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BMC Geriatrics Oct 2023Most people prefer to remain in their homes and communities as long as possible. Staying at home is widely beneficial as ageing within the home promotes independence and... (Review)
Review
BACKGROUND
Most people prefer to remain in their homes and communities as long as possible. Staying at home is widely beneficial as ageing within the home promotes independence and costs less than residential aged care. Understanding meanings and drivers of remaining at home is an area of importance.
OBJECTIVE
The objective of this systematic review of qualitative studies was to synthesise middle and older aged adult's perspective of their home environment and determine the factors that are important when making decisions about future housing.
METHODS
This review and meta-synthesis was conducted in accordance with JBI (formally known as the Joanna Briggs Institute) methodology for systematic reviews of qualitative evidence. Meta-aggregation was used as the method of synthesis. Included qualitative studies involved middle and older aged adults and their views about ageing and housing. Published studies were identified in four electronic databases and grey literature. Critical appraisal and extraction were conducted using JBI tools and findings were categorised and synthesised into findings.
RESULTS
A total of 46 papers with 5183 participants on the concept of home were included. Most of the participants were older (> 65 years old) and the perspectives of middle-aged people were largely absent. Factors impacting on future housing decisions among individuals were identified. Seven synthesized findings emerged-independence, finances, stigma, attitudes towards ageing, attachments with home, aesthetics, and family connection.
CONCLUSION
Older people have a greater sense of independence and autonomy if they remain in their own home. Multiple external factors impacted on their perspectives including a sense of stigma about ageing, fear of being a burden to others and their own financial position which in some cases restricted their options. This review provides a comprehensive description of the different factors that need to be considered when planning future housing needs; both for individuals and for communities.
Topics: Humans; Middle Aged; Aged; Adult; Systematic Reviews as Topic; Qualitative Research; Aging
PubMed: 37907851
DOI: 10.1186/s12877-023-04279-1 -
Revista Brasileira de Enfermagem 2020to describe the Adult's perception of healthcare after Myocardium Infarction.
OBJECTIVES
to describe the Adult's perception of healthcare after Myocardium Infarction.
METHODS
qualitative descriptive analysis carried out with 12 adults who had myocardial infarction and conducted from February to May 2018. The research design was based on the "Consolidated Criteria for Reporting Qualitative Research". Data collection was performed through semi-structured questionnaire, interview script and field diary. The interviews were encoded, and their content was analyzed using software support.
RESULTS
three classes were obtained: "Fear, (un) certainty and (un) awareness"; "Lifestyle and beliefs of illness" and "Health care search". Unhealthy lifestyle habits, lack of health prevention / promotion, difficulties in accessing services and lack of knowledge about the disease generated fear and uncertainty about the future. Final Considerations: the perception of acute myocardial infarction is related to the trajectory of illness, lifestyle and the belief that the infarction only affects others.
Topics: Adolescent; Adult; Aged; Female; Humans; Male; Middle Aged; Myocardial Infarction; Patient Satisfaction; Patients; Perception; Qualitative Research; Surveys and Questionnaires
PubMed: 32638934
DOI: 10.1590/0034-7167-2019-0074 -
Annals of Internal Medicine Sep 1989To address the psychosocial implications of surviving adult cancers by a comprehensive review of the literature. (Review)
Review
PURPOSE
To address the psychosocial implications of surviving adult cancers by a comprehensive review of the literature.
DATA IDENTIFICATION
An English-language literature search using MEDLINE (1970 to 1988). Index Medicus (1970 to 1988), and bibliographic reviews of textbooks and review articles.
STUDY SELECTION
Of 103 originally identified articles, 58 that specifically addressed the stated purpose were selected.
DATA EXTRACTION
Four authors reviewed and critiqued the literature extrapolating the major themes on this topic.
RESULTS OF DATA SYNTHESIS
There is little information on the many psychosocial variables that affect an adult's long-term cancer survival trajectory. Collation of data identified the following significant psychosocial themes: fear of recurrence and death, relationships with the health care team, adjustment to physical compromise, alterations in customary social support, isolationism, psychosocial reorientation, and employment and insurance problems.
