Journal articles: 'Older people – Health and hygiene – Australia'

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Laver, Kate, Emmanuel Gnanamanickam, Craig Whitehead, Susan Kurrle, Megan Corlis, Julie Ratcliffe, Wendy Shulver, and Maria Crotty. "Introducing consumer directed care in residential care settings for older people in Australia: views of a citizens’ jury." Journal of Health Services Research & Policy 23, no. 3 (March 9, 2018): 176–84. http://dx.doi.org/10.1177/1355819618764223.

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Objectives Health services worldwide are increasingly adopting consumer directed care approaches. Traditionally, consumer directed care models have been implemented in home care services and there is little guidance as to how to implement them in residential care. This study used a citizens’ jury to elicit views of members of the public regarding consumer directed care in residential care. Methods A citizens’ jury involving 12 members of the public was held over two days in July 2016, exploring the question: For people with dementia living in residential care facilities, how do we enable increased personal decision making to ensure that care is based on their needs and preferences? Jury members were recruited through a market research company and selected to be broadly representative of the general public. Results The jury believed that person-centred care should be the foundation of care for all older people. They recommended that each person’s funding be split between core services (to ensure basic health, nutrition and hygiene needs are met) and discretionary services. Systems needed to be put into place to enable the transition to consumer directed care including care coordinators to assist in eliciting resident preferences, supports for proxy decision makers, and accreditation processes and risk management strategies to ensure that residents with significant cognitive impairment are not taken advantage of by goods and service providers. Transparency should be increased (perhaps using technologies) so that both the resident and nominated family members can be sure that the person is receiving what they have paid for. Conclusions The views of the jury (as representatives of the public) were that people in residential care should have more say regarding the way in which their care is provided and that a model of consumer directed care should be introduced. Policy makers should consider implementation of consumer directed care models that are economically viable and are associated with high levels of satisfaction among users.

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Rodas Avellaneda, Claudia Patricia, María del Pilar Angarita Díaz, Luis Francisco Nemocon Ramírez, Luis Alexys Pinzón Castro, Yenny Tatiana Robayo Herrera, Ines Leonilde Rodriguez Baquero, and Rocio del Pilar González Sanchez. "Oral health strategy for the older people in social protection centers in Villavicencio, Colombia." Working with Older People 21, no. 3 (September 11, 2017): 167–77. http://dx.doi.org/10.1108/wwop-04-2017-0010.

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Purpose The purpose of this paper is to design and to implement an oral health educational strategy that targeted an older population residing in three social protection centers (SPC) in Villavicencio, Colombia. Design/methodology/approach The first phase consisted in determining the oral health of older citizens in the SPC. To do this, the research group gathered patients’ personal information and indices. The second phase consisted in the development of an educational strategy based on the population’s requirements. The educational strategy, focusing on oral hygiene and denture care, was implemented for the older people and their caregivers. The third and final phase consisted in the research group measuring the effect of the designed strategy by repeating oral diagnoses for the older people six months after strategy implementation. Findings The results of the assessment indicated that implementing a strategy to strengthen oral hygiene care was positive, given that statistically significant reductions were observed in the soft plaque index and the Gingival Index (p<0.05). Research limitations/implications As a result of the complexity of the population, the data obtained after the strategy was implemented were significantly reduced. However, these results indicate that an educational strategy can have an effect on this type of population. Originality/value Implementing a strategy that promotes oral hygiene education and brushing skills, fosters good oral behavior and helps the older people in SPC to remember the information taught, thus contributing to their oral hygiene.

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MCCORMACK, JOHN. "Acute hospitals and older people in Australia." Ageing and Society 22, no. 5 (September 2002): 637–46. http://dx.doi.org/10.1017/s0144686x02008802.

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The Australian health care system is frequently portrayed as being in crisis, with reference to either large financial burdens in the form of hospital deficits, or declining service levels. Older people, characterised as a homogeneous category, are repeatedly identified as a major contributor to the crisis, by unnecessarily occupying acute beds while they await a vacancy in a residential facility. Several enquiries and hospital taskforce management groups have been set up to tackle the problem. This article reviews their findings and strategic recommendations, particularly as they relate to older people. Short-term policy responses are being developed which specifically target older people for early discharge and alternative levels of care, and which, while claiming positive intentions, may introduce new forms of age discrimination into the health system. Few of the currently favoured proposals promote age-inclusivity and older people's rights to equal access to acute care.

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Manckoundia, Patrick, and France Mourey. "Cognition Impairment and Gait Disorders in Older Adults." International Journal of Environmental Research and Public Health 19, no. 12 (June 15, 2022): 7347. http://dx.doi.org/10.3390/ijerph19127347.

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Thanks to the increase in life expectancy linked to scientific and medical progress and improvements in hygiene conditions, the population of people aged 75 years and over continues to grow worldwide, particularly in industrialized countries [...]

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Alba, Cristiano Regis, Crhis Netto de Brum, Rafaela Lasta, Michele Gassen Kellermann, Vanessa da Silva Corralo, Otávio Pereira D'Ávila, Clodoaldo Antônio de Sá, and Sinval Adalberto Rodrigues-Junior. "Oral health care of hospitalized elderly in a Southern Brazilian public hospital." Research, Society and Development 11, no. 3 (February 28, 2022): e38711326565. http://dx.doi.org/10.33448/rsd-v11i3.26565.

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Oral health care plays a part in the integral recovery of hospitalized older people. Based on that, this study characterized the oral health care of hospitalized older people in a Brazilian public hospital. Through application of questionnaires, this cross-sectional study assessed oral health care practice by hospital nursing staff (n=31), companions (n=134) and hospitalized older people (n=200) of a public hospital in Southern Brazil. Clinical examination was conducted by two previously calibrated examiners to screen the oral health condition of the patients, considering the presence of cavitated lesions, residual roots, visible biofilm, calculus, gum inflammation and bleeding. Data were analysed descriptively. Nursing staff limits oral health assessment to surgical procedures; 55% of nurses and 58% of companions do not supervise the oral hygiene, but 81% and 96%, respectively, claim to perform oral hygiene of elderly with difficulties to do so. The elderly (51%) claimed to brush their teeth 3x/day or more; yet, their oral health was characterized by the presence of visible biofilm, calculus, gingival inflammation and bleeding and decayed teeth. Oral health advisory or assessment is not part of the hospital routine. Companions and hospital nursing staff are willing to receive oral health care information. Poor oral health was observed in hospitalized older people, which would probably be enhanced by an interdisciplinary educational approach towards oral health care to older patients.

