Dissertations / Theses on the topic '230102 Ageing and older people'
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1
Zaidi, Asghar. "Well-being of older people in ageing societies." Thesis, University of Oxford, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.420442.
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Hall, Jane. "Television and positive ageing in Australia." Thesis, Hall, Jane (2005) Television and positive ageing in Australia. PhD thesis, Murdoch University, 2005. https://researchrepository.murdoch.edu.au/id/eprint/92/.
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As a means to engage with others, television offers the viewer a great deal. In Australia commercial TV is particularly popular, and many turn daily to this cultural arena which graphically portrays our shared concerns and values. Viewers are kept informed and entertained, advertisements display the luxuries and necessities that direct lifestyle choices,and local and global stories are presented for mutual consideration. Audiences are connected not only with products,personalities and newsmakers, but also with fellow viewers who are sharing the experience. Retired people take particular advantage of this multi-faceted link with the outside world, when additional leisure time and reduced social and physical mobility create spaces that can be filled with the narratives and 'para-social' connections of a medium that transports the world to the viewer. Yet one definitive statement that can be made about popular television is that older people are rarely acknowledged and often ridiculed. An easily accessible and valuable communications medium marginalises those most dependent upon it - for information and entertainment, but also, I would argue, dependent upon it to help facilitate key recommendations of the 'successful ageing' formula.
Authoritative prescriptions for ageing well emphasise the benefits of social engagement, with television helping to facilitate this by involving the viewer with local concerns and wider accounts of human enterprise. Yet the popular media often presume that older people are no longer viable consumers or citizens, thus alienating them from mediated stories and populations. 'Success', according to commercial media sensibilities, is equated with youthfulness and economic means - twin attributes rarely associated with retired people. As a result, advertising is directed primarily at young, middle-class audiences, and the TV programmes to hook their attention are often typecast with similarly youthful protagonists. Older viewers are taken for granted and rarely acknowledged, and more disconcertingly, stereotyped and ridiculed to empower younger viewers. This dissertation seeks to explore these issues from a sociological perspective, primarily within the Australian context. Research strategies include a detailed analysis of the role of television in older people's lives and how they are portrayed, with results aligned with 'successful ageing' guidelines. Included in this approach is a study of how older people are portrayed on commercial TV in Australia, and a discussion of findings. The final section includes a chapter which consists of an examination of negative media portrayals from a political and human rights perspective, and the final chapter which asks how the oldest and frailest may by impacted by the cultural devaluation of old age.
3
Hall, Jane. "Television and positive ageing in Australia." Hall, Jane (2005) Television and positive ageing in Australia. PhD thesis, Murdoch University, 2005. http://researchrepository.murdoch.edu.au/92/.
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As a means to engage with others, television offers the viewer a great deal. In Australia commercial TV is particularly popular, and many turn daily to this cultural arena which graphically portrays our shared concerns and values. Viewers are kept informed and entertained, advertisements display the luxuries and necessities that direct lifestyle choices,and local and global stories are presented for mutual consideration. Audiences are connected not only with products,personalities and newsmakers, but also with fellow viewers who are sharing the experience. Retired people take particular advantage of this multi-faceted link with the outside world, when additional leisure time and reduced social and physical mobility create spaces that can be filled with the narratives and 'para-social' connections of a medium that transports the world to the viewer. Yet one definitive statement that can be made about popular television is that older people are rarely acknowledged and often ridiculed. An easily accessible and valuable communications medium marginalises those most dependent upon it - for information and entertainment, but also, I would argue, dependent upon it to help facilitate key recommendations of the 'successful ageing' formula.
Authoritative prescriptions for ageing well emphasise the benefits of social engagement, with television helping to facilitate this by involving the viewer with local concerns and wider accounts of human enterprise. Yet the popular media often presume that older people are no longer viable consumers or citizens, thus alienating them from mediated stories and populations. 'Success', according to commercial media sensibilities, is equated with youthfulness and economic means - twin attributes rarely associated with retired people. As a result, advertising is directed primarily at young, middle-class audiences, and the TV programmes to hook their attention are often typecast with similarly youthful protagonists. Older viewers are taken for granted and rarely acknowledged, and more disconcertingly, stereotyped and ridiculed to empower younger viewers. This dissertation seeks to explore these issues from a sociological perspective, primarily within the Australian context. Research strategies include a detailed analysis of the role of television in older people's lives and how they are portrayed, with results aligned with 'successful ageing' guidelines. Included in this approach is a study of how older people are portrayed on commercial TV in Australia, and a discussion of findings. The final section includes a chapter which consists of an examination of negative media portrayals from a political and human rights perspective, and the final chapter which asks how the oldest and frailest may by impacted by the cultural devaluation of old age.
4
Fleming, Alfred Andrew. "Older Men Working it Out A strong face of ageing and disability." University of Sydney. Behavioural and Community Health Sciences, 2001. http://hdl.handle.net/2123/852.
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This hermeneutical study interprets and describes the phenomena of ageing and living with disability. The lived experiences of 14 older men and the horizon of this researcher developed an understanding of what it is like for men to grow old and, for some, to live with the effects of a major disability. The study is grounded in the philosophical hermeneutics of Gadamer and framed in the context of embodiment, masculinity, and narrative. I conducted multiple in-depth interviews with older men aged from 67 to 83 years of age. Seven of the participants had experienced a stroke and I was able to explore the phenomenon of disability with them. Through thematic and narrative analyses of the textual data interpretations were developed that identified common meanings and understandings of the phenomena of ageing and disability. These themes and narratives reveal that the men�s understandings are at odds with conventional negative views of ageing and disability. These older men are �alive and kicking�, they voice counternarratives to the dominant construction of ageing as decline and weakness, and have succeeded in remaking the lifeworld after stroke. Overall I have come to understand an overarching meaning of older men �working it out� as illustrative of a strong face of ageing and disability. Older men seek out opportunities to participate actively in community life and, despite the challenges of ageing and disability, lead significant and meaningful lives. These findings challenge and extend our limited understandings of men�s experiences of ageing and living with disability. This interpretation offers gendered directions for policy development, clinical practice, and future research.
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Ong, Rachel Kien Ling. "Ageing in Australia : financial independence and work disincentive issues /." Access via Murdoch University Digital Theses Project, 2004. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20050526.150529.
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Miller, Elizabeth Jill. "Burden of care: Ageing in urban Japan and China, the family and the State." Thesis, Australian Catholic University, 2002. https://acuresearchbank.acu.edu.au/download/62b59aa5e8cc5cfbda5bc47194b8aad083654c58ee1e900e2d64b1fdf4f0fbc6/1097376/65001_downloaded_stream_226.pdf.
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This thesis examines how rapid demographic, social and economic changes are impacting on traditional care for the urban aged in China and Japan as both experience world record rates of ageing caused by greater longevity and lower birth rates. The challenge for their governments is to foster active contribution by the healthy aged to society and protection for the frail aged. China lags behind Japan in special treatment for senior citizens. The manner in which these two countries handle the ageing of their populations could provide valuable lessons for Australia in the future.
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Zhao, Xinyi, and 趙忻怡. "Productive ageing in China : lifelong learning of older adults." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206357.
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Hammond, Margaret Fay. "The symptomatology of depression in elderly physically ill people." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367249.
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Wong, Wai-kwan. "Effectiveness of the government in facilitating "Ageing-in-place" principle in public rental housing estates /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B40698130.
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Raeburn, Alison Somers. "Depression in older people : meeting the challenges of an ageing population." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/10428.
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This thesis has been conducted in part fulfilment of the Doctorate in Clinical Psychology. It comprises two parts: a systematic review and an empirical research study. These are two distinct articles both aiming to provide insight into the challenges of late life depression. Firstly, the ageing population will mean that mental health services are likely to see an increase in older people with depression, many of whom will have neurological conditions common in late life, including dementia, stroke and Parkinson’s disease. These conditions have a high risk of depression associated with them. Addressing depression can have a significant effect on quality of life and at present there is limited evidence for effective treatments for depression in neurological conditions. Researchers and therapists have previously been reluctant to conduct psychological therapy with this population, however, there is preliminary evidence that psychological therapies can be efficacious for this population. CBT is structured, goal focused and orientated in the present therefore may be easily adapted for the needs of people with neurological conditions and associated cognitive impairment. Chapter one presents systematic review of this literature, titled ‘Cognitive and behavioural therapies for the treatment of depression in people with dementia, stroke and Parkinson’s disease’. Secondly, depression in the general older adult population will also present challenges for mental health services. Psychological therapies have been shown to be equally effective for older people as they are for younger adults. However, there are a range of gerontological issues that must be considered when working with older people. For example, cohort beliefs, interpersonal role changes and physical health changes may all impact on the way an older person conceptualises their difficulties. In particular, depression in older people has been associated with negative attitudes about ageing. Cognitive theory states that attitudes are mood-state dependent and if negative or dysfunctional attitudes are modified, this can result in improvement in mood. Exploring the attitudes of older people with depression will aid our understanding of late life depression and may provide useful information on whether attitudes to ageing should be specifically addressed during therapy for depression. The current research study explores attitudes to ageing with a clinical sample of depressed older adults and compares attitudes with non depressed control participants. Chapter two outlines the full methodology used in the research study and chapter three contains the research study, titled ‘Attitudes to ageing and clinical depression in older people’, presented within a journal article format.
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MacIntosh, Caroline Gabrielle. "Investigation of the 'anorexia of ageing'." Title page, contents and summary only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phm15187.pdf.
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Includes bibliographical references (leaves 349-421) Addresses some of the mechanisms which may potentially contribute to the physiological anorexia of ageing, as suggested by previous animal and human studies.
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Du, Preez Vikki. "Online service design : a socio-technical perspective to engage an ageing population." Thesis, Cape Peninsula University of Technology, 2018. http://hdl.handle.net/20.500.11838/2723.
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Thesis (DTech (Design))--Cape Peninsula University of Technology, 2018.As online environments become more cost effective, allow for more personalisation and often offer faster solutions, numerous service providers have shifted priority to the development of online user interactions. Many perceive this trend as positive, and welcome services that can be accessed online, anywhere, anytime. However, not all members of society favour the shift to online services, and resistance to technology and online services have been documented among ageing individuals. In order to design user interactions for ageing users more effectively, it is imperative to understand the normative changes that impact ageing users’ interactions with online services. The exploration of user perception and experience links to both physical and emotional involvement - documenting reactions such as frustration, fear, joy and excitement in relation to online services. The study focuses on the exploration of perceived interaction barriers among South African ageing users, as well as those interactions already perceived as appealing, contributing to new theoretical insights and a description of the sociotechnical context investigated in this study. The study is completed using a constructivist grounded theory method, with qualitative methods focused on user participation and co-design. In addition to the emerging substantive theory of Ageing User Decision-Determined Engagement (AUDDE), the study adds value to online service design practice by developing a deeper understanding of user perceptions and experiences, within a socio-technical context. Findings from the participatory research sessions informed a set of practical service design interaction guidelines, which can inform the design of more engaging online services for the ageing community. Methodologically the study explores the grounded theory method, within a design research framework, and establishes it as a suitable methodology to generate theory through design practice
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Goldhaber, Tanya Sofia. "Motivating technology adoption in the ageing population : understanding the effects of initial experience and gender." Thesis, University of Cambridge, 2014. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.648827.
