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Home Support Workers newsletter






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Home Support Workers newsletter Document Transcript

  • 1. November 2010 Home Support Workers Health promotion for positive ageing The predicted demographic shift towards an ageing of the population, resulting from low birth rates, and increasing life expectancy, is now well recognised internationally. Many countries have introduced policies to reform their health systems to support greater levels of care in the home and in the community. One of the key principles underpinning the delivery of good health and social care to older people in their home is the promotion of good health. The Bangkok Charter for Health Pro- motion developed by the World Health Organisation in 2005 highlights health promotion as a core function of public health. “Health promotion is the process of enabling people to increase control over their health and its determinants, and thereby improve their quality of life” (World Health Organisation, 2005). The increased focus on care in the community places home care workers in a key position to contribute to efforts to limit health problems in later life and to increase active, healthy life expectancy. Home care workers provide care to some of the most vulnerable individu- Issue 4 als in our community, supporting them to continue to live in their own home in line with their wishes and preferences. The Netwell Centre promotes best practice in the care of older people, working closely with home care workers where possible. This newsletter reports Inside this issue: on a recent health promotion initiative hosted by the Netwell Centre to enhance care work- ers’ understanding of the role of diet and nutrition in the health of the frail older people. Cookery demonstration 2 The Netwell Centre Dies and nutrition 3 The Netwell Centre is a The findings from our re- dignity at work and in soci- core research centre within search projects help inform ety and to foster peace and Hand massage 4 the School of Health Sci- policy and practice at re- reconciliation through en- ences in Dundalk Institute gional, national and interna- hanced cross-community of Technology (DkIT), tional level. We are a understanding. County Louth. cross-border leader with key strategic partnership in In a previous workshop we Ireland and internationally. The Netwell Centre special- brought care workers from ise in research and commu- diverse cultural background nity development work, The Respect Project together to explore their promoting and supporting support needs. Two main Supported by the Reach out to support ethnic Health Service Executive positive ageing. Our pro- areas identified for support diversity (RESPECT) is jects range from software involved food preparation, supported by the EU and hardware solutions to and lifestyle factors. Peace III Programme, support older people to awarded Louth Peace and ‘age-in-place’, to community Reconciliation Partnership. This newsletter reports on a development initiatives follow-up initiative with care such as the RESPECT pro- Supported by the workers on 10th NovemberThe European Union’s PEACE III Programme ject which promotes an RESPECT aims to ensure 2010, which focused onas awarded by Louth Peace & Reconciliation inclusive, tolerant society. that care workers are Partnership health promotion. treated with fairness and
  • 2. Home Support Workers Page 2 Health promotion to support inclusion On 10th November, 2010, the Net- Diet and nutrition in later life well Centre hosted a health promo- Aoife Maher , a Nutrition Product tion seminar for care workers provid- Specialist with Nutricia, Ireland, ing care to older people in the home. complimented the cookery demon- This event, which included a cookery stration with a comprehensive pres- demonstration, a comprehensive entation on diet and nutrition in later life. presentation on diet and nutrition in later life and applied hand massage therapy for older people, was pro- Aoife provided practical guidance on vided by qualified professional. how to recognise and limit common There is good research evidence to obesity and arthritis (National Food health problems associated with suggest that healthy lifestyle mes- Authority, NFA 2000). ageing. For example she stressed sages are more likely to be acted the importance of a regular and ade- upon if coming from health profes- quate intake of fluid for older people, The NFA (2000) recommends that pointing out that many older people sional (Age Concern, 2006). those providing the Home Help ser- have an impaired sense of thirst andIssue 4 vice for older people should be en- do not drink enough throughout the Cookery demonstration couraged to become familiar with the day. She highlighted the conse- dietary guidelines for older people. quences of insufficient fluid intake; The cookery demonstration was dehydration and constipation. given by local chef Gary Coyle, as- Views on cookery demonstration sisted by Amy Lavelle. Gary pre- pared and cooked a number of Aoife also stressed that constipation meals including: The health promotion seminar was can also be linked to a diet low in attended by care workers from  Porridge; across county Louth. Satisfaction  Sausage, bacon and fried eggs rates were high with 89% reporting that the cookery demonstration was  Scrambled eggs very good or excellent and the re-  Salmon, creamed leek maining 11% rating it as good.  Sheppard’s Pie  Vegetable Soup Some 95% of care workers strongly agreed or agreed with the statement:  Apple Crumble for people with diabetes this event enhanced my knowledge o f healthy food and nutrition for older people. fibre which she explained can be found in vegetables, fruits and whole Similarly, 89% strongly agreed or grains and a diet high in fats found in agreed with the statement: this event cheese, eggs and meats. enhanced my awareness of safe handling of food. She explained how small portions can be more attractive than a plate filled with food to older people as A further 95% strongly agreed or agreed with the statement : I will be appetite often declines with age. more confident when preparing Similarly, attractive, meals are more meals for my clients in future. appetising-looking, so ingredients or Eating a balanced diet high in fresh fruit and vegetables and low in fat garnishes like parsley, tomatoes, or gives some protection against mint can help. chronic geriatric diseases including heart disease and some cancers Views on health promotion talk- The health information provided by Diet is adequate when it provides Nutricia was well received by care sufficient energy, protein, fat, workers, with 94% reporting it was carbohydrate, needs in a balanced very good or excellent and the re- and diversified manner (NSA, 2000) maining 6% reporting it was good.
