scholarly journals Experimenting Mobile and e-Health Services with Frail MCI Older People

Information ◽  
2019 ◽  
Vol 10 (8) ◽  
pp. 253 ◽  
Author(s):  
Franca Delmastro ◽  
Cristina Dolciotti ◽  
Davide La Rosa ◽  
Flavio Di Martino ◽  
Massimo Magrini ◽  
...  
Keyword(s):  
Health Services ◽  
Older People ◽  
Ageing Population ◽  
System Quality ◽  
Secondary Users ◽  
Term Care ◽  
Health Domains ◽  
One Year ◽  
The One

The ageing population has become an increasing phenomenon world-wide, leading to a growing need for specialised help. Improving the quality of life of older people can lower the risk of depression and social isolation, but it requires a multi-dimensional approach through continuous monitoring and training of the main health domains (e.g., cognitive, motor, nutritional and behavioural). To this end, the use of mobile and e-health services tailored to the user’s needs can help stabilise their health conditions, in terms of physical, mental, and social capabilities. In this context, the INTESA project proposes a set of personalised monitoring and rehabilitation services for older people, based on mobile and wearable technologies ready to be used either at home or in residential long-term care facilities. We evaluated the proposed solution by deploying a suite of services in a nursing home and defining customised protocols to involve both guests (primary users) and nursing care personnel (secondary users). In this paper, we present the extended results obtained after the one-year period of experimentation in terms of technical reliability of the system, Quality of Experience, and user acceptance for both the user categories.

In sure and uncertain faith: belief and coping with loss of spouse in later life

2007 ◽  
Vol 27 (6) ◽  
pp. 869-890 ◽  
Author(s):  
PETER G. COLEMAN ◽  
FIONNUALA McKIERNAN ◽  
MARIE MILLS ◽  
PETER SPECK
Keyword(s):  
Older People ◽  
Later Life ◽  
Life Assessment ◽  
Religious Experiences ◽  
Loss Of Spouse ◽  
Spiritual Satisfaction ◽  
One Year ◽  
The One ◽  
And Coping

ABSTRACTThis paper reports a study of the religious, spiritual and philosophical responses to spouse bereavement. Twenty-five bereaved spouses aged 60 or more years living in the south of England and from Christian backgrounds were followed from the first to the second anniversary of the loss. The participants expressed a range of attitudes, from devout religious belief to well-articulated secular conceptions of the meaning of life, but the largest group had moderate spiritual beliefs that were characterised by doubts as much as hopes. Uncertain faith was more often associated with depressive symptoms and low levels of experienced meaning. Nine case studies are presented that illustrate different levels of adjustment to bereavement and both changing and stable expressions of faith across the one year of observation. Attention is drawn to the importance of both secular agencies and religious organisations developing a better understanding of older people's spiritual responses to loss. Although to many British older people, practise of the Christian faith may be less evident now than in their childhood, quality of life assessment should not ignore sources of spiritual satisfaction and dissatisfaction. Moreover, previous and especially early-life religious experiences provide useful points of reference for understanding present religious and spiritual attitudes. The study suggests that there may be a substantial need for pastoral counselling among today's older people, especially those of uncertain or conflicted belief.

scholarly journals Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion

2021 ◽  
pp. 297-309
Author(s):  
Feliciano Villar ◽  
Rodrigo Serrat ◽  
Annette Bilfeldt ◽  
Joe Larragy
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Social Relationships ◽  
Support Services ◽  
Long Term Care ◽  
Models Of Care ◽  
Term Care ◽  
The Impact

AbstractLiving in a long-term care (LTC) institution provides older people experiencing health and social problems with a comprehensive range of support services that address their quality of life. Despite access to such services, challenges arise in relation to their participation in key activities both within and outside the institution. This chapter examines such challenges, reviewing and describing ways to prevent exclusion along various domains, specifically social relationships, civic participation and socio-cultural life. Firstly, we discuss ways in which bio-medical models of care and the quality control systems, which are dominant in LTC services, standardise care, tending to put decisions exclusively in hands of staff, taking away residents’ autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people’s participation in at least four respects: (1) prompting and supporting residents’ ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents’ participation in the activities and management of the institution, and (4) guaranteeing residents’ rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.

