1 in 3 will be older adults by 2025 in Japan

In June Dr Mayumi Hayashi described Japan's vision of 'total care' for its older population in HSJ. The article that prompts this post follows another with lessons for England.

Referring to a "2025 vision" this forward thinking has its roots in established systems of healthcare set up in 1961 and social care established in 2000 (p.25).

Care integration is not new as a fundamental issue in health and social care. It is for me a career legacy issue. As a student nurse it was discussed and debated, closely allied with multidisciplinary and holistic (joined up physical and mental health) care. Even now 37 years later it will drive many arguments and policy deliberations in the run up to the next election here.

Many nations are faced with stark demographics. As the population ages and works its way through wooden blocks, Rubik cubes, it is the population pyramid that takes on increasing significance.


Dr Hayashi lists the need for inclusion, integration and continuation of four components that are essential to the realisation of this vision:

• maximising the integration of healthcare and social care;
• promoting policies for prevention and outreach together with safeguarding;
• embedding supported living programmes and dementia friendly community initiatives; and
• addressing “late life specific” housing needs.

I have mapped these to Hodges' model below:

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

embedding supported living programmes and dementia friendly community initiatives	integration of health and social care
"late life specific" housing needs (integration of health and social care)	promoting policies for prevention and outreach, together with safeguarding

It becomes clear to see in Japan, China and other nations how telecare and smart homes have a role to play. Getting the basics of integrated care resolved firstly is the prerequisite whatever the culture.

Where achieved the integration of health and social care can act as a diagonal brace as it straddles two care domains. Perhaps the model also reflects the ongoing challenges of parity in esteem in mental health care and physical care; and the funding ambiguity for people living with dementia as opposed to other medical conditions?

In January 2014 the FT Weekend magazine also featured an article on ageing in Japan.

Hayashi, M. (2014) Japan's vision of a 'total care' future looks bright, Health Service Journal, 124, 6404, 25-27. 

FT magazine cover image:
https://www.facebook.com/financialtimes/photos/a.10150157857040750.297340.8860325749/10152119294570750/?type=1

At a glance 65: Better Life for older people with high support needs: the role of social care

I am referencing the following as I struggle to complete a piece of work for the TEL course. These key messages resonate with Hodges' model (back to work....):

Published: May 2014

Key messages

The Joseph Rowntree Foundation has identified seven key challenges to be addressed for older people with high support needs to achieve a better quality of life. Social care has a key role to play in meeting these challenges.

1. Old age is not about 'them': it is about all of us
2. Older people are individuals and they are, as a group, becoming more diverse
3. Relationships matter to us whatever our age; we have a fundamental human need to connect with others meaningfully
4. Older people with high support needs have many assets, strengths and resources that they can also bring to the development and provision of services
5. Whatever our age or support needs, we should all be treated as citizens: equal stakeholders with both rights and responsibilities
6. The individual and collective voices of older people with high support needs should be heard and given power
7. We need both to innovate and improve existing models

SCIE's role is to share knowledge about what works and use this to produce practical resources. Many of these resources will support people working in all aspects of social care to address these challenges.

http://www.scie.org.uk/index.aspx

A New Dynamic of Ageing: The NDA Programme & Age UK research showcase of the decade

London, The Business Design Centre, 52 Upper Street, Greater London N1 0QH

You’ll know that the UK population is ageing. You’ll know that there is significant work to be done to be better prepared for ageing in our society. So it’s crucial that all of us who work in and for later life use latest evidence on ageing to support those preparations. The New Dynamics of Ageing (NDA) Programme and Age UK are proud to provide a unique opportunity to present that evidence at our joint event, held on Monday 21 October, at the stylish Business Design Centre, Islington, London.

This is the ageing research showcase of the decade, presenting the most comprehensive selection of state-of-the-art ageing research ever seen in the UK. This includes active ageing, quality of life, independence, dignity, money, work, environments, participation and connectivity to name a few. Throughout the day, you can hear from high profile speakers, pick up latest knowledge through our themed sessions, interact with exhibits in our innovative marketplace and meet the researchers. It will also be your chance to network with a wide range of colleagues from the public, private and charity sectors.

http://www.newdynamics.group.shef.ac.uk/showcase.html

Hope to see you there! PJ

Living in the Memory Room: BBC Radio 4

Some people have no choice - they must become time travellers ....

There are 800,000 dementia sufferers in the UK. Kim Normanton presents a personal programme about memory and dementia, inspired by her mother's illness. She explores a new approach to treatment - recreating the past.

As her mother's memory of recent events was destroyed ... more

New Dynamics of Ageing: Newsletter & Research

There are some really informative resources on the NDA site, several themes link with the DTMD conference (of which more to follow) notably - information, technology, media, art and identity.

