Suchergebnisse

Purpose
In the USA, the well-being of older people is increasingly precarious. There is a paucity of research into methods of care outside of traditional, costly, intensive methods. Moreover, any literature that does so fails to connect different fields of study or aspects of well-being. This paper aims to identify alternate, cheaper methods to traditional care methods that also take a more holistic approach to older peoples' lives.


Design/methodology/approach
Connecting research conducted by gerontologists, psychologists and neurologists, and framing the results through Census data and economic research, the author proposes music therapy interventions for older people.


Findings
Music therapy has significant benefits on physical, cognitive and psychological well-being. Moreover, these treatment methods are significantly cheaper than traditional methods and are even more effective in specific cases. Specifically, though, the research methods reveal that music therapy that engages participants formally, is group-based and uses participants' preferred music is the most potent form of therapy to achieve the stated goals. Implementing such interventions across the country could be easily done by coordinated efforts by legislatures, administrative agencies, community groups and health-care infrastructure.


Originality/value
As opposed to varied methods used, which undermine the broad application of results, research should primarily use the proposed three-pronged approach as "music therapy" in future investigation. Moreover, proposing music therapy as a valuable alternative in some cases of elderly care may alleviate some stress on future American health-care resources.

The authors of these papers vary in age, nationality and professional background. They share a belief that all too often older people are not treated justly or fairly, and also a belief that this is particularly true with regard to a proper respect for their dignity as people and a proper allocation of medical and social resources. Their papers, in various ways, give evidence as to what is happening and arguments, based on philosophical ethics, as to why it is wrong. The authors also have a range of proposals, backed by argument and evidence, and drawing on factual material as well as philosophical argument, as to what could be done to improve the situation. This is a book for anyone, whether themselves elderly, looking after an older person, professionally involved in working with older people, or simply realising that one day they will be old, who wants to learn about what is wrong with the present situation and how it might be made better.

Supporting People was originally promoted as a way of shifting resources out of the confines of 'special' housing towards a more flexible approach focused on people. As far as older people were concerned, it spoke of the desirability of giving more, low‐intensity support and of the opportunity for health services to become involved in the commissioning. But detailed proposals have so far been more concerned with protecting the status quo than with innovation, and have emphasised 'assessment' rather than the empowerment of service users. Change could still happen through Supporting People, and the practical housing support services older people need could be provided through the agency of primary care groups or through an extension of Attendance Allowance. The article concludes by addressing the problem of finding a suitable labour force to give older people support in their homes, and the need for joined‐up thinking on earnings restrictions for families living on benefits.