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Liang, Kun, and 梁昆. "Successful ageing: a study of age identity among Chinese older adults." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hub.hku.hk/bib/B50899818.
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Age identity has long been considered a more meaningful and accurate reflection of the aging process than chronological age. However, it is still a mostly unexplored concept among Chinese older adults. What are the correlates of age identity from the perspective of a multidimensional, culturally-shared model of aging? How do Chinese older adults describe their age identities, and are there any recent related trends? Does the adaptive value of youthful age identity in later life, which promotes well-being and successful aging, also exist in the Chinese context?
Six studies using quantitative methods were devised to answer the above questions. Data were drawn from the three waves of the Sample Survey on Aged Population in Urban/Rural China (SSAPUR), with Study I using data from the 2006
SSAPUR, Study II using data from the 2000, 2006, and 2010 SSAPURs, and Studies III-VI using 4-year-panel data from the 2006 and 2010 SSAPURs.
Study I examined correlates of age identity among Chinese older adults (N = 18,925). The findings reveal that multidimensional age markers, including chronological age, number of chronic conditions, widowhood, loss of both parents, and perceived onset of forgetfulness were all positively associated with age identity. Among these, perceived onset of forgetfulness was the strongest predictor.
Study II investigated how Chinese older adults describe their age identities, and whether or not there have been any trends over the most recent decade (N = 20,166 in 2000; N = 19,922 in 2006; N = 19,874 in 2010). The findings reveal that old age is perceived to start at around the chronological age of 60 years, but that women are perceived as becoming old four years earlier than men. The findings also indicate that a majority of Chinese older adults reported feeling old. Nevertheless, there has been a general upward trend for increasingly higher percentages of them to report not feeling old over the recent years.
Study III determined the effect of age identity on subjective well-being among Chinese older adults (N = 11,306). The findings indicate that a baseline youthful age identity is associated with better subjective well-being. Study IV investigated the impact of age identity on physical functioning among Chinese older adults (N = 11,366), and its findings indicate that a baseline youthful age identity is related to better physical functioning. Study V examined the impact of age identity on productive engagement, including paid work and volunteering among Chinese older adults (N = 11,473). The
findings indicate that relative to abaselineold age identity, a baseline youthful age identity is associated with higher odds of productive engagement. On the basis of Studies III-V, Study VI explored the impact of age identity on a multidimensional conceptualization of successful aging among Chinese older adults (N = 10,070), and its findings indicate that a baseline youthful age identity is associated with higher odds of successful aging.
The practical and theoretical implications of the present research are discussed in this thesis, along with its limitations and recommendations for future research.published_or_final_version
Social Work and Social Administration
Doctoral
Doctor of Philosophy
15
Cho, Hing, and 曹興. "Ageing well, living well : ageing polis : a landscape planning scheme responsive to Hong Kong's demographic transformation." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/207161.
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It is generally accepted that there is social alienation towards the elderly in Hong Kong. In Hong Kong society, the poor elderly are stereotyped as being a group of weak, handicapped, and lonely people. Often they are regarded as outdated and unable to adapt to rapid changes in society. The virtue of respecting elderly is facing challenges because of rapid social changes. Recently, the government has proposed the elderly move to China to grow old. “Aging in Place” has become harder to archive nowadays and it is common for Hong Kong families to commit their elderly family members to nursing homes away from society due to the changing family structure.
People admit that there are challenges and obstacles of letting elders “age in place”. Urban development, social gentrification, poverty and the decline of traditional cultural values have posed a considerable threat to the idea of “aging in place” in Hong Kong. Currently, in order to administrate with higher degree of convenience and effectiveness, nursing homes are often too “institutionalized” and lack relaxing and intimate environments.
This thesis is attempting to re-code this planning strategy for an aging population and develop a new precedent of living for the elderly in Hong Kong. Meanwhile, it is attempting to make a rectification on present elderly home and retirement housing settings and to investigate the real needs of elders.published_or_final_version
Architecture
Master
Master of Landscape Architecture
16
Whiteley, Anna. "Understanding and experiencing ageing : the perspectives of older people with intellectual disabilities." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/25491.
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Background: This thesis contains two elements: the first is a systematic review examining some of the determinants of quality of life for people with intellectual disability. Understanding these determinants can drive improvement at both individual and societal level. Yet there are a number of quality of life measures which might confound findings between studies. This systematic review sought to identify factors that influence quality of life using self-report on one measure developed for use with people with intellectual disability, the ‘Quality of Life Questionnaire’ (Schalock & Keith 1993). The second element is an empirical study that aims to explore the lived experience of aging for older adults with intellectual disability. There are noted differences between people with and without disability as they grow older, for example in terms of health and social opportunity. Previous studies have not consistently sought the experience of the people with intellectual disability themselves, or have used participants not traditionally considered older adults. This study aims to address gaps and further our knowledge in the lived experience of getting older for older adults with intellectual disability. Method: Within the systematic review a systematic search of relevant studies to 20th January 2015 was completed using a specified inclusion criteria, yielding 13 peerreviewed journal articles. These were scored on 11-point purpose-designed quality criteria. For the empirical study semi-structured interviews were completed with ten participants with intellectual disability (age range 60 – 74 years, five female) regarding their understanding of getting older and their experience of ageing. Nine transcribed interviews were analysed using interpretative phenomenological analysis. Results: The systematic review found that living in a semi-independent environment or an urban setting, being employed, being involved in domestic and community activities, receiving social support and possessing social skills and self-determination were factors that improved quality of life for people with intellectual disability. Three major themes emerged from the empirical study data when participants discussed getting older: ‘Not changed by ageing’, ‘Thinking about the ageing process’ and ‘What happens when getting older’. Participants tended to feel that they were still the same due to continuation of the same activities and social support. They demonstrated confusion in the ageing process, considering the process ‘inevitable’ but insignificant, although also recognising some changes associated with the process. They discussed their views about what they considered happens when people get older, which tended to be stereotypical and often negative. However they also reflected on their own experiences and how they had changed. Discussion: The methodological quality of the studies reviewed was found to be generally low due to a range of factors including study design, measurement of intellectual disability and reporting of sample demographics and results and therefore conclusions should be treated with caution. This highlights a need for further research with people with intellectual disability of a higher methodological quality. The empirical study is discussed in reference to previous research and gerontological theories of ageing. The study highlighted that staff or family did not broadly discuss ageing with participants and their views often changed over the course of the interviews from more physical and negative aspects to how ageing impacted them. This research demonstrated older adults with intellectual disability do have opinions on ageing. Further exploration with people with intellectual disability on this topic is to be encouraged in the future to develop a more balanced view.
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Foody, Jane Elizabeth. "The politics of ageing in England : insights from interviews with older people." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3834/.
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England’s population is ageing. Older people’s issues have entered political agendas. Yet much remains unknown about older people’s political lives. Although older people can be unfairly treated by governments and public employees, an ‘older people’s political movement’ has not emerged. For example, some older people require publicly financed social care services to continue living in their own homes. But as demand for social care increases, political decisions make it increasingly difficult to access these services. This thesis seeks to explore older people’s political understandings and experiences through qualitative semi-structured one-to-one interviews. Three research locations were selected as potentially deviant socio-political contexts, where local politicians set either the lowest threshold (Calderdale) or the highest threshold (Northumberland and West Berkshire) for individuals’ eligibility to access publicly funded social care services. In the run-up to the 2010 general election, interviews were conducted with 41 people aged 51 to 90. This research reveals some of the rich diversity and complexity of older people’s political behaviour and understandings. Some research participants demonstrate openness to learning from their socio-political context. And some people are choosing to change long-standing political behaviour. Therefore, older people’s political participation should not be taken for granted by politicians.
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Barrett-Lennard, Julie. "Responding pastorally to the ageing population: with a proposed training programme for clergy and lay pastoral workers." Thesis, Barrett-Lennard, Julie (2006) Responding pastorally to the ageing population: with a proposed training programme for clergy and lay pastoral workers. Masters by Research thesis, Murdoch University, 2006. https://researchrepository.murdoch.edu.au/id/eprint/204/.
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The increased longevity in contemporary western society is impacting on many service and caring organisations in that they are needing to find ways of responding to the increasing number of older persons who need support. The Church is not immune from this as statistics demonstrate that the age demographic within the Church is rapidly changing to include many more older persons. However, evidence is strong that the Church to date has not been as alert as it could have been to the implications of the ageing population, nor has it been awake to the potential available within adult ministry. Therefore scholars and gerontologists are strident in their attempts to wake the Church from its slumber with respect to responding to the ageing population.
The impetus of this research was to determine how alert the Anglican Diocese of Perth is to this rapidly increasing age demographic, and how well equipped its clergy and lay pastoral workers are to respond to the increasing number of older persons both within the Church and within society. To achieve this, a survey was conducted amongst a selection of clergy and lay pastoral workers in the Diocese of Perth. As part of the survey, comments were sought from participants on how important they believed training in ministry to older persons was for them, and what factors would enable and encourage them to attend training in this area.
The literature reviewed for this research, the survey results, and the ensuing discussion combine to underline the need for ministry to older persons to be taken seriously by the Church. As a way of stimulating interest, and equipping clergy and lay pastoral workers, in the area of pastoral care of older persons, this thesis provides the structure of a training programme that it is envisaged will be offered to the Anglican Diocese of Perth.
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Barrett-Lennard, Julie. "Responding pastorally to the ageing population : with a proposed training programme for clergy and lay pastoral workers /." Barrett-Lennard, Julie (2006) Responding pastorally to the ageing population: with a proposed training programme for clergy and lay pastoral workers. Masters by Research thesis, Murdoch University, 2006. http://researchrepository.murdoch.edu.au/204/.
Full textAbstract:
The increased longevity in contemporary western society is impacting on many service and caring organisations in that they are needing to find ways of responding to the increasing number of older persons who need support. The Church is not immune from this as statistics demonstrate that the age demographic within the Church is rapidly changing to include many more older persons. However, evidence is strong that the Church to date has not been as alert as it could have been to the implications of the ageing population, nor has it been awake to the potential available within adult ministry. Therefore scholars and gerontologists are strident in their attempts to wake the Church from its slumber with respect to responding to the ageing population.
