The Day-to-Day Co-Production of Ageing in Place.

We report findings from a study that set out to explore the experience of older people living with assisted living technologies and care services. We find that successful 'ageing in place' is socially and collaboratively accomplished - 'co-produced' - day-to-day by the efforts of older people, and their formal and informal networks of carers (e.g. family, friends, neighbours). First, we reveal how 'bricolage' allows care recipients and family members to customise assisted living technologies to individual needs. We argue that making customisation easier through better design must be part of making assisted living technologies 'work'. Second, we draw attention to the importance of formal and informal carers establishing and maintaining mutual awareness of the older person's circumstances day-to-day so they can act in a concerted and coordinated way when problems arise. Unfortunately, neither the design of most current assisted living technologies, nor the ways care services are typically configured, acknowledges these realities of ageing in place. We conclude that rather than more 'advanced' technologies, the success of ageing in place programmes will depend on effortful alignments in the technical, organisational and social configuration of support

Social inclusion through ageing-in-place with care?

The onset of ill-health and frailty in later life, within the context of the policy of ageing-in-place, is increasingly being responded to through the provision of home care. In the philosophy of ageing-in-place, the home provides for continuity of living environment, maintenance of independence in the community and social inclusion. The provision of assistance to remain at home assumes continuity in the living environment and independence in the organisation of daily life and social contact. This paper explores the changes that occur as a result of becoming a care recipient within the home and concludes that the transition into receiving care is characterised by discontinuity and upheaval which tends to reinforce social exclusion. We draw on the rites of passage framework, which highlights social processes of separation, liminality and reconnection, in analysing this transition to enhance understanding of the experience and gain insights to improve the policy and practice of home care. Separation from independent living leads to a state of liminality. The final stage in the rites of passage framework draws attention to reconnections, but reconnection is not inevitable. Reconnection is, however, an appropriate goal for the care sector when supporting frail or disabled older people through the transition into becoming a home-care recipient

Reconstructing Social Policy and Ageing

This article draws from the work of Michel Foucault to reconstruct an understanding of social policy and ageing in contemporary Britain. In many ways, policy provides three trajectories for older people; first, as independent self-managing consumers with private means and resources; second, as people in need of some support to enable them to continue to self-manage and third, as dependent and unable to commit to self-management. Governmentality provides the theoretical framework through which to view policy and practice that is largely governed by discourses of personalisation

Long-term care and intermediary structures for frail older people : Switzerland and Germany in comparison

This is a post-peer-review, pre-copy edited version of an article published in [International journal of care and caring]. The definitive publisher-authenticated version is available online at: https://doi.org/10.1332/239788218X15265697287824Long-term care not only includes residential care, home care and familial care, but services ‘in-between’, such as day and night care, temporary (short-term) stays in nursing homes, respite care, and local infrastructure giving informed advice and conveying informal support. In both Switzerland and Germany, the role of such intermediary structures has been debated and affected by social policy reforms. The authors analyse different functions of intermediary structures, discuss their access and use, and show that intermediary structures can have a different impact on care regimes

Age, sex, adult and larval diet shape starvation resistance in the Mediterranean fruit fly: an ecological and gerontological perspective.

The ability of an animal to withstand periods of food deprivation is a key driver of invasion success (biodiversity), adaptation to new conditions, and a crucial determinant of senescence in populations. Starvation resistance (SR) is a highly plastic trait and varies in relation to environmental and genetic variables. However, beyond Drosophila, SR has been studied poorly. Exploiting an interesting model species in invasion and ageing studies-the Mediterranean fruit fly (Ceratitis capitata)- we investigated how age, food and gender, shape SR in this species. We measured SR in adults feeding in rich and poor dietary conditions, which had been reared either on natural hosts or artificial larval diet, for every single day across their lifespan. We defined which factor is the most significant determinant of SR and we explored potential links between SR and ageing. We found that SR declines with age, and that age-specific patterns are shaped in relation to adult and larval diet. Females exhibited higher SR than males. Age and adult diet were the most significant determinants of SR, followed by gender and the larval diet. Starvation resistance proved to be a weak predictor of functional ageing. Possible underlying mechanisms, ecological and gerontological significance and potential applied benefits are discussed

Constructing dementia and dementia care: daily practices in a day care setting

Abstract • Summary:This article explores the ways in which dementia can be constructed and maintained by the actions, and received ideas concerning dementia, of social care staff practising in a local authority day care setting in the UK.The article is set within the context of ‘daily practice’, the things that we do forming the basis of how things may be (re)defined. • Findings:The study suggests that the physical environment of the day care setting, the routines and activities provided and the practices of care staff indicate three particular ways in which dementia was constructed. These comprised ‘holding and homogenizing’, ‘demarcating and distancing’ and ‘caring and controlling’. Each depended on individual approach, training and experience and was influenced by ‘received’ traditional approaches. • Applications:This is important to our understanding of dementia care as we seek to recognize diverse experiences and to consider pluralistic approaches to best practice in dementia care.The study indicates the need for training at a deep and reflective level in which the new culture of person-centred dementia care becomes part of daily practice rather than a distant ideal

A shared journey: insights from the Banksia Younger Onset Dementia Support Group

The study of a pilot program to support people with younger onset dementia in the Frankston area of outer Melbourne has found that the participants valued being involved in initiating and organising activities that they find meaningful and enjoyable, and having the chance to share their experience with others. The report poses some questions for the further development of services

Nutrition, diet and immunosenescence

Ageing is characterized by immunosenescence and the progressive decline in immunity in association with an increased frequency of infections and chronic disease. This complex process affects both the innate and adaptive immune systems with a progressive decline in most immune cell populations and defects in activation resulting in loss of function. Although host genetics and environmental factors, such as stress, exercise and diet can impact on the onset or course of immunosenescence, the mechanisms involved are largely unknown. This review focusses on identifying the most significant aspects of immunosenescence and on the evidence that nutritional intervention might delay this process, and consequently improve the quality of life of the elderly

Increasing consumption, decreasing support: a multi-generational study of family relations among South Indian Chakkliyars

This article looks at intergenerational relations in two Chakkliyar neighbourhoods in rural Tamil Nadu. Post-1991 economic changes, together with longer-term changes in the rural economy and state policies, have significantly widened the customary ‘needs gap’ between younger and older generations by expanding the needs and aspirations of younger generations both absolutely and in comparison to the perceived needs of older people, whilst not providing them with the means to meet those needs. The declining demand for agricultural labour has not only constrained sons’ capacities to meet the needs of both their conjugal and natal families, but also severely undermined older people's livelihoods as they compete with younger people for agricultural work. The cause of the elderly Chakkliyars’ tenuous subsistence lies not with negligent sons but with the way their vulnerabilities are built into the structure of the economy, society and polity