Self‐care ability among home‐dwelling older people in rural areas in southern Norway

Dale, Bjørg; Söderhamn, Ulrika; Söderhamn, Olle

doi:10.1111/j.1471-6712.2011.00917.x

Cited by 62 publications

(76 citation statements)

References 57 publications

(87 reference statements)

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“…They saw both physical and mental activities as important for maintaining health and well-being, and being active has been shown to be a productive means for self-care among older home-dwelling people in other studies 23,34. This is also in line with a study among middle-aged individuals about their transition into retirement, where it was shown that participants saw old-age pensioner life, when being in good health, as a time of opportunities: retirement could give a sense of freedom and motivation for being active 35…”

Section: Discussionmentioning

confidence: 89%

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Narrated lived experiences of self-care and health among rural-living older persons with a strong sense of coherence

Söderhamn¹,

Dale²,

Söderhamn³

2011

PRBM

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Sense of coherence (SOC), with its components comprehensibility, manageability, and meaningfulness, is a major factor in the ability to cope successfully with stressors and is closely related to health. Qualitative studies related to SOC are scarce, and in this phenomenological interview study, self-care is investigated in relation to SOC. The aim of this study was to describe the lived experiences of self-care and features that may influence health and self-care among older home-dwelling individuals living in rural areas and who have a strong SOC. Eleven persons with a mean age of 73.5 years and a SOC value in the range of 153–188, measured by Antonovsky’s 29-item SOC scale, were interviewed. The interviews were recorded, transcribed verbatim, and analyzed with a phenomenological descriptive method. The findings showed that successful self-care involves having, when needed, contact with the health care system, being conscious of a sound lifestyle, being physically and mentally active, being engaged, having social contacts with family and/or others, and being satisfied and positive and looking forward. Formal and informal caregivers should be conscious of the importance of motivating and supporting older individuals with respect to these dimensions of self-care.

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Section: Discussionmentioning

confidence: 89%

“…Since no official cutoff point is recommended for this type of sample in the literature, a SOC score ranging from 153 to 203 – that is, a value that was higher than the mean value of 152 in the survey study23 – was considered to be a strong SOC. This is also in line with normative data from other studies 2.…”

Section: Methodsmentioning

confidence: 99%

Narrated lived experiences of self-care and health among rural-living older persons with a strong sense of coherence

Söderhamn¹,

Dale²,

Söderhamn³

2011

PRBM

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“…Sundsli et al (2012) found a higher risk amongst adults aged ≥85 years with a mean NUFFE score of 6.6 ±4.1, which is in the at risk category; whilst the mean score of total participants aged ≥65 years was in the low risk category (4.0 ± 3.1). Poorer self-care ability was found in the at risk group and associated with inability to prepare food (Dale et al, 2012). Identified contributors to nutrition risk were receiving assistance for daily living, being inactive, displaying a sense of helplessness and living alone (Tomstad et al, 2012).…”

Section: Nutritional Form For the Elderly (Nuffe)mentioning

confidence: 99%

“…Three studies were conducted in Norway (Dale et al, 2012;Sundsli et al, 2012;Tomstad et al, 2012) and one in Sweden . Approximately 80% of older adults were identified as well-nourished according to NUFFE classification Tomstad et al, 2012).…”

Section: Nutritional Form For the Elderly (Nuffe)mentioning

confidence: 99%

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Hamirudin

Charlton

Walton

2016

Archives of Gerontology and Geriatrics

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Introduction Nutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. Methods A systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. Results Fiftyfour articles were eligible to be included in the review and malnutrition risk varied from 0% to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. Conclusions Timely nutrition screening of older adults living in the community, if followed up with appropriate intervention and monitoring improves the nutritional status of older adults. This indicates that nutrition intervention should be considered a priority following nutrition screening for malnourished and at risk older adults. Further evaluation of outcomes of nutrition screening and associated interventions, using structured pathways of care, is warranted. Abstract IntroductionNutrition screening is an initial procedure in which the risk of malnutrition is identified. The aims of this review were to identify malnutrition risk from nutrition screening studies that have used validated nutrition screening tools in community living older adults; and to identify types of nutrition interventions, pathways of care and patient outcomes following screening. MethodsA systematic literature search was performed for the period from January 1994 until December 2013 using SCOPUS, CINAHL Plus with Full Text, PubMed and COCHRANE databases as well as a manual search. Inclusion and exclusion criteria were determined for the literature searches and the methodology followed the PRISMA guidelines. ResultsFifty-four articles were eligible to be included in the review and malnutrition risk varied from 0 % to 83%. This large range was influenced by the different tools used and heterogeneity of study samples. Most of the studies were cross sectional and without a subsequent nutrition intervention component. Types of nutrition intervention that were identified included dietetics care, nutrition education, and referral to Meals on Wheels services and community services. These interventions helped to improve the' nutritional status of older adults. ConclusionsTimely ...

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“…This influences older people’s daily life13 and higher self-care ability supports personal health in later life. A strong relationship between lower self-care ability and being at risk of undernutrition has also been shown 2,14. A significant association between unintended weight loss and impaired function regarding activities of daily living has been reported among older people living at home 9…”

Section: Introductionmentioning

confidence: 98%

Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

Tomstad

Söderhamn²,

Söderhamn³

2012

IJGM

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BackgroundBeing at risk of undernutrition is a global problem among older people. Undernutrition can be considered inadequate nutritional status, characterized by insufficient food intake and weight loss. There is a lack of Norwegian studies focusing on being at risk of undernutrition and self-care ability, sense of coherence, and health-related issues among older home-dwelling people.AimTo describe the prevalence of being at risk of undernutrition among a group of older home-dwelling individuals in Norway, and to relate the results to reported self-care ability, sense of coherence, perceived health and other health-related issues.MethodsA cross-sectional design was applied. A questionnaire with instruments for nutritional screening, self-care ability, and sense of coherence, and health-related questions was sent to a randomized sample of 450 persons (aged 65+ years) in southern Norway. The study group included 158 (35.1%) participants. Data were analysed using statistical methods.ResultsThe results showed that 19% of the participants were at medium risk of undernutrition and 1.3% at high risk. Due to the low response rate it can be expected that the nonparticipants can be at risk of undernutrition. The nutritional at-risk group had lower self-care ability and weaker sense of coherence. Living alone, receiving help regularly to manage daily life, not being active and perceived helplessness emerged as predictors for being at risk of undernutrition. The results indicate difficulties in identifying people at nutritional risk and supporting self-care activities to maintain a good nutritional status.ConclusionHealth care professionals have to be able to identify older home-dwelling people at risk of undernutrition, support self-care activities to enable people at risk to maintain a sufficient nutritional status, and be aware that older people living alone, who receive help, feel helpless, and are inactive are especially vulnerable.

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Self‐care ability among home‐dwelling older people in rural areas in southern Norway

Abstract: When self-care ability is reduced in older people, caregivers have to be aware about how this can be expressed and also be aware of their responsibility for identifying and mapping needs for appropriate support and help, and preventing unnecessary and unwanted dependency.

Cited by 62 publications

References 57 publications

Narrated lived experiences of self-care and health among rural-living older persons with a strong sense of coherence

Narrated lived experiences of self-care and health among rural-living older persons with a strong sense of coherence

Outcomes related to nutrition screening in community living older adults: A systematic literature review

Living alone, receiving help, helplessness, and inactivity are strongly related to risk of undernutrition among older home-dwelling people

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