Iris Marion Young
- Published in print:
- 2005
- Published Online:
- September 2006
- ISBN:
- 9780195161922
- eISBN:
- 9780199786664
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/0195161920.003.0009
- Subject:
- Philosophy, General
Many old people who need nursing care live in residences that routinely deprive them of privacy in the sense of a secure personal space where one dwells according to one’s own habits with things of ...
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Many old people who need nursing care live in residences that routinely deprive them of privacy in the sense of a secure personal space where one dwells according to one’s own habits with things of one’s own. It is argued that old people should not have to do without a home in this sense just because they have become unable to live independently, or because their relatives are unable or unwilling to make a home for them in their own dwellings. Services and institutions offering shelter and care to needy persons often fail to appreciate what is required for individuals not simply to stay alive, physically well, and nourished, but to have the life of a person. A room of one’s own or its equivalent should be understood not as a luxury that social services can ill afford, but rather as a basic element of the value of privacy.Less
Many old people who need nursing care live in residences that routinely deprive them of privacy in the sense of a secure personal space where one dwells according to one’s own habits with things of one’s own. It is argued that old people should not have to do without a home in this sense just because they have become unable to live independently, or because their relatives are unable or unwilling to make a home for them in their own dwellings. Services and institutions offering shelter and care to needy persons often fail to appreciate what is required for individuals not simply to stay alive, physically well, and nourished, but to have the life of a person. A room of one’s own or its equivalent should be understood not as a luxury that social services can ill afford, but rather as a basic element of the value of privacy.
Judith Healy and Martin McKee
- Published in print:
- 2004
- Published Online:
- September 2009
- ISBN:
- 9780198516187
- eISBN:
- 9780191723681
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198516187.003.0003
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
The aging population in the United Kingdom has brought greater recognition of the heterogeneity of older people, and hence their varied health care needs. Elderly care medicine argues that the ...
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The aging population in the United Kingdom has brought greater recognition of the heterogeneity of older people, and hence their varied health care needs. Elderly care medicine argues that the multiple and complex conditions often associated with aging call for specialist services, but the management of older patients now is moving into mainstream services. Health policies have been driven more by the views of professionals than the expressed wishes of older people, however, and has concentrated on adverse outcomes for the health system (rising hospital admissions, hospital bed blocking) rather than positive health outcomes for older people. While the entitlement of older people to health care is secure within a national health service, policies should aim to improve the quality of health care and quality of life for older people.Less
The aging population in the United Kingdom has brought greater recognition of the heterogeneity of older people, and hence their varied health care needs. Elderly care medicine argues that the multiple and complex conditions often associated with aging call for specialist services, but the management of older patients now is moving into mainstream services. Health policies have been driven more by the views of professionals than the expressed wishes of older people, however, and has concentrated on adverse outcomes for the health system (rising hospital admissions, hospital bed blocking) rather than positive health outcomes for older people. While the entitlement of older people to health care is secure within a national health service, policies should aim to improve the quality of health care and quality of life for older people.
Sheila Peace
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0002
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the ...
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This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the people and the places that make up these long-term care services for older people. It reflects on how the culture of care has evolved within these settings and how issues regarding dying and death have only relatively recently been recognized as key aspects of the purpose of long-term care.Less
This chapter traces the development of nursing home and residential care in Great Britain. It discusses the development of care homes during the past twenty-five years and describes the nature of the people and the places that make up these long-term care services for older people. It reflects on how the culture of care has evolved within these settings and how issues regarding dying and death have only relatively recently been recognized as key aspects of the purpose of long-term care.
Mary Keys
- Published in print:
- 2016
- Published Online:
- May 2016
- ISBN:
- 9780719099465
- eISBN:
- 9781526104410
- Item type:
- chapter
- Publisher:
- Manchester University Press
- DOI:
- 10.7228/manchester/9780719099465.003.0008
- Subject:
- Sociology, Culture
This chapter identifies the area of decision-making as central to the protection of older people. It addresses the recognition of legal capacity as a central issue to avoid choices being ignored and ...
