vieillissement réussi. Face à l’allongement de l’espérance de vie, cette évidence engage à chercher de nouveaux modèles permettant que les aînés soient en bonne santé le plus longtemps possible. L’approche écologique s’appuie sur une vision large des déterminants de santé qui met l’accent sur les interactions complexes entre l’individu et son environnement. Elle envisage la santé des aînés comme une constellation de facteurs, tant individuels que sociaux et environnementaux. Issu d’un projet de coopération franco-québécois, ce guide d’aide à l’action cherche à faire mieux connaître cette approche novatrice de promotion de la santé, en fournissant des pistes concrètes pour la mettre en œuvre, planifier des interventions ou évaluer des programmes inspirés de ce modèle. Il propose ainsi des exemples de stratégies de prévention et de promotion de la santé aux professionnels désireux de mettre en œuvre des interventions dites écologiques, mais aussi, plus largement, à tous les intervenants de terrain qui refusent de considérer la perte d’autonomie des aînés comme une fatalité.

Interventions de prévention et promotion de la santé pour les aînés : modèle écologique

Vieillir fait partie de la vie Pourtant, les experiences sociales associees a des âges plus avances sont devalorisees dans un grand nombre de societes contemporaines Cet article s’appuie sur les travaux d’une equipe de recherche s’interessant a l’exclusion sociale et aux solidarites en lien avec le vieillissement Les concepts d’exclusion et d’inclusion sociale sont presentes dans une forme interreliee, dynamique et multidimensionnelle, tentant de degager les voies d’action concretes de ces processus afin d’eclaircir leur operationnalisation et les moyens de les contrer (exclusion) ou de les favoriser (inclusion) L’inclusion dont il est ici question va au-dela de l’integration sociale et repose sur deux composantes essentielles : la reconnaissance et la redistribution En effet, une reelle inclusion sociale ne peut s’incarner que lorsqu’on reconnait les aines comme ayant une valeur sociale egale a la notre, et qu’on leur donne acces aux pouvoirs et aux ressources necessaires pour que leurs voix soient entendues et prises en compte

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Réflexions sur l’exclusion et l’inclusion sociale en lien avec le vieillissement. L’importance des enjeux de reconnaissance et de redistribution

Some researchers have suggested that qualitative research is increasing in the gerontology field, but little systematic analysis has tested this assertion. Using the Canadian Journal on Aging/La Revue canadienne du vieillissement as a case study, we analysed articles reporting on original research from 1995 to 2012. One in four articles were qualitative, and results in three-year intervals show a clear increase in qualitative research findings during this 18-year time frame: (a) 1995-1997: 10 per cent; (b) 1998-2000: 19 per cent; (c) 2001-2003: 25 per cent; (d) 2004-2006: 25 per cent; (e) 2007-2009: 29 per cent; and (f) 2010-2012: 43 per cent. In all time intervals (with the exception of 2004-2006), French language articles were more likely to use a qualitative research design compared to English language articles. Topics, methodologies, and data collection strategies are also discussed.

Qualitative Research in the CJA/RCV: An 18-Year Analysis (1995–2012)

Evaluation of the Caring Ahead: Preparing for End-of-Life With Dementia Questionnaire

The understanding of palliative care practices at home (PCH) is limited by the lack of available scientific knowledge. This is explained by the fact that its practices are relatively recent and they question our relationship with death and dying individuals. This study aims to contribute to the advancement of knowledge about PCH with the elderly. More specifically, with a perspective of social exclusion, it aims to understand how practices either do or do not produce social exclusion with seniors receiving palliative care. Nineteen participants from two local community services centers were interviewed and six multidisciplinary meetings were attended for observation. This study suggests that positive representations concerning the elderly in palliative care and recognition of their autonomy can avoid social exclusion, including its symbolic and identificatory dimensions. However, standardization of practices seems to contribute to institutional exclusion and foster nonrecognition.

Les pratiques de soins palliatifs à domicile: lieu d'exclusion sociale des personnes âgées en fin de vie?

This article introduces a cartography tool to help social workers work with and support family caregivers. This tool aims to determine (1) which caregivers are likely to need additional support dur...

Cartography of Factors Influencing Caregivers' Experiences of Loss: A Promising Tool to Help Social Workers Support Caregivers.

The combined forces of economic globalization and international migration have resulted in specific challenges to palliative care systems. The COVID-19 pandemic has and is still greatly affecting elder populations as well as those across the age continuum living with long-standing chronic conditions or with pre-existing diverse unmet needs. While health promotion and palliative care may appear to be conceptually opposing fields, we argue that palliative care can and should fit under the umbrella of the health promotion continuum. This commentary seeks to discuss the importance of linguistic literacy and communication imperatives in the context of access to palliative care, given the broad, diversified and sensitive scope of care. While the pandemic has demonstrated that the public health responses of migrant host societies are deeply intertwined with policies as well as local rules and constraints, the promotion and provision of safe, timely and appropriate palliative care can be achieved through a sensitive assessment of differential contexts of diversity. The pandemic has painfully illustrated the need for a strong, respectful and equitable working partnership within the professions as well as with the civic society in order for the palliative needs of those exposed to a sustained risk not to be forgotten.

https://journals.sagepub.com/doi/pdf/10.1177/1757975921989995

Zelda Freitas

Papers

Les pratiques de soins palliatifs à domicile: lieu d'exclusion sociale des personnes âgées en fin de vie?

Cartography of Factors Influencing Caregivers' Experiences of Loss: A Promising Tool to Help Social Workers Support Caregivers.

COVID-19, promotion and provision of palliative care: reaching out, accounting for linguistic diversity.