  • 3. Page 3Health promotion to support inclusionSome 94% strongly agreed or Studies have shown statistically sig- Summaryagreed with the statement I will be nificant improvements on physiologi-more careful to look at food labels cal or psychological indicators of Providing good quality health andwhen choosing what to buy in future relaxation in older people receiving social care to greater numbers of gentle hand massage across (see older people in the home is an im- Harris, and Richards 2010). portant aspiration for Irish social policies. Home Care workers need a broad range of skills if they are to Views on hand massage contribute to increases in active, “I have learnt so much healthy life expectancy. about older people that I Participants reported high levels of was not aware of before, it satisfaction with the hand massage As this event demonstrates, care was really excellent ”. demonstration, with 83% reporting workers welcome the opportunity to that they found it very good or excel- acquire new skills in the care of lent and 17% reproting it was good. older people. The vast majority of participants attending the healthHand Massage promotion seminar said it enhanced Some 89% strongly agreed or their knowledge of healthy food andSinead Crilly a trained therapist agreed with the statement: this event nutrition for older people.demonstrated hand massage and its provided practical hands-on experi-benefits to older people. Sinead ence in care of the elderly.” Care workers tend to be lone work-pointed out that many older people ers, with limited contacts with otherlack physical contact and that mas- care workers. However, as thissage provides a point of social event demonstrated, these workersand physical contact which can be a welcome the opportunity to meetvital comfort for older people who and share experiences with otherlive alone, are lonely or socially iso- care workers, with the majority ex-lated. pressing an interest in attending similar events in the future. The Netwell Centre will continue to support initiatives which enhance the quality of life of older people and which promote the healthy lifestyle agenda amongst their carers. “I have learnt so much about older people that I “...successful ageing...the ability to maintain 3 key behaviours: low risk was not aware of before. of disease / disability, high mental This was really excellent ”. and physical health, and activeAs we age our metabolism changes engagement life” Krondl et al, 2008).(Harris, and Richards 2010). Mas-sage can enhance circulation andmuscle tone. Sinead’s demonstra-tion reinforced the point that thisneed not be time-consuming andhow a 5-minute slot to offer handmassage can form part of a regularcare regime. Reach out to support ethnic diversity (Respect) is a project supported by the European Unions PEACE III Pro- gramme as awarded by Louth Peace and Reconciliation
  • 4. ...Transforming Communities, Environments & Technologies for Age ing-in- Pl ace Netwell Centre References Food Safety Authority (2000). Recommendations for a National Food and Nutrition Policy for Older People. Dublin: Food Safety Authority of Ireland. Harris, M.and Richards, K. (2010). The physiological and psychological effects of slow-stroke back massage and hand massage on relaxation in older people, Journal of Clinical Nursing Volume 19, Numbers 7-8, April 2010 , pp. 917 926(10) Krondl M., Coleman, P., and Lau, D (2008) “Helping Older Adults meet Nutritional Challenges” Journal of Nutrition for the Elderly,volume 27, number 3, pages 205-220 If you have any queries regarding this newsletters, contact: Lucia Carragher T: 042 937 0400 ext: 2677 E: lucia.carragher@netwellcentre.org The Netwell Centre Cúltaca liaise between the older people and service providers, including care work- ers, to support and empower older people. If you would like to speak to our Cúltaca for older people, contact: Ann Marron, T: 042 939 1078 E: ann.marron@netwelllcentre.org or Pat Kerins, T: 042 937 0531 E: patrick.kerins@netwelllcentre.org Regional Development Centre Dundalk Institute of Technology Dublin Road, Dundalk, Co Louth. Tel: +353 (0)42 937 0497 ...Transforming Communities, Fax: +353 (0)42 933 1163 Environments and Technologies for E-mail: info@netwellcentre.org ageing-in-place. We are on the web: www.netwellcentre.org