Health Promotion in Social Care

HealthPromotion in Social Care

HealthPromotion in Social Care


Thisassignment’s aim is to illustrate the empowerment in social carepractice through developing personal skills among the older adults.

Developingpersonal skills has been considered one of the health promotionaction areas by the Ottawa Charter (WorldHealth Organisation, 1986).Older adults are a part of the aging society deemed to be vulnerableand hence may require special care that includes social care. Inhealth promotion, these older adults can be equipped with skills thatcan help them in illness and disease and general life managementskills. It is possible to teach these older adults because they arenot too old to, change their diets, or even quit smoking, when itcomes to health matters. Since illnesses are more prevalent among theolder people, developing the skills of the older people can be acritical aspect because they can use the skills to empower themselvesand manage their old age blues. Through providing differentinformation on health promotion to the older people, there will beempowerment in the social care practice (Mcqueen &amp Salazar,2011): because the older people will be in a position to take goodcare of themselves in managing their ultimate well-being. By usingthe skills that they will have gained from the teachings that theyreceive, it would be possible to identify risk factors that can makethem vulnerable to either ‘acute or chronic diseases.’-Significant concern to the management options available to them. Whenequipped with this knowledge, it is possible for the older people totake care of themselves. Besides, with this knowledge, there would beempowerment in the social care practice. A significant section of theolder people would be equipped with the knowledge concerning how toprevent illnesses and manage their health with minimal dependency. In view of that, we can say, for instance, that delivering theknowledge about lung cancer can help in preventing cigarette smokingand unhealthy lifestyles in old age.

Ithink that &quotdeveloping personal skills&quot is the mostappropriate action area in this regard. It is about older people, andI think that far too often, this particular group has decisions madefor them, by family members, etc.This paper, therefore, aims at illustrating empowerment,advocacy/enablement and mediation in social care practice throughdeveloping personal skills among the older adults.


Ina bid to gain the core objective of health promotion which is theenabling of individuals to accelerate control over, and to improvetheir health, the older adults must be supported via provision ofrelevant information and life skills. The life skills help in theadaptation to the changes in their aging lives. A number of forumsand workshop activities are frequently done for the sole purpose ofhastening their skills grasping process. In addition, a number ofboth formal and informal activities are organized on a monthly basis.Various institutions in the Republic of Ireland, for instance, banksare in partnership with organizations to creating recreationalactivities for the older people upon identification of core members(Department of Health, 2013). Core members are the particular groupsof older adults involved in these recreational activities such asparticipating in a less intensive sporting game. Through the variousinitiatives from various stakeholders, the most aged people aredeveloping skills in information technology or&nbspcomputer literacyskills. Aside from computer skills, the older people are alsoimparted with information handling skills in the process. Few factorsgo hand in hand in order to develop the personal skills.

  • How this particular group (older adults) have decisions made for them by Social Care workers/family members.&nbsp

Theroot of the problem in health care promotion is the mistreatment ofthe elderly by the social workers/families. Some of the socialworkers are careless. For instance, the elderly who live in publicsocial care homes may be mistreated through poor feeding, poorhygienic conditions, and social negligence. Additionally, familymembers assigned to look after their older adults may be at timesvery harsh in the treatment. For example, they may decline to providefinancial assistance even if there is a need to since they mayconsider that the elderly are not resourceful. Other social workersand family members tend to make decisions for their older adults,thus limiting the tendency of facilitating the social well-being andpromoting a common good. For instance, it may be an abuse of theright of an elderly when he is always not allowed to offer anychanges that affect him or her (Adams, 2007).

Tocombat these mistreatments, a number of measures are utilized. Theyare the advocacy, enablement, mediation and empowering. Hence, thereis a development of the skills essential for health promotion insocial care.

Thesemeasures are discussed below in details:

  • Advocacy

Advocacyservices form an integral relationship for the protection of thevulnerable elderly. In pure understanding, ‘advocacy’ is theone-on-one partnership between a trained independent advocate and anolder adult who wants to secure his rights, choices, and interests.

Thethree fundamentals concepts of advocacy are:

  1. Independence– The older adult’s independence should be advocated in a bid to reduce the full dependency to the stakeholders or caregivers. This attempt seeks to initiate a sense of self-realization and the possession of full entitlements in performing the daily routines such as self-care.

  2. Inclusion– Advocacy suggests that all necessary stakeholders like family members are supposed to take part in the social care of their older adults. Hence, a warm feeling of being wanted is experienced. At any cost, happiness that may be derived from the inclusion is the key ingredient of a healthy life.

  3. Empowerment– As discussed later in this assignment, empowering is granting the older adults a way of partial or complete control of the well being. Ensuring that they have finances is a top choice for empowering their decision tolerance by third parties. For example, an elderly can pay for an ‘enablement’ through his/her finances, and this also grants independence and the betterment of healthy lifestyles.

