As societies age, the development of resources and strategies that foster healthy ageing from the beginning of life become increasingly important. Social and healthcare professionals are key agents in this process; therefore, their training needs to be in agreement with societal needs. We performed a scoping review on professional competences for social and health workers to adequately promote healthy ageing throughout life, using the framework described by Arksey and O’Malley and the Joanna Briggs Institute Guidelines. A stakeholder consultation was held in each of the participating countries, in which 79 experts took part. Results show that current literature has been excessively focused on the older age and that more attention on how to work with younger population groups is needed. Likewise, not all disciplines have equally reflected on their role before this challenge and interprofessional approaches, despite showing promise, have not been sufficiently described. Based on our results, health and social professionals working to promote healthy ageing across the lifespan will need sound competences regarding person-centred communication, professional communication, technology applications, physiological and pathophysiological aspects of ageing, social and environmental aspects, cultural diversity, programs and policies, ethics, general and basic skills, context and self-management-related skills, health promotion and disease prevention skills, educational and research skills, leadership skills, technological skills and clinical reasoning. Further research should contribute to establishing which competences are more relevant to each discipline and at what level they should be taught, as well as how they can be best implemented to effectively transform health and social care systems.
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This chapter gives an overview on the Healthy Ageing research portfolio of the research group Lifelong Learning in Music (Hanze University of Applied Sciences Groningen, the Netherlands). Lifelong learning enables musicians to respond to the continuously changing context in which they are working nowadays, and ageing is one of the major societal changes for many western societies in the 21st century. Musicians are asked by society to contribute to healthy ageing processes, and such a contribution in turn generates possibilities for innovative musical practices with the elderly. We present a three-layered model to look at such innovative practices, which places the musical practice itself in the context of communicative characteristics of working with elderly people and in broader societal and institutional contexts. We then outline four concrete research projects: learning to play an instrument at an elderly age, creative music workshops for elderly in residential home settings, the competencies of creative music workshop leaders working with frail elderly people, and musical work with severely ill elderly people in hospitals. We describe some background values and methodological notions behind our work, and finish the article with a more extensive description of our project on Music and Dementia.
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By 2050, 70% of the population will live in cities. The majority of the persons living in cities will be 60 plus years old. Ageing cities demands for cities environments to adapt to an ageing population. Modern cities though, don’t anticipate fast enough and in an adequate manner to face the challenges due to population-related transitions. Modifying and adapting the built environment with a focus on the aged population could help to support older people facing functional and cognitive decline.
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Europeans are living longer than ever in history, because of the economic growth and advances in hygiene and health care. Today, average life expectancy is over 80, and by 2020 around 25% of the population will be over 65. The increasing group of older people poses great challenges in terms of creating suitable living environments and appropriate housing facilities. The physical indoor environment plays an important role in creating fitting, comfortable and healthy domestic spaces. Our senses are the primary interface with the built environment. With biological ageing, a number of sensory changes occur as a result of the intrinsic ageing process in sensory organs and their association with the nervous system. These changes can in turn change the way we perceive the environment around us. It is important to understand these changes when designing for older occupants, for instance, care homes, hospitals and private homes, as well as office spaces given the developments in the domain of staying active at work until older age.
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Ook uit internationaal wetenschappelijk onderzoek blijkt dat er verschillen zijn tussen ouderen in de stad en op het platteland [3-5]. In de rijke delen van de Europese Unie hebben ouderen in de landelijke gebieden een hogere levenstevredenheid dan in de stad. Mensen lijken tevreden in een dorp, wellicht omdat het verwachtingspatroon geringer is. Als het op veroudering aankomt, biedt de hogere dichtheid van de stad een grotere nabijheid tot allerlei diensten die de kwaliteit van leven van ouderen vergroten. Door specifieke economische factoren kunnen deze diensten niet in dezelfde mate worden aangeboden in landelijke gebieden [6]. Woonomstandigheden, zo blijkt uit onderzoek [7], zijn beter voor onze ouderen in de stad dan op het platteland, hoewel de verschillen niet zo uitgesproken groot zijn. En dan heb je nog de gesegregeerde woonwijken voor ouderen, zoals in de Verenigde Staten. Denk daarbij aan Sun City Arizona en The Villages in Florida [8, 9]. Deze wijken bieden een eenheidsworst en zonderen ouderen af in een cocon van geboden comfort, waarbij zij verdwijnen uit het reguliere straatbeeld van omliggende steden. Een in vrijheid gekozen gevangenschap. Een echte seniorvriendelijke stad is een generatievriendelijke stad zoals u wilt, waar niet alleen ruimte is voor één generatie, maar voor alle generaties: van wieg tot graf.
