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- W2032886752 abstract "A lot of things are happening with nursing and older people. We read scare stories about the ageing of populations world wide, that people are living longer and birth rates are declining. Implying that in the future there will not be enough younger people to work and to provide services. This change implies that two courses of action might be indicated. The first is that we could try to change population ageing. As longevity is often used as the marker of the health of a nation. Trying to limit ageing seems to contradict many developments in supporting the processes that contribute to this. If people live longer because of better food, sanitation or medicine, we think of this as progress. The decreasing birth rate may not be a marker for health, but it seems to be an area in which we can do little, and would want to do little. Women cannot be encouraged to have more children unless they feel that the environment is safe for them, and so increasing the numbers of young people in a population is a complex and difficult thing. The second option might be to work with these changes in population patterns. This option seems to offer many opportunities for older people, and a way for nurses to support therm. We are already seeing a move towards promoting health in older people, away from ideas that older people should live quietly, without being engaged in society – they were seen as passive players in a world directed by others. They were expected to be grateful for what they got, if they were given anything. This has changed, as we support the independence and engagement of older people, even if this means that we may come in for some criticism at times. We are also seeing a more open approach to end of life issues, as we develop understanding of the needs and wishes of those who are facing death. This is not to say that all older people are dying, but we are starting to think about different goals, not just the return of physical health. This thinking can inform and inspire the care of older people as we move away from thinking about extending life to enhancing its quality. Sogyal Rinpoche, the author of the Tibetan book of Living and Dying, describes how many people express their worries about death. We should not worry about this he said, ‘because in this, you will be successful.’ It is this awareness, that we are all going to die, that we are all sharing experiences, allows us to connect with people approaching the end of life. So it is with people who are growing older. Every minute and every second, we are doing the same, and our awareness of this helps us to understand the experiences of others. We should be reminding ourselves that growing older is what we all do –it is not them who grow old, but us. This realisation permeates everything we do with older people, the services we offer, and the care that we give. This sense of togetherness has shaped the direction that this journal is going to take in the future. It is consolidating current developments and taking them forward by strengthening the inclusive international dimension of the journal. We will be moving to an ‘Editor-in-Chief ’ model of journal management (from January 2009) with Professor Brendan McCormack taking on this role. We have instigated a number of changes and initiatives to strengthen the role of the Editor-in-Chief, the editorial board and the international dimension of the journal. One consequence of this is that the ‘Practice Development’ section will be led by Regional Editors, thus ensuring that the international dimension of the development work reported is enhanced. This will enhance the connections between Regional Editors, members of the editorial board, contributors to the practice development section and readers with the added benefit of furthering the inclusivity of the journal, and make it clear that the issues that we are interested in affect us all. Contributors to the Practice Development section will notice that the guidelines for this section have been further developed and papers will be managed through Manuscript Central from January 2010 onwards. As the changes to our processes are being established readers will note that we don’t have a Practice Development section this month, but this section will continue as normal for future issues. Professor Jan Reed will be stepping down as the Practice Development section editor and as co-editor of the International Journal of Older People Nursing. We are extremely grateful to the work that Jan has done in supporting authors who contributed to the Practice Development section and in coordinating these papers. Jan invested a lot of time in supporting and liaising with authors, editing contributions and ensuring that deadlines are met. Jan will remain a member of the International Journal of Older People Nursing editorial board, but will also take on other editorial roles elsewhere. This will involve practice development from another perspective, and so is a continuation of current work. We thank Jan for the work she has done and we look forward to continuing to work with her as a member of the editorial board. ‘Regional Editorial Teams’ led by the Regional Editors will be established in 2010. Three teams will be formed – Australasia, The Americas and Europe comprised of members of the editorial board from the particular region and others (such as older people, clinicians, educators) who the Regional Team feel appropriate to bring on board for local working. Guidelines for the working of these groups are currently being formulated. Again our intention is to enhance the collective ownership for the governance of the journal and develop an inclusive approach to the way that we work. We will be running with a special issue of the International Journal of Older People Nursing in 2010 with a focus on ‘Outcomes From The Promotion of Personhood in Gerontological Nursing’. Our intention here is to give dedicated attention to international developments in the promotion of personhood as a theoretical and practical framework for the organisation of services for older people and an approach to practice. We want to specifically focus on outcomes from these developments, so that we can truly demonstrate the importance of these ways of working on the lives of older people and teams who work with them. In all of this, the central message is that the practice of gerontological nursing in clinical settings, communities, education and research settings is vibrant and forward looking. It involves all of us, and this includes older people. To return to the idea that we started this editorial with, it’s about us not them." @default.
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- W2032886752 title "Editorial: A lot of things are happening with nursing and older people" @default.
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