Intergenerational Coresidence and Life Satisfaction in Old Age: The Moderating Role of Homeownership

Household structure for older people’s subjective well-being is important to promote healthy ageing in the context of the rapid increase of the older population. Living with adult children is known to promote older people’s life satisfaction, a key indicator of subjective well-being, whereas others claim a negative impact of such intergenerational coresidence. This study aims to empirically test these theories (family support vs. family conflict), by examining the role of homeownership–another important factor contributing to subjective well-being–in this association between intergenerational coresidence and life satisfaction. Analysing the nationally representative data on the elderly population in South Korea, the findings showed that intergenerational coresidence decreases life satisfaction when the elderly achieve a certain level of housing security by living in owner-occupied housing. Living with adult children is negatively associated with life satisfaction particularly for older old homeowners compared to younger old owners. Our findings provide implications for public policies promoting intergenerational coresidence and asset-based welfare to enhance older people’s well-being in Korea and more broadly in East Asia.

     

Old Age,Finitude and Meaning: Reflections on the Care of Older Adults Based on Logotherapy

Due to the steady increase in the number of older adults among the Brazilian population, the aim of the present article is to reflect on the care provided to the elderly based on Viktor Frankl’s logotherapy as an alternative approach to understanding more deeply what this life stage means. For this purpose, demographic data on the population of older adults are provided, together with distinct views on aging and its relationship to the quality of life. Next, logotherapy, from its conceptions about the relationship of the person to finitude and to the person’s possibilities for existence, is presented as a psychological theory likely to improve the understanding of aging and to represent a possible approach to the care of older adults. Based on an understanding of humans as beings of power and therefore as self-transcendent and endowed with the will to meaning, the possibility of psychology investing in the relationship with alterity as the grounds for interventions targeting older adults is emphasized.     

Spiritual Care: Recognizing Spiritual Needs of Older Adults

SUMMARY

This paper explores aspects of spiritual needs and assessment, while emphasizing the importance of aged care providers being spiritually self-aware. The context of this exploration is meaning in life, spirituality and quality of life as experienced by older adults. Depression and dementia are frequently seen among older adults in residential aged care with resultant lowered quality of life. Pastoral and spiritual care may be used effectively to help alleviate depression and support older people who have dementia. However, to be able to provide appropriate spiritual care, spiritual needs should be assessed. Ways of assessing spiritual needs are suggested.     

"Involving the Elderly in Mission" -A Service Project

As one church grew from a small immigrant church to a conglomerate of 1,200 members, the natural social networks were no longer adequate to support the population of older persons. Networks had to be made intentional through programming. A needs assessment of the senior population identified specific subgroups and their needs. Recognizing the diversity of the senior population, a broad spectrum of programs was established. An effort was made to maintain a balance between traditional and innovative. The senior program has strengthened the networking among seniors, increased their integration with the other age groups in the church, and provided an entry level for those new to the church. The program has also become known in the community, which has resulted in cooperation with other senior service organizations who provide education and training. The Area Agency on Aging, realizing the importance of the church to the senior population, has selected a member of the church community to serve on its Advisory Board.     

How Can Ethics Support Innovative Health Care for an Aging Population?

The rapidly expanding aging population presents an urgent global challenge cutting through just about every dimension of worldly life, including the social, political, cultural, and economic. Developing innovations in health and assistive technology (AT) are poised to support effective and sustainable health care in the face of this challenge, yet there is scant (but growing) discussion of the ethical issues surrounding AT for older persons with dementia. Demands for ethical frameworks that can respond to frontline dilemmas regarding AT development and provision, and how the needs of aging persons themselves are defined throughout this development process, are increasing. This article suggests that fulfilling the promises of AT to provide effective and ethically informed solutions may demand shifting away from standard bioethical analyses that centralize the principle of respect for autonomy. An autonomy-centric paradigm is dubiously equipped to theorize the foundational ethical issues in dementia care and to effectively guide AT development and implementation. An agency-centered approach to dementia care, which could engage more adaptively with the perspectives and choices of older persons themselves while offering strong support to AT research and stakeholders, may offer an attractive alternative.     

Perceptions de la qualité de vie et de la bientraitance par des personnes âgées résidant en institution gériatrique et par leurs proches

Introduction

The present study focuses on patient-centered care and quality of life in dependent aging people living in nursing home.

Religion and aging

Life history data and cultural values are used to suggest ways in which personal and social beliefs influence the quality of experiences of aging. Central questions are the extent to which an individual can select beliefs that lead to a longer, more meaningful life and the special influence that religion may have in enhancing aging. Responsiveness to needs of the elderly is a necessary component of enlightened planning for the future. Secularization and industrialization have diminished roles and expectations for the elderly. Religion may be an effective means to identify these concerns and improve the quality of life of older people.     