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This chapter identifies the area of decision-making as central to the protection of older people. It addresses the recognition of legal capacity as a central issue to avoid choices being ignored and not respected. The chapter discusses some of the law and policy reforms necessary to meet international human rights standards, as set out in the Convention on the Rights of Persons with Disabilities and the European Convention on Human Rights. Lessons from research in other jurisdictions are highlighted to avoid the pitfalls identified from similar law reform elsewhere.Less
This chapter identifies the area of decision-making as central to the protection of older people. It addresses the recognition of legal capacity as a central issue to avoid choices being ignored and not respected. The chapter discusses some of the law and policy reforms necessary to meet international human rights standards, as set out in the Convention on the Rights of Persons with Disabilities and the European Convention on Human Rights. Lessons from research in other jurisdictions are highlighted to avoid the pitfalls identified from similar law reform elsewhere.
Jonathan Herring
- Published in print:
- 2009
- Published Online:
- May 2009
- ISBN:
- 9780199229024
- eISBN:
- 9780191705274
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199229024.001.0001
- Subject:
- Law, Family Law
This book examines the legal rights and responsibilities of older people. Although the focus is particularly on the legal issues surrounding old age it draws extensively on the gerentological, ...
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This book examines the legal rights and responsibilities of older people. Although the focus is particularly on the legal issues surrounding old age it draws extensively on the gerentological, philosophical, sociological, and medical literature surrounding the subject. The book examines the key issues surrounding ageing and law: ageism and age discrimination; mental capacity; care and older people; elder abuse; pensions and benefits for older people; grandparents; the health care of older people; and inheritance issues. These issues raise complex social and legal issues. The book highlights the many ways our social and legal systems let older people down and makes proposals as to how these could be improved. It argues that the devaluation of ageing and the social exclusion of older people not only impoverishes the lives of older people, but of society generally.Less
This book examines the legal rights and responsibilities of older people. Although the focus is particularly on the legal issues surrounding old age it draws extensively on the gerentological, philosophical, sociological, and medical literature surrounding the subject. The book examines the key issues surrounding ageing and law: ageism and age discrimination; mental capacity; care and older people; elder abuse; pensions and benefits for older people; grandparents; the health care of older people; and inheritance issues. These issues raise complex social and legal issues. The book highlights the many ways our social and legal systems let older people down and makes proposals as to how these could be improved. It argues that the devaluation of ageing and the social exclusion of older people not only impoverishes the lives of older people, but of society generally.
Sheena Asthana and Joyce Halliday
- Published in print:
- 2006
- Published Online:
- March 2012
- ISBN:
- 9781861346742
- eISBN:
- 9781447304258
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861346742.003.0013
- Subject:
- Public Health and Epidemiology, Public Health
This chapter examines policy and practice in addressing health inequalities in older people. It considers efforts to improve the health and well-being of older citizens through lifestyle/behavioural ...
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This chapter examines policy and practice in addressing health inequalities in older people. It considers efforts to improve the health and well-being of older citizens through lifestyle/behavioural interventions, initiatives that target housing and living standards and initiatives designed to improve access to health and social care. It suggests that older people themselves are more concerned about their independence and quality of life rather than the availability or quality of care services.Less
This chapter examines policy and practice in addressing health inequalities in older people. It considers efforts to improve the health and well-being of older citizens through lifestyle/behavioural interventions, initiatives that target housing and living standards and initiatives designed to improve access to health and social care. It suggests that older people themselves are more concerned about their independence and quality of life rather than the availability or quality of care services.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0002
- Subject:
- Sociology, Gerontology and Ageing
Chapter 1 offers an overview of the UK’s socio-demographic and policy context. The UK has an ageing population that is increasingly diverse and heterogenous. Whilst for many older people health ...
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Chapter 1 offers an overview of the UK’s socio-demographic and policy context. The UK has an ageing population that is increasingly diverse and heterogenous. Whilst for many older people health outcomes have vastly improved since the introduction of the welfare state, prevalence of ill health does increase with advancing age. The number of older people living with dementia is 850,000, a figure expected to rise to over 2 million by 2051. Disability, pain, chronic physical illness and dementia are risk factors for both depression and suicide. It is estimated that 30 per cent of older people have ‘depressive symptoms’ and that 1 in 8 of all suicides relate to older people. 4 per cent of older people suffer from ‘anxiety disorder’. Although not mental health problems as such, a growth of the number of older people experiencing isolation and loneliness, problem alcohol issues and social exclusion are contributors. In terms of policy, all four UK nations, have specific policies relating to dementia, on the one hand, and policies relating to preventing and treating functional mental health problems on the other. The former tends to be older age focused whilst the latter extends across the whole adult lifespan.Less
Chapter 1 offers an overview of the UK’s socio-demographic and policy context. The UK has an ageing population that is increasingly diverse and heterogenous. Whilst for many older people health outcomes have vastly improved since the introduction of the welfare state, prevalence of ill health does increase with advancing age. The number of older people living with dementia is 850,000, a figure expected to rise to over 2 million by 2051. Disability, pain, chronic physical illness and dementia are risk factors for both depression and suicide. It is estimated that 30 per cent of older people have ‘depressive symptoms’ and that 1 in 8 of all suicides relate to older people. 4 per cent of older people suffer from ‘anxiety disorder’. Although not mental health problems as such, a growth of the number of older people experiencing isolation and loneliness, problem alcohol issues and social exclusion are contributors. In terms of policy, all four UK nations, have specific policies relating to dementia, on the one hand, and policies relating to preventing and treating functional mental health problems on the other. The former tends to be older age focused whilst the latter extends across the whole adult lifespan.
