Ately lead to decreased responsiveness of older consumers to engage in care. This really is illustrated with a case study of an older woman living within the neighborhood,Mrs Jansen,and her health and social care professionals. The study shows that in spite of great intentions,engagement,clear division of tasks and tailored care,the responsiveness to obtain care can indeed not usually be taken for granted. We conclude that to harmonize variations in perspectives between professionals and older people today,attention must be provided for the way older folks endow which means towards the demanding situations they encounter (comprehensibility),their perceivedB. M. Janssen ( T. Van Regenmortel Department of Social Studies,Fontys University of Applied Sciences,P.O. Box ,AH Eindhoven,The Netherlands e mail: bienke.janssenfontys.nl T. Van Regenmortel e-mail: t.vanregenmortelfontys.nl T. Van Regenmortel Faculty of Social Sciences and Analysis Institute for Labour and Society (HIVA),Catholic University Leuven,Parkstraat ,,Leuven,Belgium T. A. Abma Division of Medical Humanities,EMGO Institute,VU Health-related Center,Van der Boechorststraat ,BT Amsterdam,The Netherlands e mail: t.abmavumc.nlHealth Care Anal :feelings of control (manageability),at the same time as their motivation to comprehend and handle events (meaningfulness). Consequently,it is significant that both clientele and specialists have an open mind and attempt to know each others’ viewpoint,and have a dialogue with each other,taking the life narrative of consumers into account. Key phrases Overall health promotion Risk prevention Narratives Older people today Salutogenesis Sense of coherenceIntroduction Ageing is related with enhanced reliance on healthrelated and assistance services . Old age frequently goes hand in hand with increasingly complex and usually interrelated troubles,encompassing physical,psychological and social overall health . Older individuals also have a tendency to have greater prices of purchase TA-02 chronic illness which include diabetes,heart illness or disabilities related with stroke. Furthermore,by some million people worldwide will suffer from dementia . Regardless of these challenges,the majority of older men and women in Europe continue to live in their own home,and numbers are expected to rise in the close to future . Lots of shortcomings have recently been observed in elderly care,including complications connected to the coordination and continuation of care as well as to the early detection and diagnosis of complications . Yet another trouble is the fact that not all older individuals are responsive to the care presented to them ,and that there’s a wide variety in the effectiveness of various well being promotion activities . This raises the question as to how to deliver care for this expanding group of vulnerable older people today and the best way to market their overall health and wellbeing. Within the Netherlands by way of example,answers are sought in screening instruments PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26698565 and new organization models,including chain care . The goal of this article is always to describe different pathways to health promotion and to clarify how a difference in focus amongst experts and clientele may well bring about tension and ambiguity inside the care procedure,and might in the end lead to lowered responsiveness of customers to engage within a (tailored) care strategy. To illustrate this,we are going to use a case study that was selected for a lot of motives,including its ambiguities and hence its understanding possible. The case study entails Mrs Jansen and her well being and social care experts. Aged ,and living in the community,Mrs Jansen is in require of longterm qualified care. Her story is base.