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Grönbeck Lindén, I., C. Hägglin, L. Gahnberg, and P. Andersson. "Factors Affecting Older Persons’ Ability to Manage Oral Hygiene: A Qualitative Study." JDR Clinical & Translational Research 2, no. 3 (May 15, 2017): 223–32. http://dx.doi.org/10.1177/2380084417709267.

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A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index. Knowledge Transfer Statement: Various factors may affect the ability to manage oral hygiene self-care. Impaired ability to manage oral hygiene, in combination with an increased number of risk factors, often results in deteriorating oral health and impaired quality of life in older persons. Factors necessary to manage oral hygiene were identified in a qualitative study of dental hygienists, occupational therapists, and assistant nurses, all working with elderly patients, and a group of elderly persons. The results of this study may be important for clinical oral health work with older patients and for the planning of oral health and social care interventions for the growing group of older people.

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Ribeiro Gaião, Luciene, Maria Eneide Leitão de Almeida, José Gomes Bezerra Filho, Peter Leggat, and Jorg Heukelbach. "Poor Dental Status and Oral Hygiene Practices in Institutionalized Older People in Northeast Brazil." International Journal of Dentistry 2009 (2009): 1–6. http://dx.doi.org/10.1155/2009/846081.

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In this study we describe the dental status and oral hygiene practices in institutionalized older people and identify factors associated with poor dental status. A cross-sectional study was performed in a nursing home in Fortaleza, the capital of Ceará State (northeast Brazil). The number of decayed, missing, and filled teeth (DMFT) was assessed in the residents of the nursing home (; mean age = 76.6 years). The mean DMFT value was 29.7; the mean number of missing teeth was 28.4. Ninety-three (58.1%) were edentulous. Almost 90% practiced oral hygiene, but only about half used a toothbrush. Only 8% had visited a dentist in the preceding three months. Most of the variables regarding oral hygiene habits (such as the use of toothbrush, frequency of oral hygiene per day, regular tooth brushing after meals) did not show any significant association with the DMFT. In multivariate regression analysis, age, general literacy level, and practice of oral hygiene were independently associated with the DMFT (). Institutionalized older people in northeast Brazil have poor dental status, and oral hygiene practices are insufficient. Dental health education is needed focusing on the special needs of this neglected and socioeconomically deprived population to improve their quality of life.

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Miranti, Riyana, and Peng Yu. "Why Social Exclusion Persists among Older People in Australia." Social Inclusion 3, no. 4 (July 24, 2015): 112–26. http://dx.doi.org/10.17645/si.v3i4.214.

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The existing literature on social exclusion among older people, though relatively limited, suggests that disadvantage among older people is cumulative in nature. Some aspects of disadvantage starting at early life stages have long-term consequences. As such, older people with disadvantages may be subject to higher risks of persistent social exclusion. This article aims to improve understanding of social exclusion and its persistence among senior Australians in three ways. Firstly, the incidence of social exclusion among older people is analysed using selected indicators. Secondly, the study examines whether an older person experiencing social exclusion at one time is more likely to experience it again (persistence). Thirdly, it investigates what factors may be protecting older people from social exclusion. The analysis is conducted using the first eight waves of the Household, Income and Labour Dynamics in Australia (HILDA) Survey. The sample of older people is disaggregated into a younger group (55–64 years at wave 1) and an older group (65+ years). The article suggests that higher education and income, as well as better health conditions and previous employment experiences, are important protective factors from social exclusion for older Australians.

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Henderson, Emily J., and Gideon A. Caplan. "Home Sweet Home? Community Care for Older People in Australia." Journal of the American Medical Directors Association 9, no. 2 (February 2008): 88–94. http://dx.doi.org/10.1016/j.jamda.2007.11.010.

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Roberts, Russell. "The health of older people in Australia: 85 is the new 65." Australian Journal of Rural Health 25, no. 4 (August 2017): 198–99. http://dx.doi.org/10.1111/ajr.12384.

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Hogan, Anthony, Kate O'Loughlin, Peta Miller, and Hal Kendig. "The Health Impact of a Hearing Disability on Older People in Australia." Journal of Aging and Health 21, no. 8 (November 6, 2009): 1098–111. http://dx.doi.org/10.1177/0898264309347821.

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PETERSEN, MAREE, and JENI WARBURTON. "Residential complexes in Queensland, Australia: a space of segregation and ageism?" Ageing and Society 32, no. 1 (February 7, 2011): 60–84. http://dx.doi.org/10.1017/s0144686x10001534.

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ABSTRACTIn western countries, large residential complexes comprising retirement villages and care facilities have become synonymous with specialised housing for older people, but gerontology has tended to view retirement villages and care facilities as separate and different spaces. By researching these spaces separately, gerontology's examination of the development of residential complexes and older people's housing has been hindered. This paper explores the geographies of residential complexes in south-east Queensland, Australia, by employing data from a larger study that utilised Lefebvre's spatial framework, social space. Its specific focus is Lefebvre's concept of representations of space, part of the triad of social space. The paper outlines how the professional knowledge of designers, planners and policy makers shape and frame the place of older people in contemporary society. The findings indicate that professional knowledge is characterised by contradictions, and that business interests sustain stereotypes of older people as either ageless or dependent. Furthermore, spaces designed for older people reinforce historical legacies of separation from the community. This form of built environment can thus be seen as both a cause and effect of ageism. Generally, the lack of attention by gerontology to these spaces has hampered discussion of alternatives for older people's housing in Australia and, importantly, the development of responsive urban and social planning.

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Lukaszyk, C., L. Harvey, J. Close, and R. Ivers. "498 Investigating fall-related injury hospitalisations for older indigenous people in Australia." Injury Prevention 22, Suppl 2 (September 2016): A180.2—A180. http://dx.doi.org/10.1136/injuryprev-2016-042156.498.

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Hall, Nina Lansbury. "Challenges of WASH in remote Australian Indigenous communities." Journal of Water, Sanitation and Hygiene for Development 9, no. 3 (June 3, 2019): 429–37. http://dx.doi.org/10.2166/washdev.2019.154.

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Abstract Health and well-being are influenced by access and quality to safe drinking water, wastewater treatment, and hygiene practices and settings. This is recognised in the United Nations' Sustainable Development Goals for water and health. As a signatory to the UN Goals, Australia has a commitment to ensure the access and quality of these resources is attained for all, including Indigenous Australians living in remote communities. This research sought to identify the status of water, sanitation and hygiene services within remote communities on mainland Australia. Interviews were conducted with representatives of organisations providing water, sanitation and/or hygiene to communities. The quality and access of WASH services in remote Indigenous communities were revealed in this research as lacking at times in many communities. The qualitative results indicate that drinking water supplies can be contaminated by microbes or naturally occurring chemicals, wastewater treatment can be poorly maintained with irregular monitoring, and the health of residents is negatively impacted by crowding in houses, which affects residents' ability to maintain healthy hygiene levels of people, clothing, bedding and infrastructure. Effective responses require a collaborative and systemic approach by the respective government agencies responsible that effectively partner with – and adequately fund – Indigenous communities to provide options that are ‘fit for purpose, place and people’.

