Balancing Risk Prevention and Health Promotion: Towards a Harmonizing Approach in Care for Older People in the Community
Identifieur interne : 000264 ( Main/Exploration ); précédent : 000263; suivant : 000265Balancing Risk Prevention and Health Promotion: Towards a Harmonizing Approach in Care for Older People in the Community
Auteurs : Bienke M. Janssen [Pays-Bas] ; Tine Van Regenmortel [Pays-Bas, Belgique] ; Tineke A. Abma [Pays-Bas]Source :
- Health Care Analysis [ 1065-3058 ] ; 2012.
Abstract
Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old age. Consequently, older people require care at home and additional support. In some care situations, tension and ambiguity may arise between professionals and clients whose views on risk prevention or health promotion may differ. Following Antonovsky’s salutogenic framework, different perspectives between professionals and clients on the pathways that lead to health promotion might lead to mechanisms that explain the origin of these tensions and how they may ultimately lead to reduced responsiveness of older clients to engage in care. This is illustrated with a case study of an older woman living in the community, Mrs Jansen, and her health and social care professionals. The study shows that despite good intentions, engagement, clear division of tasks and tailored care, the responsiveness to receive care can indeed not always be taken for granted. We conclude that to harmonize differences in perspectives between professionals and older people, attention should be given to the way older people endow meaning to the demanding circumstances they encounter (comprehensibility), their perceived feelings of control (manageability), as well as their motivation to comprehend and manage events (meaningfulness). Therefore, it is important that both clients and professionals have an open mind and attempt to understand each others’ perspective, and have a dialogue with each other, taking the life narrative of clients into account.
Url:
DOI: 10.1007/s10728-011-0200-1
PubMed: 22228192
PubMed Central: 3921446
Affiliations:
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Janssen</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Social Studies, Fontys University of Applied Sciences, P.O. Box 347, 5600 AH Eindhoven, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Social Studies, Fontys University of Applied Sciences, P.O. Box 347, 5600 AH Eindhoven</wicri:regionArea><wicri:noRegion>5600 AH Eindhoven</wicri:noRegion></affiliation></author><author><name sortKey="Van Regenmortel, Tine" sort="Van Regenmortel, Tine" uniqKey="Van Regenmortel T" first="Tine" last="Van Regenmortel">Tine Van Regenmortel</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Social Studies, Fontys University of Applied Sciences, P.O. Box 347, 5600 AH Eindhoven, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Social Studies, Fontys University of Applied Sciences, P.O. Box 347, 5600 AH Eindhoven</wicri:regionArea><wicri:noRegion>5600 AH Eindhoven</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Faculty of Social Sciences and Research Institute for Labour and Society (HIVA), Catholic University Leuven, Parkstraat 47, 5300, 3000 Leuven, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Faculty of Social Sciences and Research Institute for Labour and Society (HIVA), Catholic University Leuven, Parkstraat 47, 5300, 3000 Leuven</wicri:regionArea><placeName><region type="province" nuts="2">Province du Brabant flamand</region><settlement type="city">Louvain</settlement></placeName></affiliation></author><author><name sortKey="Abma, Tineke A" sort="Abma, Tineke A" uniqKey="Abma T" first="Tineke A." last="Abma">Tineke A. Abma</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Medical Humanities, EMGO Institute, VU Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Medical Humanities, EMGO Institute, VU Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam</wicri:regionArea><wicri:noRegion>1081 BT Amsterdam</wicri:noRegion></affiliation></author></analytic><series><title level="j">Health Care Analysis</title><idno type="ISSN">1065-3058</idno><idno type="eISSN">1573-3394</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Many older people in western countries express a desire to live independently and stay in control of their lives for as long as possible in spite of the afflictions that may accompany old age. Consequently, older people require care at home and additional support. In some care situations, tension and ambiguity may arise between professionals and clients whose views on risk prevention or health promotion may differ. Following Antonovsky’s salutogenic framework, different perspectives between professionals and clients on the pathways that lead to health promotion might lead to mechanisms that explain the origin of these tensions and how they may ultimately lead to reduced responsiveness of older clients to engage in care. This is illustrated with a case study of an older woman living in the community, Mrs Jansen, and her health and social care professionals. The study shows that despite good intentions, engagement, clear division of tasks and tailored care, the responsiveness to receive care can indeed not always be taken for granted. We conclude that to harmonize differences in perspectives between professionals and older people, attention should be given to the way older people endow meaning to the demanding circumstances they encounter (comprehensibility), their perceived feelings of control (manageability), as well as their motivation to comprehend and manage events (meaningfulness). Therefore, it is important that both clients and professionals have an open mind and attempt to understand each others’ perspective, and have a dialogue with each other, taking the life narrative of clients into account.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abma, Ta" uniqKey="Abma T">TA Abma</name></author><author><name sortKey="Noordegraaf, M" uniqKey="Noordegraaf M">M Noordegraaf</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abma, Ta" uniqKey="Abma T">TA Abma</name></author><author><name sortKey="Stake, Re" uniqKey="Stake R">RE Stake</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abma, T" uniqKey="Abma T">T Abma</name></author><author><name sortKey="Oeseburg, B" uniqKey="Oeseburg B">B Oeseburg</name></author><author><name sortKey="Widdershoven, G" uniqKey="Widdershoven G">G Widdershoven</name></author><author><name sortKey="Goldsteen, M" 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Maes</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Pays-Bas</li></country><region><li>Province du Brabant flamand</li></region><settlement><li>Louvain</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Janssen, Bienke M" sort="Janssen, Bienke M" uniqKey="Janssen B" first="Bienke M." last="Janssen">Bienke M. Janssen</name></noRegion><name sortKey="Abma, Tineke A" sort="Abma, Tineke A" uniqKey="Abma T" first="Tineke A." last="Abma">Tineke A. Abma</name><name sortKey="Van Regenmortel, Tine" sort="Van Regenmortel, Tine" uniqKey="Van Regenmortel T" first="Tine" last="Van Regenmortel">Tine Van Regenmortel</name></country><country name="Belgique"><region name="Province du Brabant flamand"><name sortKey="Van Regenmortel, Tine" sort="Van Regenmortel, Tine" uniqKey="Van Regenmortel T" first="Tine" last="Van Regenmortel">Tine Van Regenmortel</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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