Preferences and Predictors of Aging in Place: Longitudinal Evidence from Melbourne, Australia

Kendig, Hal; Gong, Cathy Honge; Cannon, Lisa; Browning, Colette Joy

doi:10.1080/02763893.2017.1280582

Cited by 69 publications

(73 citation statements)

References 22 publications

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“…At present, the detection of early frailty and its subsequent management is a promising approach in tackling the challenges of an ageing population. Such a strategy will encourage the use of preventive interventions and foster the goal of older people ageing in place (Kendig, Honge Gong, Cannon & Browning, ), which is desired by most people facing frailty. However, this study of the views and experiences of Italian health and social care professionals has shown that currently, there is some difficulty in identifying those who are frail and those who may become frail.…”

Section: Discussionmentioning

confidence: 99%

Preventing frailty in older people: An exploration of primary care professionals' experiences

Obbia

Graham

Duffy

et al. 2019

Int J Older People Nursing

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Background: An increasing number of the ageing population worldwide is at risk of becoming frail and incapacitated. This has the potential to impact not only on the well-being of individuals but also on the sustainability of healthcare systems.Objective: The aim of this study was to explore the views and experiences of frailty from the perspective of primary care professionals, including nurses, who work directly with older people within the community. Methods:A qualitative approach with a descriptive phenomenological methodology was used, which focused on exploration of primary care professionals' current experiences of early detection and prevention of the onset of frailty. Four multiprofessional focus groups were held with a total of thirty-three primary care professionals who worked with older people as part of their daily role. Participants included district nurses, general practitioners, home care workers, physiotherapists and social workers. Results: Professional views encompassed typical patterns of ageing, loneliness, presence of comorbidity, disability and end of life, with social conditions prevalent in most frailty they encountered. Three main themes emerged: the psychosocial nature of frailty, late detection of frailty and barriers to the feasibility of prevention. Physical frailty was considered a constituent part of ageing, which recognised the presence of a skills gap related to the detection of the early signs of frailty. Present health and social care systems are not designed to prevent frailty, and the competencies required by health and social care professionals are not usually included as part of their training curricula. This may hinder opportunities to intervene to prevent associated decline in ability of older adults. Conclusions: To enhance the early assessment of frailty and the planning of preventive multi-factorial interventions in primary care and community settings, training and effective detection strategies should be incorporated into the role and daily care activities of primary care professionals.

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Section: Discussionmentioning

confidence: 99%

Preventing frailty in older people: An exploration of primary care professionals' experiences

Obbia

Graham

Duffy

et al. 2019

Int J Older People Nursing

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“…Indeed, to avoid bias related to neurodegenerative pathologies, the majority of studies included patients aged between 65 and 75 years. Given the aging of the populations and an average age of transition towards dependency at 83 years [67], this is poorly representative of older populations having to make complex medical and medico-social choices [68]. -Finally, for clinical studies, there is a wide variety of tests used, without homogeneity on the neurological processes studied.…”

Section: Discussionmentioning

confidence: 99%

How does decisional capacity evolve with normal cognitive aging: systematic review of the literature

et al. 2019

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Key summary pointsAim The complexity of decision-making involves many neurological functions and structures which are potentially altered by cognitive aging. Findings Our systematic review shows a decrease in processing speed in normal aging, usually compensated by experience. Nevertheless, in the case of decisions that cannot be based on previous experience, decision-making will be more difficult for older adults. Compared to younger adults, older ones will be more inclined to maintain existing achievements than try to gain potential benefits.Message Decision-making supports should take into account age-related characteristics to facilitate informed decision-making. AbstractPurpose Aging is associated with increased needs related to complex decisions, particularly in medical and social issues. However, the complexity of decision-making involves many neurological functions and structures which are potentially altered by cognitive aging. Methodology A systematic review was conducted in accordance with PRISMA guidelines to examine changes in decisionmaking occurring in normal cognitive aging. The keywords "decision making" and "normal aging" were used to find the clinical studies and literature reviews focused on these changes. Results A total of 97 articles were considered in the review, and ultimately 40 articles were selected, including 30 studies and 10 literature reviews. The data from these studies were of uneven quality and too disparate to allow meta-analysis according to PRISMA criteria. Nevertheless, a key result of the analysis is the decrease of processing speed with aging. In ambiguous decision-making situations, the alteration of the ventromedial system is associated with changes in motivation profiles. These changes can be compensated by experience. However, difficulties arise for older adults in the case of one-off decisions, which are very common in the medical or medico-social domains. Conclusions Cognitive aging is associated with a slowdown in processing speed of decision-making, especially in ambiguous situations. However, decision-making processes which are based on experience and cases in which sufficient time is available are less affected by aging. These results highlight the relativity of decision-making capacities in cognitive aging.

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“…Among the older people who had died during the survey period, most were found to have either died at home or in hospital (deaths after entry to residential care were more difficult to identify). A minority of those who were identified as having left their baseline homes were found to have entered residential care, generally at an advanced age [42]. Entry to residential care or hospital and death were found to have increased rapidly with age.…”

Section: Datamentioning

confidence: 99%

“…Where respondents could not be contacted directly, the tracing procedures relied primarily on next of kin or other individuals volunteered by respondents as key contacts at the time of the baseline interviews. The death data in 2008 and residential care use data in 2006 were linked by resident with the MELSHA longitudinal survey data from 1994 to 2010 [42]. A full description of the cohort profile can be found in Browning and Kendig [41].…”

Section: Datamentioning

confidence: 99%

Older Women in Australia: Facing the Challenges of Dual Sensory Loss

Heine

Gong

Feldman

et al. 2019

IJERPH

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With the increase in longevity, the number of women living into old age is rising and higher than that of men. Data was derived from the Melbourne Longitudinal Studies on Healthy Ageing Program, which included 533 women and 467 men aged 65 years and older, in Australia, over 10 years. Logistic regression modeling was used to investigate the prevalence of dual sensory loss and the unmet needs for vision and hearing devices in older women (compared to men) over time, as well as its impacts on self-reported general health, depression, perceived social activities, community service use and ageing in place. Results suggested that the prevalence of dual sensory loss increased for women from the age of 75 years and over. Dual sensory loss was higher for older women and men who were living alone, with government benefits as their main income source or were divorced, separated or widowed. Dual sensory loss had significant impacts on poor general health, perceived inadequate social activities and community service use for women and men and on depression for women only. Early identification of dual sensory loss is essential to minimize its effects, ensuring continued well-being for this population.

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Preferences and Predictors of Aging in Place: Longitudinal Evidence from Melbourne, Australia

Cited by 69 publications

References 22 publications

Preventing frailty in older people: An exploration of primary care professionals' experiences

Preventing frailty in older people: An exploration of primary care professionals' experiences

How does decisional capacity evolve with normal cognitive aging: systematic review of the literature

Older Women in Australia: Facing the Challenges of Dual Sensory Loss

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