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Lopez-Jornet, Pia, Carmen Zamora Lavella, Eduardo Pons-Fuster Lopez, and Asta Tvarijonaviciute. "Oral Health Status in Older People with Dementia: A Case-Control Study." Journal of Clinical Medicine 10, no. 3 (January 27, 2021): 477. http://dx.doi.org/10.3390/jcm10030477.

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Dementia is characterized by a range of cognitive defects with impaired activities of daily living that have implications for patient oral health. Objectives. A case-control study was made of the impact of dementia upon oral health. A total of 152 patients were included: 69 with dementia and 83 controls from the region of Murcia (Spain). The Global Deterioration Scale (GDS) was used to classify the patients and an oral exploration was carried out. Odds ratios (ORs) and confidence intervals (CIs) were estimated using regression models. The patients with more severe disease were significantly more likely to have fewer natural teeth (OR 11.00, 95%CI 1.28–23.22; p = 0.001), a higher plaque index (p = 0.001), and a greater bleeding index (p = 0.001) than the control group. These findings suggest that older adults with dementia have deficient oral health. A higher bleeding index increases the risk of deterioration of cognitive function. The oral hygiene and health of older people with dementia need to be improved.

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Hussain, R., S. Wark, M. P. Janicki, T. Parmenter, M. Knox, and H. Tabatabaei‐Jafari. "Mental health of older people with mild and moderate intellectual disability in Australia." Journal of Intellectual Disability Research 65, no. 6 (March 30, 2021): 535–47. http://dx.doi.org/10.1111/jir.12825.

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Ashman, Adrian F., and Janene Suttie. "The Medical and Health Status of Older People With Mental Retardation in Australia." Journal of Applied Gerontology 15, no. 1 (March 1996): 57–72. http://dx.doi.org/10.1177/073346489601500104.

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Alderman, Chris. "Special Pharmacy Challenges for Older People in Difficult Times." Senior Care Pharmacist 35, no. 3 (March 1, 2020): 108–9. http://dx.doi.org/10.4140/tcp.n.2020.108.

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Older people are especially vulnerable to the impacts of natural disasters such as the fires in Australia and elsewhere around the world. Health care professionals have a duty of care under these circumstances, and among those who respond are pharmacists who contribute their expertise, energy, and dedication to help where needed.

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Weening-Verbree, Lina F., Annemarie A. Schuller, Sytse U. Zuidema, and Johannes S. M. Hobbelen. "A Qualitative Evaluation of the Implementation of an Oral Care Program in Home Care Nursing." International Journal of Environmental Research and Public Health 20, no. 3 (January 24, 2023): 2124. http://dx.doi.org/10.3390/ijerph20032124.

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An Oral Care Program (OCP) was implemented in home care nursing teams in a northern province of the Netherlands to improve the oral health and hygiene of older people who make use of formal home care in 2018–2019. The aim of the current study was to evaluate the experiences of the stakeholders involved (older people, home-care nurses and dental hygienists) and to report the experienced impact of OCP, with a qualitative approach. Three dental hygienists, nine home care nurses, and eight older people were interviewed with semi-structured interviews, which were audio recorded, transcribed and analyzed using thematic analysis. The codes derived were grouped into nine main themes. OCP was experienced as mostly positive by all stakeholders involved. The educational part lead to more awareness towards oral care, but should be repeated regularly. Personalized oral care plans for older people were experienced positively, however, obtaining oral care behavior changes appeared to be difficult. Collaboration between dental hygienists and home care nurses lead to a positive experience from both sides The method and intensity of collaboration varied between the teams. To provide better access to oral health care for older people in the community, a long term collaboration between home care nursing teams and dental care professionals in their working area should be established.

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Draper, Brian, Tanya Jochelson, David Kitching, John Snowdon, Henry Brodaty, and Bob Russell. "Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People." Australian & New Zealand Journal of Psychiatry 37, no. 6 (December 2003): 735–40. http://dx.doi.org/10.1080/j.1440-1614.2003.01259.x.

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Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.

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Bradley, C., and J. E. Harrison. "Trends in hospitalised injuries due to falls by older people, Australia 1999-2007." Injury Prevention 16, Supplement 1 (September 1, 2010): A197. http://dx.doi.org/10.1136/ip.2010.029215.702.

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Jamieson, L. M., and K. F. Roberts-Thomson. "Hospitalized head injuries among older people in Australia, 1998/1999 to 2004/2005." Injury Prevention 13, no. 4 (August 1, 2007): 243–47. http://dx.doi.org/10.1136/ip.2007.015354.

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Waling, Andrea, Anthony Lyons, Beatrice Alba, Victor Minichiello, Catherine Barrett, Mark Hughes, Karen Fredriksen-Goldsen, and Samantha Edmonds. "Trans Women’s Perceptions of Residential Aged Care in Australia." British Journal of Social Work 50, no. 5 (October 24, 2019): 1304–23. http://dx.doi.org/10.1093/bjsw/bcz122.

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Abstract Many older people in trans communities in Australia and elsewhere have experienced long histories of violence and discrimination in the health and social care sectors, making some of them fearful of interacting with contemporary health and social care providers. This study explored older trans women’s perceptions of these services. It involved a qualitative, thematic analysis of semi-structured, one-on-one audio-recorded interviews with ten trans women aged sixty years and older in Australia. Participants expressed a number of concerns about using residential facilities for older people in Australia, including potential for abuse and discrimination as a result of being trans, and not having access to appropriate treatments. Participants indicated a range of alternatives in using services, such as renovating the home, relocating to areas with greater access to trans-inclusive services and potential euthanasia. Participants perceived that service providers were not adequately trained for trans and gender diverse needs, and highlighted a number of ways aged care services could better support the trans and gender diverse community. The findings provide important information to assist health and social care professionals, including social workers, as well as residential care service providers, in supporting the health and well-being of older trans women.

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Mackenzie, Lynette, and Amanda Clifford. "Perceptions of older people in Ireland and Australia about the use of technology to address falls prevention." Ageing and Society 40, no. 2 (August 28, 2018): 369–88. http://dx.doi.org/10.1017/s0144686x18000983.