Sheena Asthana and Joyce Halliday
- Published in print:
- 2006
- Published Online:
- March 2012
- ISBN:
- 9781861346742
- eISBN:
- 9781447304258
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861346742.003.0012
- Subject:
- Public Health and Epidemiology, Public Health
This chapter explores the consequences of poverty and income polarisation for health inequalities in later life. It discusses the extent to which age is a more important source of health exclusion ...
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This chapter explores the consequences of poverty and income polarisation for health inequalities in later life. It discusses the extent to which age is a more important source of health exclusion for older people than socio-economic status per se. It suggests that though differentials in health status decline after middle age, there is sufficient evidence to suggest that lower socio-economic status is associated with greater mortality, poorer mental health and a higher prevalence of disability among older people.Less
This chapter explores the consequences of poverty and income polarisation for health inequalities in later life. It discusses the extent to which age is a more important source of health exclusion for older people than socio-economic status per se. It suggests that though differentials in health status decline after middle age, there is sufficient evidence to suggest that lower socio-economic status is associated with greater mortality, poorer mental health and a higher prevalence of disability among older people.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0003
- Subject:
- Sociology, Gerontology and Ageing
Positive mental health is a prerequisite for a good quality of life across the whole lifespan. It is an overarching concept, which intersects with a number of related concepts, psychological ...
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Positive mental health is a prerequisite for a good quality of life across the whole lifespan. It is an overarching concept, which intersects with a number of related concepts, psychological wellbeing, successful ageing and quality of life. Good mental health is increasingly understood as a combination of an individual’s personality, environment and lifecourse; it is also dynamic. Older people consider it to be characterised by: a sense of wellbeing, capacity to make and sustain relationships, ability to meet the challenges which later life brings, and ability to contribute both economically and socially. Mental health is viewed as equally important as physical health. Research identifies the core dimensions of mental health, and its sister concepts, as: resilience, remaining active and involved, having a purpose or role, being able to engage in social relationships, independence, keeping fit, having an adequate income, autonomy and self-efficacy. Survey evidence consistently shows that more than 85 per cent of older people have ‘good’ quality of life. One of the challenges of assessing and measuring quality of life, and related constructs, is capturing the intersection between the subjective and the objective. The promotion of mental health is increasingly recognised as a legitimate goal of social policy.Less
Positive mental health is a prerequisite for a good quality of life across the whole lifespan. It is an overarching concept, which intersects with a number of related concepts, psychological wellbeing, successful ageing and quality of life. Good mental health is increasingly understood as a combination of an individual’s personality, environment and lifecourse; it is also dynamic. Older people consider it to be characterised by: a sense of wellbeing, capacity to make and sustain relationships, ability to meet the challenges which later life brings, and ability to contribute both economically and socially. Mental health is viewed as equally important as physical health. Research identifies the core dimensions of mental health, and its sister concepts, as: resilience, remaining active and involved, having a purpose or role, being able to engage in social relationships, independence, keeping fit, having an adequate income, autonomy and self-efficacy. Survey evidence consistently shows that more than 85 per cent of older people have ‘good’ quality of life. One of the challenges of assessing and measuring quality of life, and related constructs, is capturing the intersection between the subjective and the objective. The promotion of mental health is increasingly recognised as a legitimate goal of social policy.
