Community care of vulnerable older people: cause for concern

Beales, D; Tulloch, Alistair

doi:10.3399/bjgp13x673892

Cited by 13 publications

(9 citation statements)

References 8 publications

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“…They expressed a great deal of concern regarding their health conditions when it comes to travel. This is a consistent finding with previous research in both leisure and gerontology studies that revealed a significant change in individual health status once reaching 75 years of life (Beales & Tulloch, 2013,) Similarly, research in the tourism field has found that older folk tend to show a high peak in travel during their early retirement years, then slow down when they reach age 75. The findings of this study support those of previous research and further validate the existing knowledge regarding constraints for older travelers.…”

Section: Discussionsupporting

confidence: 91%

A Study of Older Adults' Travel Barriers by Examining Age Segmentation

Lee¹,

Bowes²

2016

JTHM

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With the Baby Boomers increasing in age and those 85 and over being the fastest growing age segment, the older adult population is increasing at a rapid rate. On a global scale, by 2030, the oldest old (85+) population is expected to have increased by 151 percent. As the population continues to gray, researchers have discovered there are numerous differences in the travel interests, preferences, and choices of individuals within different life stages of old-age. Clearly, the term "old-age" should no longer be viewed as an umbrella term or a uniform stage of life. Further segmenting older adults into different age groups will assist in determining patterns in older individuals' travel needs and interests, helping them to negotiate constraints. This study seeks to explore similarities and differences in constraints to travel amongst these four age brackets (pre-seniors: younger than 65; the young-old: 65-74; the old-old:75-84; and the oldest-old: 85+). The results from one-way analysis of variance revealed that respondents in different age groups reported significant differences in many respects regarding their reasons not to travel. In particular, the oldest-olds often expressed more conservative views when it comes to travel compared to pre-seniors and young-olds. This study suggests that future services and research on older travelers must recognize this fast growing trend in old age and reorient their efforts towards improving travel experiences for older adults within specific stages of late-life.

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Section: Discussionsupporting

confidence: 91%

A Study of Older Adults' Travel Barriers by Examining Age Segmentation

Lee¹,

Bowes²

2016

JTHM

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“…2 We find this a bewildering claim in view of the extensive research evidence to the contrary. No less than six controlled trials between 1979 and 1993 showed that a programme of care, tailored to the special needs of those in advanced old age, reduced the time spent in institutional care (hospitals and nursing homes).…”

Section: Proceed With Caution: Authors' Responsementioning

confidence: 65%

“…2 With our increasingly diverse population in the UK we are very aware that currently some groups are missing out on prevention, and Healthy Start vitamin uptake is very low. In Liverpool we are rolling out universal supplementation out this spring.…”

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confidence: 99%

Vitamin D testing: three important issues

Gardner¹,

Zhao

2014

Br J Gen Pract

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“…We read with interest your review of advance care planning decisions with frail and older individuals. 1 As two geriatric registrar trainees we have found a spectrum of good and bad practice in hospital and variation in the opinions of patients and families towards advance care planning. It can be easier to initiate conversations about future care when the elderly have been admitted acutely, which often focuses thoughts on mortality.…”

Section: Lettersmentioning

confidence: 99%

The right to die peacefully

Gunstone¹,

Waddy²

2013

Br J Gen Pract

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Beales and Tulloch's arguments about anticipatory care of older patients 1 represent the triumph of hope over experience. Anticipatory care for older people in the community has not yet been shown to be clinically or cost-effective in a thorough and less selective overview of the literature. 2 Trials of anticipatory care for older people in US, UK, and Denmark up to 1990 showed a rise in patients' morale, increased referrals to all agencies, reduced duration of in-patient stay (sometimes), increased in-patient rates (mostly respite care), reduction in mortality in some trials, but no improvement in functional ability and an increase in GP workload unless alternative services were provided. 3 Evidence for the benefits of anticipatory care remains scarce. The UK MRC trial showed little or no benefits for quality of life or health outcomes for older people receiving comprehensive assessment. 4 A systematic review of 15 trials of preventive home visits for older people showed no clear evidence of benefit 5 while the ProAge trial yielded no change in health-risk behaviours in older people. 6 Case management has not reduced hospital admission rates for frail older people and may even cause disruption of established nursing teams and services. There are signs that effective interventions are being developed but effect sizes in positive trials are often small and may not remain when interventions are transferred to routine practice. GPs should be cautious about committing time and resources to forms of anticipatory care for older patients that are plausible but untested.

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Community care of vulnerable older people: cause for concern

Cited by 13 publications

References 8 publications

A Study of Older Adults' Travel Barriers by Examining Age Segmentation

A Study of Older Adults' Travel Barriers by Examining Age Segmentation

Vitamin D testing: three important issues

The right to die peacefully

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