Maintaining Successful Aging: The Role of Coping Patterns and Resources

One of the main challenges of aging societies is maintaining quality of life despite inevitable changes that occur in the lives of elderly people. This study examined the contribution of coping resources and coping patterns to successful aging among elderly persons following a decline in health and function. Data were collected from 262 elderly Israelis during two home interviews carried out at an interval of 12 months. Successful aging was assessed using a number of measures of subjective well-being. Predictive variables included change in health/functioning, coping resources, and coping patterns (proactive and reactive). Hierarchical regression analyses showed that the coping resources self-efficacy and social support and the proactive coping pattern of concrete planning positively predicted successful aging, while the proactive coping pattern deciding on preferences had a negative influence. These results indicate that elderly people have the ability to shape their quality of life in the presence of decline in health and functioning by using appropriate coping resources and coping patterns. Controlled interventions are recommended to help older people acquire and maintain effective resources and coping skills, thus further promoting their successful aging process.     

Social determinants of subjective well-being among young adults living in the Eastern Cape,South Africa

We investigated the relationships between certain social determinants (age, gender, marital status, education, income, and employment) and subjective well-being (SWB) in a young adult population in the Eastern Cape Province in South Africa. The participants consisted of 977 persons aged 18 to 40 years living in the historically deprived Eastern Cape, South Africa (females = 48%; age range = 18 to 40; rural dwellers = 15%). We measured their SWB utilising the World Health Organization (Ten) Well-Being Scale. Results following analysis of variance showed that age, education, and income were predictors of SWB. Higher SWB was associated with being older, having a higher level of formal education, and having a higher level of income. However, employment status did not have a significant relationship with SWB, suggesting the relative importance of other social indicators of social functioning in this population.     

The nature of quality of life in residential care facilities: the case of White older South Africans

This study describes the nature of quality of life (QoL) from the perspective of older South Africans (n?=?41) in residential care facilities (female =?75%; age range 62–95 years). The residents participated in individual in-depth interviews and focus groups. They also set down their narrative reflections on their QoL in journals. Data were analysed by means of interpretative phenomenological analysis. Findings reveal the resident older South Africans regard QoL as a spiritually informed worldview of life events, coping with challenges and being mindful of others. The residents perceived QoL to include proximity and quality and reciprocity with others. QoL among older people is context and people specific.     

The Influence of Religiosity,Family-of-Origin,and Self-Efficacy on Depression in Older Adults

ABSTRACT

In this study, the influence of religiosity, self-efficacy, and family-of-origin on depression was examined. In addition, the associations of race, gender, and age on these variables were analyzed. A total of 81 older persons, 56% white and 44% black, and approximately the same number of males and females, were recruited from public housing, a senior citizens organization, and a private community dwelling. Results indicated that a number of associations were significant between race, gender, religion, and age. No gender or race differences were associated with self-efficacy or depression. Multiple regression analysis was utilized to examine the role of self-efficacy, family-of-origin, and religiosity on depression of older adults. Significant causal effects were found for the influence of religiosity and family-of-origin on self-efficacy and the influence of self-efficacy on depression.     

老年癌症患者疼痛管理

面对日益加剧的人口老龄化趋势,国际肿瘤界逐渐意识到老年肿瘤治疗问题的严重性。老年肿瘤患者在被确诊时多已处于晚期,基础疾病多,各脏器功能下降,姑息治疗对老年肿瘤患者显得非常重要,尤其是疼痛治疗。目前,因为对老年人疼痛的认识不足、评估不够、过分担心药物副作用,使得老年癌痛控制现状不容乐观。本文综述了老年癌痛的特点、评估方法及治疗原则,强调对于老年癌症患者治疗的目标不是重返工作或者延长生命,而是尽最大可能地提高生活质量,让老年癌症患者远离癌痛,真正享受到无痛人生。     

An Integrated Conceptual Model of Quality of Life for Older Adults Based on a Synthesis of the Literature

Quality of life is fast becoming a standard of measure of long-term care and gerontological service outcomes. Although the issue of quality of life has been of increasing interest in the field of aging, there has been little agreement as to the clarity and definition of the concept and how to measure it, especially as it relates to older adults. Presented here is a comprehensive, integrated model of quality of life that was developed by synthesizing existing constructs within the literature into six major life domains—(1) social well-being, (2) physical well-being, (3) psychological well-being, (4) cognitive well-being, (5) spiritual well-being, and (6) environmental well-being. Consistent with a general systems framework, this holistic model expands the predominant Health-Related Quality of Life constructs to incorporate non-physical aspects of well-being. Each of these domains was broken down into several dimensions in an effort to operationalize the concept of quality of life so that it can have some common standard of useful measurement. These major life domains and indicators are important factors in determining the perceptions of quality of life of older adults. Understanding what constitutes quality of life and how to measure it comprehensively has significant implications for social policy and practice in the field of aging.     