Michael Marmot and Richard G. Wilkinson
- Published in print:
- 2005
- Published Online:
- September 2009
- ISBN:
- 9780198565895
- eISBN:
- 9780191723988
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198565895.003.13
- Subject:
- Public Health and Epidemiology, Public Health, Epidemiology
This chapter focuses on the social determinants of physical and mental health and disability among older people. It begins by reviewing research on social and economic inequalities in health in older ...
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This chapter focuses on the social determinants of physical and mental health and disability among older people. It begins by reviewing research on social and economic inequalities in health in older ages, concluding that much of the work on inequalities in older age has focused on documenting differences rather than testing theories as to what the generative mechanisms may be. It then discusses several of the specific social determinants that may contribute to these inequalities, either as aspects of socio-economic position or as mediators on the pathway between socio-economic position and health.Less
This chapter focuses on the social determinants of physical and mental health and disability among older people. It begins by reviewing research on social and economic inequalities in health in older ages, concluding that much of the work on inequalities in older age has focused on documenting differences rather than testing theories as to what the generative mechanisms may be. It then discusses several of the specific social determinants that may contribute to these inequalities, either as aspects of socio-economic position or as mediators on the pathway between socio-economic position and health.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0006
- Subject:
- Sociology, Gerontology and Ageing
Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a ...
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Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a lifecourse status. It amplifies what is already present. In 2016/17 one million older people were living in poverty; an additional 1.2 million were living just above the poverty line. These numbers are rising. Those aged 85 years or over, frail older people, older women and single older people are particularly at risk. Poor older people are also more likely to live in poor housing and be exposed to fuel poverty. Being poor - and its concomitants - compromises mental health in a number of profound ways. It undermines an older person’s capacity to make choices, retain independence, save for a crisis, maintain social contacts and be digitally included. It is linked with worry, loss of control over life and shame. Poor older people are at heightened risk of isolation and loneliness, stress, anxiety and depression. The UK has a weak policy record, compared with other developed countries, of sustainably and coherently addressing poverty in later life. One of the cornerstones of doing so is a continued commitment to the basic state pension as a fundamental building block of a secure old age. Addressing poor housing is also pivotal.Less
Chapter 5 is the first of three chapters exploring the impact of age related risks affecting particular sub populations of older people. Socioeconomic disadvantage in later life tends to reflect a lifecourse status. It amplifies what is already present. In 2016/17 one million older people were living in poverty; an additional 1.2 million were living just above the poverty line. These numbers are rising. Those aged 85 years or over, frail older people, older women and single older people are particularly at risk. Poor older people are also more likely to live in poor housing and be exposed to fuel poverty. Being poor - and its concomitants - compromises mental health in a number of profound ways. It undermines an older person’s capacity to make choices, retain independence, save for a crisis, maintain social contacts and be digitally included. It is linked with worry, loss of control over life and shame. Poor older people are at heightened risk of isolation and loneliness, stress, anxiety and depression. The UK has a weak policy record, compared with other developed countries, of sustainably and coherently addressing poverty in later life. One of the cornerstones of doing so is a continued commitment to the basic state pension as a fundamental building block of a secure old age. Addressing poor housing is also pivotal.
Jeanne Katz and Sheila Peace
- Published in print:
- 2003
- Published Online:
- November 2011
- ISBN:
- 9780198510710
- eISBN:
- 9780191730276
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780198510710.003.0001
- Subject:
- Palliative Care, Palliative Medicine and Older People, Patient Care and End-of-Life Decision Making
This introductory chapter explains the coverage of this book, which is about the potential of the palliative care approach to improve the care of older people dying in residential care and nursing ...
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This introductory chapter explains the coverage of this book, which is about the potential of the palliative care approach to improve the care of older people dying in residential care and nursing homes in Great Britain. This book examines a category of disadvantaged dying: those older people disenfranchised by physical and sometimes mental deterioration. It argues in defence of delivering palliative care to people dying from conditions other than malignancies and provides some strategies for health workers.Less
This introductory chapter explains the coverage of this book, which is about the potential of the palliative care approach to improve the care of older people dying in residential care and nursing homes in Great Britain. This book examines a category of disadvantaged dying: those older people disenfranchised by physical and sometimes mental deterioration. It argues in defence of delivering palliative care to people dying from conditions other than malignancies and provides some strategies for health workers.
M. C. “Terry” Hokenstad and Moon Choi
- Published in print:
- 2011
- Published Online:
- January 2012
- ISBN:
- 9780195333619
- eISBN:
- 9780199918195
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195333619.003.0019
- Subject:
- Social Work, Communities and Organizations
Unprecedented population aging is taking place around the world. Both the number and proportion of older persons (sixty years of age and older) have been steadily increasing over the past half ...
