The 75‐year‐old persons' self‐reported health conditions: a knowledge base in the field of preventive home visits

Sherman, Helena; Forsberg, Christina; Karp, Anita; Törnkvist, Lena

doi:10.1111/j.1365-2702.2012.04314.x

Cited by 28 publications

(39 citation statements)

References 52 publications

(68 reference statements)

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“…Caregivers need to acknowledge that seniors’ life situations involve living with uncertainty over time 41. Previously, seniors (>75 years old) reported poor understanding of their health and diseases 17. Bearing in mind that very old seniors seldom suffer from one disease, management programs addressing one disease seem not to be a very efficient way of providing care 21.…”

Section: Discussionmentioning

confidence: 99%

“…One example of a health promotion activity is what is commonly referred to as a “preventive home visit”15 – an integral aspect of primary care 16. Swedish district nurses provide preventive home visits, to all 75-year-old persons who agree to it 17. Preventive home visits is a free of charge planned contact that offers a senior the opportunity to discuss her/his health and health problems in a structured way 17.…”

Section: Introductionmentioning

confidence: 99%

“…Swedish district nurses provide preventive home visits, to all 75-year-old persons who agree to it 17. Preventive home visits is a free of charge planned contact that offers a senior the opportunity to discuss her/his health and health problems in a structured way 17. District nurses in primary care14 provide health care to an elderly population in their own homes, with support from municipal home help services, which supports autonomy, by enabling the elderly to stay in their own housing as long as possible 12.…”

Section: Introductionmentioning

confidence: 99%

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Mental health-promoting dialogues from the perspective of community-dwelling seniors with multimorbidity

Grundberg¹,

Ebbeskog

Gustafsson

et al. 2014

JMDH

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Mental health promotion needs to be studied more deeply within the context of primary care, because persons with multiple chronic conditions are at risk of developing poor mental health. In order to make progress in the understanding of mental health promotion, the aim of this study was to describe the experiences of health-promoting dialogues from the perspective of community-dwelling seniors with multimorbidity – what these seniors believe is important for achieving a dialogue that may promote their mental health. Seven interviews with six women and one man, aged 83–96 years, were analyzed using qualitative content analysis. The results were summarized into nine subcategories and three categories. The underlying meaning of the text was formulated into an overarching theme that embraced every category, “perceived and well-managed as a unique individual”. These seniors with multimorbidity missed someone to talk to about their mental health, and needed partners that were accessible for health dialogues that could promote mental health. The participants missed friends and relatives to talk to and they (crucially) lacked health care or social service providers for health-promoting dialogues that may promote mental health. An optimal level of care can be achieved through involvement, continuity, and by providing a health-promoting dialogue based on seniors’ needs and wishes, with the remembrance that general health promotion also may promote mental health. Implications for clinical practice and further research are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mental health-promoting dialogues from the perspective of community-dwelling seniors with multimorbidity

Grundberg¹,

Ebbeskog

Gustafsson

et al. 2014

JMDH

View full text Add to dashboard Cite

show abstract

“…GPs and DNs bear the primary responsibility for health promotion among patients of all ages in Sweden (Wilhelmsson & Lindberg 2009). Swedish DNs are specialised registered nurses who completed 50 weeks of extra training [75 European Transfer System (ECTS)] and postregistration as a nurse beyond a bachelor's degree in nursing (Sherman et al 2012). These nurses receive patients at health care centres (HCCs), aim to prevent disease among and promote the health of housebound patients and provide care to primary care patients of all ages and (medical) diagnoses (Wilhelmsson & Lindberg 2009).…”

Section: Introductionmentioning

confidence: 99%

“…Swedish DNs offer preventive home visits, including health promotion dialogues, to all individuals aged 75 years or older (Sherman et al 2012), and preventive home visits have often been considered a health promotion activity (van Haastregt et al 2000, Stuck et al 2002. In addition, DNs play a key role in holistic care (Barker et al 2014) and address mental health problems (Haddad et al 2005), such as depression, which is one of the most underdiagnosed and undertreated health conditions in the primary health care system (Rouchell 2000).…”

Section: Introductionmentioning

confidence: 99%

District nurses' perspectives on detecting mental health problems and promoting mental health among community‐dwelling seniors with multimorbidity

Grundberg

Hansson

Hillerås

et al. 2016

Journal of Clinical Nursing

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Aims and objectivesTo describe district nurses' perspectives on detecting mental health problems and promoting mental health among homebound older people with multimorbidity.BackgroundMental health problems among older people with multiple chronic conditions, that is, multimorbidity, are challenging issues. These patients' homes often serve as arenas in which district nurses can promote health. Mental health promotion must be studied in greater depth within primary care because older people with multimorbidity are particularly prone to developing poor mental health, which can go undetected and untreated.DesignA descriptive, qualitative study using semi‐structured interviews and content analysis.MethodsTwenty‐five district nurses completed individual or focus group interviews. Data were analysed using qualitative content analysis.ResultsMost district nurses stated that detecting mental health problems and promoting mental health were important tasks but that they typically focused on more practical home health care tasks. The findings revealed that district nurses focused on assessment, collaboration and social support as means of detecting mental health problems and promoting mental health.ConclusionsThe district nurses described various factors and actions that appeared to be important prerequisites for their involvement in primary mental health care. Nevertheless, there were no established goals for mental health promotion, and district nurses often seemed to depend on their collaboration with other actors. Our findings indicated that district nurses cannot bear the primary responsibility for the early detection of mental health problems and early interventions to promote mental health within this population.Relevance to clinical practiceThe findings of this study indicated that workforce training and collaboration between different care providers are important elements in the future development of this field. Early detection and early treatment of mental health‐related issues should also be stated as explicit objectives in the provision of care to community‐dwelling older people with multimorbidity.

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A participatory arts programme – Shared experience for family caregivers and care recipients

et al. 2022

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Aim This study aimed to describe family caregivers of older people's experiences of participatory art interventions, including music, dance and visual arts. Design A descriptive qualitative study. Methods Thematic interviews were conducted with 12 family caregivers. Qualitative data were analysed with thematic analysis. Results The results illustrated the meaning of art groups, which included a shared feeling of togetherness, empowering and activating peer support and a sense of communality. Art groups also represented a hobby, enhancing caregivers' social and mental well‐being. The art groups could be described as an art‐driven, participatory shared experience. Participatory arts are noteworthy contributors to the well‐being of family caregivers and care recipients, especially from peer support and communality. Further research is needed to find out about participants' preferred art‐based activities and their impact on their well‐being. No patient or public contribution because of inflexibility in the timing of engagement.

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The 75‐year‐old persons' self‐reported health conditions: a knowledge base in the field of preventive home visits

Abstract: This study raises the importance of preventive health work regarding 75-year-old persons. It suggests how to educate district nurses in how to perform preventive home visits to older persons.

Cited by 28 publications

References 52 publications

Mental health-promoting dialogues from the perspective of community-dwelling seniors with multimorbidity

Mental health-promoting dialogues from the perspective of community-dwelling seniors with multimorbidity

District nurses' perspectives on detecting mental health problems and promoting mental health among community‐dwelling seniors with multimorbidity

A participatory arts programme – Shared experience for family caregivers and care recipients

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