Occupational Therapy and Older People

by McIntyre, Anne; Atwal, Anita

• ISBN13: 9781405114097
• ISBN10: 1405114096
• Format: Paperback
• Copyright: 2005-07-22
• Publisher: Wiley-Blackwell

Summary

This timely book locates older people as major clients of occupational therapy services. It provides a comprehensive resource for students and a basic working reference for clinicians. The book encompasses current theories, debates and challenges which occupational therapists need to engage in if they are to provide pro-active and promotional approaches to ageing. Detailed coverage of bodily structures, functions and pathologies leads onto chapters dedicated to activity, occupation and participation. The ethos of the book is to inspire innovation in the practice of occupational therapy with older people, promoting successful ageing that entails control and empowerment. Features: * Contains many practical elements, including case studies, and narratives from practice. * Promotes active ageing. * Adopts the framework of the World Health Organisation's International Classification of Functioning, Disability and Health (2001) * Specialist contributions reveal the diversity of occupational performance considerations in older age.

Author Biography

Anne McIntyre and Anita Atwal are lecturers in occupational therapy at Brunel University, London, UK. Both have worked with older people prior to pursuing academic careers, and sustain a major interest with this client group through their clinical research activities. Particular interests include discharge planning, acute care, occupation and participation in care homes, falls prevention and management and community rehabilitation. They have enlisted expert contributing authors to join them in portraying the array of opportunities for occupational therapy with older people.

Table of Contents

Acknowledgements	viii
List of Contributors	ix
How to use this book	xi
Introduction	1	(13)
What is ageing?	2	(2)
Active ageing	4	(1)
Challenges for occupational therapy	5	(3)
Use of the ICF	8	(3)
Summary	11	(1)
References	11	(3)
Older people and occupational justice	14	(13)
Introduction	14	(1)
Occupation as a right	15	(3)
Occupation as a matter of social justice	18	(2)
Occupational justice	20	(1)
Occupation, morbidity and mortality and the promotion of health	21	(2)
Occupational justice and older people	23	(1)
Summary	24	(1)
References	25	(2)
The social context of older people	27	(22)
Ageist attitudes, values, assumptions, and stereotypes	28	(1)
Ageism and discrimination	29	(1)
Cross cultural perspectives on ageing and older people	30	(1)
Exploring the social networks of older people	31	(2)
Mapping social networks	33	(1)
Types of social support	34	(3)
Types of support network	37	(1)
Pets as members of the older person's social context	38	(1)
Health professionals as sources of social support	39	(1)
Dysfunctional social contexts	39	(1)
The social context, health and longevity	40	(2)
Implications for occupational therapists	42	(3)
References	45	(4)
Systems, services and policies	49	(18)
The development of services for older people	51	(1)
Finance and employment	51	(2)
Driving and transportation	53	(3)
Housing and adaptations	56	(1)
Health and social care	57	(1)
Quality in health and social care	57	(2)
Patient/carer experience	59	(2)
Efficiency	61	(1)
Effective delivery of appropriate care	62	(1)
Health outcomes of NHS care	62	(1)
Summary	63	(1)
References	63	(4)
Pathologies of old age	67	(38)
Introduction	67	(1)
Cancer	68	(2)
Dementia	70	(2)
Depression	72	(3)
Diabetes	75	(3)
Falls	78	(3)
Fractures and osteoporosis	81	(3)
Heart failure	84	(2)
Learning disabilities	86	(3)
Musculoskeletal problems/arthritis	89	(2)
Respiratory disease	91	(3)
Stroke (cerebrovascular accident)	94	(2)
Summary	96	(1)
References	97	(8)
Body structures and body functions: Part 1	105	(25)
Introduction	105	(1)
The central nervous system	106	(4)
The peripheral nervous system	110	(1)
Voice and speech production	111	(2)
Mental functions	113	(8)
The sensory systems: structure and function	121	(3)
Summary	124	(1)
References	125	(5)
Body structures and body functions: Part 2	130	(28)
Introduction	130	(2)
The integumentary system	132	(2)
The cardiovascular system	134	(3)
The respiratory system	137	(2)
The immune system	139	(3)
The neuromusculoskeletal system	142	(3)
The digestive system	145	(4)
Metabolism	149	(1)
Thermoregulation	150	(1)
Endocrine functions	151	(1)
The genito-urinary systems	152	(3)
Summary	155	(1)
References	155	(3)
Activity and participation: Part 1	158	(29)
Learning and applying knowledge	159	(3)
General tasks and demands	162	(4)
Mobility	166	(7)
Self-care	173	(3)
Looking after one's health	176	(2)
Domestic life areas	178	(3)
Summary	181	(1)
References	181	(6)
Activity and participation: Part 2	187	(19)
Communication	187	(5)
Interpersonal interactions and relationships	192	(3)
Major life areas: education, work and employment	195	(2)
Community, social and civic life	197	(5)
Summary	202	(1)
References	202	(4)
Environmental impacts, products and technology	206	(18)
Climate	207	(1)
Indoor environments and older people	207	(3)
Natural and human-caused events	210	(3)
Products and assistive technology	213	(7)
Summary	220	(1)
References	220	(4)
Useful resources	224	(5)
Index	229