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Unprecedented population aging is taking place around the world. Both the number and proportion of older persons (sixty years of age and older) have been steadily increasing over the past half century. This chapter discusses the implications of this demographic revolution for social welfare policy and social work practice. Policy challenges include the coverage and cost of pension programs for an increasing number of older people who have retired from the labor market. Challenges also encompass the adequacy and efficiency of health care for citizens who are living longer with chronic illness. Social workers must focus on a growing amount of isolation, abuse, and neglect among their older client group. Social workers also must develop and adapt social development strategies, particularly for elderly clients without pensions or outside of the formal labor market.Less
Unprecedented population aging is taking place around the world. Both the number and proportion of older persons (sixty years of age and older) have been steadily increasing over the past half century. This chapter discusses the implications of this demographic revolution for social welfare policy and social work practice. Policy challenges include the coverage and cost of pension programs for an increasing number of older people who have retired from the labor market. Challenges also encompass the adequacy and efficiency of health care for citizens who are living longer with chronic illness. Social workers must focus on a growing amount of isolation, abuse, and neglect among their older client group. Social workers also must develop and adapt social development strategies, particularly for elderly clients without pensions or outside of the formal labor market.
Denise Tanner
- Published in print:
- 2010
- Published Online:
- March 2012
- ISBN:
- 9781861348869
- eISBN:
- 9781447302773
- Item type:
- book
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861348869.001.0001
- Subject:
- Sociology, Gerontology and Ageing
Current social policy recognises that older people should be treated as experts in their own lives and be actively involved in their care. This book explores what can be learned from older people’s ...
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Current social policy recognises that older people should be treated as experts in their own lives and be actively involved in their care. This book explores what can be learned from older people’s experiences of managing ageing. Direct connections are made between the everyday experiences and perspectives of older people, related research and theoretical perspectives. Themes discussed in this book illustrate the resilience, creativity and resourcefulness of older people in their attempts to sustain themselves and to engage in the social environment. This yields an engaging and informative analysis of how older people manage the ageing experience and what this means for policy and practice directed at promoting older people’s well-being.Less
Current social policy recognises that older people should be treated as experts in their own lives and be actively involved in their care. This book explores what can be learned from older people’s experiences of managing ageing. Direct connections are made between the everyday experiences and perspectives of older people, related research and theoretical perspectives. Themes discussed in this book illustrate the resilience, creativity and resourcefulness of older people in their attempts to sustain themselves and to engage in the social environment. This yields an engaging and informative analysis of how older people manage the ageing experience and what this means for policy and practice directed at promoting older people’s well-being.
Denise Tanner
- Published in print:
- 2009
- Published Online:
- March 2012
- ISBN:
- 9781847420060
- eISBN:
- 9781447302827
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781847420060.003.0007
- Subject:
- Social Work, Research and Evaluation
This chapter examines specific areas of conflict and constraint in achieving a ‘modernising’ vision of services that promote independence, well being, and choice, focusing mainly on older people's ...
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This chapter examines specific areas of conflict and constraint in achieving a ‘modernising’ vision of services that promote independence, well being, and choice, focusing mainly on older people's experiences of social-care services. After summarising what quality of life means from older people's perspectives, it discusses areas of practice in which various facets of the modernisation agenda's managerialism appear to be obstructing the delivery of user-centred services. One is the tension between the need for timely intervention that supports older people's coping strategies and the managerial policies and practices which seek to ration, restrict, and delay service provision. Another is the significance of disjunctions between policy discourses, managerial concerns, and service-user understandings and prioritisations of need. The chapter also assesses the potential of current policy directions, in particular the extension of direct payments and the introduction of individual budgets, to deliver support that is more closely attuned to the needs and preferences of service users.Less
This chapter examines specific areas of conflict and constraint in achieving a ‘modernising’ vision of services that promote independence, well being, and choice, focusing mainly on older people's experiences of social-care services. After summarising what quality of life means from older people's perspectives, it discusses areas of practice in which various facets of the modernisation agenda's managerialism appear to be obstructing the delivery of user-centred services. One is the tension between the need for timely intervention that supports older people's coping strategies and the managerial policies and practices which seek to ration, restrict, and delay service provision. Another is the significance of disjunctions between policy discourses, managerial concerns, and service-user understandings and prioritisations of need. The chapter also assesses the potential of current policy directions, in particular the extension of direct payments and the introduction of individual budgets, to deliver support that is more closely attuned to the needs and preferences of service users.
