Scotland’s Obesity Issue and What About Mental Health?

This week saw the publication of the Scottish Health Survey for 2016. Possibly the most significant piece of news from this for older people was the following information reported on BBC Scotland’s Health Page Scotland’s health: What we learned

From the report, they have stated that amongst adults men were significantly more likely than women to be overweight including obese (68% compared with 61%). Worryingly it was adults aged 65-74 who were most likely to be obese (36% of all adults this age). The average BMI (Body Mass Index) for both Scottish men and women was 27.7, up from 27.0 in 2003.A BMI of 25 or less is said to be normal and 25 to 30 is overweight.

A BMI of 25 or less is said to be normal and 25 to 30 is overweight.

Obesity was lowest in the 16 to 24 age group (14%) but it doubled to 28% in the 25-35 range. The largest jump between age groups. It would appear that while the message to reduce obesity in Scottish children is getting through to the public the same cannot be said of the message about the need for our older people to avoid obesity and stay active to reduce the likelihood of cardiovascular disease and diabetes. The Scottish Government are planning an ambitious new strategy to improve Scotland’s diet and help address obesity. Let’s hope they include older people in their plans.

For information about staying healthy in old age, this page on the Age Scotland site is useful

Perhaps a missing element from this survey is more detail on the mental health of older people. More will be reported about this but it’s perhaps worth remebering that up to 40% of people over the age of 65 experience mental health problems and about one-fifth of all suicides happen in older people. Last month Alistair Burns, the National Clinical Director for Older People’s Mental Health and Dementia took to social media to announce the launch of “A Practice Primer on Mental Health in Older People” a document which highlights for  primary care health workers in particular GP’s, symptoms often attributed to ‘old age’ but where a mental health diagnosis and follow-up may be more appropriate.

You can read what he said here and find the link to the document he is discussing (if you didn’t click the link above already) In the document he talks about this film that looks at Improving Access to Psychological Therapies. I am with him on this!

 

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International Day of the Older Person 2017

The International Day of Older Persons is observed on October 1 each year. So today is the day and I thought I should mark it.

This year’s theme is about enabling and expanding the contributions of older people in their families, communities and societies at large. It focuses on the pathways that support full and effective participation in old age, in accordance with old persons’ basic rights, needs and preferences.

The UN has stated that this year’s theme underscores the link between tapping the talents and contributions of older persons and achieving the implementation of the 2030 Agenda for Sustainable Development and the Madrid International Plan of Action on Ageing, which is currently undergoing its third review and appraisal process.

The message for this year from the United Nations is here 

The World Health Organisation also has a message on their Ageing and Life Course pages. Given that their focus this year is on Universal health coverage it’s a good day to watch this!

The Day After…

It’s the day after #WorldAlzheimersDay2017 so I will make no apologies for what follows and warn you now it’s all about Dementia. So in case you missed it, yesterday Alzheimers Disease International posted a new media release that includes a video about the call for every country to have a Dementia Strategy in place. To see the new video click here

Usually, they also release the newest World Alzheimers Report but it’s not there yet, but they do tell you what it’s about. Instead, what they have done is release the Second edition of their report on Dementia Friendly communities which you can get more information about here

Yesterday also saw the release of new materials on the global plan on dementia, produced by WHO in partnership with ADI. See WHO Dementia

Here in Scotland two things of note and both are mobile phone Apps. Firstly Purple Alert which is a free app designed by people living with dementia and carers, Alzheimer Scotland staff, Police Scotland, Social Work, Dementia Friends Scotland, Health and Social Care Partnerships and telecare services. Which is designed to help find people living with dementia if they are lost.

The second App is from the Dementia Services Development Centre in Stirling and is called Iridis. Iridis is a cutting-edge app created to promote a better quality of life for people with dementia. It is a digital version of the DSDC’s research-based Dementia Design Audit Tool – meaning expert guidance on dementia design is now available at the touch of a button. To find out more and watch a video about its development click here

Finally congratulations to Henry Rankin , the Winner of the Lifetime Achievement Award at yesterday’s Scottish Dementia Awards. Can’t think of anyone more deserving. If you watch the video you might understand why.

Housing our Older People Correctly Needs Addressing Now!

