Promoting independence: but promoting what and how?

  title={Promoting independence: but promoting what and how?},
  author={Jenny Secker and Robert L. Hill and Louise Villeneau and S Parkman},
  journal={Ageing and Society},
  pages={375 - 391}
‘Promoting independence’ is a central theme of recent United Kindgdom health and social care policy development but is rarely defined. Instead it is generally assumed that we know what independence means. Based on a review of the literature on independence in older age, this paper examines the terms and meanings. While the most common conceptualisation equates independence with the absence of reliance on others, for older people themselves independence is a broader concept that encompasses not… 
The meaning of independence for older people : a constructivist grounded theory study
Independence for older people has emerged as an increasingly important policy priority. This policy imperative has been driven by demographic and economic concerns at the forefront of policy debates
Negotiating a moral identity in the context of later life care.
Autonomy for those requiring care alongside a wider recognition of caring as the responsibility of all members of the community rather than with individual family members would support a flexible approach to later life care arrangements.
Developing New Understandings of Independence and Autonomy in the Personalised Relationship
The personalisation of adult social care has the potential to create support that is individualised, and it is the reality of this support relationship that forms the basis of this article. To date,
All together now: factors that foster older adults' feelings of independence
The combination of current demographic trends, which see people living longer and in better health, and the increasing ubiquity of technology in modern life has encouraged research into making
The meaning of "independence" for older people in different residential settings.
  • S. Hillcoat-Nallétamby
  • Sociology, Medicine
    The journals of gerontology. Series B, Psychological sciences and social sciences
  • 2014
A broader interpretive framework of "independence" should encompass concepts of relative independence, autonomy(ies), as well as spatial and social independence, and can provide more nuanced interpretations of structured dependency and institutionalization theories when applied to different residential settings.
Promoting the well-being of older people: Messages for social workers
Traditional assumptions of old age as a time of need and dependency are increasingly being replaced by more positive constructions of older people as active agents and resources for, rather than
The myth of independence for older Americans living alone in the Bay Area of San Francisco: a critical reflection
ABSTRACT Remaining at home in older age is generally considered a sign of independence and therefore an important achievement. More than five million Americans aged over 75 years live alone, a number
Independence and mobility in later life
This paper explores independence in later life and its relations with mobility, or embodied movements through physical space on the basis of a review of a range of academic literature and in-depth
Being, feeling and acting: A qualitative study of Swedish home-help care recipients' understandings of dependence and independence
A study of how a group of 29 cognitively healthy Swedish home-help care recipients between the ages of 77 and 93 perceive their situation reveals a clear distinction between receiving help and care and feeling dependent, as well as between receiving Help and Care and being able to remain an active agent.
A concept analysis defines care dependence as ‘ ‘ a subjective , secondary need for support in the domain of care to compensate a self-care deficit
Being dependent on care in a hospital or in a traditional homecare setting may generate an experience of inferiority in patients. In a private home, dependence is easier to bear if the dependent


Perceptions and consequences of ageism: views of older people
This qualitative study examines meanings and experiences of ageism for older Australians. While the concept is widely applied in academic social analysis, the term is not understood or used by many
A Methodological Discourse On Gender, Independence, And Frailty: Applied Dimensions Of Identity Construction In Old Age
Abstract In this article, we discuss some of the methodological implications of gender, based on research conducted among seniors in the age group 67 to 100+, living independently (alone, or with
Sustaining the self in later life: supporting older people in the community
This paper emanates from a small-scale qualitative study, currently in progress, looking at the implications for older people of decisions made by a social services department that they are
Independence, privacy and risk: two contrasting approaches to residential care for older people
One of the main reasons older people give for their reluctance to consider residential care as a way of meeting their support needs is the fear of losing their independence. Research has confirmed
Perceived risks to independent living: the views of older, community-dwelling adults.
Older adults viewed threats to this continued independent living as both factors connected to losses and maintenance of capability, but also as impediments to further growth of their personal well-being.
When and why frail elderly people give up independent living: The Netherlands as an example
Findings show that, as hypothesised, loss of comfort and affection are among the main predictors of a strong orientation towards living in an old age home.
Promoting innovative primary care for older people in general practice using a community-oriented approach
The use of a model of community-oriented primary care (COPC) to initiate innovative care for older people in four exemplar practices in an inner-city area of London is described.
Dependency or Interdependency in Old Age
A. Introduction.- 1. Dependency, interdependency and autonomy an introduction.- B. Methodological studies.- 2. Dependency and the elderly: problems of conceptualisation and measurement.- 3. Health
Promoting well‐being and independence for people with dementia
  • B. Woods
  • Psychology, Medicine
    International journal of geriatric psychiatry
  • 1999
This paper reviews the research evidence relating to non‐pharmacological interventions with people with dementia aiming to improve well‐being and independence and concludes that the greatest potential for increasing function is in tackling the excess disability which many care giving situations in effect impose on the person with dementia.
What Does it Mean to Listen to People with Dementia?
A total of 19 people with dementia were interviewed as part of a study into unmet respite care need amongst caregivers and day-care attenders in Sheffield. Some important contextual debates