The impetus of this research was to determine how alert the Anglican Diocese of Perth is to this rapidly increasing age demographic, and how well equipped its clergy and lay pastoral workers are to respond to the increasing number of older persons both within the Church and within society. To achieve this, a survey was conducted amongst a selection of clergy and lay pastoral workers in the Diocese of Perth. As part of the survey, comments were sought from participants on how important they believed training in ministry to older persons was for them, and what factors would enable and encourage them to attend training in this area.
The literature reviewed for this research, the survey results, and the ensuing discussion combine to underline the need for ministry to older persons to be taken seriously by the Church. As a way of stimulating interest, and equipping clergy and lay pastoral workers, in the area of pastoral care of older persons, this thesis provides the structure of a training programme that it is envisaged will be offered to the Anglican Diocese of Perth.
20
Perales, Puchalt Jaime 1985. "Health and ageing : Active ageing in older adults and health related quality of life in people with dementia." Doctoral thesis, Universitat Pompeu Fabra, 2014. http://hdl.handle.net/10803/286877.
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The continuing growth of older age groups worldwide needs an increased understanding of the ageing phenomena. For this reason, the present thesis is aimed at two very important outcomes in the elderly, active ageing (AA) in older adults and health-related quality of life (HRQL) in people with dementia. To do this, I have participated in different studies and used different research methodologies. In the first publication of this thesis, I study the distribution and associations with sociodemographic variables of different definitions of AA in a large adult population sample in Spain, Poland and Finland. The next publication reviews the previous literature on HRQL instruments for dementia in order to understand such complex concept and compare the different instruments in terms of for example data collection method or purpose of assessment. In the last publication, I explore the distribution of HRQL in the very old population in Cambridge by creating a new instrument using an already existing conceptual framework.
Note: data from Courage Project (http://www.courageineurope.eu/) used for the thesis.El continuo envejecimiento de la población mundial hace que sea necesario entender mejor este fenómeno. Por esta razón, la presente tesis doctoral tiene como objetivo estudiar dos variables muy importantes en la gente mayor, envejecimiento activo (AA) en la gente mayor y calidad de vida relacionada con la salud (HRQL) en gente con demencia. Para ello, he participado en diferentes estudios y he utilizado diferentes metodologías de investigación. En la primera publicación de esta tesis, estudio la distribución y asociación de diferentes definiciones de AA con variables sociodemográficas en una amplia muestra poblacional de España, Polonia y Finlandia. En la siguiente publicación llevo a cabo una revisión de la literatura sobre instrumentos para medir HRQL en demencia con tal de entender este complejo concepto y comparar los diferentes instrumentos en cuanto al método de recogida de información o al motivo de evaluación, por ejemplo. En la ultima publicación, exploro la distribución de HRQL en la población de gente muy mayor de Cambridge, creando un nuevo instrumento utilizando un marco conceptual ya existente. Nota: se usan los datos del Proyecto Courage (http://www.courageineurope.eu/).
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Greasley-Adams, Corinne S. G. "Work Activities of older people : beyond paid employment." Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/6504.
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In recent years much has been made of active and productive ageing policies, with the attempt to promote a more positive image of ageing. Despite this, negative representations of ageing and conceptualisations of older people as a ‘burden’ persist. This thesis presents an argument that these negative images are intertwined with common understandings of work, the frequent equating of this to paid employment within the field of social gerontology, and the reliance upon cessation of work in determining the beginning of old age. With reference to the wider literature in the sociology of work, an argument is presented that determines why it is essential to challenge those taken-for-granted assumptions about older people and work. Reflecting upon the findings from an exploratory and qualitative research project, which focuses upon the perspective of the older people themselves, attention is given to the detail of what should be encapsulated into new understandings of work. Within the thesis it is argued that there are many activities undertaken by the older person, which should be thought of as work, including (but not limited to) paid employment, volunteering, care, attendance at social clubs, undertaking sport and physical activity. Some of these activities might more intuitively be thought of as acts of leisure. However, it is evidenced within this thesis that there are fuzzy and blurred boundaries between leisure and work - older people leisure at work and work at leisure. The recognition of these blurring boundaries is one aspect that must be incorporated into re-conceptualisations of work. The thesis demonstrates how the work of older people transcends different socio-economic spheres and there are multiple interrelations existing between different activities. Whilst this last point resonates with the approach of some authors in the sociology of work, they have never been incorporated within the field of social gerontology. Through this analysis, and promoting a new way through which the activities of older people might be incorporated within the rubric of work, it is hoped that ageism might be challenged in a similar vein to the way in which feminist researchers once challenged sexism in relation to work and housework. This thesis reflects upon how we need to identify and conceptualise the third age in light of the findings. It highlights how the working lives of older people are shaped through a process of negotiation between social expectations within current political and economic contexts, influences from key historical events and social changes, and the desire for freedom, autonomy and choice. Age period cohort is crucial in determining the world of work, and more generally how ageing might be experienced. Through its unique approach, and the lessons learnt within this thesis, a theoretical framework is provided to assist in future comprehensive studies of both work and ageing. Overall, this thesis makes significant contributions to understandings of work and ageing following the consideration of two schools of thought (i.e. sociology of work and social gerontology), which previously have been infrequent companions.
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Trinh, Thai Quang. "Ageing and inter-generational relationships in Vietnam." Phd thesis, Canberra, ACT : The Australian National University, 2018. http://hdl.handle.net/1885/151965.
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This thesis investigates the intergenerational relationships of
people aged 60 and over in the context of rapid population ageing
and social change in Vietnam. The country is experiencing
significant economic development and rising incomes while
maintaining strongly embedded Confucian values and norms on
family relationships, including respect for older people and
filial piety. These relationships have been affected by the
social disruptions of war, and continue to change with
modernisation, urbanisation and other social processes that have
contributed to modifying traditional norms and values for
intergenerational relationships. Changing forms of the family,
notable declines in multigenerational households and the rise of
the modified extended family have been extensive over recent
decades. This thesis aims to examine the variations and changes
in living arrangements and intergenerational support exchange,
social relationships (association, affection and consensus) and
the life satisfaction of older people.
The thesis applies concepts in sociology and multidisciplinary
gerontology to a comprehensive set of secondary data that inform
different aspects of the thesis topic. These include the Vietnam
National Ageing Survey 2011 (VNAS 2011) (n = 2,789), the Vietnam
Family Survey 2006 (VFS 2006) (n = 13,689), the WHO-SAGE INDEPTH
survey 2006–2007 (WSI 2007) (n = 5,030) and the Regional Ageing
Survey 1996–1997 (RAS 1996 – 1997) (n = 1,770). VNAS 2011 was
used as the primary data source for the thesis as it was the
first nation-wide survey on older people in Vietnam.
To examine the living arrangements of older people, VNAS 2011 and
RAS 1996–1997 have been analysed to investigate determinants
and consequences of living arrangements. A majority of older
people were found to be living in multi-generational households
in 2011 (45%), but the proportion had declined from 56% in
1996–1997. Conversely, the proportions living alone or living
only with a spouse have been rising. These findings reflect
declining family size along with growing ‘independence’ among
older people as they gain more economic resources and better
health. No longer married older people are seen more in
multi-generational households, living only with children or
living alone than
those who are married. Older people living alone or only with a
spouse were found more in rural than urban areas.
Multi-generational households were reported more in cities, which
may be because of housing constraints in these areas. Changes in
cultural preferences for living arrangements have been enabled by
rising resources of the older and middle generations.
The investigation provides support for an intergenerational
exchange interpretation as a strong association was found between
older people’s resources and vulnerabilities and support
exchange with their children. As per traditional patrilineal
norms, eldest adult sons were expected to continue living in
their ageing parents’ households after marriage while they and
their wife provide financial and practical support. Older people
who have more resources were found to receive more financial
support, but they receive less assistance in care and housework
from adult children than older people who have fewer resources.
Older people who have more resources also provided more
assistance to adult children by doing housework and providing
grandparenting, especially among those who live in
multigenerational
households.
Social relationships between generations were reported to be
changing rather than weakening. Adult children, regardless of
their gender, were reported to pay more direct visits to older
parents when they live nearby. When they live far apart, the
distance was overcome by remittances and telephone communication
as well as occasional visits.
Daughters were found to be more frequently in their contact with
parents than sons when living in separate households. The
findings suggest a gender-basis for emotional relationships
between generations within families.
This thesis found that life satisfaction in later life is best
predicted by older people’s health, economic status and living
conditions as well as the social relationships among generations.
The thesis also provides evidence on the ongoing importance of
affectual solidarity between generations and the importance to
older people’s life satisfaction of feeling respected by
younger generations and participating in making important
decisions in the family.
This study is one of the first comprehensive studies of
intergenerational relations in Vietnam. It suggests the value of
an intergenerational approach for policy development towards
older people and family relationships as well as the value of an
age-friendly environment for older people, particularly for those
who are vulnerable. Caution is required
in applying the research findings to future generations of older
people, who would have had different life experiences.
23
Simpson-Young, Virginia. "Meat trays, marginalisation and the mechanisms of social capital creation an ethnographic study of a licensed social club and its older users /." Faculty of Health Sciences, 2008. http://hdl.handle.net/2123/4049.
Full textAbstract:
Doctor of Philosophy(PhD)Alongside informal networks of friends and family, formal social groupings such as voluntary associations are valued by older people as opportunities for engagement. In Australia, one such grouping is the licensed social (or ‘registered’) club. Approximately 20 per cent of all older Australians, and 80 per cent of older residents of the state of New South Wales, actively participate in such clubs. Despite this, older people’s registered club participation has received little scholarly attention. This ethnographic study of one particular registered club aimed to discover the nature, meaning and role of club participation for its older members. Social capital existing in club-based networks emerged as a further investigative focus, and its mechanisms and outcomes were examined. Participant observation and in-depth interviewing were the main data collection methods used. Data analysis procedures included thematic analysis (based loosely on grounded theory methodology), as well as the more contextsensitive narrative analysis and key-words-in-context analysis. The study found that club participation enabled older members to maintain valued social networks, self-reliance and a sense of autonomy. Social networks were characterised by social capital of the bonding type, being largely homogeneous with respect to age, gender, (working) class and cultural background. Strong cohesive bonds were characterised by intimacy and reciprocity, and possessed norms including equality and the norm of tolerance and inclusiveness. These helped to minimise conflict and build cohesiveness, while protecting older club-goers from increasing marginalisation within the club. Peer grouping within this mainstream setting may have shielded the older club-goers from stigma associated with participation in old-age specific groups. The nature and scale of registered club participation amongst older Australians points to their unique and important role. The findings of this research indicate that – for at least this group of older men and women - club use is a major contributor to maintaining social connectedness and a sense of self as self-reliant, autonomous and capable. In the context of an ageing population, Australia’s registered clubs feature in the mosaic of resources available to older people, and their communities, for the creation of social capital.
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Melin, Emma. "Äldres behov och tillgång till aktivitet och social samvaro - Ur vårdpersonalens synvinkel." Thesis, Mittuniversitetet, Avdelningen för socialt arbete, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23272.