Mike Nolan and Rosalie Hudson
- Published in print:
- 2008
- Published Online:
- November 2011
- ISBN:
- 9780199216901
- eISBN:
- 9780191730252
- Item type:
- chapter
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199216901.003.0010
- Subject:
- Palliative Care, Patient Care and End-of-Life Decision Making, Palliative Medicine Research
This chapter examines the quality of family and palliative care in care homes for older people. It suggests that the overall the quality of death and dying in care homes can be improved if there is ...
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This chapter examines the quality of family and palliative care in care homes for older people. It suggests that the overall the quality of death and dying in care homes can be improved if there is more widespread adoption of a palliative care philosophy within care homes, and if staff and families work together in an equal and active partnership. It describes the evolution of relationship-centred care and the senses framework and evaluates their potential use in relation to a palliative care model in care homes.Less
This chapter examines the quality of family and palliative care in care homes for older people. It suggests that the overall the quality of death and dying in care homes can be improved if there is more widespread adoption of a palliative care philosophy within care homes, and if staff and families work together in an equal and active partnership. It describes the evolution of relationship-centred care and the senses framework and evaluates their potential use in relation to a palliative care model in care homes.
Alisoun Milne
- Published in print:
- 2020
- Published Online:
- September 2020
- ISBN:
- 9781447305729
- eISBN:
- 9781447311904
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781447305729.003.0007
- Subject:
- Sociology, Gerontology and Ageing
Between 2% and 10% of all older people are estimated to be victims of abuse. Isolation, frailty, dementia and dependency are all risk factors. Abuse and mistreatment occur in all contexts - family ...
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Between 2% and 10% of all older people are estimated to be victims of abuse. Isolation, frailty, dementia and dependency are all risk factors. Abuse and mistreatment occur in all contexts - family members are often implicated in domestic settings and paid workers in care settings. Whatever its aetiology abuse, in all its guises, has profoundly negative mental health consequences, including depression, anxiety, learned helplessness and post-traumatic stress disorder. These are pronounced in situations where exposure to abuse has been long term. At present all ‘types’ of abuse - domestic abuse, sexual violence, institutional abuse, abuse by a relative -are managed under the institutional umbrella of ‘safeguarding’. This model not only uncouples abuse from its (often) lifecourse roots but tends to foreground age as its defining dimension. Most policy related literature does not refer to frailty, socioeconomic disadvantage, gender, or issues of power. As power lies at the very heart of abuse of older people in all contexts this is a profound oversight. Policy and practice responses struggle to accommodate the complex causes of abuse, structural issues, or the perspective of the older person. They also fail to engage with a discourse of rights and social justice.Less
Between 2% and 10% of all older people are estimated to be victims of abuse. Isolation, frailty, dementia and dependency are all risk factors. Abuse and mistreatment occur in all contexts - family members are often implicated in domestic settings and paid workers in care settings. Whatever its aetiology abuse, in all its guises, has profoundly negative mental health consequences, including depression, anxiety, learned helplessness and post-traumatic stress disorder. These are pronounced in situations where exposure to abuse has been long term. At present all ‘types’ of abuse - domestic abuse, sexual violence, institutional abuse, abuse by a relative -are managed under the institutional umbrella of ‘safeguarding’. This model not only uncouples abuse from its (often) lifecourse roots but tends to foreground age as its defining dimension. Most policy related literature does not refer to frailty, socioeconomic disadvantage, gender, or issues of power. As power lies at the very heart of abuse of older people in all contexts this is a profound oversight. Policy and practice responses struggle to accommodate the complex causes of abuse, structural issues, or the perspective of the older person. They also fail to engage with a discourse of rights and social justice.
Basia Spalek
- Published in print:
- 2007
- Published Online:
- March 2012
- ISBN:
- 9781861348043
- eISBN:
- 9781447301899
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861348043.003.0010
- Subject:
- Social Work, Crime and Justice
This chapter focuses on two further minority groupings that have traditionally been marginalised by criminologists: older people and people with disabilities. It argues that in criminology there ...