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AbstractFalls are common events with serious consequences for older people. With an ageing population and increasing health-care costs, information and communication technologies (ICT) will have a potential role in future health-care delivery. However, research on technology acceptance in health care for older people is limited and its application to falls prevention is unknown. The aims of this study were to explore and describe the perceptions of community-dwelling Australian and Irish older people about their current use of technology, and the potential use of technology for falls prevention. Qualitative data were collected from three focus groups conducted in and around Limerick in Ireland, and three in the Sydney area, Australia. A total of 35 older people participated. Data were analysed using thematic analysis. Four themes emerged from the data: (a) perceptions of vulnerability to falls, (b) preferences for exercise interventions, (c) participation in and ownership of technology, and (d) perceptions about applications of technology for falls prevention. As the use of technology is an instrumental activity of daily living, health professionals need to assess the capacity of older people to adopt these technologies, and provide falls prevention interventions to accommodate the technology skills of older people. Some participants were reluctant to embrace technology and barriers to the effective use of technology to assist in preventing falls may conflict with future health service trends.

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Jing Yang, Xiao, Betty Haralambous, Jocelyn Angus, and Keith Hill. "Older Chinese Australians? Understanding of Falls and Falls Prevention: Exploring Their Needs for Information." Australian Journal of Primary Health 14, no. 1 (2008): 36. http://dx.doi.org/10.1071/py08005.

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Falls-related injuries are common and costly in Australia. They have a considerable impact on an older person?s health and quality of life, yet very little is known about falls-related issues in people from culturally and linguistically diverse (CALD) backgrounds. This research aimed to explore the needs of older Chinese Australians in relation to falls prevention and to help the future design of culturally-appropriate falls prevention programs among this ethnic group. Two focus group discussions were conducted in Cantonese with 15 Chinese older people in Melbourne. Findings highlighted that this group of Chinese older people had a need for further education on falls risk factors and prevention strategies, preferably in their first language. Allied health services were viewed as being unfamiliar to participants. Findings indicated that falls prevention programs need to take into account Chinese older people?s special language needs and service delivery preference.

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Brodaty, Henry, Brian M. Draper, and David C. Lie. "Psychogeriatrics and General Practice in Australia." International Journal of Psychiatry in Medicine 27, no. 3 (September 1997): 205–13. http://dx.doi.org/10.2190/r7yg-7qlj-qjmh-v1cr.

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We describe the interface between general practice and psychogeriatrics in Australia. While aged care services are complex and there are serious deficiencies in the management of the elderly, several initiatives appear set to improve the level of care. Economic considerations, mutual education of general practitioners and psychogeriatricians, and social factors are strong determinants of good primary care of the mental health needs of older people.

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Lin, Xiaoping, Christina Bryant, Jennifer Boldero, and Briony Dow. "Psychological well-being of older Chinese immigrants living in Australia: a comparison with older Caucasians." International Psychogeriatrics 28, no. 10 (July 8, 2016): 1671–79. http://dx.doi.org/10.1017/s1041610216001010.

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ABSTRACTBackground:Few current studies explore psychological well-being among older Chinese immigrants in Australia. The study addressed this gap and provided preliminary data on psychological well-being among this group. Four indicators, namely depression, anxiety, loneliness, and quality of life, were used to present a comprehensive picture of psychological well-being.Methods:Participants were two groups of community-dwelling older people, specifically 59 Chinese immigrants and 60 Australian-born people (median age=77 and 73, respectively). Data were collected through standardized interviews. The Geriatric Depression Scale, the Hospital Anxiety and Depression Scale, the de Jong Gierveld Loneliness Scale and the WHO Quality of Life questionnaire were used to measure depression, anxiety, loneliness, and quality of life, respectively.Results:Chinese participants’ median quality of life score was higher than the scale mid-point, indicating relatively high levels of quality of life. However, 10% exhibited symptoms of depression, 6% had symptoms of anxiety, and 49% felt lonely. Compared to Australian participants, Chinese participants reported poorer quality of life and higher levels of loneliness. Importantly, the difference in quality of life remained when the impact of socio-demographic factors was controlled for.Conclusions:This study was the first to use multiple indicators to explore psychological well-being among older Chinese immigrants in Australia. Its results suggest that their psychological well-being might be worse than that of Australian-born people when using loneliness and quality of life as indicators. In particular, loneliness is a common psychological problem among this group, and there is a need for public awareness of this problem.

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Zander, Alexis, Erin Passmore, Chloe Mason, and Chris Rissel. "Joy, Exercise, Enjoyment, Getting out: A Qualitative Study of Older People's Experience of Cycling in Sydney, Australia." Journal of Environmental and Public Health 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/547453.

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Introduction. Cycling can be an enjoyable way to meet physical activity recommendations and is suitable for older people; however cycling participation by older Australians is low. This qualitative study explored motivators, enablers, and barriers to cycling among older people through an age-targeted cycling promotion program.Methods. Seventeen adults who aged 50–75 years participated in a 12-week cycling promotion program which included a cycling skills course, mentor, and resource pack. Semistructured interviews at the beginning and end of the program explored motivators, enablers, and barriers to cycling.Results. Fitness and recreation were the primary motivators for cycling. The biggest barrier was fear of cars and traffic, and the cycling skills course was the most important enabler for improving participants’ confidence. Reported outcomes from cycling included improved quality of life (better mental health, social benefit, and empowerment) and improved physical health.Conclusions. A simple cycling program increased cycling participation among older people. This work confirms the importance of improving confidence in this age group through a skills course, mentors, and maps and highlights additional strategies for promoting cycling, such as ongoing improvement to infrastructure and advertising.

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Gardiner, Fergus W., Alice M. Richardson, Lara Bishop, Abby Harwood, Elli Gardiner, Lauren Gale, Narcissus Teoh, Robyn M. Lucas, and Martin Laverty. "Health care for older people in rural and remote Australia: challenges for service provision." Medical Journal of Australia 211, no. 8 (July 18, 2019): 363–64. http://dx.doi.org/10.5694/mja2.50277.

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Hempton, C., B. Dow, E. N. Cortes-Simonet, K. Ellis, S. Koch, D. LoGiudice, M. Mastwyk, G. Livingston, C. Cooper, and D. Ames. "Contrasting perceptions of health professionals and older people in Australia: what constitutes elder abuse?" International Journal of Geriatric Psychiatry 26, no. 5 (September 16, 2010): 466–72. http://dx.doi.org/10.1002/gps.2549.

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Gebeyaw, Getachew, Messay Kotecho, and Margaret Adamek. "LIFE ON THE STREETS IS HORRIBLE: OLDER RURAL-URBAN MIGRANTS COPE WITH HOMELESSNESS IN ETHIOPIA." Innovation in Aging 6, Supplement_1 (November 1, 2022): 566. http://dx.doi.org/10.1093/geroni/igac059.2133.

