scholarly journals Intermediate care

2013 ◽  
pp. 57-62
Author(s):  
Afro Salsi ◽  
Pietro Calogero
Keyword(s):  
Older People ◽  
Residential Care ◽  
Care Service ◽  
The Elderly ◽  
Early Discharge ◽  
Favourable Outcome ◽  
Intermediate Care ◽  
Patient Centered ◽  
Multidimensional Assessment ◽  
The Individual

Background: In most cases intermediate care is represented by a residential care service that faces needs of people, mainly older people, between discharge from the hospital and the return to home. Discussion: Some authors have a negative opinion of this system due to the risk of omission of care and malpractice for the elderly as a consequence of early discharge from the hospital. There are different models of implementation based on the resources locally available and on the particular facilities network. Conclusion: The multidimensional assessment of clinical, functional and social problems is the key for a favourable outcome of intermediate care. If appropriately built as organisational care, intermediate care can become a positive chance for patients’ health. The key for success is to operate in a patient-centered mode, by accurately defining the individual plan of care.

scholarly journals Godność, codzienność, wsparcie osób starszych z niepełnosprawnością

2018 ◽  
pp. 19-30
Author(s):  
BERNADETA SZCZUPAŁ
Keyword(s):  
Life Expectancy ◽  
Older People ◽  
Everyday Life ◽  
Life Support ◽  
People With Disabilities ◽  
The Elderly ◽  
Social Aspects ◽  
The Individual ◽  
Theoretical Issues ◽  
Life Phenomenon

Bernadeta Szczupał, Dignity, everyday life, support for seniors with disabilities, Interdisciplinary Contexts of Special Pedagogy, No. 22, Poznań 2018. Pp. 15–26. Adam Mickiewicz University Press. ISSN 2300-391X. DOI: https://doi.org/10.14746/ikps.2018.22.02 The process of ageing is an inevitable life phenomenon in both the individual and social aspects. With the growing life expectancy of humans, the way of living in the old age becomes a challenge in the context of respect for the dignity of the elderly. In this article, I present selected theoretical issues concerning the sense of dignity, everyday life and helplessness of elderly people with disabilities, which is unfortunately often associated with it. I also show the complexity of contemporary problems and expectations and the challenges faced by older people with disabilities.

Vouchers and Consumer-Directed Care: Implications for Community Care Services in Hong Kong

2020 ◽  
Author(s):  
Wing Shan Kan ◽  
Ernest Chui
Keyword(s):  
Hong Kong ◽  
Older People ◽  
Social Services ◽  
Community Care ◽  
Care Service ◽  
The Elderly ◽  
Structured Interview ◽  
Management Approach ◽  
Interview Method ◽  
Care Services

Abstract There has been considerable interest in the concept of consumer-directed care (CDC) for ageing populations. One type of CDC employs vouchers that older people can use to procure a panel of social services that best fits their needs. The voucher-based strategy has been institutionalised in Hong Kong as the Community Care Service Voucher for the Elderly (CCSV). Using a qualitative, semi-structured interview method, researchers probed the experiences of two groups (twenty-six CCSV users and twenty-seven CCSV non-users) with the voucher programme between March 2014 and September 2015 during the first phase of CCSV. The interviews revealed a set of social and institutional supports needed to empower clients to effectively utilise the voucher. These supports (or forms of capital) were consistently present amongst active CCSV users and deficient amongst non-users. The research demonstrates that instituting a voucher does not, by itself, lead to optimised choices but, rather, that a network of institutional and social resources must be assembled in support of the voucher programme. In some instances, a case management approach may be needed, as older people (and family) need to combine different forms of institutional and social support to comprehend the voucher programme and utilise it for their particular needs.

scholarly journals Institutul Național de Cercetări Economice, Chișinău, Republica Moldova

2021 ◽  
Vol 32 (2) ◽  
Author(s):  
Mariana Buciuceanu-Vrabie ◽  
Tatiana Tabac
Keyword(s):  
Qualitative Study ◽  
Older People ◽  
Social Services ◽  
Social Impact ◽  
The Elderly ◽  
Community Level ◽  
Social Risks ◽  
Increased Risk ◽  
The Social ◽  
The Individual

