМ ПРАВЕ

Introduction: the article studies the influence of an individual’s age on their vulnerability in labor relations. Purpose: to analyze the legal regulation applied to age-vulnerable groups of workers in labor law, to identify the factors of vulnerability, and to propose the directions of improving labor legislation taking into account the ILO policies and the experience of individual foreign countries. Methods: the methodological framework of the research is based on general, general scientific methods as well as some special methods (system-structural, formallegal, comparative-legal). Results: the UN approaches to the concept of vulnerability and vulnerable groups in international law have been studied. At the current stage, the protection of vulnerable groups is closely linked to the concepts of equality and non-discrimination, with the age factor serving as the basis for differentiation of legal regulation in labor law. The authors put forward a thesis that the first vulnerable categories of workers differentiated by age were minors, while older workers were not considered a vulnerable group until the end of the 20th century and did not have a special status despite the problem of ageism. The authors substantiate the presence of three vulnerable groups of workers distinguished by age: youth (including minors), women of childbearing age, and older persons. It is argued that a woman’s childbearing age should be recognized as a factor of vulnerability, but only when work is accompanied by harmful and dangerous conditions; in general, the significance of this factor is reducing, including due to the position of international bodies. It is noted that modern Russian labor law focuses on protecting the labor rights of minors, while they are young people aged 15 to 24 who are the most vulnerable in the labor market, as evidenced by the high rate of youth unemployment in this age segment. Analyzing the reasons for the lack of comprehensive legal regulation of youth labor at the state level, the authors turn to the strategies of transnational corporations aimed at attracting young professionals, as well as to successful foreign practices aimed at stimulating youth employment. Assessing the legal regulation of older people’s labor in Russia, the authors conclude that it does not yet fully take into account international approaches to the role of older people in the labor sphere. Older persons are a heterogeneous group, so the purpose of legal regulation is to properly place the emphases. The main goal of differentiating the legal regulation of work of persons nearing retirement age is to ensure their staying in employment and protect them against discrimination, while for persons who have already reached retirement age – to promote their health preservation and self-realization. Conclusions: the authors state the vulnerability of employment among young people over 18 and older persons, the lack of differentiation of their status in labor law, and suggest ways to improve labor legislation in order to reduce the vulnerability of employees depending on age.

MUSEUMS AND AGING: VISTAS, SYNERGIES, AND OPPORTUNITIES

Against a background of an overall decrease in attendance at museums, older Americans represent a contrast with a marked increase in attendance of those aged over 75. Drawing on theorists of museums and the narratives on ageing in the literature of museums, this introductory presentation gives an overview of the socio-political context of museums, the activities and roles of older people as currently presented through networks such as the Network of European Museums Organizations, and propose a fresh vision of the networks and synergies between older people, museums and gerontology.

Association between neighbourhood convenience stores and independent living in older people in Japan.

On ageing, and as physical functionality declines, shopping for food and commodities can become a challenge. In Japan, convenience stores (CVSs) play an important role in older people's daily lives. This study investigated the relationship between the geographical accessibility of CVSs, supermarkets and grocery stores and shopping independence. We used the administrative long-term care insurance data from a sample of 7703 older adults. The spatial coverages of the stores were calculated using a geographic information system. A multilevel regression analysis was conducted to examine the association between neighbourhood spatial coverage and individual shopping independence. After adjusting for demographic characteristics, individual functioning and neighbourhood-level population density, the regression analysis revealed that the CVSs spatial coverage was negatively associated with a risk of shopping dependence (odds ratio=0.73, P=0.03). The findings suggest that geographical accessibility of CVSs may be beneficial for maintaining shopping independence.

Ischemia/Reperfusion Injury in the Aged Liver: The Importance of the Sinusoidal Endothelium in Developing Therapeutic Strategies for the Elderly.

The liver endothelium plays a key role in the progression and resolution of liver diseases in young and adult individuals. However, its role in older people remains unknown. We have herein evaluated the importance of the sinusoidal endothelium in the pathophysiology of acute liver injury, and investigated the applicability of simvastatin, in aged animals. Eighteen-months-old male Wistar rats underwent 60 minutes of partial warm ischemia followed by 2 hours of reperfusion (WIR). A group of aged rats received simvastatin for 3 days before WIR. Endothelial phenotype, parenchymal injury, oxidative and nitrosative stress, and fenestrae dynamics were analyzed. The effects of WIR and simvastatin were investigated in primary LSEC from aged animals. The results of this study demonstrated that WIR significantly damages the liver endothelium and its effects are markedly worse in old animals. WIR-aged livers exhibited reduced vasodilation and sinusoidal capillarization, associated with liver damage and cellular stress. Simvastatin prevented the detrimental effects of WIR in aged livers. In conclusion, the liver sinusoidal endothelium of old animals is highly vulnerable to acute insult, thus targeted protection is especially relevant in preventing liver damage. Simvastatin represents a useful therapeutic strategy in aging.

Assessment of functional health literacy in Brazilian carers of older people.

ABSTRACT.Individuals with low health literacy have less knowledge of their own health condition. Carers play a key role in older people’s activities of daily living.Objective:to evaluate the performance of carers of older people using the S-TOFHLA (Short Test of Functional Health Literacy in Adults) and to identify caregiver characteristics associated with low functional health literacy.Methods:a cross-sectional study was conducted. The S-TOFHLA, a sociodemographic instrument, the Mini-Mental State Exam and the Patient Health Questionnaire-2 were applied to 80 carers of older patients routinely followed by doctors from the Primary Health Care Sector of the City of Botucatu, São Paulo. The multivariate analysis used an ordinal logistic regression model with test (S-TOFHLA) scores as the dependent variable. The level of statistical significance adopted was 0.05.Results:the individuals had a mean age of 54.6 (± 11.7); 27% of the carers evaluated had inadequate levels of health literacy (S-TOFHLA ≥54). A higher proportion of individuals with low education had inadequate or marginal health literacy (p<0.001).Conclusion:nearly 1/3 of the carers had marginal or inadequate levels of health literacy. These results highlight the difficulties of many carers in understanding health information.