Full textAbstract:
Syftet med den här uppsatsen är att undersöka hur vårdpersonalen på ett äldreboende resonerar kring äldres behov av aktivitet och social samvaro. I arbetet undersöks hur vårdpersonalens rutiner ser ut och hur social samvaro och aktivering prioriteras för de äldre. Jag använt mig av tidigare forskning, semistrukturerade intervjuer och tre teorier – disengagemangsteorin, aktivitetsteorin och signifikanta andra för att svara på frågeställningarna. Genom semistrukturerade intervjuer med tre personer som arbetar på ett äldreboende fann jag att respondenternas svar överensstämmer med tidigare forskning beträffande att aktivering och social samvaro är viktigt för de äldre. Respondenterna anser att tid för aktivering och social samvaro finns för de äldre och att det måste prioriteras om den äldre själv vill och orkar. Vårdpersonalens resonemang liknar både disengagemangsteorin och aktivitetsteorin, personalen anser att det är den äldre själv som bestämmer i vilken mån aktivering och social samvaro ska prioriteras.140922
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Littler, G. A. "The development and dimensions of human ageing : a multidisciplinary analysis of Liverpool's older population." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367027.
Full text
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Tilley, Sara. "Ageing and mobility in Britain : past trends, present patterns and future implications." Thesis, University of St Andrews, 2013. http://hdl.handle.net/10023/4471.
Full textAbstract:
Over the next decade the ‘Baby Boomer' cohort will increasingly contribute to the proportion of those aged 60 and over in Britain. The issue of how the mobility of older people has changed for different cohort groups has not been considered in a historical context. Ryder (1965) argued that cohort groups could be important in determining behaviour as have other social structural factors, such as socioeconomic status. This thesis merges the disciplines of transport geography and population studies using a novel approach of cohort analysis, which has not been used widely for studying mobility trends. Using National Travel Survey data from 1995-2008, the mobility trends of older people in Britain are explored by creating pseudo cohorts. Pseudo cohorts are artificially created datasets which are constructed from using repeated cross-sectional data (McIntosh, 2005, Uren, 2006). This technique can differentiate ‘age', ‘period' and ‘cohort' effects in mobility trends. Age effects are differences in behaviour between age groups i.e. changes in mobility associated with age itself. Period effects relate to changes in behaviour in all age groups over a period of time. Cohort effects are those associated with behaviour common to particular groups born around the same time (Glenn, 2005, Yang, 2007). The influence of the Scottish concessionary travel policy on the mobility of older people at the aggregate level is also considered using Scottish Household Survey data from 1999-2008. This policy is very blunt and based on assumptions about older age. As cohorts differ, these assumptions may no longer hold and therefore the policy may not be effective. This thesis argues, using a longitudinal demographic perspective, that structural effects shape mobility of cohorts differently over time. The findings reveal although mobility amongst older people is rising in general, there would actually be declining mobility were it not for the Boomer cohort. Amongst younger cohorts mobility is lower. The analysis also shows that women travel further than men, a fundamental break with the past, specific to this generation. This thesis illustrates the importance of cohort membership in explaining mobility change.
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Andersson, Jonas E. "Architecture and Ageing : On the Interaction between Frail Older People and the Built Environment." Doctoral thesis, KTH, Arkitektonisk gestaltning, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-40483.
Full textAbstract:
This doctoral thesis deals with the type of architecture that materializes when age-related problems become a long-term condition (LTC) and gradually restrain the individual’s ability to perform activities in daily life (ADL). Their life situation necessitates a support from relatives or municipal eldercare staff in order for them to continue to participate in everyday living. In addition, the architectural space requires a close adjustment to the personal panorama of cognitive or functional impairments. The habitat can be a flat appropriated many years previously or in a residential care home for dependent and frail seniors. Architecture for ageing with dependency demonstrates how space can be used either to affirm or oppress the older person’s attempts to maintain an independent life style. By use of design theory, case study methodology and a heterogeneous research strategy, this study uses a threefold approach—a retrospective, a contemporaneous, and a future-oriented approach—to explore frail older people’s interaction with the architectural space of residential care homes. This has resulted in seven papers that focus on aspects of these human interactions with the built environment. Based on twelve exemplary models, the research paper I concludes that national guidelines result in a homelike, a hotel-like or a hospital-like environment. Research paper II is a retrospective study that examines the use of architecture competitions as a socio-political instrument to define architectural guidelines. Research paper III focuses on dependent seniors’ spatial appropriation of the communally shared space of a ward in a residential care home. Research paper IV employs two environmental assessment methods from the architecture profession and gerontological research (TESS-NH) in order to evaluate the use of interior colouring when refurbishing two residential care homes while the residents remained in place. Research paper V displays a municipal organizer’s considerations to opt for an architecture competition as a means of renewing architecture for the ageing population. Research paper VI examines competition documentation of three municipal architecture competitions organized during the period of 2006 to 2009. Research paper VII, the final study, explores notions concerning the appropriate space for ageing found among a group of municipal representatives, and people from organizations defending older people’s right. It supplies a model for understanding the appropriate space for ageing. This study illustrates the absence of older people with frailties in the public discussion about appropriate architecture for ageing. During the 20th century, the multi-dimensional idea of an architectural space with a homelike appearance has been used to contrast the negatively charged opposite—the complete and austere institution. The overarching conclusion of this study is that architecture for dependent and frail seniors constitutes a particular type of built space that requires an extended dialogue involving dependent seniors, architects, building contractors and care planners in order to conceive appropriate architecture for the ageing society.QC 20110921
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Feinkohl, Insa. "Risk factors for cognitive decline in older people with type 2 diabetes." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9612.
Full textAbstract:
People with type 2 diabetes are at increased risk of age-related cognitive impairment. Previous literature has focused on case-control studies comparing rates of cognitive impairment in patients with and without diabetes. Investigations of potential risk factors for cognitive impairment (including those with increased prevalence in diabetes, such as macrovascular disease, and diabetes-specific factors such as hypoglycaemia) in study populations consisting exclusively of patients with type 2 diabetes have been largely neglected. Moreover, previous studies have failed to take advantage of the extensive characterisation and prospective nature of longitudinal cohort studies to investigate the relative predictive ability of a wider range of potential risk factors for cognitive decline. Using data from the prospective Edinburgh Type 2 Diabetes Study (ET2DS) the present thesis aimed (i) to determine associations of cognitive decline with macrovascular disease and with severe hypoglycaemia, and (ii) to compare a wider range of potential risk factors in their ability to predict cognitive decline. In 2006/2007, 1066 patients with type 2 diabetes (aged 60 to 75 years) attended the baseline ET2DS clinic and 831 returned for the follow-up at year 4. Subjects were extensively characterised for risk factor profiles at baseline, and at year 4 for incidence of severe hypoglycaemia. Socioeconomic status was estimated using postcode data. Scores on seven tests of age-sensitive ‘fluid’ cognitive function, which were administered at baseline and at year 4, were used to derive a general cognitive component (‘g’). A vocabulary-based test, administered at baseline, estimated pre-morbid ability. Findings are reported in three parts. 1.) Macrovascular disease and cognition: Subjects with higher levels of biomarkers indicative of subclinical macrovascular disease, including plasma N-terminal pro-brain natriuretic peptide and carotid intima-media thickness, had significantly steeper four-year cognitive decline, independent of traditional cardiovascular risk factors, stroke, socioeconomic status and estimated pre-morbid cognitive ability. For ankle-brachial pressure index, the association fell just short of statistical significance. Effect sizes were overall modest, with fully adjusted standardised beta coefficients ranging from 0.06 to -0.12. Little evidence was found for associations of the symptomatic markers of macrovascular disease with four-year change in cognitive function that was independent of participants’ pre-morbid ability and socioeconomic status. 2.) Severe hypoglycaemia and cognition: Subjects with lower cognitive ability at baseline were at two-fold increased risk of experiencing their first-ever incident severe hypoglycaemia during follow-up. The rate of four-year cognitive decline was significantly steeper in those exposed to hypoglycaemia compared with hypoglycaemia-free participants, independently of cardiovascular risk factors, microand macrovascular disease and of estimated pre-morbid cognitive ability. Effect sizes again were overall modest (Cohen’s d = 0.2 to 0.3 for statistically significant differences in four-year cognitive decline between subjects with and those without hypoglycaemia, following multivariable adjustment) 3.) Consideration of a wider range of risk factors and cognition: A stepwise linear regression model including a total of 15 metabolic and vascular risk factors identified inflammation, smoking and poorer glycaemic control (in addition to some of the subclinical markers of macrovascular disease) as predictive of a steeper four-year cognitive decline. Other traditional cardiovascular risk factors, diabetic retinopathy, clinical macrovascular disease and a baseline history of severe hypoglycaemia were not included in this model. The interpretation of the latter finding is limited, however, by the fact that the stepwise regression procedure may exclude true predictors from a model when they correlate with already included risk factors. This thesis has demonstrated associations of later-life cognitive decline in people with type 2 diabetes with markers of subclinical macrovascular disease and poor glycaemic control (including hypoglycaemia) as well as other cardiometabolic risk factors (inflammation, smoking). Findings suggest that associations are relatively weak and complex due to inter-relationships amongst risk factors, and indicate a role of pre-morbid ability and socioeconomic status (which as risk factors are difficult to modify) in the relationships of risk factors with cognitive decline. Future research including case-control studies to compare risk factor associations between people with type 2 diabetes and non-diabetic older adults and randomised controlled trials to evaluate potential causal effects of individual modifiable risk factors on cognitive decline, will help to evaluate the mechanisms underlying the observation that people with type 2 diabetes are at risk of cognitive impairment in later life.
29
Ridgway, Victoria J. "Visual perceptions of ageing : a multi method and longitudinal study exploring attitudes of undergraduate nurses towards older people." Thesis, University of Chester, 2015. http://hdl.handle.net/10034/620346.
Full textAbstract:
Ageism and negative attitudes are reported to be institutionally embedded in healthcare. The unprecedented increase in the older population together with social perceptions of later life presents all those involved in the delivery of healthcare with considerable challenges. It was therefore timely to examine attitudes and perceptions of healthcare professionals towards older people. This study presents a critical visual exploration of the perceptions of ageing of undergraduate nursing students at a University in the North of England, based on the findings of a three year longitudinal study. The research employed a pragmatic standpoint where mixed methodology was adopted to explore perceptions and included the use of an attitude towards older people scale (KOP) (Kogan, 1961), visual methods (participants were asked to draw a person aged 75), a Thurstone scale and photo elicitation. The research design and construct was influenced by the epistemology of constructionism and discourse analysis. The research was conducted alongside an undergraduate nursing programme, and followed the natural journey of 310 students from one intake and involved three waves of data collection. The study established that the majority of participants had moderately positive attitudes towards older people the beginning of the programme and that these had improved for a significant number by the end of the study programme. From the quantitative data it was determined that age, gender, educational qualifications, practice learning, branch of nursing and contact with older people influenced the participants’ overall attitude score. The use of visual methods provided a narrative of the participants’ perceptions of later life and appearance dominated the imagery via the physical depiction of ageing and the ascetics of clothing and grooming. The influence of role models was seen to impact upon the production of the image via the depiction of grandparents and people they knew and the drawings identified some older people being active. The visual findings established that the undergraduate nurses in the study viewed older people from a socially constructed phenomenon and used symbols (hairstyle, clothing, mobility aids) to depict old age. The nursing programme was found to positively alter perceptions. The research findings have led to recommendations based on three prominent themes; 1) implications for nurse education and practice, 2) gerontology education and research and 3) future use of the research methods.