CONCLUSIONS
The continuation of a rehabilitation effort begun around the initial diagnosis of cancer would be instrumental in providing post-therapy evaluation and guidance needed by adult long-term survivors of cancer. Education, research, and support interventions need to be mobilized for this population of adults with a history of cancer.
Topics: Adaptation, Psychological; Adult; Attitude to Death; Employment; Humans; Insurance, Health; Neoplasms; Professional-Patient Relations; Recurrence; Social Environment; Social Support
PubMed: 2672926
DOI: 10.7326/0003-4819-111-6-517 -
Medicine and Science in Sports and... Aug 2007To issue a recommendation on the types and amounts of physical activity needed to improve and maintain health in older adults. (Review)
Review
OBJECTIVE
To issue a recommendation on the types and amounts of physical activity needed to improve and maintain health in older adults.
PARTICIPANTS
A panel of scientists with expertise in public health, behavioral science, epidemiology, exercise science, medicine, and gerontology.
EVIDENCE
The expert panel reviewed existing consensus statements and relevant evidence from primary research articles and reviews of the literature.
PROCESS
After drafting a recommendation for the older adult population and reviewing drafts of the Updated Recommendation from the American College of Sports Medicine (ACSM) and the American Heart Association (AHA) for Adults, the panel issued a final recommendation on physical activity for older adults.
SUMMARY
The recommendation for older adults is similar to the updated ACSM/AHA recommendation for adults, but has several important differences including: the recommended intensity of aerobic activity takes into account the older adult's aerobic fitness; activities that maintain or increase flexibility are recommended; and balance exercises are recommended for older adults at risk of falls. In addition, older adults should have an activity plan for achieving recommended physical activity that integrates preventive and therapeutic recommendations. The promotion of physical activity in older adults should emphasize moderate-intensity aerobic activity, muscle-strengthening activity, reducing sedentary behavior, and risk management.
Topics: Adolescent; Adult; Aged; American Heart Association; Consensus; Exercise; Female; Humans; Male; Middle Aged; Public Health; Societies; Sports Medicine; United States
PubMed: 17762378
DOI: 10.1249/mss.0b013e3180616aa2 -
The Journals of Gerontology. Series B,... Mar 2022Marital status contributes to differences in social experiences and well-being in late life. Yet, we know little about the role of conversation in these processes....
OBJECTIVES
Marital status contributes to differences in social experiences and well-being in late life. Yet, we know little about the role of conversation in these processes. Drawing on a functionalist perspective and hierarchical compensatory model, this study aimed to understand (a) whether older adults' marital status is associated with conversation frequency throughout the day, (b) whether contacts with nonspousal ties elicit more conversations among unmarried older adults, and (c) whether conversations exert a stronger effect on mood for unmarried older adults than married older adults.
METHOD
Adults aged 65+ (N = 272) provided information about their background characteristics and social partners. Across 5-6 days, they completed ecological momentary assessments reporting their social encounters and mood every 3 hr. Concurrently, electronically activated recorders captured 30 s of sound every 7 min. We compared older adults who were married, widowed, and divorced.
RESULTS
Multilevel models revealed that married older adults engaged in more conversations than divorced older adults throughout the day. Contact with friends elicited more conversations for divorced older adults than married older adults. Furthermore, conversations enhanced mood throughout the day, but this effect was more salient for widowed than married older adults.
DISCUSSION
Findings highlight the role of marital status in older adults' daily conversational experiences and compensatory processes that may occur. Widowed and divorced older adults differed from married older adults in distinct ways. Divorced older adults may compensate for lack of spouse with friends, whereas widowed older adults may benefit emotionally from engaging in conversations.
Topics: Affect; Aged; Divorce; Friends; Humans; Marital Status; Marriage
PubMed: 34159387
DOI: 10.1093/geronb/gbab112 -
Journal of Gerontological Nursing Oct 2014
Topics: Aged; Aged, 80 and over; Biomedical Research; Geriatric Nursing; Humans; Middle Aged; Nurse-Patient Relations; Organizational Objectives; Patient-Centered Care; United States
PubMed: 25264964
DOI: 10.3928/00989134-20140918-01 -
Urologic Nursing Oct 2006Older adults are able to learn and apply new knowledge, such as management of a urological condition, but their learning style differs from that of younger clients. An... (Review)
Review
Older adults are able to learn and apply new knowledge, such as management of a urological condition, but their learning style differs from that of younger clients. An understanding of the older adult's learning style, and knowledge of specific teaching strategies will benefit the urologic nurse in the ongoing effort to be a more effective patient educator.