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Abstract The prevalence of homelessness among older adults in Ethiopia is growing. While prior studies examined the push factors and challenges of homeless elders, little is known about how older people in Sub Saharan Africa cope with homelessness. This study explored the coping strategies of homeless older people in Kobo Town, Ethiopia. Purposive sampling was used to identify 10 homeless older people and four key informants. Study participants were homeless for a year or longer. Thematic analysis was used to analyze the data collected through in-depth interviews. To cope with the challenges faced on the street, homeless older people used various strategies including begging, holy water, drying leftover food, using river water for hygiene and sanitation, sleeping in church compounds, and creating their own social networks. Despite their efforts, the coping strategies used by elders were not sufficient. In the absence of family and government support, study participants relied heavily on begging to meet their survival needs. The findings call attention to the need for a national income support program and other supportive services for older adults. Homelessness is the product of a failing support system. Despite Ethiopia having a Plan of Action for Older Persons and Social Protection Policy for Vulnerable Groups, these policies have not been effectively implemented leaving older adults with no safety net. This study calls for the development of new policies to empower older people in Ethiopia and prevent them from turning to begging as their only recourse.

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Edmiston, Natalie, Erin Passmore, David J. Smith, and Kathy Petoumenos. "Multimorbidity among people with HIV in regional New South Wales, Australia." Sexual Health 12, no. 5 (2015): 425. http://dx.doi.org/10.1071/sh14070.

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Background Multimorbidity is the co-occurrence of more than one chronic health condition in addition to HIV. Higher multimorbidity increases mortality, complexity of care and healthcare costs while decreasing quality of life. The prevalence of and factors associated with multimorbidity among HIV positive patients attending a regional sexual health service are described. Methods: A record review of all HIV positive patients attending the service between 1 July 2011 and 30 June 2012 was conducted. Two medical officers reviewed records for chronic health conditions and to rate multimorbidity using the Cumulative Illness Rating Scale (CIRS). Univariate and multivariate linear regression analyses were used to determine factors associated with a higher CIRS score. Results: One hundred and eighty-nine individuals were included in the study; the mean age was 51.8 years and 92.6% were men. One-quarter (25.4%) had ever been diagnosed with AIDS. Multimorbidity was extremely common, with 54.5% of individuals having two or more chronic health conditions in addition to HIV; the most common being a mental health diagnosis, followed by vascular disease. In multivariate analysis, older age, having ever been diagnosed with AIDS and being on an antiretroviral regimen other than two nucleosides and a non-nucleoside reverse transcriptase inhibitor or protease inhibitor were associated with a higher CIRS score. Conclusion: To the best of our knowledge, this is the first study looking at associations with multimorbidity in the Australian setting. Care models for HIV positive patients should include assessing and managing multimorbidity, particularly in older people and those that have ever been diagnosed with AIDS.

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Piyakhunakorn, Panat, and Nithimar Sermsuti-anuwat. "The Relationship between Periodontitis and Oral Health Literacy among the Older People in Thailand." Global Journal of Health Science 13, no. 6 (May 14, 2021): 103. http://dx.doi.org/10.5539/gjhs.v13n6p103.

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OBJECTIVE: The purpose of this study was to evaluate the relationship between periodontitis and oral health literacy among the older population in Thailand. MATERIAL & METHODS: This cross-sectional study was performed between July 1 and September 30, 2020, in Panare district, Pattani province, Thailand. The inclusion criteria were older individuals more than 60 years of age who had at least six remaining teeth. Information on sociodemographic characteristics and oral health-related behaviors were collected using a self-reported questionnaire. Oral health literacy was categorized using the Thai version of the Health Literacy in Dentistry scale (HeLD‐Th). A trained examiner performed clinical periodontal examinations. The data were analyzed using the Mann-Whitney U test, Fisher's exact test, and binary logistic regression analysis. RESULTS: A total of 216 independently living older adults participated and completed the study protocol. The initial analyses indicated significant associations between severe periodontitis and low oral health literacy (p = 0.029) and insufficient toothbrushing duration (p < 0.001). However, in multivariate analysis, only toothbrushing duration showed significant association (p = 0.003). CONCLUSIONS: Oral health literacy interventions and oral hygiene practices for improving periodontal health status among the Thai older adults are necessary.

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Cordato, Nicholas J., Sabari Saha, and Michael A. Price. "Geriatric interventions: the evidence base for comprehensive health care services for older people." Australian Health Review 29, no. 2 (2005): 151. http://dx.doi.org/10.1071/ah050151.

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Specialist geriatric services apply a comprehensive, multidisciplinary evaluation and management approach to the multidimensional and usually interrelated medical, functional and psychosocial problems faced by at-risk frail elderly people. This paper examines currently available data on geriatric interventions and finds ample evidence supporting both the efficacy and the cost-effectiveness of these specialist interventions when utilised in appropriately targeted patients. It is proposed that substantial investment in these programs is required to meet the future demands of Australia?s ageing population.

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Rota-Bartelink, Alice, and Bryan Lipmann. "Supporting the Long-Term Residential Care Needs of Older Homeless People With Severe Alcohol-Related Brain Injury in Australia: The Wicking Project." Care Management Journals 8, no. 3 (September 2007): 141–48. http://dx.doi.org/10.1891/152109807781753763.

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For years, community service providers have been frustrated with the lack in availability of long-term, specialized supported accommodation for older people, particularly older homeless people, with severe acquired brain injury (ABI) and challenging behaviors. Although the incidence of ABI (particularly alcohol-related brain injury) is far wider than being confined to the homeless population, it is frequently misdiagnosed and very often misunderstood. Wintringham is an independent welfare company in Melbourne, Australia, that provides secure, affordable, long-term accommodation and high quality services to older homeless people. The high incidence of alcohol abuse among the resident population has led us to adapt our model of care to accommodate a complexity of need. However, there are some individuals with severely affected behaviors that continue to challenge Wintringham’s capacity to provide adequate support. The deficiency in highly specialized, long-term supported accommodation for older people with severe alcohol-related brain injury (ARBI) is the driving force behind this project. We aim to further develop and improve the current Wintringham model of residential care to better support people with these complex care needs. We will report on the synthesis of this project, which aims to test a specialized model that can be reproduced or adapted by other service providers to improve the life circumstances of these frequently forgotten people.

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Taylor, Morag E., Chris Todd, Sandra O'Rourke, Lindy M. Clemson, Jacqueline CT Close, Stephen R. Lord, Thomas Lung, et al. "Implementation of the StandingTall programme to prevent falls in older people: a process evaluation protocol." BMJ Open 11, no. 7 (July 2021): e048395. http://dx.doi.org/10.1136/bmjopen-2020-048395.