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This toolkit therefore focusses on self-management abilities. That means finding and maintaining effective, positive coping methods in relation to our health. We included many common and frequently discussed topics such as drinking, eating, physical exercise, believing in the future, resilience, preventing loneliness and social participation. Besides some concise background information, we offer you a great diversity of exercises per theme which can help you discuss, assess, change or strengthen your personal state of health. In case you are mentoring or coaching a group of seniors with regards to living a healthy and active life, this toolkit also offers explanations on how to lead a team of peers
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The crossroads of living in cities on the one hand and ageing of the population on the other is studied in an interdisciplinary field of research called urban ageing (van Hoof and Kazak 2018, van Hoof et al. 2018). People live longer and in better health than ever before in Europe. Despite all the positive aspects of population ageing, it poses many challenges. The interaction of population ageing and urbanisation raises issues in various domains of urban living (Phillipson and Buffel 2016). According to the Organisation for Economic Co-operation and Development (OECD 2015), the population share of those of 65 years old is expected to climb to 25.1% in 2050 in its member states. Cities in particular have large numbers of older inhabitants and are home to 43.2% of this older population. The need to develop supportive urban communities are major issues for public policy to understand the relationship between population ageing and urban change (Buffel and Phillipson 2016). Plouffe and Kalache (2010) see older citizens as a precious resource, but in order to tap the full potential these people represent for continued human development (Zaidi et al. 2013), the world’s cities must ensure their inclusion and full access to urban spaces, structures, and services. Therefore, cities are called upon to complement the efforts of national governments to address the consequences of the unprecedented demographic shift (OECD 2015). Additionally, at the city level there is a belief to understand the requirements and preferences of local communities (OECD 2015). An important question in relation to urban ageing is what exactly makes a city age-friendly (Alley et al. 2007, Lui et al. 2009, Plouffe and Kalache 2010, Steels 2015, Moulaert and Garon 2016, Age Platform Europe 2018)? Another relevant question is which factors allow some older people in cities to thrive, while others find it hard to cope with the struggles of daily life? This chapter explores and describes which elements and factors make cities age-friendly, for instance, on the neighbourhood level and in relation to technology for older people.
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This research explores current strategies and approaches directed to integrate innovative technologies in the home modification process to support independent living and ageing in place. The systematic review considered studies conducted from the perspective of architecture, smart technology, and gerontology. Scientific databases of related disciplines (e.g. Scopus, Web of Science, Engineer village, Google Scholar, Crossref) were searched and supplemented by hand search method. Thirty-three out of 2594 articles were analysed from three perspectives: the framework of the smart home environment for ageing in place, the smart home modification process, and problems and countermeasures of independent living. The result shows that both home modification and smart technologies can support older adults’ independent living, especially with fall prevention and indoor accessibility. Technologies deployed in older adults’ homes are transiting from manual assistive technology to more intelligent devices, and the notion of the robotic home has emerged. According to existing practices, universal design is an extensively adopted strategy for smart home design and modification. However, in most cases, universal design is used as a retrofitting guideline for general home settings rather than specifically for smart homes. The fundamental requirements in smart home modification phases are customisation, minimum life interference, and extensible technologies to cope with the ageing process.
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The booklet describes the renewed Healthy Active Ageing programme, a neighbourhood-oriented health-promoting group programme for and by older people living independently at home. Participants in the programme exchange experiences and knowledge and actively explore topics they consider important, now and with a view to the future. The aim of the programme is to improve participants' perceived health and quality of life by strengthening resilience and increasing opportunities to do activities that have personal meaning.
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The ENWHP project and campaign Promoting Healthy Work for Employees with Chronic Illness (PH Work) should contribute towards the implementation of effective workplace health practices within corporate policies of enterprises in Europe. More specific the project should stimulate activities and policies in companies for: -retaining and encouraging return to work (RTW) of chronically ill employees. -preventing employees of moving into disability or early retirement. To contribute to an improvement of social and economic outcomes, like better quality of life and functioning, reduced costs because of lower absence rate, etc. PH Work campaign will look into current good practices, as to motivate and stimulate employers and employees on the promotion of healthy work for all. Running time of ENWHP PH Work project is from April 2011 till February 2013
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