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Japan's shift toward a super-aged society is being fueled by a combination of demographic factors. These include declining marriage and fertility rates and increases in life expectancy enabled by advances in medical science and improved nutrition and living conditions. Another trend is the rise in the number of older single-person or couple households as a result of various lifestyle and demographic changes, including a general decrease in average household size, the rise of smaller nuclear households, and the growing number of people who remain unmarried. The socioeconomic challenges arising from an aging and declining population have been at the forefront of Japan's political and public policy discourse since the rapid population aging trend was first recognized in the 1980s. Central to the aging population challenge is the decline in working-age population, which could lead to labor force shortages and lower economic growth. Recognition of these growing challenges has engendered a shift in aging policy toward aging in place and healthy aging, with older persons encouraged to remain active and in their existing communities for as long as possible. The idea is not only to improve the well-being of older persons and their quality of life, but also to reduce the burden on the state of providing for the burgeoning health and welfare needs of a super-aged population. Japan has implemented several policies, guidelines, and programs to promote healthy aging. Japanese authorities and cities are implementing several projects in housing and homebased care to facilitate aging in place. Some of these projects are reviewed in this report.

Old age homes. --- Frail elderly --- Housing.

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Age group sociology --- Social policy and particular groups --- Demography --- elderly --- Netherlands

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Dies ist ein Open Access Buch. Wir haben immer mehr Alte, immer weniger Kinder. Dank wissenschaftlicher Fortschritte verlängert sich die Lebenserwartung ständig. Erkenntnisse aus der Naturwissenschaft in der post-genomischen Ära deuten darauf, dass diese Entwicklung trotz der Zunahme altersassoziierter Krankheiten und Behinderungen noch nicht am Ende angekommen ist. Droht diese Flut von Alten, Rentnern und „Konsumenten des Lebens“ zum Verlust des Zusammenhalts der Gesellschaft zu führen? Nach der Bestandsaufnahme der jüngsten Errungenschaften der Forschung hat das interaktive Symposium sich mit den Chancen und Gefahren der „gewonnenen Jahre“ auseinandergesetzt. Die Referentinnen und Referenten sind herausragende Vertreter der Biologie und Medizin. Meinungsbildner der Geisteswissenschaften und Persönlichkeiten aus der Politik kamen ebenfalls zu Wort. Dies ist ein Open-Access-Buch.

Developmental biology --- Age groups: the elderly --- Evolution --- Alter und Altern --- Alter und Gesellschaft --- Altersmedizin --- Neurobiologie des Altern --- Kulturelle und Gesellschaftspolitische Aspekte

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This fully updated seventh edition remains the pioneering text for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Dr Reichel's formative text is designed as a practical and useful guide for all health specialists. Emphasizing the clinical management of the elderly patient with simple to complex problems, this is a must-read for all practitioners who need practical and relevant information in a comprehensive format. Chapters have been updated and re-organized to reflect the clinical approach to aging, beginning with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign.

Geriatrics. --- Aging. --- Geriatrics --- Aging --- Health Services for the Aged --- Health Services for Aged --- Health Services for the Elderly --- Health Services, Geriatric --- Geriatric Health Services --- Geriatric Health Service --- Health Service, Geriatric --- Service, Geriatric Health --- Services, Geriatric Health --- Aged --- Frail Elderly --- methods --- physiology --- Health Services for the Aged. --- methods. --- physiology.

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Introduction : Le déménagement en MR(S) provoque beaucoup de changements pour la
personne âgée qui devra s’adapter à un tout nouveau lieu de vie. Une approche possible pour
améliorer l’adaptation de la personne âgée pourrait être le modèle Tubbe. D’origine suédoise,
il s’agit d’un nouveau modèle d’organisation axé sur le relationnel, qui a comme objectif de
créer des lieux de vie où chaque personne peut se sentir comme « chez soi ». Début 2017, six
projets pilotes ont été lancés en Belgique pour intégrer le modèle au sein de ces institutions
et entre-temps une quarantaine d’institutions en Wallonie ont pu l’implémenter avec le
soutien de la Fondation Roi Baudouin. L’objectif principal de cette étude était de comparer le
degré d’adaptation de la personne âgée à sa MR(S), selon son type d’organisation : le modèle
Tubbe et le modèle « traditionnel ».
Matériel et méthodes : Cette étude transversale, quantitative a consisté à analyser les
réponses à des questionnaires distribués à 57 résidents vivant en MR(S) organisées selon
chacun des deux modèles. Le degré d’adaptation a été évalué par l’Echelle d’adaptation de la
personne âgée à sa résidence. D’autres paramètres, comme l’état de santé perçu, l’état de
santé thymique, des facteurs socio-démographiques, des facteurs liés à l’environnement et à
l’admission ont été inclus dans cette étude.
Résultats et conclusion : Nous n’avons pas pu mettre en évidence un impact significatif du
modèle Tubbe sur le degré d’adaptation de la personne âgée à sa MR(S). Parmi les autres
paramètres seuls l’état de santé thymique et le fait d’avoir une visite au moins une fois par
semaine avaient un impact significatif sur le degré d’adaptation de la personne âgée à sa
résidence en analyse multivariée. L’état de santé perçu avait également un impact significatif
en analyse univariée. Introduction : Moving to a resting home causes a lot of changes for the older person who will
have to adapt her/himself to brand new surroundings. A possible approach to improve the
adaptation of the older person could be the Tubbe model. Originating in Sweden, it is a new
organizational model focused on interpersonal relationships, with the goal of creating living
spaces where each person can feel "at home". In the beginning of 2017, 6 pilot projects were
launched in Belgium to integrate the model within these institutions and in the meantime
about 40 institutions in Wallonia have been able to implement it with the support of the King
Baudouin Foundation. The main objective of this study was to compare the degree of
adaptation of the elderly to their residence, according to the type of organization: the Tubbe
model and the "traditional" model.
Material and methods : This cross-sectional, quantitative study consisted of analyzing the
responses to questionnaires distributed to 57 residents living in resting homes or nursing
homes organized according to each of the two models. The degree of adaptation was assessed
by the Scale of Adaptation of the Elderly to their Residence. Other parameters, such as
perceived health status, mood health status, socio-demographic factors, environmental
factors and admission factors were included in this study.
Results and conclusion : We were unable to demonstrate a significant impact of the Tubbe
model on the degree of adaptation of the elderly to their residence. Among the other
parameters, only mood health status and having a visit at least once a week had a significant
impact in multivariate analysis. Perceived health status also had a significant impact in
univariate analysis.

personnes âgées --- maison de repos --- degré d'adaptation --- modèle Tubbe --- elderly people --- nursing home --- degree of adaptation --- Tubbe model --- Sciences de la santé humaine > Santé publique, services médicaux & soins de santé