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IntroductionOne in three people aged 65 years and over fall each year. The health, economic and personal impact of falls will grow substantially in the coming years due to population ageing. Developing and implementing cost-effective strategies to prevent falls and mobility problems among older people is therefore an urgent public health challenge. StandingTall is a low-cost, unsupervised, home-based balance exercise programme delivered through a computer or tablet. StandingTall has a simple user-interface that incorporates physical and behavioural elements designed to promote compliance. A large randomised controlled trial in 503 community-dwelling older people has shown that StandingTall is safe, has high adherence rates and is effective in improving balance and reducing falls. The current project targets a major need for older people and will address the final steps needed to scale this innovative technology for widespread use by older people across Australia and internationally.Methods and analysisThis project will endeavour to recruit 300 participants across three sites in Australia and 100 participants in the UK. The aim of the study is to evaluate the implementation of StandingTall into the community and health service settings in Australia and the UK. The nested process evaluation will use both quantitative and qualitative methods to explore uptake and acceptability of the StandingTall programme and associated resources. The primary outcome is participant adherence to the StandingTall programme over 6 months.Ethics and disseminationEthical approval has been obtained from the South East Sydney Local Health District Human Research Ethics Committee (HREC reference 18/288) in Australia and the North West- Greater Manchester South Research Ethics Committee (IRAS ID: 268954) in the UK. Dissemination will be via publications, conferences, newsletter articles, social media, talks to clinicians and consumers and meetings with health departments/managers.Trial registration numberACTRN12619001329156.

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Kralik, Debbie, Kate Visentin, Geoff March, Barbara Anderson, Andrew Gilbert, and Merilyn Boyce. "Medication Management for Community-dwelling Older People with Dementia and Chronic Illness." Australian Journal of Primary Health 14, no. 1 (2008): 25. http://dx.doi.org/10.1071/py08004.

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The purpose of this paper is to report the findings of an integrative review of the literature on medication management for individuals who live in the community and have both chronic illness and mild to moderate dementia. The aim of the review was to summarise what is known about this topic, evaluate and compare previous research on the topic of medication management for people with dementia, and locate gaps in current work, thus pointing to directions for future research. Dementia is a national health priority for Australia. A significant component of community care for people with dementia is the management and administration of the medications required for other chronic conditions. Medication management is a broad term that encompasses several aspects, such as client-centred medication review, rational prescribing and support, repeat prescribing, client information/education, capacity to communicate with multiple health providers and having access to medicines. Cognitive impairment has been associated with medication management issues so it is important to ensure quality outcomes of medicine use by community-dwelling older people with dementia. The literature revealed a number of issues, such as the importance of person-centred care, the need for the coordination of care, and consumer partnerships in medication management. These are all important considerations in planning primary care services to support people with dementia and chronic illnesses. People with dementia who have chronic illness require coordinated, tailored, and flexible care processes in the community. There exists a range of services and programs such as home medicine reviews to support people living in the community with chronic illness and dementia; however, there is little coordination of care and evaluation of interventions is, at best, inconsistent. Currently, Australia lacks an integrative primary health care (PHC) framework, within which consumer involvement in decision-making and/or care planning is valued and sought. Current services are limited in the degree to which there is collaboration between key partners and Australian PHC initiatives are fragmented and have limited impact on service delivery.

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Piticar, Evelyn, and Lorena-Mirtala Orellana. "Dental health status and Oral Health-Related Quality of Life in older people of Puerto Montt, Chile." Journal of Oral Research 9, no. 5 (October 30, 2020): 372–82. http://dx.doi.org/10.17126/joralres.2020.078.

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Introduction: Older people tend to have poor oral health, which can affect their quality of life. This study aimed to explore the relationship of the Oral Health-Related Quality of Life (OHRQoL) with sociodemographic variables and the dental health status of older people who belong to Elderly Clubs in the district of Puerto Montt, Chile. Material and methods: A cross-sectional study was carried out in 140 elderly people from Elderly Clubs in the district of Puerto Montt, Chile. Sociodemographic and dental variables were studied using a questionnaire and clinical examination. The GOHAI instrument validated in Chile was applied to measure the OHRQoL. Results: The mean of the total GOHAI was 50.8±8.6 points, and the median was 53. Of the 140 elderly people, 87.9% were females, the means of age and years of education were 73.2±6.2 and 7.5±4.4 years, respectively. 30% were edentulous, the number of remaining teeth was 7.8±8.1, the OHI-S was 1.3±1.0. 85.7% wore dentures, and the time of denture wearing was 8.8±9.4 years. Significant associations were found between the total GOHAI and non-belonging to an indigenous people (p=0.024), being edentulous (p=0.006), and the presence of healthy teeth (p=0.039). Conclusion: The GOHAI showed a significant relationship with not-belonging to an indigenous ethnicity, being edentulous, and the number of healthy teeth. The OHRQoL was higher in males, with formal education, edentulous, dentated without teeth mobility, with complete dentures, and moderate denture hygiene.

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ALIDOUST, SARA, CARYL BOSMAN, and GORDON HOLDEN. "Planning for healthy ageing: how the use of third places contributes to the social health of older populations." Ageing and Society 39, no. 7 (February 21, 2018): 1459–84. http://dx.doi.org/10.1017/s0144686x18000065.

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ABSTRACTIn recent years, there has been an increasing focus on creating age-friendly cities to accommodate the changing needs of older people and to promote their overall health and wellbeing. This paper focuses on some of the urban planning implications related to maintaining the social health, as a main component of overall health and wellbeing, of older people. Specifically, we look at the role and accessibility of third places (popular public places where many people go to socialise) in relation to older people living in different neighbourhood built-form patterns, and how these factors impact on the formation of absent, weak and strong social ties. The data draw upon interviews with 54 older people living in different neighbourhood built-form patterns on the Gold Coast, Queensland, Australia. Our findings demonstrate the significant role third places have in affording older people opportunities to engage in the social lives of their local communities, thus contributing to their social health and overall wellbeing. This research supports previous studies relating to the accessibility of amenities by re-emphasising the importance of planning for the provision of third places that are conveniently located and easily accessible by older people. The paper concludes by arguing for the planning of transport and third-place interventions in Australia's sprawling suburban landscapes to allow older people more opportunities to be socially connected.

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Hendrie, Delia, Sonja E. Hall, Gina Arena, and Matthew Legge. "Health system costs of falls of older adults in Western Australia." Australian Health Review 28, no. 3 (2004): 363. http://dx.doi.org/10.1071/ah040363.