Research and Findings

Newsletters 

Hodges' model 'Always Waiting' with Michael Kiwanuka

Seeing and listening with Hodges' model:

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

	Safety, 'Illness', ...?
LIFE HISTORY, several selves, ...?	LIBERTY ...?

Hodges' model in Murphy & Welford (2012) Agenda for the future: enhancing autonomy for older people in residential care. Int. J. of Older People Nursing

ABSTRACT: This is the concluding paper of a three paper publications. Paper 1 focused on specifically understanding what autonomy for older people in residential care means. Paper 2 discussed the various factors that either facilitate or hinder residents autonomy and directed readers to reflect upon their practice. This final paper outlines the findings from the action research phase of a study aimed at enhancing resident autonomy. It describes just one way in which residential care units can work on enhancing residents autonomy and enables the reader to reflect upon nursing practices, which with the right approach can be resident-centred.

Murphy and Welford write:

Hodges (1997) model is essentially concerned with the person (resident) in a social context. The notion of it derives from the intervention of the nurse being future orientated, increasing the health choices, health chances or health prospects of individuals or groups (including families) taking cognisance of the biography of the person or persons being helped. The person already has a biography that has been influenced by their physical and psychological make-up, the kinds of families and social networks they have experienced and the culture or geographical location in which they live. The nurse then is also influenced by personal factors of their individual physical or psychological origin and factors relating to their social world and the policies that govern their daily life. The nurse (assessor) must take cognisance of the attributes the person (resident) brings with them in their current presentation (problem) and how this affects their future choices both in terms of ability to make them and the range of choices available. Thus, this approach to care planning recognises the importance of negotiating care.  (online source - see doi link below)

I am not just very grateful to Murphy and Welford for their adopting Hodges' model in their study, but this supports my own use of the model in teaching staff about person-centred care and communication skills in residential and nursing care homes. The inclusion of a political domain and individual and group (populations) dimensions is a great asset in this context. Their conclusion also identifies the limitations of individually directed change, something that seems apparent from my own experience in nursing home liaison.
 
Murphy, K., Welford C. (2012) Agenda for the future: enhancing autonomy for older people in residential care. International Journal of Older People Nursing. 7, 75–80. doi: 10.1111/j.1748-3743.2012.00309.x

[CIOP] Welcome to new list - Community Informatics for Older Persons

There recently has been an expansion of technology applications for older persons. These efforts include communications for elderly with others, connections with families, medical monitoring, group activities, assistance with hospital transitions, and tele-health. An important aspect is the framework of communities, either as a way to view applications or the use of the inforrmation and communications technology application  in a group setting, such as a wii activity by a group.

Especially promising are the research activities being done internationally.
This is demonstrated by the latest issue of the Journal of Community Informatics on Technology and Older Persons, with a significant collection of varied current studies. The work on this journal included the cooperation of an international group of professionals for nearly a year.

It will be exciting and worthwhile to have the discussions and online meeting of professional minds.

To subscribe to new elist Community Informatics for Older Persons send an email
To: sympa@vcn.bc.ca
Message: subscribe ci-for-older-persons

Or go to http://vancouvercommunity.net/lists/info/ci-for-older-persons

Gene
Gene Loeb, Ph.D.

My source: ciresearchers

KT EQUAL event 'Design ahead: design for an ageing population'

Dear KT EQUAL Supporters,

We are pleased to announce the latest KT EQUAL event entitled 'Design ahead: design for an ageing population' to be held on Friday 2nd March 2012 at the Innovation Centre, Bath.

We have an ageing population, but a reducing health and social care budget. Increasingly individuals will be expected to self-purchase products and services that will allow them to live independently. This will provide a large ‘silver’ consumer market for products that are designed and priced appropriately. Although there is some awareness amongst industry of this market opportunity, there is significant scope for more inclusive design of mainstream products that enhance independent livening or support specific living tasks and activities.

In collaboration with KT EQUAL, ALAN (Assisted Living Action Network) will jointly host this event to raise awareness of the scale of the market opportunity; explore the needs of this population; how they are translated into design requirements to drive product innovation; and what kinds of design tools and approaches can support design for an aging population. The event will bring together commercial partners, users and academics.

Please find a provisional programme for 2nd March here.

In addition to the conference, there will be an evening three course dinner and networking reception on Thursday 1st March. Both events will be held at the Innovation Centre in Bath.

To register for the conference and / or dinner, please visit:

http://assistedlivingaction.net/index.php/events/designing-ahead-mainstream-design-for-an-ageing-population/

£80 conference and dinner
£50 conference only

There are limited spaces for the networking dinner, so please register quickly.

Regards,

Heather Williams
Project Officer (KT EQUAL)
University of Bath
_______________________________________________
Sparc-network mailing list <Sparc-network@lists.reading.ac.uk>
http://www.lists.rdg.ac.uk/mailman/listinfo/sparc-network