By Anne McIntyre, Anita Atwal

This well timed publication locates older humans as significant consumers of occupational remedy providers. It offers a complete source for college kids and a uncomplicated operating reference for clinicians. The e-book encompasses present theories, debates and demanding situations which occupational therapists have to have interaction in in the event that they are to supply pro-active and promotional methods to growing old. specific insurance of physically constructions, capabilities and pathologies leads onto chapters devoted to job, career and participation.The ethos of the publication is to motivate innovation within the perform of occupational treatment with older humans, selling winning growing old that involves keep an eye on and empowerment.Features:* includes many sensible parts, together with case reviews, and narratives from practice.* Promotes energetic ageing.* Adopts the framework of the realm healthiness Organisation's overseas class of Functioning, incapacity and healthiness (2001)* professional contributions show the range of occupational functionality concerns in older age.

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Summary In this chapter the notion of occupational justice for older people has been considered in association with occupational therapy concepts of health. Justice, in this context, has been introduced as the enablement or empowerment of older adults to maintain or invent a lifestyle that allows them to continue to thrive. It has been argued that this is a matter of human rights and a matter of justice because occupation is intimately related with health, wellbeing, morbidity and mortality. As part of this, for individuals to reach towards their potential as part of an active ageing process, occupations must provide them with opportunity to meet unique occupational wants and needs.

Even older people who do live alone usually do so by choice, and retain regular contacts with a variety of relatives and friends. According to a review of four surveys carried out between 1945 and 1999, on average about 5–9% of older people regard themselves as often lonely (rising to 14% of those living alone), a pattern that shows little change over time (Victor et al. 2002). Similarly, Mullins & Dugan (1991) surveyed low-income older people and found that 95% were satisfied with the frequency of their social contacts and 96% OTAC03 03/07/2005 02:31PM Page 32 32 n Occupational therapy and older people were satisfied with their quality.

Is the social network that you have mapped out more complex? Does it contain more relatives or more friends? Are health and social care professionals important or not in this network? Do pets appear? What do you think the strengths of this social network might be, compared with those of Mr Jameson? Under what circumstances, might this network become vulnerable, or strained? OTAC03 03/07/2005 02:31PM Page 34 34 n Occupational therapy and older people frequency of contact. Whilst intimacy and frequency of contact tend to be associated, it is possible for people to remain emotionally close (for example, with adult children or siblings) even when they are separated by great distances, and conduct most of the relationship by telephone.

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