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The aim of this study was to determine the health system costs associated with falls in older adults who had attended an emergency department (ED) in Western Australia. The data relating to the ED presentations and hospital admissions were obtained from population-based hospital administrative records for 2001?2002. The type of other health services (eg, outpatient, medical, community, ancillary and residential care), the quantity, and their cost were estimated from the literature. In adults aged 65 years and above, there were 18 706 ED presentations and 6222 hospital admissions for fall-related injuries. The estimated cost of falls to the health system was $86.4 million, with more than half of this attributable to hospital inpatient treatment. Assuming the current rate of falls remains constant for each age group and gender, the projected health system costs of falls in older adults will increase to $181 million in 2021 (expressed in 2001?02 Australian dollars). The economic burden to the health services imposed by falls in older adults is substantial, and a long-term strategic approach to falls prevention needs to be adopted. Policy in this area should be targeted at both reducing the current rate of falls through preventing injury in people from high-risk groups and reducing the future rate of falls through reducing population risk.

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Sari, Kartika Indah, Warta Dewi, Tadeus Arufan Jasrin, and Taufik Sumarsongko. "Kebersihan Gigi Tiruan pada Lansia, Suatu Tinjauan Metode dan Bahan." Jurnal Material Kedokteran Gigi 7, no. 1 (August 5, 2018): 1. http://dx.doi.org/10.32793/jmkg.v7i1.274.

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The use of removable dentures is one of the main approach to oral rehabilitation of partially or completely edentulous patient. Denture hygiene is an important things for the elderly as a vulnerable people. The purpose is to discribe both of the literature or recent study that related to denture hygiene in elderly. Removable denture got special attention cause accumulate food residue, bacterial biofilm, and calculus at the mucosa or denture interface. Recently, the presence of bacterial bioflim on denture was considered a risk factor for aspiration pneumonia in frail older people. In general, removable denture that is used acrylic based denture.The microporous surfaces of an acrylic denture provide a wide range of environments to support microorganisms that can threaten the health of patient. Knowing denture cleanser as apart of denture hygiene in elderly is an important things.

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Kamil, Wisam, Estie Kruger, Berwin Turlach, and Marc Tennant. "Hospitalization for Oral Health-Related Conditions of the Australian Ageing Population: Two Decades of Analysis." Geriatrics 7, no. 1 (December 22, 2021): 2. http://dx.doi.org/10.3390/geriatrics7010002.

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The burden of oral health care increases among older people, with a profound challenge in utilising dental services in primary dental care settings. This study aimed to analyse two decades of nationwide hospital separation patterns due to oral health-related conditions among older people. Ageing population data were obtained from the Australian Bureau of Statistics, including people aged 65 years and older. All principal diagnoses of oral health conditions (ICD-10-AM) were analysed in this study. The hospitalisation data included all separations of older people for the financial years 1998–1999 to 2018–2019. A total of 205,461 hospital separations were recorded for older people over a period of twenty-one years. More than 60% of these separations were collectively attributed to dental caries, disorders of teeth and supporting structures, diseases of the jaws, diseases of the pulp and periapical tissues. However, the average rate of separations per 10,000 people due to dental caries was the highest among the dental conditions (8.68). Furthermore, the remaining oral health-related conditions predict an annual percentage increase in the rate that would compromise their oral health quality of life. Dental caries and its sequela seem to be the leading cause for oral health-related hospital admissions in Australia for people aged 65 and older. This could be an indicator of the inadequacy of disease management in the primary dental care setting.

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Kingsley, Beth. "Community Empowerment: Promoting the Safety and Minimising the Abuse of Older People." Australian Journal of Primary Health 8, no. 2 (2002): 98. http://dx.doi.org/10.1071/py02035.

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Elder abuse is a taboo topic that older people talk about in hushed whispers and community workers are hesitant to raise. Nevertheless the abuse of older people is a social issue and a tragedy of an ageing population. To promote the safety of older citizens health professionals cannot stand by and allow clients to be abused where they experience harm at the hands of someone they know and from whom they should be able to expect safe care. The harmful and damaging nature of elder abuse compels practitioners to work with the community to address and resolve this social problem. Evolving from focus group discussions with older people in Perth, Western Australia, a series of community education and empowerment forums were held under the auspice of The Council on the Ageing (WA) Inc. The forums used an innovative drama format to illustrate the issues of elder abuse and demonstrate potential solutions. Forum evaluation indicated that this format was successful in raising awareness of elder abuse, what it is, why it happens and what resources are available to deal with it. From the forums caregivers and older people learned new strategies on how to minimise their risk of abusing or to resist becoming a victim of abuse.

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Giles, Lynne C., Julie A. Halbert, Maria Crotty, Ian D. Cameron, and Len C. Gray. "The distribution of health services for older people in Australia: where does transition care fit?" Australian Health Review 33, no. 4 (2009): 572. http://dx.doi.org/10.1071/ah090572.

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Introduction: The purpose of this study was to describe the distribution of hospital and aged care services for older people, with a particular focus on transition care places, across Australia and to determine the relationships between the provision of these services. Methods: Aggregation of health and aged care service indicators by Aged Care Assessment Team (ACAT) region including: public and private acute and subacute (rehabilitation and geriatric evaluation and management) hospital beds, flexible and mainstream aged care places as at 30 June 2006. Results: There was marked variation in the distribution of acute and subacute hospital beds among the 79 ACAT regions. Aged care places were more evenly distributed. However, the distribution of transition care places was uneven. Rural areas had poorer provision of all beds. There was no evidence of coordination in the allocation of hospital and aged care services between the Commonwealth and state/territory governments. There was a weak relationship between the allocation of transition care places and the distribution of health and aged care services. Discussion: Overall, the distribution of services available to older persons is uneven across Australia. While the Transition Care Program is flexible and is providing rural communities with access to rehabilitation, it will not be adequate to address the increasing needs associated with the ageing of the Australian population. An integrated national plan for aged care and rehabilitation services should be considered.

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El Osta, Nada, Amine Wehbe, Nelly Sleiman, Noemie Drancourt, Lana El Osta, and Martine Hennequin. "Dental Criteria Could Alert for Malnutrition Risk and Inappropriate Choice of Food Texture in Older Subjects with Dementia: An Analytical Cross-Sectional Study." International Journal of Environmental Research and Public Health 19, no. 22 (November 16, 2022): 15086. http://dx.doi.org/10.3390/ijerph192215086.

