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      The Handbook of Salutogenesis 

      Salutogenesis and the Sense of Coherence in Middle Adulthood

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      Springer International Publishing

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          Abstract

          In this chapter, the authors focus on the transition from middle to late adulthood. The questions of when and how past transitions affect subsequent ageing is discussed. Whilst middle age was long considered undramatic, the authors state that it is increasingly gaining profile. They focus on a phase typically observed in the sixth decade of life, characterized by the initiation of the transition to de-professionalization and change of responsibilities within the family when crisis and chronic situations can lead to the need for help from health professionals.

          The authors deliberate on how a dialogue between middle-aged adults and professionals can contribute positively to the naming, modification, design and further development of health goals, linking physiological and unconscious processes to the theory of salutogenesis.

          Notably, the authors frame illness processes from the perspective of salutogenic resources, also discussing the benefits of crises experienced in middle adulthood.

          The authors’ novel ideas about a salutogenic perspective on life in middle adulthood will inspire researchers and practitioners to a more innovative approach to this large segment of society.

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          Shared Decision Making: A Model for Clinical Practice

          The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we propose a model of how to do shared decision making that is based on choice, option and decision talk. The model has three steps: a) introducing choice, b) describing options, often by integrating the use of patient decision support, and c) helping patients explore preferences and make decisions. This model rests on supporting a process of deliberation, and on understanding that decisions should be influenced by exploring and respecting “what matters most” to patients as individuals, and that this exploration in turn depends on them developing informed preferences.
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            Health, Stress, and Coping

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              Participation of chronic patients in medical consultations: patients' perceived efficacy, barriers and interest in support.

              Chronic patients are increasingly expected to participate actively in medical consultations. This study examined (i) patients' perceived efficacy and barriers to participation in consultations, (ii) patients' interest in communication support and (iii) correlates of perceived efficacy and barriers, with an emphasis on differences across providers' disciplines.
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                Author and book information

                Book Chapter
                2022
                January 01 2022
                : 167-183
                10.1007/978-3-030-79515-3_18
                069a6b31-6fb5-4e58-ae8d-c03112b77c9e
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