Quality of Life and Pharmacoeconomics in Clinical Trials, 2nd edn. As this chapter is concerned with changes over time among an older population group, it also examines attitudes to, and perceptions of, ageing. Brain Rules for Ageing Well is organised into four sections, each laying out familiar problems with surprising solutions. The Forum for Family and Consumer Issues, North Carolina State University, 1: 1—6. She described the things she would like to be able to afford and how difficult it is to live on the state pension, especially with household repairs to do:. This book explores concepts of quality of life in older age in the theoretical literature and presents the views of a national sample of people aged sixty- five years or older. With the bus pass you can get on and off as you like without paying and saves my legs from walking.
However, it was influenced by socioeconomic position, suggesting there were social structure barriers to its development. This book is intended for academics, health professionals, business persons, consumers and policy-makers interested in the latest evidence and ethical issues about anti-ageing medicine. Their expectations are likely to be different from the current generation of older people in Britain who experienced the depression in the 1930s and a world war. Ageing Well is key reading for students, academics, practitioners and policy makers who are concerned with the research and practice that will help to improve quality of life for older people. Age and Ageing, 31: 187—92.
This important new series will be vital reading for a broad audience of policy-makers, social gerontologists, nurses, social workers, sociologists and social geographers as well as advanced undergraduate and postgraduate students in these disciplines. For example, the effect of selfefficacy on QoL may have been partly mediated by functional status which did retain significance in the final model. Life-span models also focus on behaviour, and the positive benefits of physical exercise, lifestyle factors, cognitively stimulating activities, and maintaining an optimistic outlook for future health and well-being Hartman-Stein and Potkanowicz 2003. There is more emphasis in current models of ageing on life-span influences. Improved measurement, relevant to older people, is probably required — the measure of self-efficacy used was not designed specifically for use with older people. Gibbons eds Health, Coping and Wellbeing: Perspectives from Social Comparisons Theory. This again indicates that, for some, good functional ability was taken for granted until lost.
The increases in fuel have caused financial problems. Benefits can be found in health, employment, housing and elsewhere. The model is still popular and has been recently tested in Europe and reported to successfully discriminate between older Swedish and Polish populations Jaracz et al. In sum, the comparison of results from the triangulated approach indicated that overall QoL is built on a series of interrelated drivers main themes , while individuals may emphasize varying constituent parts sub-themes. There are very few texts available on this topic and none of an international and multi-disciplinary nature. People spoke of their own personalities, attitudes and philosophies on life as affecting their QoL, as these influenced their interpretation of their current circumstances and past life events.
The QoL themes which emerged from this research are all areas relevant to health and social policy, and where targets for action and audit could be set. It offers a broad overview of the quality of life experienced by older people in Britain using a number of wide ranging indicators, including: Health Hobbies and interests; Home and neighbourhood; Income Independence; Psychological wellbeing; and, Social and family relationships. Sartorius eds Quality of Life in Mental Disorders. Discussion paper, Journal of the Royal Society of Medicine, 80: 354—6. Public policy departments tend to regard their own areas in isolation of others, while the promotion of well-being requires that interdependencies and knock-on effects are understood and taken into account.
The book includes an examination of the economic consequences for health care systems and pension schemes of ageing populations, provides insight into the methodology of evaluating the cost-effectiveness of interventions, and outlines how the minimum cost of healthy living for the 65+ population can be estimated. A few respondents referred to their income as adequate or favourable relative to others who were perceived to be worse off, with their parents or themselves in the past when worse off, representing downward health and wealth comparisons there were no upward comparisons. QoL instruments should focus on far more than the traditional areas of life satisfaction, or health and physical functioning, in order to gain a better understanding of the quality of later life. She spent much of her time caring for other people, including an elderly aunt, and her grandchildren. How can quality of life in older age be improved? Nor were self-efficacy or neighbourhood social capital enabling characteristics associated with mention of independence as giving life quality e.
Schaie eds Theories of Gerontology. Following a bilateral knee replacement early in 2014, James decided that having new knees was his opportunity to regain his health and fitness. The third focuses on the thinking brain, explaining how various cognitive gadgets such as working memory and executive function change with time. . However, others said they felt their QoL had improved since their baseline interview due to now being able to cope with earlier bereavement, and said they had deliberately made use of coping strategies, such as acceptance or feeling lucky to be alive:. The older the respondent, then the later old age was said to commence.
This enabled them to travel to places more quickly and comfortably than on public transport, and avoid carrying heavy shopping, especially when they were ill or frail. People aged 75+ were more likely than younger respondents to mention health, home and neighbourhood as giving life quality. Sometimes I have a kind friend who takes me there by car. Adding in self-efficacy explained a further 1. Well they both give you the freedom to do what you want. Warwick: University of Warwick, research paper no.
Similarly, respondents who said they never went out during the day were also more likely than others to mention that loss of independence took quality away from life: 14% and 3% respectively. Reminiscence, social interaction and support are highlighted as crucial for the preservation of identity, health and emotional well-being. Money was said by these respondents to be important to QoL, not just in terms of ensuring basic needs were met, but in enabling people to participate in society, to enjoy themselves and to free them from worry about paying bills, having enough money to meet emergencies, or paying for practical help when needed. We can either accept that old age means to fade away, deteriorate and wither on the vine, or we can seize the opportunity to revel in our later years with joy, passion and wisdom. Hagen Hennessy eds Growing Older: Quality of Life in Older Age.
She spoke about both her poor health and financial problems as affecting her QoL. Recent concerns about labour shortages internationally, however, have led to some rethinking of this policy. It covers a vast array of domains: from cell therapy to pharmaceutical interventions, from bio-surgery to aesthetic surgery, from human enhancement to fortified food, from smart housing and robots to toxic-free environments. Growing Old in the Twentieth Century. The results of the regression analyses gave most support to the importance of having good health and functioning for maintaining or improving QoL over time.