30
Qiu, Feng. "Effects of enhanced somatosensory information on postural stability in older people and people with Parkinson’s disease." Thesis, Queensland University of Technology, 2012. https://eprints.qut.edu.au/52663/1/Feng_Qiu_Thesis.pdf.
Full textAbstract:
The somatosensory system plays an important role in balance control and age-related changes to this system have been implicated in falls. Parkinson’s disease (PD) is a chronic and progressive disease of the brain, characterized by postural instability and gait disturbance. Previous research has shown that deficiencies in somatosensory feedback may contribute to the poorer postural control demonstrated by PD individuals. However, few studies have comprehensively explored differences in somatosensory function and postural control between PD participants and healthy older individuals.
The soles of the feet contain many cutaneous mechanoreceptors that provide important somatosensory information sources for postural control. Different types of insole devices have been developed to enhance this somatosensory information and improve postural stability, but these devices are often too complex and expensive to integrate into daily life. Textured insoles provide a more passive intervention that may be an inexpensive and accessible means to enhance the somatosensory input from the plantar surface of the feet. However, to date, there has been little work conducted to test the efficacy of enhanced somatosensory input induced by textured insoles in both healthy and PD populations during standing and walking.
Therefore, the aims of this thesis were to determine: 1) whether textured insole surfaces can improve postural stability by enhancing somatosensory information in younger and older adults, 2) the differences between healthy older participants and PD participants for measures of physiological function and postural stability during standing and walking, 3) how changes in somatosensory information affect postural stability in both groups during standing and walking; and 4), whether textured insoles can improve postural stability in both groups during standing and walking.
To address these aims, Study 1 recruited seven older individuals and ten healthy young controls to investigate the effects of two textured insole surfaces on postural stability while performing standing balance tests on a force plate. Participants were tested under three insole surface conditions: 1) barefoot; 2) standing on a hard textured insole surface; and 3), standing on a soft textured insole surface. Measurements derived from the centre of pressure displacement included the range of anterior-posterior and medial-lateral displacement, path length and the 90% confidence elliptical area (C90 area). Results of study 1 revealed a significant Group*Surface*Insole interaction for the four measures. Both textured insole surfaces reduced postural sway for the older group, especially in the eyes closed condition on the foam surface. However, participants reported that the soft textured insole surface was more comfortable and, hence, the soft textured insoles were adopted for Studies 2 and 3.
For Study 2, 20 healthy older adults (controls) and 20 participants with Parkinson’s disease were recruited. Participants were evaluated using a series of physiological assessments that included touch sensitivity, vibratory perception, and pain and temperature threshold detection. Furthermore, nerve function and somatosensory evoked potentials tests were utilized to provide detailed information regarding peripheral nerve function for these participants. Standing balance and walking were assessed on different surfaces using a force plate and the 3D Vicon motion analysis system, respectively. Data derived from the force plate included the range of anterior-posterior and medial-lateral sway, while measures of stride length, stride period, cadence, double support time, stance phase, velocity and stride timing variability were reported for the walking assessment. The results of this study demonstrated that the PD group had decrements in somatosensory function compared to the healthy older control group. For electrodiagnosis, PD participants had poorer nerve function than controls, as evidenced by slower nerve conduction velocities and longer latencies in sural nerve and prolonged latency in the P37 somatosensory evoked potential. Furthermore, the PD group displayed more postural sway in both the anterior-posterior and medial-lateral directions relative to controls and these differences were increased when standing on a foam surface. With respect to the gait assessment, the PD group took shorter strides and had a reduced stride period compared with the control group. Furthermore, the PD group spent more time in the stance phase and had increased cadence and stride timing variability than the controls. Compared with walking on the firm surface, the two groups demonstrated different gait adaptations while walking on the uneven surface. Controls increased their stride length and stride period and decreased their cadence, which resulted in a consistent walking velocity on both surfaces. Conversely, while the PD patients also increased their stride period and decreased their cadence and stance period on the uneven surface, they did not increase their stride length and, hence walked slower on the uneven surface. In the PD group, there was a strong positive association between decreased somatosensory function and decreased clinical balance, as assessed by the Tinetti test. Poorer somatosensory function was also strongly positively correlated with the temporospatial gait parameters, especially shorter stride length.
Study 3 evaluated the effects of manipulating the somatosensory information from the plantar surface of the feet using textured insoles in the same populations assessed in Study 2. For this study, participants performed the standing and walking balance tests under three footwear conditions: 1) barefoot; 2) with smooth insoles; and 3), with textured insoles. Standing balance and walking were evaluated using a force plate and a Vicon motion analysis system and the data were analysed in the same way outlined for Study 2. The findings showed that the smooth and textured insoles caused different effects on postural control during both the standing and walking trials. Both insoles decreased medial-lateral sway to the same level on the firm surface. The greatest benefits were observed in the PD group while wearing the textured insole. When standing under a more challenging condition on the foam surface with eyes closed, only the textured insole decreased medial-lateral sway in the PD group. With respect to the gait trials, both insoles increased walking velocity, stride length and stride time and decreased cadence, but these changes were more pronounced for the textured insoles. The effects of the textured insoles were evident under challenging conditions in the PD group and increased walking velocity and stride length, while decreasing cadence. Textured insoles were also effective in reducing the time spent in the double support and stance phases of the gait cycle and did not increase stride timing variability, as was the case for the smooth insoles for the PD group. The results of this study suggest that textured insoles, such as those evaluated in this research, may provide a low-cost means of improving postural stability in high-risk groups, such as people with PD, which may act as an important intervention to prevent falls.
31
Makore, Busisiwe Chikomborero Ncube. "Ageing in urban spaces : developing inclusive urban environments for older people in Global South cities." Thesis, University of Salford, 2018. http://usir.salford.ac.uk/46703/.
Full textAbstract:
In the Global South, older persons are often living in poverty and informality and have increased biological, socio-economic and physical vulnerabilities. Responses to the challenges of urbanism have resulted in increasing numbers of older people living in spaces of socio-spatial inequality. Despite the growing stream of literature in the development of inclusive and resilient urban areas in the Global South, there has been relatively little discussion of urban development in an ageing context. This research seeks to address this gap by asking two main questions. How does the physical and social urban environment impact older people? And, how can inclusive urban environments for older people be achieved in global South cities? Research was conducted in two selected case studies of informal areas in Harare, Zimbabwe. A qualitative method of data collection was adopted with semi-structured interviewing, informal conversations with key informants and older persons, spatial sketch mapping and the collection and analysis of key documents. Additional discourse analysis, participant observation and key informant interviews were conducted in Manchester, United Kingdom to explore how Global North cities can be developed with and for older people. The primary contribution of this study to the discourse and practice on inclusive urbanism and ageing in the Global South is a conceptual framework offering interdependent thematic areas that explain the urban concepts that influence the lives of older people. Additionally, this research extends the current literature on ageing, urbanism and informality by exploring the relationship between the social and spatial fabric of informal communities and the lives of older people. The rights based approach is discussed together with a focus on the gendered experience of ageing. Importantly, the findings presented in this thesis contribute to dominant paradigms of vulnerability and contribution by foregrounding the spatial agency of older people and the existing strategies employed in the production of the city.
32
Hayward, Christine R. "A home away from home? : the transitions of older people within two new zealand retirement villages." Thesis, University of Canterbury. Social and Political Sciences, 2012. http://hdl.handle.net/10092/10358.
Full textAbstract:
This study explores the experiences of retirement village residents as they move from an independent to a supported living environment within a retirement village. It focuses on residents’ perceptions of their transitions and adopts a qualitative approach to understand the nature of their transitions and the way in which they are experienced. A grounded theory framework is used in order to capture the meanings that participants apply to concepts such as home, and to the physical, social, personal and veiled spaces in which they live.
The findings from the study reveal that as residents’ health fails, the impact of increasing dependence is such that their sense of social and personal autonomy is gradually eroded. The research also provides insights into residents’ expectations and fears surrounding end of life. In many ways the experiences of the residents in supported living environments do not differ greatly from those of residents in any aged care facility. One major finding of this research, however, is the debilitating impact on well-being that occurs as a consequence of these transitions from independent to supported living, taking place within one physical location – the retirement village – a physical space which promises prospective residents the opportunity for active and positive ageing.
33
Åbro, Erika. "Äldre medelålders attityder till hälsa : en kvantitativ undersökning över vilka hälsorön 55-70-åringar tar till sig samt om och hur de applicerar dem." Thesis, Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-63.
Full textAbstract:
Syfte och frågeställningar
Syftet med uppsatsen var att göra en undersökning av attityder till och uppfattningar kring kost, träning och hälsa hos personer i åldern 55-70 år. Ser de sambandet mellan sin livsstil och upplevda hälsa idag och i framtiden? Det var även av intresse att undersöka vad de vet om aktuella rön om kost och träning, om de agerar på det de läser, vilka rön de tar till sig och inte. Vidare studerades också deras attityder till motion, hur de upplever den och vilka effekter de tycker att den har, samt vad de upplever som hinder för att de skulle motionera mer. De tillfrågades även om kostvanor, då dessa är relevanta i sammanhanget.
Metod
En kvantitativ undersökning i form av en enkätundersökning befanns lämplig. Att genomföra den via Internet var mest praktiskt och smidigt. Respondenterna söktes via föräldrar, svärföräldrar, vänner och bekanta som i sin tur frågade sina föräldrar, vänner och så vidare.
Resultat
Det stora flertalet av respondenterna uppgav att de rörde en del på sig, huvudsakliga aktiviteter var promenader och/eller cykling. De sade sig också i stor utsträckning vara medvetna om idag vanliga hälsorön som förekommer i media och många uppgav att de följde en del av dem. Dock visade de på en viss försiktighet, alternativt hade vissa svårigheter med att ta till sig dem eftersom de ansåg att det kom ut för mycket råd som ofta var motstridiga - de hade helt enkelt inte tid och ork att sätta sig in i alla frågor. De var positiva till motion och dess effekter, men många angav att de skulle behöva någon form av hjälp för att komma igång eller för att öka deras aktivitetsnivå. De flesta hade gjort vissa anpassningar av sina kostvanor p.g.a. hälsoråd. Det finns en positiv korrelation mellan ett intresse för hälsokunskap och mera motion, och dessutom med bättre upplevd hälsa.