Sedentary behaviour and sleep problems among young,middle-aged,and older persons in South Africa: A brief report

The study aimed to investigate the relationship between sedentary behaviour and sleep problems in a large national community sample in South Africa. We analysed an existing cross-sectional population data set, the “South African National Health and Nutrition Examination Survey”. The sample included 13 555 individuals (median age 34.0 years, interquartile range 25, range 15–98 years). Overall, the study population engaged < 4 hours (49.5%), 4 – < 8 hours (37.2%), 8 – < 11 hours (9.7%), and 11 or more hours (3.6%) in sedentary time a day. The prevalence of sleeping problems was 6.4% and 6.7% in the less than 4 and less than 8 hours sedentary time categories, respectively. The prevalence of sleeping problems was 9.8% and 9.4% in the less than 11 hours and 11 or more hours sedentary time categories, respectively. In the final adjusted logistic regression model, among 50 years and older, the highest sedentary time category was associated with sleep problems, while there was no association in the younger (15–49 years) age group and in the overall model. This could mean that persons at older age with sedentary behaviour are at an increased risk of sleep problems.     

Recognition and Treatment of Late-Life Addictions in Medical Settings

Addictive disorders among the elderly have emerged as a growing public health concern. As the proportion of the elderly population increases, more and more older adults will either develop addictions as a dysfunctional means of coping with the psychosocial consequences of aging, or will carry their long-standing addictive behaviors with them into later life. Among the most common of these addictions are smoking, excess consumption of alcohol, and gambling. This article briefly reviews these three addictive disorders and examines assessment and treatment options. The current cohort of older adults tends not to seek help for addiction problems in specialty mental health or substance abuse treatment. To improve rates of cessation and abstinence, assessment and intervention should be delivered in general medical settings such as primary care. With the addition of a behavioral health specialist, primary care has the potential to offer improved interventions in a cost-effective and time-efficient manner.     

A Secondary Analysis of Perceptions of Quality of Life of Older Adults Residing in a Nursing Home and Assisted Living Setting Using an Integrated Conceptual Model of Measurement

Quality of life is difficult to measure but is fast becoming the standard for long-term care. A secondary analysis was conducted of quality-of-life perceptions of older adults residing in a nursing home and then an assisted living facility from the perspectives of older adults and their family members/friends. This study shows that using a comprehensive integrated model that incorporates six major life domains of physical well-being, social well-being, psychological well-being, cognitive well-being, spiritual well-being, and environmental well-being into the assessment process appears to be a promising approach to determining quality-of-life perceptions of older adults. Findings also suggest that healthcare and human services professionals should place more reliance on indicators of social and environmental well-being, including opportunities for choice, when striving to maximize quality of life of older adults. As the demographic composition of the United States changes, policies and services will need to be modified to accommodate the changing needs of older adults in a way that optimizes perspectives of quality of life.     

Elder abuse by family caregivers: Processes and intervention strategies

This study of 104 family caregivers who provided care to 119 elderly kin discusses the stress and conflict that can result when the older person, the caregivers, and the family are unprepared to fulfill the caregiving tasks. Sources of stress that contribute to physical and psychological abuse of the elderly are examined. Suggestions such as setting guidelines, establishing support groups, providing respite and household care, and increasing awareness about the aging process and elder abuse are offered as mechanisms for preventing abusive interactions and increasing the quality of life for the elderly and their families.Revision of a paper presented at the 1986 Groves Conference on Marriage and the Family, London, England.     

日本医疗保险制度改革及对我国的启示

日本是个高收入、高福利的发达国家,人均寿命长居世界第一,社会医疗保障体系比较完备,在许多方面值得我国借鉴。介绍了日本医疗保险制度的现状,医疗费用的审查及支付方式,后期高龄者医疗制度及针对生活习惯病的特定健康检查、特定保健指导。最后结合我国的具体国情总结了其对我国医疗保障体系建立和完善的几点启示。     

老年高血压治疗决策的个体化和系统化

高血压是严重危害老年人健康的常见病,老年人高血压临床症状及特点与中青年高血压有显著不同,在诊断治疗中应注重老年人血压升高的病理生理特点及机制,在老年高血压的治疗决策中运用个体化和系统论的原则,选择个体最优化综合治疗决策,启思和引导老年高血压研究水平的纵深发展,积极有效地改善老年人的生活质量。     

Pastoral Theological Implications of the Aging Process

Pastoral care of the aged must deliberately attend to spiritual-theological issues involved in the aging process. As clinical, empirical, and practical pastoral experiences demonstrate, these spiritual-theological problems are as varied as the range of overall problems faced by the elderly. In an attempt to focus on major issues, however, it may be helpful to examine the three epochs of aging i.e., young~ldm, iddle-old, and old-old, in order to determine the spiritual and theological issues which are particularly relevant to each epoch. This paper proposes that each of the three developmental epochs has a main spiritual-theological concem which can be expressed in a question: young-old: "What shall I do with my life?"; middleaid: "What about my dying?"; old-old: "Why must I suffer so?" Pastoral ministry is called to further examine the validity of these assertions and draw practical applications in response to these spiritual-theological issues which face older persons.