Articolul se focusează pe evaluarea situației persoanelor în vârstă din Republica Moldova în contextul pandemiei COVID-19. Prin diagnosticarea socială a deschiderii structurale, instituționale, comunitare și inter-generaționale la nevoile acestei categorii de populație, se evidențiază provocările pandemice cu care aceasta se confruntă. Metodologia cercetării are la bază rezultatele studiului calitativ, realizat în lunile august−septembrie 2020 și aprilie−mai 2021 cu persoanele vârstnice, reprezentanții administrației publice locale și asistenții sociali. Prin constatări argumentate empiric, în articol sunt actualizate principalele dificultăți parvenite în contextul pandemiei și profunzimea impactului social asupra persoanelor în vârstă la nivel comunitar. Pe lângă riscul direct asupra stării de sănătate fizică, excluderea și discriminarea persoanelor în vârstă s-a accentuat în timpul pandemiei COVID-19, s-a evidențiat riscul sporit de violență și neglijare, și cazurile de stigmatizare la nivel comunitar. Resursele individuale/ familiale ale persoanelor vârstnice, în special în cazul infectării cu COVID-19 și a tratamentului, au jucat un rol important în depășirea crizei. Consecințele COVID-19 se asociază cu agravarea stării de sănătate a persoanelor vârstnice și creșterea necesarului de în servicii medicale. Atitudinile „age-iste” au loc și în perioada după carantină, subminând drepturile persoanelor vârstnice la servicii de calitate. Astfel, se accentuează necesitatea monitorizării continue a situației și combaterii atitudinilor „age-iste” în perioada post pandemie. Cuvinte-cheie: COVID-19; populația în vârstă; studiul calitativ; riscuri sociale; accesul la serviciile sociale; izolare, violență. ●●●●● The paper focuses on assessing the situation of older persons in the Republic of Moldova, in the context of the COVID-19 pandemic. The social diagnosis of the structural, institutional, community and intergenerational openness to the needs of this category of population highlights the pandemic challenges it faces. The methodology of the study is based on the results of the qualitative study conducted in August−September 2020 and April−May 2021 with the older people, local public administration and social workers. Through empirically reasoned findings, the paper updates the main difficulties encountered in the context of the pandemic and the depth of the social impact on the older people at community level. In addition to the direct risk to physical health, the exclusion and discrimination of the older people increased during the COVID-19 pandemic, there has been an increased risk of violence and neglect, and cases of stigma at community level. The individual/family resources of the older people, especially in the case of COVID-19 infection and treatment, have played an important role in overcoming the crisis. The consequences of COVID-19 are associated with a worsening of the health of the elderly and an increase in the need for medical services. “Ageist” attitudes also occurred in the post-quarantine period, undermining the rights of older people to quality services. Thus, the need for continuous monitoring of the situation and combating "ageist" attitudes in the post-pandemic period is emphasized. Keywords: COVID-19, older adults, qualitative study, social risks, access to social services, isolation, violence.

Problems encountered by elders in residential care services in Hong Kong

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Gigi Lam
Keyword(s):  
Hong Kong ◽  
Residential Care ◽  
Care Service ◽  
Aging In Place ◽  
The Elderly ◽  
Home Care Services ◽  
Content Type ◽  
Care Services ◽  
Homes For The Elderly

