Health and Well-Being for Older People: Foundations for Practice

by Squire, Anne

• ISBN13: 9780702023156
• ISBN10: 0702023159
• Edition: 1st
• Format: Paperback
• Copyright: 2002-08-01
• Publisher: BAILLIERE TINDALL

Summary

This unique book provides one of the first and certainly the most practical approach to considering the needs of this population. It addresses important issues such as choice, partnership, and community development in order that health promoters can work with and alongside older people to ensure that their health needs are addressed. The text contains numerous examples of good practice and is intentionally interactive, encouraging practitioners to reflect upon and question the assumptions that they make about the health and life-quality expectations for which older people have the potential. Its pragmatic and practical approach encourages the reader to then address these issues in their own practice.

Author Biography

Anne Squire: Senior Lecturer, Public Health/Health Promotion, Teaching Fellow, University of Wales, Bangor, Wales

Table of Contents

Foreword	ix
Preface	xi
Acknowledgements	xv
Section 1 HEALTH PROMOTION CONCEPTS AND OLDER PEOPLE	1	(106)
What affects the health of older people?	3	(39)
The demography of an ageing population
Age as a determinant of health
Defining old age
The ageing process
The health status of older people
Social and economic influences
National and international perspectives on older people
Conclusion
Summary
The scope, goals and values of health promotion with older people	42	(33)
What is health
Health education and health promotion with older people
Values, attitudes and beliefs about older people
Ageism
The goals and values of health promotion with older people
The scope of health promotion with older people
Health promotion and health gain
The changing roles of health promoters
The value of health promotion with older people
Ethical dilemmas
Positive ageing
Conclusion
Summary
Who promotes the health of older people?	75	(32)
The concept of caring
Lay and family carers (informal carers)
Statutory care
What do carers do?
Professional carers and health promoters
Promoting the health of informal carers
Assessment of carers' health and social needs
Voluntary organizations
Health promotion with formal carers
Conclusion
Summary
Section 2 FACILITATING HEALTH AND WELL-BEING	107	(114)
Helping older people towards healthier living	109	(32)
Changing health-related behaviour
Health promotion models
Self-empowerment
Strategies for changing behaviour
Conclusion
Summary
Planning and evaluating health promotion with older people	141	(37)
Planning health promotion with older people
Quality issues and good practice in health promotion
Planning models
Health needs assessment
Empowerment, equity and partnership
Group and population health needs
The evaluation of health promotion
Methods, theories and purpose of evaluation in health promotion
Political, economic and ethical dimensions of evaluation
Assuring quality in planning and evaluation
Conclusion
Summary
Working in partnership with others	178	(30)
Partnership and empowerment
Benefits of networking and partnerships
Working in teams
Promoting alliances with workers in areas of high social deprivation
Implications for health promotion practice and health promoters
Older people in the community
Conclusion
Summary
Appendix 6.1 Discussion document by Gwynedd Local Health Alliance 2001
Using effective communication tools with and for older people	208	(13)
Aims and objectives when using resources
Communication
Media influences on and about older people
Written communication tools
Information technology
Conclusion
Summary
Section 3 WORKING WITH OLDER PEOPLE IN DIFFERENT SETTINGS	221	(88)
Working with older people in community settings	223	(31)
Settings
What is the community?
Health promotion in the community
Principles and practice of community health promotion
Community participation and empowerment
Community profiling
Community mental health
Exercise in the community
Conclusion
Summary
Appendix 8.1 Brockenhurst Healthy Village and community participation
Working with older people in hospital settings	254	(27)
Introduction
The context of the health-promoting hospital
The intended outcomes of health promotion in hospital
Assessment/needs/planning and organization of health promotion in the hospital
Issues affecting outcomes and practice of health promotion in the hospital
Health promotion activities in hospital
Discharge planning and liaison for older people between hospitals and the community
Conclusion
Summary
Working with older people in residential settings	281	(28)
The context of residential care
The costs of residential homes and nursing homes
Choosing residential care
United Nations outcomes for older people
Assessing, planning and evaluating for older people's health and social care
The empowerment approach
Perceptions of morale and power
Individualized care
The RCN assessment tool
Health promotion outcomes
The practice of health promotion in residential settings
Values and attitudes to long-term care
Conclusion
Summary
Appendix 10.1 Residential care in France
Section 4 THE WAY FORWARD: CHALLENGES IN THE PROMOTION OF HEALTH OF OLDER PEOPLE	309	(56)
Life, work and livelihood in the Third Age	311	(30)
Review of the previous chapters
Expanding health and social care services available to the older person
Reaching older people who use the health and social care services least often
Strategies for self-empowerment and community empowerment of older people and carers in the future
Political, economic and social context of health for the older person in the future
The way forward for health promotion policy and practice
Conclusion
Summary
Resources	341	(24)
Videos
Teaching packs
Health promotion leaflets, books and reports
Useful addresses
Websites
Index	365