Slutsats
Den äldre generationen är någorlunda villig att ta till sig råd och förändra sin livsstil för att förbättra sin hälsa på sikt. De flesta upplever dock att de behöver hjälp med att komma över ofta praktiska hinder för att motionera mer regelbundet, och dessutom med att få en klarare bild av vad de faktiskt borde göra. Men med intresse och kunskap följer handling. Det finns således en utmärkt möjlighet för en hälsopedagog att göra en insats för denna generation.
Aim
The aim of this study has been to examine the attitudes towards nutrition, exercise and health in persons aged 55 to 70. Do they see the connection between the lifestyles they lead and their perceived health today and in the future? Moreover, what do they know about current research about nutrition and exercise? Do they act upon what they read? What advice do they apply in their lives? Their attitudes towards exercise, their experiences of exercise, what effect they have experienced, and what obstacles to increasing their exercising they experienced were also charted. Questions about nutrition were also brought up since these are relevant in this context.
Method
The investigation was conducted as a quantitative study in the form of a survey. It was done via the Internet as this was the most practical way. The respondents were chosen and contacted through parents, in-laws, and friends who in turn spread the word further.
Results
The majority of the respondents took part in regular physical activity, most commonly walking and/or cycling. Most respondents were aware of most health related advice and results of scientific studies common in the media today, claiming to follow some of them. They showed a certain hesitation and inability to fully get grips on them as it was their opinion that such results were overly abundant - they simply didn’t have the time or energy to form their own opinion. They were generally positive on exercise but many deemed they need help to get going or to increase their activity level. Most had made modifications to their diet in response to nutritional advice. There is a positive correlation between an interest in health and exercise, and also with better perceived health.
Conclusions
The generation of older adults are reasonably willing to accept and apply advice and change their lifestyle in order to improve their long term health. Most feel they need some help to get over obstacles of a practical nature preventing them from exercising more, and in order to get a clearer view of what they should do. But with interest and knowledge comes action. Thus it can be conclude that this is an excellent opportunity for a health advisor to have a positive impact on people of this generation.
34
Harnett, Tove. "The Trivial Matters : Everyday power in Swedish elder care." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Institutet för gerontologi, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-11674.
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This is a study about fairly ordinary situations in elder care: how staff deal with older people’s influence, how staff talk about older people’s complaints, how family members talk about elder mistreatment, and how older people act in order to exert influence in a nursing home. However ordinary, these are situations where relational power is accentuated, accomplished and able to be empirically explored. The aim here is to analyze power and influence as social phenomena in elder care. More specifically, the aims are 1) to analyze the political and bureaucratic frame in which older people have formal “voice” options; 2) to analyze staff members’ “folk logic” as they respond to residents’ complaints in Swedish nursing homes; 3) to analyze how family members of care recipients define and sustain claims of elder mistreatment; and 4) to ethnographically depict how older people’s attempts at influence unfold in everyday interactions in a nursing home and how these attempts can be understood in the context of a “local routine culture.” Several kinds of empirical material have been used: 100 structured telephone interviews with local municipal officials, 13 qualitative interviews with nursing home staff, 21 interviews with family members of care recipients, and ethnographic data comprised of field notes and field-based interviews from five months of observation in a nursing home. The findings demonstrate the difficulties of turning policies about older people’s influence into practice. Yet, the main finding is not the “policy–practice gap” per se, but rather an understanding of how this gap is situationally shaped and maintained. The dissertation shows how the subtleties of actions and talk have powerful implications, and can constitute barriers to older people’s influence. Two examples are the “rhetoric of trivialization” and a “local routine culture”; both can easily and quite inconspicuously restrict older people’s autonomy and influence. A routine culture is a locally and situationally generated action repertoire and as such provides an understanding of how routines shape power relations in a nursing home. The findings also show how a rhetoric of trivialization can function as a power resource, through which older people’s and family members’ views are “made trivial” by the ways they are described and rhetorically treated by staff and local officials. Through the use of trivializing accounts, staff members legitimized their neglect of complaints and restrictions of older people’s influence. The study argues that by recognizing how older people’s influence is “made trivial,” we gain an understanding of how to accomplish just the opposite. Local routines and accountability practices have a strong inertia, but the findings indicate that if actors reframe influence and complaints, they may substantially affect power relations in elder care.
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Årbro, Erika. "Äldre medelålders attityder till hälsa : en kvantitativ undersökning över vilka hälsorön 55-70-åringar tar till sig samt om och hur de applicerar dem." Thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-63.
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Syfte och frågeställningar Syftet med uppsatsen var att göra en undersökning av attityder till och uppfattningar kring kost, träning och hälsa hos personer i åldern 55-70 år. Ser de sambandet mellan sin livsstil och upplevda hälsa idag och i framtiden? Det var även av intresse att undersöka vad de vet om aktuella rön om kost och träning, om de agerar på det de läser, vilka rön de tar till sig och inte. Vidare studerades också deras attityder till motion, hur de upplever den och vilka effekter de tycker att den har, samt vad de upplever som hinder för att de skulle motionera mer. De tillfrågades även om kostvanor, då dessa är relevanta i sammanhanget. Metod En kvantitativ undersökning i form av en enkätundersökning befanns lämplig. Att genomföra den via Internet var mest praktiskt och smidigt. Respondenterna söktes via föräldrar, svärföräldrar, vänner och bekanta som i sin tur frågade sina föräldrar, vänner och så vidare. Resultat Det stora flertalet av respondenterna uppgav att de rörde en del på sig, huvudsakliga aktiviteter var promenader och/eller cykling. De sade sig också i stor utsträckning vara medvetna om idag vanliga hälsorön som förekommer i media och många uppgav att de följde en del av dem. Dock visade de på en viss försiktighet, alternativt hade vissa svårigheter med att ta till sig dem eftersom de ansåg att det kom ut för mycket råd som ofta var motstridiga - de hade helt enkelt inte tid och ork att sätta sig in i alla frågor. De var positiva till motion och dess effekter, men många angav att de skulle behöva någon form av hjälp för att komma igång eller för att öka deras aktivitetsnivå. De flesta hade gjort vissa anpassningar av sina kostvanor p.g.a. hälsoråd. Det finns en positiv korrelation mellan ett intresse för hälsokunskap och mera motion, och dessutom med bättre upplevd hälsa. Slutsats Den äldre generationen är någorlunda villig att ta till sig råd och förändra sin livsstil för att förbättra sin hälsa på sikt. De flesta upplever dock att de behöver hjälp med att komma över ofta praktiska hinder för att motionera mer regelbundet, och dessutom med att få en klarare bild av vad de faktiskt borde göra. Men med intresse och kunskap följer handling. Det finns således en utmärkt möjlighet för en hälsopedagog att göra en insats för denna generation.Aim The aim of this study has been to examine the attitudes towards nutrition, exercise and health in persons aged 55 to 70. Do they see the connection between the lifestyles they lead and their perceived health today and in the future? Moreover, what do they know about current research about nutrition and exercise? Do they act upon what they read? What advice do they apply in their lives? Their attitudes towards exercise, their experiences of exercise, what effect they have experienced, and what obstacles to increasing their exercising they experienced were also charted. Questions about nutrition were also brought up since these are relevant in this context. Method The investigation was conducted as a quantitative study in the form of a survey. It was done via the Internet as this was the most practical way. The respondents were chosen and contacted through parents, in-laws, and friends who in turn spread the word further. Results The majority of the respondents took part in regular physical activity, most commonly walking and/or cycling. Most respondents were aware of most health related advice and results of scientific studies common in the media today, claiming to follow some of them. They showed a certain hesitation and inability to fully get grips on them as it was their opinion that such results were overly abundant - they simply didn’t have the time or energy to form their own opinion. They were generally positive on exercise but many deemed they need help to get going or to increase their activity level. Most had made modifications to their diet in response to nutritional advice. There is a positive correlation between an interest in health and exercise, and also with better perceived health. Conclusions The generation of older adults are reasonably willing to accept and apply advice and change their lifestyle in order to improve their long term health. Most feel they need some help to get over obstacles of a practical nature preventing them from exercising more, and in order to get a clearer view of what they should do. But with interest and knowledge comes action. Thus it can be conclude that this is an excellent opportunity for a health advisor to have a positive impact on people of this generation.
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Jönson, Håkan. "Inledning." Linköpings universitet, Institutionen för samhälls- och välfärdsstudier, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60011.
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Den här boken visar upp ett smakprov av den forskning som bedrivs vid det Nationella institutet för forskning om äldre och åldrande (NISAL), Linköpings Universitet. Boken utgör också ett försök att ge en mer varierad och pro-blematiserande bild av äldre och åldrande än den som vanligen förekommer i litteratur om ålderdomens biologiska och psykologiska förändringar, vård och omsorg om äldre. Vilken är då den dominerande bilden inom äldre-forskningen?
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Lövgren, Karin. "Fyrtiotalist, 50-plussare, mappie : Om ålderskategori-seringar i reklam och populärpress." Linköpings universitet, Samhälle, mångfald, Identitet (SMI), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60019.
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Detta kapitel handlar om olika former av åldersrelaterade kategoriseringar; en utförligare analys av dessa kommer att ingå i min avhandling som har arbetsnamnet Se lika ung ut som du känner dig. Om kulturella föreställningar om ålder och åldrande. Avhandlingen har som empirisk utgångspunkt intervjuer med människor verksamma inom reklam och marknadsföring, samt med personer som arbetar med tidningar som vänder sig till kvinnor i åldrarna 40 och uppåt, med just ålder som försäljningsargument. Vidare analyserar jag tidningens texter, med tonvikt också på det visuella. Som en tredje empirisk ingång har jag intervjuat ett antal kvinnor i medelåldern om att vara i denna del av livet, om deras syn på tidningarna, reklambilderna i dem och om konsumtion. Min forskningsfråga fokuserar den mening ålder och åldrande ges i de här sammanhangen. I detta kapitel kommer jag att rikta intresset mot åldersrelaterade kategoriseringar som de som arbetar med reklam respektive journalistik använder sig av under intervjuerna eller som figurerar på olika hemsidor som de refererar till, men också de som förekommer i tidningarnas artiklar och reportage. Vilka förhandlingar om ålder och åldrande kommer till uttryck i de kategoriseringar man använder sig av? Vilken mening tillskrivs ålder och åldrande i de här benämningarna? Till en del överlappar inifrånanvändningarna av begreppen med vetenskapliga. Artiklar och reportage i tidningarna hänvisar till forskning. De intervjuade marknadsförarna refererar till vetenskapliga undersökningar då de beskriver hur man inom branschen tänker kring målgrupper, värderingar m.m. Vetenskapliga definitioner av begreppen blir också en klangbotten då jag analyserar de uttryck som används i veckotidningarna respektive under intervjuerna. Av utrymmesskäl skriver jag i denna artikel inte om de åldersbegrepp de intervjuade kvinnorna använder. Med utgångspunkt i en analys av kategoriseringar som cirkulerar i reklam, marknadsföring och veckotidningarnas texter, kommer jag nedan att diskutera några begrepp som kan vara värda att reflektera över.