PurposeHong Kong implements a policy for the aging population involving the core themes of “aging in place as the core,” “institutional care as backup” and “continuum of care.” Encouraging elders to live independently at home is a top priority, and elders who are not able to live at home independently are provided with various residential care services, namely Hostels for the Elderly, Homes for the Aged, Care and Attention (C&A) Homes for the Elderly and Nursing Homes (NHs). The purpose of this paper is to analyze the adoption of the publicly funded model of providing residential care services of elderly in Hong Kong.Design/methodology/approachThe paper analyzes the current conundrum encountered by elders in residential care services and makes recommendations. A comprehensive literature review was conducted covering relevant government reports, academics' journal papers and nongovernmental organizations’ reports concerning residential care service of elderly from 1965 to present.FindingsSubsidized residential care homes for the elderly (RCHEs) clearly outperform private RCHEs in terms of space and staff provisions, but the supply of subsidized RCHEs cannot meet the demand. Hence, between 2007 and 2018, the average waiting time was 33 months for NHs and that for C&A homes was 23 months. Several viable measures to meet the demand are purchasing Enhanced Bought Place Schemes (EBPSs) from private RCHEs, subsidizing elders who opt for living in private RCHEs by providing them with Comprehensive Social Security Assistance (CSSA) and residential care service voucher (RCSV) and subsidizing elderly applicants who opt for living in RCHEs in Guangdong. However, these viable measures are problematic because of the inadequate quality of EBPSs and private RCHEs, which is attributed to the costing arrangement of public and private RCHEs that were established in the colonial period. The brief history of RCHEs also indicates a deviation from the original policy aim, namely aging in place, which was introduced in the Green Paper on Services for the Elderly in 1977.Practical implicationsThe supply and quality of community and home care services should be thoroughly examined; effective community and home care services can prevent and even delay unnecessary institutionalization. Another complementary solution is to devise a long-term plan for residential care services. To address disparities in quality standards in different RCHEs, adopting the combination of punitive and compliance models such as conducting frequent inspections and implementing an accreditation system for private RCHEs is imperative.Originality/valueAlthough the principle of “aging in place” originated in 1977, the institutionalization rate 6.8% of elders was unexpectedly high in Hong Kong and even surpassed the Asian counterparts. It necessities to rethink how to implement policy concerning long-term care services of elders.

scholarly journals Individual and Contextual Determinants of Social Homecare Usage in Slovenia/ Dispozicijski In Kontekstualni Dejavniki Uporabe Socialne Oskrbe Na Domu

2014 ◽  
Vol 53 (4) ◽  
pp. 311-317 ◽  
Author(s):  
Valentina Hlebec
Keyword(s):  
Older People ◽  
Informal Care ◽  
Universal Access ◽  
Contextual Factors ◽  
Behavioral Model ◽  
The Elderly ◽  
Individual Level ◽  
Contextual Determinants ◽  
The Individual ◽  
High Level

Abstract Theory. Social homecare is important for older people, as it enables them to remain in their own homes during worsening health, thus relieving the burden on institutional facilities such as homes for the elderly or nursing homes and hospitals. Method. A representative survey of social homecare users was employed to assess determinants of the scope of social homecare in Slovenia. Multiple regression analysis was used to evaluate determinants defined by Andersen’s behavioral model that affect the scope of social homecare. Results. As expected, need (Functional impairment B = .378, P = 0.000) was the most important explanatory component, followed by availability of informal care network (Lives alone B = -.136, P = 0.000; Has children B = - .142; P = 0.000) and other contextual factors such as total costs of the services (B = -.075; P = 0.003) and temporal availability of services (B=-.075, P=0.012). The model explained 18% of variability in the scope of social homecare. Conclusion. This study showed that data on the individual level, as opposed to data on an aggregated level, show different determinants of social homecare utilization. Moreover, the results showed that social homecare is especially important in two circumstances: when older people have a high level of need and when they do not have access to informal care networks. Contextual factors had a moderate effect on the scope of social homecare, which shows universal access to the latter at the individual level.

scholarly journals Rehabilitation of the elderly patients after pneumonia caused by SARS-COV-2: the continuity of inpatient and outpatient stages

2021 ◽  
pp. 327-332
Author(s):  
V. N. Larina ◽  
D. G. Karpenko ◽  
S. S. Soloviyev ◽  
E. N. Sheregova
Keyword(s):  
Older People ◽  
Older Patients ◽  
Treatment Plan ◽  
The Elderly ◽  
Individual Characteristics ◽  
Steady Increase ◽  
Comprehensive Treatment ◽  
Functional Impairments ◽  
Number Of Patients ◽  
The Individual