Shownbelow are a few primary reasons for using advocacy in healthpromotion in social care for the elders (Department of Health, 2010):

  • Abuse Protection– In order to safeguard the mistreatment of older adults, some laws are advocated. These laws include the ban to mishandling of the elderlies due to their aging conditions. That is, and they are in dire need of immediate help and utmost respect.

  • Securing and exercising rights– They are involved in making decisions that are right to them and do not negatively affect any third party. Therefore, the elderly feel appreciated and hence comfortable.

  • Combating discrimination– The prejudices that affect the older adults will ultimately lead to a state of poor and deteriorating health. Therefore, an active campaign against age discrimination ensures that their welfare is checked upon with all quality standards.

Inmy discussion, advocacy is a way of empowering the older adults bysupporting them to affirm their views and claim their entitlementsand where compulsory they represent and negotiate on their behalf.The adults themselves can often undertake advocacy their friends,advocates or even the individuals with similar experiences. Usually,a trained professional delivers the advocacy in mature way. He/sheunderstands the client’s conditions and wishes and then advises andsupports the client to make an informed decision or claim anentitlement.

Thestrategic approaches for advocacy/enablement are

  • An individual advocacy service- An affected older adult advocates for his/her entitlements through an advocate and this lead to an empowerment if the rights are respected.

  • A community visitors’ programme- A setup that brings together the community is so important in creating a social fabric and an individual’s sense of belonging. A service for community visitation acknowledges the need for rights advocacy in a quest for health promotion in social care.

  • A support programme for community and voluntary organizations-Voluntary organizations create a support based care system that forms a bridge between the helped elderly and the volunteers. In the long run for health care advocacy, a partnership makes the life of the older adults so easier.

Forthe effective communication between an older adult and an advocate, afew qualities are employed by both of them:

  1. Communication skills- An effective communication helps to instill an understanding of a person’s challenges and hence enhancing their life as well though proper advocacy and mediation processes.

  2. Analytical thinking- An advocate is supposed to administer his/her services after a thorough analysis of an individual’s (older adult) needs.

  3. Customer service skills- Customers should be treated with the utmost respect and prioritizing of their needs for them to feel appreciated.

  4. Interpersonal effectiveness- A good relationship between the affected parties brings trust, honesty, and confidence.

  5. Knowledge- An advocate is supposed to gain a strong background in solving elderly related issues such as the health care. This knowledge is used to cultivate the good morals in a society that would otherwise assist in the elderly age appreciation.

Conclusively,we can surely argue that in order to promote and improve qualitylives, we need to advocate, enable, mediate and empower the elderly.Altogether, we will fetch out the development of personals skills inthem so that their social and health well-being is recovered.

  • Enablement

Enablementis an actively involving yet short-term support that may last up tosome few weeks. However, it can be prolonged for a particular periodif necessary. Enablement encourages the elderly to follow anindependent and fulfilling life, in an optional manner. Throughenablement, an older adult will identify the items that would supportthe regaining or maintenance of his/her independence. Enablement isabout having the skills and confidence to do things for withoutsupervision. Furthermore, it may mean that he/she should not start todepend on support that could cost unnecessary expenditures. Duringthe evaluation of the person needs, they will have a window ofopportunity to discuss the circumstances and the changes that arepossible for a happy life. If there is an agreement that demandsenablement support, a service can be set (The Years Ahead, 1998).

  • Mediation

Mediationis a process used to empower people to work out the solutions totheir individual problems. It is usually a series of facilitatedmeetings where people agree exhaustively to discuss their issues withhaving dispute or difficulty to them. The family offers the pivotalsupport in the adult safeguarding. A trained mediator might help thefamily and the elderly to reach a consensus if there was a problemand advise on the best way forward to curb the problem from happeningagain. In that regard, harmony and tranquility take control of asituation and ultimately solves family issues. The family of theelderly can know if their older adult can make sure decisions,achieved by experience with the person. The family is reunited andbounded together, and thus the older adults live satisfied andachieve health promotion( The Years Ahead, 1998).

  • Empowerment in Social Care Practice

Inhealth promotion, the empowering idea defines the ability to createor resist change, and this is an essential foundation for bothcommunity and individual health. By older adult empowering, healthpromoters enable the opportunity for the individual or community totransform their lives and their living conditions, and hence theirhealth. Empoweringthe older adults to make choices about the way they want to livehappily and take care of themselves might ensure that the personalskills are developed in the long run and quest for health promotionin social care.

  • First things first, time should be taken to understand the adult and should also prioritize their personal past life and achievements as well.

  • Provision of opportunities should be achieved so that the older adults can fully participate at levels of service, including their daily routine.

  • They should be empowered by giving them assistance in direct payments or personal budgets (Health Promotion Practice power &ampempowerment, 2010).