Falls

2017 ◽  
pp. 373-382
Author(s):  
Clemens Becker ◽  
Jean Woo ◽  
Chris Todd
Keyword(s):  
Older People ◽  
Best Practice ◽  
Long Term Care ◽  
Acute Hospital ◽  
Screening Tools ◽  
Term Care ◽  
Risk Factors For Falls ◽  
Use Of Health Services

Falls are very common among older people, with 30–40% of people aged 65 or over falling each year. Incidence increases with age, is particularly high in residential care settings, and has a considerable burden in terms of morbidity, mortality, use of health services, and reductions in quality of life. In the first section of this chapter we define falls, then review the epidemiology of falls in the community, and acute hospital, residential, and long-term care. We review and identify the major risk factors for falls and the assessment and screening tools used to detect risk and resources of best practice recommendations for clinical practice. In the second section, we provide overviews of best practice in prevention and clinical management, first for older people living independently in the community, then for acute hospital care, and thirdly for residential and long-term care.

Exploring caregivers' perspectives on improving care for older people at the end of life in Thailand

2019 ◽  
Vol 25 (7) ◽  
pp. 326-332
Author(s):  
Kanyanat Supaporn ◽  
Sang-arun Isaramalai ◽  
Wandee Suttharangsee
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
End Of Life ◽  
Care Quality ◽  
Ageing Population ◽  
Home Setting ◽  
Experience Of Care ◽  
Care Recipients ◽  
Care For Older People

Background: Older people in Thailand receive general medical and social care at the end of life, and many rarely access palliative services. In light of this, improving the quality of care for the ageing population relies on addressing the needs of family caregivers, who provide the majority of care in a home setting. Understanding caregivers' perspectives when caring for a friend or relative will help to improve the quality of care that they provide. Aim: To explore caregivers' perspectives on improving care for older people in Thailand in the palliative stage. Methods: A qualitative study using in-depth interviews and observation of 10 older people in the palliative stage and their caregivers was undertaken. Data were analysed using content analysis. Findings: Data analysis revealed three themes: caregivers cared to repay the older person's previous kindness, caregivers cared and changed their caregiving behaviour to minimise the older person's perception of being abandoned or being a burden, and to follow Thai ancestral traditions, so that the older person could die peacefully. Conclusion: This study provides specific instructions for those who provide care for older Thai people in the palliative stage. Finding ways to address caregivers' perspectives on improving care quality could enhance the experience of care recipients.

scholarly journals Visual food diary - peer support and better diet quality

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Puranen ◽  
P Salokekkila ◽  
N Ahlblad-Makinen ◽  
A Haggman-Laitila
Keyword(s):  
Weight Loss ◽  
Waist Circumference ◽  
Weight Management ◽  
Peer Support ◽  
Diet Quality ◽  
Food Diary ◽  
Healthy Life ◽  
One Year ◽  
The One

Abstract Background Healthy Life -groups are targeted to patients with symptoms of metabolic syndrome, problems with coping or overweight at public health centers in Helsinki. The aim of one-year Healthy Life -group is to give support for self-care and empowerment. The groups are generic, and each participant sets her own goal such as smoking cessation, alcohol or weight management. Methods To create opportunities for positive and empowering diet intervention for working aged population, we have started a pilot study with visual food diary (MealLogger). The nutritionist are coaching the three-month-intervention aiming at improving the diet quality. Participants share photos of their meals with each other and receive peer support. Results During years 2016 - 2018, 445 completed the one-year intervention in Healthy Life -groups. The mean decrease of weight loss was 4 kg (n = 222) and decrease of waist circumference 5 cm (n = 57). Conclusions Since the goal for most participants was weight loss, we decided to offer a modern intervention with MealLogger-application. During year 2019 we will complete six groups (about 100 participants) and we will measure participants food quality, weight, waist circumference, quality of life. The results we report in the autumn. Key messages To manage overweight epidemic, new prevention strategies are needed in the primary health care. Visual food diary enables positive and empowering approach to improve died quality and weight management.