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This chapter focuses on two further minority groupings that have traditionally been marginalised by criminologists: older people and people with disabilities. It argues that in criminology there seems to have been a tendency to focus upon young people, particularly as offenders, although some research in relation to the fear of crime and victimisation has included a consideration of older people. People with disabilities who experience crime, on the other hand, have been labelled ‘invisible victims’ because crimes committed against these individuals are often hidden and not reported to agencies of the criminal justice system. This chapter presents key research and policy issues in relation to older people and people with disabilities, both as offenders and as victims of crime. At the same time, it explores some of the issues that the inclusion of identities in relation to ageing and disability pose for criminological knowledge construction. It contends that research with older people and people with disabilities places focus upon the body, the body as ageing, or the body as ‘impaired’.Less
This chapter focuses on two further minority groupings that have traditionally been marginalised by criminologists: older people and people with disabilities. It argues that in criminology there seems to have been a tendency to focus upon young people, particularly as offenders, although some research in relation to the fear of crime and victimisation has included a consideration of older people. People with disabilities who experience crime, on the other hand, have been labelled ‘invisible victims’ because crimes committed against these individuals are often hidden and not reported to agencies of the criminal justice system. This chapter presents key research and policy issues in relation to older people and people with disabilities, both as offenders and as victims of crime. At the same time, it explores some of the issues that the inclusion of identities in relation to ageing and disability pose for criminological knowledge construction. It contends that research with older people and people with disabilities places focus upon the body, the body as ageing, or the body as ‘impaired’.
Denise Tanner
- Published in print:
- 2010
- Published Online:
- March 2012
- ISBN:
- 9781861348869
- eISBN:
- 9781447302773
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781861348869.003.0001
- Subject:
- Sociology, Gerontology and Ageing
As argued by Ruth and Kenyon (1996), understanding of the process of managing ageing can only be acquired through uncovering the experiences of older people and the meanings they give to these ...
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As argued by Ruth and Kenyon (1996), understanding of the process of managing ageing can only be acquired through uncovering the experiences of older people and the meanings they give to these experiences. In this introductory chapter, the author provides a brief overview of the three-year research study that was conducted and participated in by twelve older people. It presents the aim and goal of the book which is to connect the experiences of these people to wider research about older people’s needs, preferences and experiences, to themes and debates in gerontological theory and to recent and current developments in social policy and practice.Less
As argued by Ruth and Kenyon (1996), understanding of the process of managing ageing can only be acquired through uncovering the experiences of older people and the meanings they give to these experiences. In this introductory chapter, the author provides a brief overview of the three-year research study that was conducted and participated in by twelve older people. It presents the aim and goal of the book which is to connect the experiences of these people to wider research about older people’s needs, preferences and experiences, to themes and debates in gerontological theory and to recent and current developments in social policy and practice.
Baroness Julia Neuberger
- Published in print:
- 2009
- Published Online:
- March 2012
- ISBN:
- 9781847424129
- eISBN:
- 9781447304098
- Item type:
- chapter
- Publisher:
- Policy Press
- DOI:
- 10.1332/policypress/9781847424129.003.0005
- Subject:
- Sociology, Gerontology and Ageing
Age discrimination is widespread. Though some, especially those who live into a healthy and sufficiently wealthy older age, with activities for the mind and the capacity to feel needed, are not ...
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Age discrimination is widespread. Though some, especially those who live into a healthy and sufficiently wealthy older age, with activities for the mind and the capacity to feel needed, are not necessarily discriminated against as much as those whose bodies play them up more or whose minds begin to go. This latter group of older people remain to be seen as a cost to society. The author outlines several areas where discrimination and prejudice are experienced by older people. The chapter ends with a call for a change to the assumption that older people are not valuable to society as a whole. But to get these changes to come about, to be recognised as important, sensible, and indeed essential, there is a need for older people out there on the barricades, with a certain amount of rage in their hearts and fire in their bellies.Less
Age discrimination is widespread. Though some, especially those who live into a healthy and sufficiently wealthy older age, with activities for the mind and the capacity to feel needed, are not necessarily discriminated against as much as those whose bodies play them up more or whose minds begin to go. This latter group of older people remain to be seen as a cost to society. The author outlines several areas where discrimination and prejudice are experienced by older people. The chapter ends with a call for a change to the assumption that older people are not valuable to society as a whole. But to get these changes to come about, to be recognised as important, sensible, and indeed essential, there is a need for older people out there on the barricades, with a certain amount of rage in their hearts and fire in their bellies.