Topics: Aged; Female; Humans; Learning; Male; Patient Education as Topic; Teaching; Urinary Incontinence, Stress; Urologic Diseases
PubMed: 17078323
DOI: No ID Found -
Experimental Aging Research 2023Using Terror Management Theory and Social Identity Theory as frameworks, we examined whether the relationship of aging anxiety to compassion for and emotional distance...
Older Adult Health Condition as a Moderator of How Middle-Aged Adults' Ageist Attitudes and Aging Anxiety Relate to Their Compassion for and Emotional Distance from Older Adults.
OBJECTIVES
Using Terror Management Theory and Social Identity Theory as frameworks, we examined whether the relationship of aging anxiety to compassion for and emotional distance from older adults was mediated by ageist attitudes and whether an older adult's health condition moderated these relationships.
METHOD
Using an experimental design, 292 middle-aged adults (40-55 years) were assigned to read a description of an older adult with Alzheimer's Disease (AD), prostate cancer, or who was healthy.
RESULTS
The relationship of aging anxiety to compassion was mediated by ageist attitudes in both the AD and prostate cancer conditions. More ageist attitudes related to less compassion more strongly for unhealthy older adult conditions than for the healthy older adult condition as well as for the AD condition compared to the cancer condition. Ageist attitudes related to more emotional distance from the older adult with AD than the older adult with cancer.
DISCUSSION
Older adults with AD may evoke a stronger relationship of ageist attitudes with emotions toward older adults. These findings extend previous research by examining middle-aged participants, a population often serving as caregivers to their aging relatives.
Topics: Male; Humans; Aged; Middle Aged; Aging; Empathy; Attitude; Ageism; Anxiety; Alzheimer Disease; Prostatic Neoplasms
PubMed: 35762452
DOI: 10.1080/0361073X.2022.2091329 -
Beijing Da Xue Xue Bao. Yi Xue Ban =... Jun 2007The prognosis of attention deficit hyperactivity disorder (ADHD) is poor, and approximately two third patients still have obvious symptoms when they grow up into adults,... (Review)
Review
The prognosis of attention deficit hyperactivity disorder (ADHD) is poor, and approximately two third patients still have obvious symptoms when they grow up into adults, thus interfering with their social functions including work, study, family and interpersonal relation etc, and even causing the mental disorders and/or antisocial personality disorder. The predictive factors of adult outcome of ADHD include genetic, environmental and clinical factors. This review deals with the adult outcome and its predictive factors,and explores the severest harmfulness against individual, family and society brought by ADHD and its underlying mechanisms so as to facilitate the clinical intervention and research.
Topics: Adult; Age of Onset; Attention Deficit Disorder with Hyperactivity; Humans; Prognosis; Social Adjustment
PubMed: 17572796
DOI: No ID Found -
Journal of Applied Gerontology : the... Jul 2016Informal older adult caregiving allows older adults to stay in their homes or live with loved ones, but decisions surrounding older adult care are fraught with...
Informal older adult caregiving allows older adults to stay in their homes or live with loved ones, but decisions surrounding older adult care are fraught with complexities. Related research and case law suggest that an older adult's need for and refusal of help are important considerations; the current study is the first to examine these factors experimentally. Two samples (potential caregivers and care recipients) provided responses regarding anticipated emotions, caregiver abilities, and allocation of daily caregiving decision making based on a vignette portraying an older adult who had a high or low level of autonomy and who accepted or refused help. Study findings suggest differing views about caregiving; potential caregivers may not be as well prepared to take on caregiving as the potential care recipients anticipate and potential caregivers may allocate more decisional responsibility to older adults than the care recipients expect. Implications for older adult abuse are discussed.
Topics: Adult; Aged; Caregivers; Decision Making; Emotions; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Middle Aged; Paternalism; Patient Acceptance of Health Care; Personal Autonomy
PubMed: 24652926
DOI: 10.1177/0733464813517506