Financesare the crucial game-changers in the elderly empowerment. The olderadults in the society form the core group in the decision-makingprocess. The more aged people may receive cash allocated to them andat liberty to spending them on appropriate community care servicesthe more they demand or feel necessary and beneficial (Adams, 2007).Some of them may use the money allocated by demanding for home-basedphysiotherapy rather being helped in the general house chores.

Uponthe allocation of funding, the older adults may require a nightsitting by searching for private provisions of the same, in casepublic service is absent or unavailable. The older people are oftenoffered a high degree of freedom when it comes to determining theirpackage of care while others will have to consult with family membersand assigned caretakers or care managers. The money may be used foraiding in approved and certified own-family provision of care. Inconclusion, it is relevant to point out that older people need toremain in control of their personal lives even if it means increaseddependency on others.

Thegiving of knowledge to the elderly would also ensure that theyachieve empowering. Relevant social care-based information isnecessary as well. ‘Knowledge is power.’ For example, the accessto social sites and the outside world would make the older adultsmore informed and improving their decision-making ability. . A senseof appreciation is the key to health and life improvement. However,this technology notion is an assumption since not all adults canengage in social sites benefits, maybe due to individual challenges

Asuccessful empowerment would result from a strategic approach shownbelow:

  • Assessment- A social care provider or the individual directly related to the older adult evaluates the conditions present and actively involves himself/herself with the situation at hand.

  • Planning- He/she will strategize and make a scheme for assisting on the empowering.

  • Implementation- An advantageous empowering plan will satisfy the elderly, and thus they boost life standards to a level of health promotion.

Theapproaches above combine to initiate a successful health promotion insocial care development.

Allthe above measures, advocacy, enablement, mediation and empowermentare entangled together in the thriving of the older adults.

  • Developing Personal Skills

Oncethe older adults are empowered and enabled to carry out theirpersonal skills, they can at least be independent. The major skillsacquired are:

  • For patients suffering chronic illnesses, they are taught on how administer treatment to themselves. For instance, Diabetic patients are taught how to take Insulin shots without having to go to a hospital.1

  • Aging individuals need to take exercises on a daily basis. Consequently, they are imparted with skills on how to independently train so that they can promote their health in, the long run.2

  • One of the most significant personal skill is the training of the older adults in domestic responsibilities, this will ensure that they fully rely on themselves even when someone is not at home or nearby.3

  • Social skills are also vital for the ultimate well-being of the elderly. If they are well taught, they can enhance the communication principle and a general sense of happiness.4

Developing personalskills is, therefore, the surest intervention that leads theautomatic well-being of an elderly population.

Relevanceof both the action area, and empowerment in social care practice tothe specific service user group and the strategies of mediation/advocacy/enablement.

Incombining all these aspects, that is advocacy, enablement, mediationand empowerment and older adult population gets to level of healthpromotion automatically. That is the baseline and relevance for thisresearch assignment.

Thevarious health programs in place together with the World HealthOrganization are advocating the promotion of health for the olderpeople. Different stakeholders need to play their part in the same(World Health Organization Ottawa Charter, 1986). Whereas the varioushealth programs and organizations advocate for older people toembrace an active life (Naidoo, &amp Willis, 2010). While theyounger ones opt to take up good habits since some are formed whenyoung and maintained into old age (Health Service Executive, 2011).Developing skills is important in coping and preventing varioussituations in life especially among the older people (Department ofHealth, 1986). Upon individual empowering, are motivated to embracehealthy and active lifestyles (Dines, &amp Cribb, 1993).


Finally,it is with no doubt that the older people can only enhance or addyears to life and life to years upon embracing social care practiceswith the help of the community. As such, this paper has provided acomprehensive discussion on the issue of empowerment and itssubsequent importance in enhancing social care practice in the courseof developing personal skills. The skills are vital to the healthpromotion amongst the older adults.

Figure1.Hands-on treatment skills


Figure2.Exercise skills.



Figure3.Exercise skills.



Figure4.Domestic Skills.



Figure5.Social Skills.



Adams,R. (2007). Foundationsof Health and Social Care.Hampshire: Palgrave Macmillan.

Departmentof Health. (2013). HealthyIreland: A framework for improved health and wellbeing.Retrieved from, &lt

Departmentof Health. (2010). HealthyIreland.Dublin: Department of Health

Departmentof Health. (1986). Health:The Wider Dimensions.Dublin Stationary Office

Dines,A.&amp Cribb, A. (Eds) (1993). HealthPromotion: Concepts and Practice.Oxford Blackwell

HealthService Executive. (2011). TheHealth Promotion: Strategic Framework.Dublin: HSE National Health Promotion Office.

Naidoo,J. Willis, J (2010). Developingpractice for Public Health, Health Promotion.Edinburgh Elsevier.

TheYears Ahead:A Policy for the Elderly(1998).

WorldHealth Organization: Ottawa Charter (1986). Retrieved from,&lt

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