Back in July I posted about a report done by my colleagues here at UWS’s @AlzScotCPP ‏ on the need for improvements in housing required in Scotland to support people who have dementia now and into the future. See my post here  Well this month saw the publication of a larger report by the Local Government Association for England which has stated that with one in five of the overall population in England set to be over 65 in a decade, a “residential revolution” needs to occur to provide more homes that support our ageing population. They have suggested that we need to increase the number of specialist homes for older people by 400,000 units in less than 20 years to catch up with places like the USA and Australia where a more developed market exists for retirement housing. Cllr Martin Tett, the LGA’s Housing spokesman pointed out that councils cannot tackle this issue alone. Support from government, which incentivises housebuilding and provides councils with the funding and resources they need, is crucial to every local authority’s efforts to support positive ageing. You can read more about this issue and download the full report at

https://www.local.gov.uk/about/news/residential-revolution-needed-englands-ageing-population-says-lga

You can also watch a short video about the report here:

Becoming a Delirium Champion

Well done RCN Older People’s Forum and My Dementia Improvement Network for getting behind a campaign to raise awareness of identifying delirium not just in hospital but also within the community. Older people with multiple long term conditions are particularly vulnerable to delirium but are also the most likely not to have it spotted until the possibility of a poor outcome is more likely. To find out more about becoming a delirium champion and get a resource pack to help raise awareness of the need to identify delirium early visit this RCN page.  

I just wished they hadn’t used the label “champion”. Particularly as someone involved in training Scotland’s National Dementia Champions; who are already encouraged to raise awareness of this issue.

Still, it’s a very appropriate issue to highlight during Dementia Awareness Month

Amongst all the worldwide weather chaos that we are currently experiencing I think I should also highlight the biggest one and the one that has the most impact on older people and that is the East Asia Floods. Although its probably the least reported it already has the most deaths reportedly caused by it and has affected by far the most people. The burden in such chaos often falls on older people. To learn more and maybe to contribute to the relief fund please visit Age International South Asia Floods

Dementia Awareness Month Begins

It’s the 1st of September, so as always this is the commencement of World Alzheimer’s Awareness Month.

 

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World Alzheimer’s Month has been observed in September every year since its launch in September 2012. The decision to introduce a full month, to contain the existing World Alzheimer’s Day, which is on the 21st. of September every year was made to enable national and local Alzheimer associations worldwide to extend the reach of their awareness programmes over a longer period. The 21st of September was chosen because it marked the opening of Alzheimer’s Disease International’s (ADI’s) annual conference in Edinburgh on 21 September 1994 which was the organisations 10th anniversary.

 

For more information about this years theme and campaign click here.

It also means that the next World Alzheimers Report will be released. This year the aim is to highlight the importance of early detection and diagnosis of dementia. So look out for it’s publication around the time of World Alzheimer’s Day.

Help Needed! Do you Live in Lanarkshire?

 

 

NHSlanarkshire
NHS Lanarkshire

 

I am helping to stage an event on behalf of the British Society of Gerontology and NHS Lanarkshire next week where it hoped we can bring staff, students and older people together to discuss and identify some local priorities for research in the coming years. If we create a list of priorities then people within the Health Board and at the university can encourage our Master’s students, in particular, to take on projects that look at these priority areas. So a win-win situation for everyone! However, we don’t have enough older people attending and we would really like their help since their priorities are everyone’s priority!

So if you are living in the area covered by the Health Board and are over 60 please come and join us. You will be made most welcome. You only need to come along in the afternoon from about 12:00, if you want to join us for lunch until 3 pm. If you stay afterwards you can find out what a Tovertafel is? For full details of the event click this link. If you can make it let Caroline know at caroline.gibson@uws.ac.uk or call her at 016984441.

Worth noting also this week was the report by Audit Scotland into the use of Self Directed Support. Since 2014 councils have been responsible for implementing Self-directed Support (SDS), which offers people more choices around their support and how it is managed. This is now largely provided by the new local health and social care integration authorities drawn from bothcouncils and the NHS.

The report published this week states that says while many people have benefited from SDS, integration authorities still have a lot to do to enable more people to take it up. Local Councils spend £3.4 billion a year on social care supporting more than 200,000 vulnerable adults and 18,000 children and their families. Assistance ranges from everyday tasks such as dressing and preparing meals to helping individuals live more fulfilling lives at home, at work and in their communities. The report highlights areas of good practice such as giving front line staff powers to spend small amounts that can make a big difference.

On the ground, however, not everyone is getting to choose and control their social care the way they want to and staff need more support to try new approaches. The majority of staff are positive about the principles of SDS but everyone involved faces challenges in offering flexible services, particularly recruiting and retaining social care workers. To access the full report click the link to

Audit Scotland Report