Ageing and vulnerable elderly people: European perspectives


Grundy, E; (2006) Ageing and vulnerable elderly people: European perspectives. Ageing and society, 26. pp. 105-134. ISSN 0144-686X DOI: https://doi.org/10.1017/s0144686x05004484

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Abstract

This paper considers the processes and circumstances that create vulnerability among older people, specifically to a very poor quality of life or an untimely or degrading death. Models of ageing processes are used to define vulnerable older people as those whose reserve capacity falls below the threshold needed to cope successfully With the challenges they Face. Compensatory supports may intervene to mitigate the effects; of challenges and to rebuild reserve. The dimensions of reserve, challenges and compensation are discussed, with emphasis on demographic and other influences on the availability of family and social Support. Policy initiatives to reduce vulnerability can focus on each part of the dynamic process that creates vulnerability, namely, ensuring that people reach later life with "reserve', reducing the challenges they face in later life, and providing adequate compensatory supports. The promotion through the lifecourse of healthy lifestyles and the acquisition of coping skills, strong family and social tics, active interests, and savings and assets, will develop reserves and ensure that they are strong in later life. Some of the physical and psychological challenges that people may face as they age cannot be modified, but others can. Interventions to develop compensatory supports include access to good acute care and rehabilitation when needed, substitute professional social and psychological help in times of crisis, long-term help and income support. Our knowledge of which interventions are most effective is however limited by the paucity of rigorous evaluation studies.

Item Type: Article
Keywords: vulnerability, quality of life, family support, demography, ageing, EARLY OLD-AGE, LIVING ARRANGEMENTS, MARITAL-STATUS, GREAT-BRITAIN, HOUSEHOLD STRUCTURE, FUNCTIONAL DECLINE, HEALTH, LIFE, MORTALITY, SERVICES
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Population Studies (1974-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Web of Science ID: 236963600006
URI: http://researchonline.lshtm.ac.uk/id/eprint/6346

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