Relevance: the steady increase in the number of patients with respiratory diseases caused by the new SARS-CoV-2 coronavirus, among which pneumonia accounts for up to 22%, creates global problems associated with the treatment of patients and their subsequent rehabilitation. The insufficiently understood long-term consequences of COVID-19 in combination with concomitant chronic diseases and geriatric syndromes require special tactics of rehabilitation, observation and treatment of older people, including remotely. Aim: to present up-to-date data on the feasibility, efficacy and safety of approaches to the rehabilitation of older patients after pneumonia caused by SARS-CoV-2 Material and Methods: the analysis of modern domestic and foreign literature on the rehabilitation of older patients after pneumonia caused by SARS-CoV-2 was carried out, the experience of organizing rehabilitation in real clinical practice was studied, taking into account the continuity of the inpatient and abulatory stages of rehabilitation. Results: the most promising for respiratory rehabilitation are the first two months after the acute period of coronavirus infection. The priority goals of providing medical care to older people within the framework of rehabilitation are to prevent or slow down functional impairments, helplessness, disability, maintain mobility and maintain mental health. Conclusion: rehabilitation of older patients at the outpatient stage after suffering from COVID-19 should begin, if possible, as early as possible. A thorough assessment of the clinical and functional status and a comprehensive treatment plan, which focuses on functional activity and return to participation in the life of society, depending on the individual characteristics of the person and the volume of medical services, will help each patient to maximize their condition and quality of life.

scholarly journals Needs of Older People Attending Day Care Centres in Poland

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 310
Author(s):  
Justyna Mazurek ◽  
Dorota Szcześniak ◽  
Elżbieta Trypka ◽  
Katarzyna Małgorzata Lion ◽  
Renata Wallner ◽  
...  
Keyword(s):  
Older People ◽  
Day Care ◽  
Care Service ◽  
Social Activity ◽  
The Elderly ◽  
Quality Improvement Process ◽  
Care Services ◽  
Home Based ◽  
Day Care Centres ◽  
Home Based Care

Introduction: Day care centres (DCC) aim to support older adults living in their own homes by providing a variety of activities to promote the independence of those people and reduce the caregiver’s burden. In Poland, there are no standards for providing this form of care. The provided care is delivered by different organisations, and there is a lack of quality control in the majority of places. Regrettably, in Poland, there is a paucity of research on the holistic needs of the elderly attending DCC. Aim of this study: This is the first study which has aimed to identify the Polish day care centres attendees’ needs to ensure that the increasing number of older people receive the best possible care, and as a part of the quality improvement process for recommendation development of the new day care services model in Poland within the ‘Homely Marina’ project. Methods and Materials: A representative sample (n = 269) was randomly selected from day care centres attendees (estimated as 10,688) in Poland. An anonymous survey for the assessment of needs was developed by the authors. Results: The respondents assessed the level of provided services as very good or good. Best rated services included meals, supportive and welfare services (occupational therapy, music therapy, art therapy, cognitive training). Almost half of the participants indicated the need for company as the main reason to attend a DCC. This research reveals a lack of support with regard to additional staff: e.g., a nurse. Conclusions: In Poland, the services offered in DCC should focus on social isolation and sense of loneliness prevention, and maintenance of social activity of the elderly. The presented analysis of needs in Polish day care centres suggests a need for changes which may improve the quality of services. There is a great need to find a balance between home-based care and in-patient care, using better integration of available services and strengthening support for informal caregivers. Robust research with a collection of meaningful outcomes is required to ensure that in Poland, the increasing number of older people is enabled to access high-quality day care service provision.

scholarly journals THE CARING CULTURE FOR OLDER PEOPLE IN THE 21ST CENTURY

2018 ◽  
Vol 10 (1) ◽  
pp. 77-84
Author(s):  
Daisy R. Palompon
Keyword(s):  
Older People ◽  
Participant Observation ◽  
Study Participant ◽  
The Elderly ◽  
Natural Setting ◽  
Care Providers ◽  
Social Psychological ◽  
The One ◽  
The Individual ◽  
Care Culture

A study of the culture and environment of caring among older people care providers including the policies and its interplay in the process of delivering care was conducted to develop an older people care culture theory. This study utilized focused ethnography which involves generating data by observing participants and the structure of an older people health facility in their natural setting. Administrative consent as well as individual participants’ informed consent was acquired prior to the start of the study. Participant observation, dialogue and interview were utilized by the researcher and the research participants. Data analysis was done using the observations and dialogues on the caring governance which were transcribed in the individual journals of the researchers using NVIVO 11.Four major themes were generated: nurturing environment, flourishing milieu, thriving abode and unifying care. The elderly caring structure focused on the growth and empowerment of the older persons despite their limitations. These processes are developed through a nurturing-flourishing-thriving-unifying environment. An eclectic combination and complementary relationship between the physic-social-psychological-spiritual components of the care provider, venue of care and the one cared for provides a focus on the support for the caring culture of older people.

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