THE LATE-LIFE AND THE LIFE-LONG: EXPLORING PERSPECTIVES OF FACTORS SHAPING OLDER ADULTS’ ALCOHOL USE

The number of older people drinking alcohol is increasing as the population ages. Risks of harm from drinking increase with age as alcohol effects health conditions and medications that are common in later life. Drinking can play a central role in older people’s social and leisure lives. Older people must negotiate perceived risks against benefits of drinking in determining their alcohol use, and other external factors may influence their drinking practices. Care providers are expected to support older people in making informed decisions around their drinking. This paper aims to explore older adults’ and their care providers’ perspectives of factors influencing alcohol use in later life and how these are determined. Twenty-four older adults and 35 care providers across the North of England took part in semi-structured interviews and focus groups. Data were analysed thematically, applying principles of constant comparison. Older people’s drinking routines developed across the life course and in response to late-life transitions. Alcohol was perceived as an earned and accessible pleasure, contributing to quality of life, which older people prioritised over longevity. Risks of future consequences were perceived as less tangible than symptoms or problems. Normalisation and moral positioning served to justify older people’s drinking practices. Risks attached to late-life drinking may be overlooked by older people and their care providers. Structured assessment of older people’s drinking could help identify undetected risks in older people’s alcohol use. Social, routine and moralistic justifications for risky alcohol use must be challenged to address risky drinking amongst older people.

Role of the elderly volunteers in integrated care

The population of Belarus is 9,504 people, 21% of them aged 60 or older. In Belarus there are 734,412 lonely and living alone elderly and disabled people. About 315,000 of them are potentially in need of personalized medico-social home care. Belarus has a young age of retirement 60 – women, 65 - men, people do not realize their social potential. Short description of practice change implemented: BRC nurses provide medico-social home care services to improve the quality of life of elderly people. The BRC is setting up initiative groups IG of older people who play an important role as volunteers of the visiting nurses service: they have a free time, understand the needs of the elderly, have big life experience. Problems addressed: provision of care and psychosocial support to those in need, giving an opportunity for the elderly to realize their social potential Aim and theory of change: Reducing the vulnerability of older people by increasing availability of services for older people in need of medico-social assistance. Increasing social participation of the elderly and their functional capabilities. Targeted population: People aged 60 years and older: 432 elderly volunteers - members of 23 volunteer's IG of the elderly. More than 900 elderly people with disability who need support in daily living. Stakeholders: Belarus Red Cross, social institutions, local authorities. Timeline: 2006 – 2017 Highlights: A paradigm shift in the role of older people in society. The attitude is not as to consumers, but as to service providers. IG, as a form of volunteer activity. The association of elderly volunteers in IG has advantages over individual volunteering, as group members receive support from the group. A change in the focus of volunteer activity in the care of young people to the elderly who have a resource of time, effort, understanding of the problem. Sustainability: Work experience and motivation of groups for 10 years. 8 resource IG of older people ensuring methodological support to the new groups. In the next 3 years, a program will be implemented in which older people are seen as the main participants in volunteering at home. Active participation is a strategic direction of the BRC. Transferability: BRC's partners from the social sphere study the experience of the BRC in working with the elderly and adopt best practices. Conclusions: Advantages of mobilization of elderly for home care in the form of formation of IG: the elderly have life experience, which they bring during the care and support of the group's activities group members - retired doctors, lawyers, workers, etc. have enough time a high level of responsibility, usually associated with previous work experience an understanding of the problems of the elderly the possibility of reducing costs for volunteer management due to greater stability of groups Discussions: Formalization of the home-based care volunteers’ system. Prevention and combating older volunteers’ burnout. Lessons learned: Possibilities: high potential of attracting older people as volunteers in care in comparison with youth. Difficulties: in low financial support for the elderly they need financial reinforcement of their activities.

Drinking in later life: a systematic review and thematic synthesis of qualitative studies exploring older people's perceptions and experiences.

Backgroundalcohol presents risks to the health of older adults at levels that may have been ‘safer’ earlier in life. Moderate drinking is associated with some health benefits, and can play a positive role in older people’s social lives. To support healthy ageing, we must understand older people’s views with regards to their drinking. This study aims to synthesise qualitative evidence exploring the perceptions and experiences of alcohol use by adults aged 50 years and over.Methodsa pre-specified search strategy was applied to Medline, PsychINFO, Scopus, Applied Social Sciences Index and s and Cumulative Index to Nursing and Allied Health Literature databases from starting dates. Grey literature, relevant journals, references and citations of included articles were searched. Two independent reviewers sifted articles and assessed study quality. Principles of thematic analysis were applied to synthesise the findings from included studies.Resultsof 2,056 unique articles identified, 25 articles met inclusion criteria. Four themes explained study findings: routines and rituals of older people’s drinking; self-image as a responsible drinker; perceptions of alcohol and the ageing body; and older people’s access to alcohol. Differences between gender, countries and social patterns are highlighted.Conclusionsolder people perceive themselves as controlled and responsible drinkers. They may not recognise risks associated with alcohol, but appreciate its role in sustaining social and leisure activities important to health and well-being in later life. These are important considerations for intervention development. Drinking is routinised across the life course and may be difficult to change in retirement.