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Caring the Spiritual Health of the Old (Senior Citizens)
Abstract
The peaceful nourishment for the old not only provides the old with a good attendance of
physical needs, but also helps to obtain their spiritual health. The holistic concept of health
seamlessly integrates physical, mental, spiritual, and social aspects of health, reflecting how
health is embedded in the everyday experience of the old. Nowadays, the aging population
unceasingly increases in Taiwan, and thus the peaceful nourishment for the old has arisen. Few
relevant studies aim at the mental or spiritual health in peaceful nourishment for the old. The
purpose of this article is to inquire the content, importance and strategy of the spiritual health
of older adults in order to achieve the holistic health. The author adopts an approach of
literature interview and life experience to analyze the spiritual health. Finally, the author
proposes to develop a scale that will measure the spiritual health of older adults. I will also
apply the method of survey and interview to sample the old and find their performances of
spiritual health in the process of peaceful nourishment. Based on this, I will propose a theory
related spiritual health of peaceful nourishment to resolve the relevant questions.
Key words: caring, peaceful nourishment for the old, spiritual health

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Liang, Toler, Amanda, Gu, Shengzu,2005)

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Sahyoun, Pratt, Anderson, 2004

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1998

2003
Anstey, K. J.; Wood, J.; Lord, S.; Walker, J. G. (2005) Cognitive, sensory and physical factors
enabling driving safety in older adults Clinical Psychology Review Volume: 25, Issue: 1,
January, 2005, pp. 45-65
Arcury, T. A.; Quandt, S. A.; Bell, R. A (2001). Staying healthy: the salience and meaning of
health maintenance behaviors among rural older adults in North Carolina, Social Science
and Medicine, Vol: 53, Issue: 11, 1541-1556
Dijkstra, K.; Bourgeois, M. S.; Allen, R. S.; Burgio, L. D. (2004). Conversational coherence:
discourse analysis of older adults with and without dementia Journal of Neurolinguistics.
Vol: 17, Issue: 4, 263-283.
Grundy, E.; Sloggett, A. (2003). Health inequalities in the older population: the role of personal
capital, social resources and socio-economic circumstances. Social Science and Medicine
Volume: 56, Issue: 5, March, 2003, pp. 935-947
Harpole, L. H.; Williams, J. W.; Olsen, M. K.; Stechuchak, K. M.; Oddone, E.; et. al.(2005).
Improving depression outcomes in older adults with comorbid medical illness General
Hospital Psychiatry Volume: 27, Issue: 1, January - February, 2005, pp. 4-12
Jang, Yuri, Poon, Leonard W.; Kim, Soo-Young; Shin, Bok-Ki, (2004). Self-perception of
aging and health among older adults in Korea. Journal of Aging Studies Volume: 18, Issue: 4,
pp. 485-496
Li, Lydia; Liang, Jersey; Toler, Amanda, Gu, Shengzu, Widowhood and depressive symptoms
among older Chinese: Do gender and source of support make a difference? Social Science
and Medicine Volume: 60, Issue: 3, pp. 637-647.
MacGregor, D.G. Psychology, meaning and the challenges of longevity Futures Volume: 35,
Issue: 6, pp. 575-588
McCulloch, B. J. (1995). The relationship of family proximity and social support to the mental
health of older rural adults: The Appalachian context. Journal of Aging Studies. Volume: 9,
Issue: 1, 65-81
Milligan, C.; Gatrell, A.; Bingley, A. (2004) Cultivating health: therapeutic landscapes and
older people in northern England Social Science and Medicine Volume: 58, Issue: 9, May,
2004, pp. 1781-1793
Mokdad, A. H., Giles, W. H., Bowman, B. A. (2004). Changes in health behaviors among older
Americans, 1990 to 2000. Public Health Reports, Vol: 119, Issue: 3.
Nikolova, R.; Carignan, M.; Moscovitz, N.; Demers, L. (2004).The psychogeriatric and risk
behavior assessment scale (PARBAS): a new measure for use with older adults living in the
community. Archives of Gerontology and Geriatrics Volume: 39, Issue: 2, 187-200.
Okabayashi, H.; Liang, J.; Krause, N.; Akiyama, H.; Sugisawa, H. (2004). Mental health
among older adults in Japan: do sources of social support and negative interaction make a
131

2005

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difference? Social Science and Medicine. Volume: 59, Issue: 11, 2259-2270.
Owsley, C.; McGwin, G. (2004) Depression and the 25-item National Eye Institute Visual
Function Questionnaire in older adults, Ophthalmology, Volume: 111, Issue: 12, pp.
2259-2264
Pfaff, Jon J.; Almeida, Osvaldo P.(2004). Identifying suicidal ideation among older adults in a
general practice setting Journal of Affective Disorders Vol: 83, Issue: 1, 73-77.
Russo, I. C. P, (2003). An audiologic rehabilitation program for elderly adults in Brazil
International Congress Series Volume: 1240, October, 2003, pp. 177-181.
Sahyoun, N. R., Pratt, C. A., Anderson, A. (2004). Evaluation of nutrition education
interventions for older adults: a proposed framework. Journal of the American Dietetic
Association. Vol: 1, Issue: 1, 58-69.
Unutzer, J. (2002). Diagnosis and Treatment of older adults with depression in primary care.
Biological Psychiatry, Vol: 52, Issue: 3, 285-292.
Weitzman, P. F.; Weitzman, E. A. (2003). Promoting communication with older adults:
protocols for resolving interpersonal conflicts and for enhancing interactions with doctors.
Clinical Psychology Review Vol: 23, Issue: 4, 523-535.

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