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Oral health indicators are usually collected to alert for the presence of infectious diseases, but the impact of poor oral health on the nutritional status of older people with dementia is often neglected. This study aims to explore the relationship between the number of posterior dental functional units (PFUs) and the anthropometric measure of malnutrition, the mid-upper arm circumference (MUAC), in older people with dementia while controlling for other variables, and to analyze whether the number of PFUs is considered when adjusting the texture of the food provided at mealtimes. A total of 103 individuals who were 70 years or older with dementia were recruited from seven institutions. Cognitive impairment was assessed using the Mini Mental State Examination. Data were collected from medical records (sociodemographic characteristics, presence of chronic diseases, prescribed medications, results of serum albumin level), as well as questionnaires (type of feeding routes, type of food texture, supplements intake, Activity of Daily Living index), clinical examinations (MUAC), and oral health parameters (PFUs, oral dryness, oral hygiene). MUAC was the dependent outcome variable. MUAC was associated with the number of PFUs (p = 0.032); participants with PFU ≤ 4 were 7.5 times more likely to have MUAC < 21 cm than others. Other associations were found between MUAC and albumin level (OR = 12.5; p = 0.001), modified food texture (OR = 4.2; p = 0.035), and length of institutional stay (OR = 5.2; p = 0.033); however, the type of oral feeding was not significantly related to the number of PFUs (p = 0.487) so there is an inadequate correlation between food texture and oral health status. Similar to MUAC, the number of PFUs could be an oral anthropometric criterion that is recorded during routine hygiene care to alert for the risk of malnutrition and the inappropriate choice of food texture in older individuals with dementia.

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Ma, Tracey, Rebecca Ivers, John Solar, Aaron Simon, Evelyne de Leeuw, and Kathleen Clapham. "Experiences of Older Aboriginal People in Navigating Transport Systems in an Urban Setting: An Indigenous Perspective on Transport Access, a Social Determinant of Health." International Journal of Environmental Research and Public Health 19, no. 21 (October 23, 2022): 13778. http://dx.doi.org/10.3390/ijerph192113778.

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Background: In Australia, Aboriginal people are underserved by the transport system and are less able to easily get to places they need to go than others. This is a part of a larger pattern of exclusion and inequity for Aboriginal people which affects their health, wellbeing, and social participation. Guided by a decolonising framework, this research explored how older Aboriginal people, whose pivotal roles in their families and communities require their mobility, experience the transportation system, providing an Indigenous-centred view of the accessibility of transportation options in society. Methods: Interviews drawing from the yarning technique were conducted with ten older Aboriginal people living in Greater Western Sydney and analysed qualitatively. Results: In addition to the cognitive labour required to decipher the rules of the transport system and organise commitments to match the scheduling of transport services, older Aboriginal people in this study experienced stigmatising attitudes and condescending treatment from service professionals and the public when traveling. Conclusions: This study suggests three potential ways that the current trajectory that underserves older Aboriginal people could be disrupted, relating to service design, the diversity and inclusion agenda, and the social determinants of Indigenous health.

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Vinsur, Elizabeth Yun Yun, Nanik Dwi Astutik, and Oktavia Indriyani. "Perawatan Mulut (Oral Hygiene) menggunakan Obat Kumur Daun Sirih untuk Mencegah Gangguan Mulut Lansia." KOLABORASI JURNAL PENGABDIAN MASYARAKAT 2, no. 5 (October 2, 2022): 397–401. http://dx.doi.org/10.56359/kolaborasi.v2i5.171.

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Introduction: Older people have a complexity of health status, systemic diseases, and the use of certain medications creates oral health problems. Indonesian people, use quite a lot of family medicinal plants, for example a decoction of betel leaves (Piper betle L.). Its compounds are known to have strong potential as an anti-fungal and anti-bacterial. The role of nurses is to increase the knowledge of health cadres through health counseling activities about the basic concepts of oral hygiene and how to make betel leaf-based mouthwashes Objective: The counseling activity aims to increase the knowledge of health cadres about oral hygiene and about how to make mouthwashes made from betel leaves. Method: The implementation has been held in June 2022. The number of participants was 14 people. The participants are health cadres in Wonosari Hamlet. The instruments used to evaluate were ten (10) pre-test and post-test questionnaire questions and a checklist of procedures for how to make betel leaf-based mouthwashes. The data on the results are presented in the form of a table of scores. Result: The average score of knowledge about oral hygiene are increase from 49.29 to 67.27. Procedure evaluation score 97.61%. Conclusion: There was an increase in knowledge about oral hygiene and representatives of cadres were able to make Betel Leaf Mouthwash. It is hoped that it can be done to the elderly so that the optimization of PHC in terms of oral hygiene of the elderly uses betel leaf mouthwash to prevent oral disorders from manifesting.

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WARBURTON, JENI, and DEIRDRE MCLAUGHLIN. "‘Lots of little kindnesses’: valuing the role of older Australians as informal volunteers in the community." Ageing and Society 25, no. 5 (August 23, 2005): 715–30. http://dx.doi.org/10.1017/s0144686x05003648.

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This paper describes the ways in which older people contribute to their communities and families as informal volunteers. It challenges current ways of thinking that assign an economic value to the productive activities undertaken by older people. Using qualitative data from a study of older people resident in Queensland, Australia, the paper explores the ways that older people contribute to their families and to the community and the outcomes associated with these activities. Two specific themes emerged from the data: first, the ways in which older people contribute to strong inter-generational relations, and second, how they provide essential mutual support that permits many older people to remain living in the community. These contributions, while often small in themselves, are in aggregate critical both to family functioning and to the maintenance of sustainable and healthy communities. Many are reciprocal interactions that add value to the lives of individuals and offer positive social roles in later life, and they may be particularly important for those from minority cultural backgrounds or at risk of social isolation. The findings suggest that older people are integral to community and civil society and, therefore, that social policy should respond to the ageing of Australia's population and recognise the positive contributions of older people, rather than emphasising the costs of demographic change.

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Durvasula, Seeta, Cindy Kok, Philip N. Sambrook, Robert G. Cumming, Stephen R. Lord, Lynette M. March, Rebecca S. Mason, Markus J. Seibel, Judy M. Simpson, and Ian D. Cameron. "Sunlight and health: Attitudes of older people living in intermediate care facilities in southern Australia." Archives of Gerontology and Geriatrics 51, no. 3 (November 2010): e94-e99. http://dx.doi.org/10.1016/j.archger.2010.01.008.

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Muir-Cochrane, Eimear, Deb O’Kane, Pat Barkway, Candice Oster, and Jeffrey Fuller. "Service provision for older people with mental health problems in a rural area of Australia." Aging & Mental Health 18, no. 6 (February 5, 2014): 759–66. http://dx.doi.org/10.1080/13607863.2013.878307.

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Journal articles on the topic 'Older people – Health and hygiene – Australia'

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