Older Drivers and Driving Cessation

2003 ◽  
Vol 66 (3) ◽  
pp. 125-132 ◽  
Author(s):  
Jacki Liddle ◽  
Kryss McKenna
Keyword(s):  
Older People ◽  
Occupational Therapists ◽  
Older Drivers ◽  
Ageing Population ◽  
Driving Cessation ◽  
Research Attention ◽  
Potential Impact ◽  
Life Roles ◽  
Accident Statistics

Driving is a complex and valued instrumental activity of daily living, which is associated with a person's freedom, independence and autonomy. With an ageing population and various cohort effects, the number of older drivers is increasing at a nearly exponential rate. While drivers over the age of 65 years have attracted media and research attention because of accident statistics, research has also begun to focus on the outcomes for older people giving up driving. The outcomes of older people driving or giving up driving need to be considered by occupational therapists because of the potential impact on quality of life, life roles, independence and safety. Occupational therapists must be aware of legislation pertaining to older drivers and health professionals, although this is complicated by the fact that it differs between and within countries. This literature review aims to investigate the issues associated with older drivers and with driving cessation and the implications for occupational therapists.

Health-Related Quality of Life, Gender, and Culture of Older People Users of Health Services in the Multicultural Landscape of the City of Ceuta (Spain)

2016 ◽  
Vol 27 (6) ◽  
pp. 603-610 ◽  
Author(s):  
Maria Milagrosa Olmedo-Alguacil ◽  
Jesús Ramírez-Rodrigo ◽  
Carmen Villaverde-Gutiérrez ◽  
Maria Angeles Sánchez-Caravaca ◽  
Encarnación Aguilar Ferrándiz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Older People ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The City

scholarly journals THE IMPACT OF A PARO INTERVENTION ON DEPRESSION AND WELL-BEING IN OLDER ADULTS WITH DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S341-S341
Author(s):  
Shu-Chuan Chen ◽  
Wendy Moyle ◽  
Cindy Jones
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Older People ◽  
Long Term Care ◽  
Well Being ◽  
World Health ◽  
Term Care ◽  
Care Facilities

Abstract Aim: This study aimed to explore the effect of a social robot Paro intervention on depression and well-being in older adults with depression living in long-term care facilities in Taiwan. Methods: This study was adopted a single group and quasi-experimental with repeated measures design. Each participant participated in two stages: observation and Paro intervention stages. Stage 1 was an 8-week observation stage in long-term care facilities where the purpose was to observe the normal mood, behaviour and activities of older adults with depression. In stage 2, each participant was given a Paro by the researcher to keep for 24 hours for 7 days in for 8 weeks. Outcome measurements were obtained 4 times: a week before the intervention (T1), immediately the end of 8-week observation (T2), mid-point of Paro intervention (T3), and immediately the end of 8-week Paro intervention (T4). Instruments included the Geriatric Depression Scale, the UCLA Loneliness Scale version 3, and the World Health Organization Quality of Life Questionnaire-OLD. Results: There were 20 participants completed the study. The mean age of participants was 81.1years (SD = 8.2). After 8-week Paro intervention, statistically significant differences in changes were found on depression, loneliness, and quality of life from pre-intervention to post-intervention. Conclusion: This study was found that Paro intervention has beneficial effects on depression and mental well-being for older people with depression in long-term care facilities. Paro Intervention might be a suitable psychosocial intervention for older people with depression and should be considered as a useful tool in clinical practice.

scholarly journals Recognizing Physical Activity of Older People from Wearable Sensors and Inconsistent Data

Sensors ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 880 ◽  
Author(s):  
Aimilia Papagiannaki ◽  
Evangelia Zacharaki ◽  
Gerasimos Kalouris ◽  
Spyridon Kalogiannis ◽  
Konstantinos Deltouzos ◽  
...  
Keyword(s):  
Older People ◽  
Predictive Models ◽  
Wearable Sensors ◽  
Sensor Data ◽  
Physiological Monitoring ◽  
Ageing Population ◽  
Post Processing ◽  
Valuable Alternative ◽  
Learning Architectures

The physiological monitoring of older people using wearable sensors has shown great potential in improving their quality of life and preventing undesired events related to their health status. Nevertheless, creating robust predictive models from data collected unobtrusively in home environments can be challenging, especially for vulnerable ageing population. Under that premise, we propose an activity recognition scheme for older people exploiting feature extraction and machine learning, along with heuristic computational solutions to address the challenges due to inconsistent measurements in non-standardized environments. In addition, we compare the customized pipeline with deep learning architectures, such as convolutional neural networks, applied to raw sensor data without any pre- or post-processing adjustments. The results demonstrate that the generalizable deep architectures can compensate for inconsistencies during data acquisition providing a valuable alternative.

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