Aging all over the place : a multidisciplinary framework, that considers place and life trajectories of older adults within their communities

Abstract : Purpose This conceptual paper describes Aging All Over the Place (AAOP), a federative framework for action, research and policy that considers older adults’ diverse experiences of place and life trajectories, along with person-centered care. Design/methodology/approach The framework was developed through group discussions, followed by an appraisal of aging models and validation during workshops with experts, including older adults. Findings Every residential setting and location where older adults go should be considered a ‘place’, flexible and adaptable enough so that aging in place becomes aging all over the place. Healthcare professionals, policymakers and researchers are encouraged to collaborate around four axes: 1) biopsychosocial health and empowerment; 2) welcoming, caring, mobilized, and supportive community; 3) spatiotemporal life and care trajectories; and 4) out-of-home care and services. When consulted, a Seniors Committee showed appreciation for flexible person-centered care, recognition of life transitions and care trajectories, and meaningfulness of the name. Originality Building on the introduction of an ecological experience of aging, AAOP broadens the concept of care as well as the political and research agenda by greater integration of community and clinical actions. AAOP also endeavors to avoid patronizing older adults and engage society in strengthening circles of benevolence surrounding older adults, regardless of their residential setting. AAOP’s applicability is evidenced by existing projects that shared its approach. Social implications Population aging and the pandemic call for intersectoral actions and for stakeholders beyond healthcare to act as community leaders. AAOP proposes opportunities to connect environmental determinants of health and person-centered care

PROTOCOL: Global elder abuse: A mega‐map of systematic reviews on prevalence, consequences, risk and protective factors and interventions

This is the protocol for a Campbell systematic review. The objectives are as follows: to produce a mega‐map which identifies, maps and provides a visual interactive display, based on systematic reviews on all the main aspects of elder abuse in both the community and in institutions, such as residential and long‐term care institutions

Maltraitance organisationnelle dans les CHSLD : la réponse du gouvernement du Québec en contexte de crise sanitaire

Les nombreux cas de COVID-19 dans les centres d’hébergement et de soins de longue durée (CHSLD) forcèrent le gouvernement à réagir à ce qui fut qualifié d’« urgence nationale » par le premier ministre québécois. Cet article a donc pour objectif de mettre en exergue les facteurs politiques et organisationnels ayant joué un rôle central dans la détérioration des conditions de vie et de la santé des résidents en soulignant, notamment, les manifestations de maltraitance organisationnelle ayant eu cours au sein de ces établissements entre mars et juin 2020. Une analyse thématique des discours publics consignés par l’Assemblée nationale du Québec (N = 73), à partir de 14 thèmes, fut menée. Ces données furent croisées avec de la littérature scientifique, grise et journalistique afin de compléter l’analyse. Le manque de préparation, combiné à une absence massive du personnel ou à sa mobilité, contribua à la circulation du virus. Pour contrecarrer cette « crise dans la crise », une formation accélérée pour les préposés aux bénéficiaires fut mise sur pied. Or, son échafaudage comporte des limites : un temps de formation amputé de moitié, de même qu’une réduction du nombre de compétences enseignées. Fait préoccupant, la compétence abordant la lutte contre la maltraitance y semble absente. À la lumière de ce portrait, il est justifié de se demander si, dans sa volonté de redresser rapidement les déterminants à la base de situations de négligence organisationnelle, le gouvernement ne risque pas, ironiquement, d’y contribuer à court et à moyen terme.The numerous cases of COVID-19 infection in Quebec’s long-term care facilities forced the government to react to what the Premier defined as a “national emergency”. This article thus aims to present the political and organisational factors that played a central role in the deterioration of the living conditions and health of residents, especially focusing on how organisational mistreatment occurred between March and June 2020. We completed a thematic analysis of public discourses available on the National Assembly of Quebec website (N = 73). We matched data from the 14 themes with scientific and grey literature and journalistic articles to complete the analysis. A lack of preparation, combined with either a massive lack of personnel or their occupational mobility, contributed to the circulation of the virus. To counteract this “crisis within a crisis”, the provincial government created an accelerated training program for personal care attendants. However, its design has limits: a training period cut in half, as well as a reduction in the number of taught competencies. Particularly concerning is the lack of education on the actions to counter mistreatment to the elderly. With this portrait, it is justified to question if, in its desire to quickly redress the determinants at the heart of organisational neglect, the government ironically risks adding to it in the short to medium term