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Abramsson, Marianne. "Mellanboendeformer för äldre : av intresse såväl för de äldre som för bostadsföretagen." Linköpings universitet, NISAL - Nationella institutet för forskning om äldre och åldrande, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60020.
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Den här texten syftar till att diskutera det ökande intresset för äldres boendesituation utifrån kommunernas, bostadsföretagens samt de äldre individernas perspektiv. Detta görs genom att studera de förändringar som har ägt rum på bostadsmarknaden då nya former av boenden för äldre nu finns på marknaden. Dessa boenden riktar sig till aktiva äldre som närmar sig eller redan har uppnått pensionsåldern och som inte har hemmaboende barn. De förändringar som sker i den här fasen av livet kan antas påverka boendesituationen även om det är individer och hushåll som inte är beroende av insatser i form av vård och omsorg som endast kan lösas inom det särskilda boendet. Fokus här är på de förändringar som ägt rum på den ordinära bostadsmarknaden och inom bostadsföretagen men också på sociala frågor som kan ha med de äldres bostadssituation att göra. Studien utgår ifrån några forskningsfrågor kring tidpunkten för det ökade intresset för äldres boendesituation, de olika typer av boenden som diskuteras liksom de kvaliteter i boendet som poängteras i samband med marknadsföringen av seniorboenden. Texten är en sammanfattning dels av litteratur som berör äldre som aktörer på bostadsmarknaden, dels av möten med representanter för bostadsföretag och tjänstemän inom några olika kommuner kring de behov som finns och olika exempel på hur man försöker möta dessa behov. Ett antal studiebesök har också genomförts som visar på hur den här typen av boenden fungerar i praktiken och texten bygger också på preliminära resultat ifrån ett par pågående studier om äldres boendepreferenser i en medelstor svensk stad. Resultaten som presenteras är en sammanfattning av det som framkommit ur dessa olika källor. Det finns inga regler för vad som måste ingå för att ett boende ska räknas som en mellanboendeform, t.ex. seniorboende, även om en del riktlinjer och rekommendationer har presenterats (Wel Hops 2007). Oftast riktar sig boendet till individer som är 55 år eller äldre och som inte har några hemmavarande barn. Tillgängligheten är hög och det finns oftast gemensamhetsutrymmen och lokaler för hobbyverksamheter av olika slag. Mellanbo-endeformerna har en rad olika namn såsom seniorboende, plusboende, 55+, temaboende, boende för den tredje åldern, gemensamhetsboende etc. Här kommer termen seniorboende för enkelhetens skull att användas.Staden och de äldres boende
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Olaison, Anna, and Elisabet Cedersund. "Kommunikation i livet på äldre dagar : Om användningen av samtalsanalys i forskning om äldreomsorgens vardag." Linköpings universitet, Samhälle, mångfald, Identitet (SMI), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60021.
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Kapitlet inleds med en beskrivning av det forskningsprogram med rubriken Kommunikation i äldre människors livsmiljö, som bedrivits vid Tema Äldre och åldrande/NISAL sedan starten år 2000. Därefter ges ett exempel från vår forskning om behovsbedömning i äldreomsorgen där samtalsanalys är den metodologiska ansats som används. Vi visar här hur denna typ av forskning kan användas som verktyg för att studera situationer där samtalens deltagare – de äldre själva, deras närstående och handläggarna – har delvis olika åsikter om de äldre personernas hjälpbehov. Kapitlet avslutas med några tankar om vad samtalsanalytisk forskning kan bidra med för typ av kunskap och vad sådana studier i sin tur kan få för konsekvenser för utformningen av äldreomsorgen.
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Andersson, Janicke. "Tänk på döden." Linköpings universitet, Samhälle, mångfald, Identitet (SMI), 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-60023.
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Det här kapitlet kommer att handla om vårt förhållande till livets förgänglighet och de populära råd och uppmaningar som förmedlas i vår nutid om hur vi ska "leva rätt nu så vi kan leva gott sedan". De frågor jag ställer mig är hur vårt förhållningssätt till tid och livets förgänglighet får konsekvenser för hur vi lever våra liv, samt hur man kan tolka behovet av att kontrollera tiden. Till grund för texten ligger det material som använts i mitt avhandlingsarbete samt dagsaktuella artiklar i tryckt press.
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Wong, Wai-kwan, and 黃慧群. "Effectiveness of the government in facilitating "Ageing-in-place" principle in public rental housing estates." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B45009508.
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Tak, Min Young. "Transition and choice in residential long-term care for older people in England." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:49ce17a1-ba76-4fb8-ae94-a7fd35c2fa5e.
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Care transition, the process of moving from community care to residential care, is one of the biggest changes that older people can experience in their later life. Evidence from the literature suggests that older people's experiences of care transition tend to be negative and traumatic, with most of them being little involved in the process of care transition. How older people exercise choice during the period of care transition is important for understanding their experiences of care transition for the following two reasons: first, choice has been referred to in the literature as the key to less stressful care transition experiences, which can subsequently lead to a better quality of life in residential homes; second, the introduction of choice in public services has been the key plank of British social policy in recent decades and there has been a movement towards extending choice in residential care. This research aims to study older people's care transition experiences and their exercise of choice during the process of care transition, to explore the meaning and the perceived effects of choice and to identify the role of choice in promoting a positive care transition. This thesis presents findings from 48 in-depth interviews with older people who became new residents in one of the ten participating residential homes in London and had their care paid for by the local authority. This research identified four groups of older people who showed marked differences in terms of their needs, their exercise of choice during the care transition process and their adaptation to residential care: Active Planners, Conformists, the Unsettled and Shelter-Seekers. The findings from this research suggest that the older people's care transition experiences varied and that they stretch beyond the prevailing evidence emphasising the stressfulness of the care transition. The cases of Active Planners and Shelter-Seekers show the potential for positive roles for care homes in the case of users with genuine needs for residential care. An overwhelming majority of the older people who were interviewed were great proponents of choice and many of them actively exercised choice in the course of their care transition. This challenges the claim of the passivity of older people which has been argued in the literature. However, the cases of some Conformists who did not want to exercise choice also highlight that having no choice can be a choice for some older people. On the whole, older people’s exercise of choice played an important role in facilitating a positive transition, despite it not being a precondition for such a transition. However, there were administrative issues limiting the level and the extent of choice that were available to the older people and the Unsettled experienced an undesired move into a care home, having their choices denied or rejected. This thesis also questions the working of choice and competition in residential care, as the older people did not seem to enjoy the expected benefits of choice relating to service improvements which have been argued for in the literature.
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WONG, Yuk Ha. "Spirituality and ageing : a qualitative study of religiosity of Chinese older persons in Hong Kong." Digital Commons @ Lingnan University, 2010. https://commons.ln.edu.hk/soc_etd/1.
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The life expectancy of Chinese people in Hong Kong is increasing and is amongst the longest in the world. However, many people, especially older persons may experience chronic ill-health and, less detectable, many may also be experiencing alienation, loneliness, meaninglessness and fear of death. Spirituality and spiritual care, which focus on the healing of the soul and quest for meaning, are important to many people as they age and face the prospect of death, and therefore they may have existential anxieties. A holistic healthcare approach, which views humans as bio-psycho-social-spiritual beings, stresses the importance of spirituality to people’s health and the well-being. However, there is a lack of consensus on the definition/conceptualisation of spirituality in the social gerontology literature. Further, many concepts such as spirituality and religiosity (one important channel of spiritual experiences) may be unclear or ambiguous. Relatively few international studies focus on ageing, spirituality and religiosity in gerontology and very few have been conducted in Hong Kong. This study therefore investigates the concept of spirituality in Hong Kong, in a Chinese context, and explores spiritual experiences and histories among older persons. It attempts to examine how religiosity may inspire spirituality.
This research was based on triangulation of various data sources including a wide review of the academic and professional literature, interviews with key informants (social work, academic and religious experts), and the collection and analysis of qualitative data. The qualitative data are drawn from three focus group discussions involving three categories, the San Jiao triad, Christianity, and a non-religious group, with a total of sixteen participants; and three individual interviews. The focus group respondents were recruited from a Christian church and a Buddhist elderly home.
This research yielded a number of findings. The focus group discussions corroborate suggestions in the literature that spirituality is interpreted differently by individuals, and it does not only apply to religious persons but to every individual. Spirituality can be related to religion, selfless service, the quality of personhood and the universe; For older persons, a “fractured” relationship with their family and others is often a core factor causing spiritual distress that the individual is unable to invest life with meaning; and religiosity (belief in a god, prayer, reciting religious scriptures, etc.) may inspire different dimensions of spirituality among older persons. The main conclusions drawn from this research were that spirituality is important to older persons regardless of their religious affiliations; it could cater to spiritual needs and experiences among older persons who can help to address spiritual distress throughout the spiritual history. Further, spiritual assessment is central to addressing spiritual needs and spiritual tasks associated with ageing, hence contributing to the need for spiritual care and spiritual narrative to older persons. This dissertation recommends that the World Health Organization’s (WHO) definition of health should emphasize the spiritual dimension. Finally, the dissertation highlights the spiritual concerns in elderly services and recommends caregivers recognize spirituality and provide spiritual care to older persons.
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McGhee, Adrienne L. "The knowledge of doing: Exploring the knowledge of support to older people with an intellectual disability." Thesis, Queensland University of Technology, 2014. https://eprints.qut.edu.au/74855/1/Adrienne%20McGhee%20Thesis.pdf.
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This ethnography presents a contextualised understanding of frontline knowledge used in the support to people ageing with an intellectual disability who live in accommodation and support services in south-east Queensland. The study identified that disability support workers accessed a range of knowledges which they synthesised into a dynamic and responsive locale knowledge, and subsequently translated into everyday acts of support within contexts of multi-faceted complexity. Findings from the study have numerous implications for the knowledge development activities of formal service and educational systems within Australia's newly implemented National Disability Insurance Scheme.
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Kondo, S. (Shigehiko). "Ageing in place:potentials and restrictions – a case study of the living environment for older people in Oulu." Doctoral thesis, Oulun yliopisto, 2015. http://urn.fi/urn:isbn:9789526210131.
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Abstract The political principle concerning services for older people in Finland emphasises home care. The public authority set the national targets concerning service provisions and attempts to encourage the older population to remain in their own homes for as long as possible. In this regard, the national government employs a typical sociological or gerontological concept, known as ageing in place. Although the structure of social and health care services significantly shifted to domiciliary services in the 1990s, Finland is still considered to maintain relatively institutionalised welfare programmes. Due to continual ageing and pressures to reduce expenditure on social services, it still remains unexplored as to what extent encouraging ageing in place is realistic from the aspect of the living environment. This study is conducted as a single case study focusing on sixteen local districts in the city of Oulu. The forty-three projects researched, covering all categories, namely residential homes, sheltered housing and rental accommodation for older people, and ranging from central location to suburban districts, are systematically analysed using the building permits and the collected data in addition to the researcher’s neighbourhood surveys. The collected data are primarily analysed in quantitative manners and measured in multi-disciplinary ways. The outcomes of the analysis overall suggest that the living standards of all the housing projects studied here do not necessarily help older residents to cope with every possible environmental problem while real meanings of diversity among the projects studied are considered to be rather limited regarding the aspect of the possible lifestyles of residents. The degree of the realisation of ageing in place depends on the definition of the concept adopted by the various stakeholders (national and local authorities, developers, service providers, older people). The realisation of ageing in place seems to require wider and deeper discussions. Discussion of the ageing-in-place concept points to a lack of preventative objectives which aims at minimising services by providing appropriate living settings for older people instead of pursuing the best combination of care services and accommodation. There are special roles which only housing facilities can addressTiivistelmä Poliittisesti Suomessa painotetaan vanhusten palveluissa lähtökohtaisesti kotihoitoa. Viranomaiset ovat asettaneet valtakunnallisia tavoitteita palvelujen tarjoamisesta vanhuksille ja pyrkivät edistämään vanhusten kotiasumista niin pitkään kuin mahdollista. Tässä mielessä valtio toteuttaa ageing in place -toimintamallia, joka on laajalti vakiintunut sosiologian ja gerontologian konsepti. Vaikka sosiaali- ja terveydenhuoltopalveluiden rakenteet siirtyivät 1990-luvulla merkittävästi kotipalveluiden suuntaan, Suomea pidetään edelleen maana, jossa hyvinvointipalvelut ovat suhteellisen laitoskeskeisiä. Johtuen väestön etenevästä ikääntymisestä ja paineista vähentää sosiaalipalvelujen kustannuksia, on vielä epäselvää missä määrin ageing in place -mallin edistäminen on realistista asuinympäristön näkökulmasta. Tämä tutkimus toteutettiin tapaustutkimuksena, joka keskittyi kuuteentoista Oulun kaupunginosaan. Tutkittuja neljääkymmentäkolmea kohdetta, jotka edustivat erilaisia vanhusten asuinkategorioita, siis vanhainkoteja, tehostettua palveluasumista ja ikääntyneiden vuokra-asumista, ja olivat sijoittuneet niin keskustan alueelle kuin lähiöihin, analysoitiin systemaattisesti käyttäen avuksi rakennuslupia, kerättyä dataa ja tutkijan naapurustokyselyitä. Näin kerättyä dataa analysoitiin pääasiassa kvantitatiivisesti ja mitattiin monitieteellisin menetelmin. Analyysin lopputulokset viittaavat yleisesti ottaen siihen, että tässä tutkimuksessa tarkastelluissa asuinrakennuskohteissa asumisen taso ei välttämättä auttanut ikääntyneitä asukkaita selviytymään kaikista mahdollista asuinympäristöä koskevista ongelmista, ja toisaalta asukkaiden erilaisten elämäntyylien kannalta rakennusten välisten erojen nähdään olevan todelliselta merkitykseltään varsin rajoittuneita. Ageing in place -mallin toteutumisen aste riippuu siitä, miten eri tahot (valtion viranomaiset ja paikalliset viranomaiset, kehittäjät, palveluntarjoajat, vanhukset) kyseisen konseptin määrittelevät. Vaikuttaa siltä, että ageing in place -mallin toteuttaminen edellyttää jatkossa laajempaa ja perusteellisempaa keskustelua. Ageing in place -konseptia koskevassa keskustelussa ei ole nähtävissä sellaista ajattelutapaa, jossa pyrittäisi minimoimaan palveluiden määrä tarjoamalla vanhuksille sopivanlaiset asuinolosuhteet, vaan sen sijaan keskustelussa on keskitytty etsimään parasta hoitopalveluiden ja asumisen yhdistelmää. On kuitenkin tiettyjä ongelmia, joita voi ratkaista vain sopivilla asuinympäristöillä
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Buchanan, Kevin. "Reminiscence and the social relations of ageing : a discourse-analytic study of reminiscence work with older people." Thesis, Loughborough University, 1993. https://dspace.lboro.ac.uk/2134/32416.
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'Reminiscence work' is currently a popular component of care provision for older people in the UK. However, despite the prevalence of positive 'anecdotal' reports, systematic research has so far failed to show consistent evidence of the benefits of reminiscence work for older people.
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Choi, Chi-kin Anthony, and 蔡志堅. "An evaluation of the Senior Citizen Residence scheme (SEN) : the effectiveness of facilitating the concept of ageing in place." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/207666.
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Since the hygiene condition and medical services improved in the past few decades, the expectation of life has been lengthened generally. With the baby boom effect, the mass increase in fertility following the World War II result in the problem of ageing population around the world nowadays. The phenomenon alerts the governments of global countries to solve the anticipated ageing problem by catering the needs of the elderly. In addition, the needs of the elderly are changing with the improvement of education level and affluence level. It contributes to elderly in middle-class occupying a larger proportion of the elderly in Hong Kong nowadays. Even though the government has introduced various kind of social policies to deal with the increasing demand and changing needs of the elderly, it is still not enough to satisfy the rising aspiration of the middle-income elderly.
In order to fill the market niche for the elderly in the middle-income group, the Hong Kong government invited Hong Kong Housing Society to undertake a tailor-made housing scheme for the elderly on a basis of leased-for-life. Under the Senior Citizen Residence Scheme (SEN), it aims to provide an affordable and quality accommodation with integrated service for the middle-income elderly. As the SEN scheme is built upon the concept of "ageing-in-place" and "continuum of care", it seeks to strike an excellent to enhance the quality of life for the elderly residents.
Since the SEN scheme is a pilot project, it would be considered as a relatively new and initiative development of elderly housing project comparing to the overseas' housing development. It is valuable to carry out a comprehensive assessment on the achievement of the SEN scheme. As the scheme is developed upon the concept of "ageing-in-place" and "continuum of care", this paper will focus on assess the effectiveness of the scheme in facilitating the concept of ageing-in-place in various aspects. Also, it will investigate the effectiveness of the scheme in affecting the expectation on the future housing arrangement of the elderly. The result of the assessment would be provide a reference for the authority to foresee whether there is any improvement for further development of ageing-in-place policy. As a result, it believed that the assessment of this paper is significant to gives a recommendation for the development of the upcoming project to build a quality living place for the elderly to age-in-place.iiipublished_or_final_version
Housing Management
Master
Master of Housing Management
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Dionigi, Rylee Ann. "Competing for Life: Older People and Competitive Sport." Thesis, Connect to this title online, 2004. http://hdl.handle.net/1959.13/24895.
Full textAbstract:
In Western society competing in physically demanding sport is not considered the domain of older people. For the majority of the twentieth century older people were stereotyped as frail, socially withdrawn and dependent on health and social welfare systems. Competitive athletes on the other hand are commonly viewed as being young, strong, aggressive, physically competent and independent. Although today’s older generation are encouraged to be physically active, society does not recognise serious competition or physically intense sports as age-appropriate activities for them. If older people choose to participate in sport they are expected to be doing it to have fun, make friends and keep fit. The growing leisure phenomenon of older athletes who compete to win, achieve a personal best, break world records or push their bodies to the limit presents a challenge to these orthodoxies. The purpose of this thesis is to explain why competing in physically demanding sport is significant to some older people given the accepted view that it is not their domain. In particular, the thesis explores the multiple ways in which a group of older people negotiate conflicting discourses of both sport and ageing, as well as the contradiction between their identity as an athlete and their ageing bodies, as they talk about and experience competing in physically strenuous individual and team sports. The key themes through which this negotiation process is played out relate to friendship and fun, competition, youthfulness, and the ageing body. It is revealed that the process of competing in sport can be simultaneously empowering and problematic at both the individual and social levels. The thesis draws on insights from post-structural theories of resistance and empowerment, traditional and postmodern understandings of identity management in later life, and life-stage theories to interpret the phenomenon of older people competing in physically demanding sport. To achieve the above aims, a qualitative study exploring the experiences of a group of Masters athletes aged over 55 years who regularly compete in physically strenuous individual or team sports was undertaken. It was found that despite age-appropriate norms, competition is significant to many of the participants. Study participants embrace the ideologies and practices of competitive sport and use them to define ageing in terms of youthfulness, physical ability and personal empowerment. Simultaneously however, a denial of, or desperate resistance to, the physical ageing process accompanies this feeling of empowerment. The participants in this study were not only competing in sport, but also "competing for life". It is argued that a multi-faceted and conflicting interplay of resistance and conformity, empowerment and denial, identity and the ageing body is embedded in the phenomenon of older people competing in physically demanding sport. These contradictory findings expose alternative ways of understanding sport, competition, ageing and older people in the West and raise many questions requiring further investigation. The study also points to potential applications of these findings to policy-making and provision of leisure services for older people.PhD Doctorate
49
Dionigi, Rylee Ann. "Competing for Life: Older People and Competitive Sport." Diss., Connect to this title online, 2004. http://www.newcastle.edu.au/services/library/adt/public/adt-NNCU20041203.213850/index.html.
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Twagiramariya, Beata. "Knowledge about ageing and attitudes towards caring for older people among undergraduate nursing students in the Western Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6879.
Full textAbstract:
Magister Curationis - MCurStudies have indicated that the global population of older people will reach 1.53 billion by 2050. The ageing population is a large consumer of health-care services and this remains a global concern due to the impact on existing health care systems. To have an adequately prepared workforce, nurses must have enough knowledge and skills to care for older people and positive attitudes toward them. This is because nurses’ attitudes towards older people might influence the quality of care they provide. Studies have documented nurses’ reluctance to care to work with older people, but little is known about the attitudes and knowledge of nursing students towards caring for older people in South Africa. The aim of this study was to examine undergraduate nursing students’ knowledge about ageing and their attitudes towards caring for older people. A quantitative descriptive survey, utilizing a self-administered questionnaire was used. A pre-tested self-report questionnaire was used to collect the data from a stratified sample of 240 nursing students across 5 levels of Bachelor of Nursing programme, from the foundation year to the 4th year.. Data were analyzed using SPSS version 25. The response rate was 100%. The findings showed that the first- and second-year students had minimal clinical exposure to older people while the third and fourth year had extensive contact with patients in clinical and other health settings. The students had an average level of knowledge with a generally positive attitude towards older people, though significant differences were found between the year levels. Just over half of the respondents reported that they intend to work with older people after graduation. The study recommended the improved training of nursing students in caring for older people.