scholarly journals Issues in the Development of Conversation Dialog for Humanoid Nursing Partner Robots in Long-Term Care

2021 ◽  
Author(s):  
Tetsuya Tanioka ◽  
Feni Betriana ◽  
Ryuichi Tanioka ◽  
Yuki Oobayashi ◽  
Kazuyuki Matsumoto ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Older People ◽  
Long Term Care ◽  
Active Role ◽  
Degree Of Freedom ◽  
High Quality ◽  
Term Care ◽  
Intelligent Robots ◽  
Robot Communication

The purpose of this chapter is to explore the issues of development of conversational dialog of robots for nursing, especially for long-term care, and to forecast humanoid nursing partner robots (HNRs) introduced into clinical practice. In order to satisfy the required performance of HNRs, it is important that anthropomorphic robots act with high-quality conversational dialogic functions. As for its hardware, by allowing independent range of action and degree of freedom, the burden of quality exerted in human-robot communication is reduced, thereby unburdening nurses and professional caregivers. Furthermore, it is critical to develop a friendlier type of robot by equipping it with non-verbal emotive expressions that older people can perceive. If these functions are conjoined, anthropomorphic intelligent robots will serve as possible instructors, particularly for rehabilitation and recreation activities of older people. In this way, more than ever before, the HNRs will play an active role in healthcare and in the welfare fields.

scholarly journals Do home-based exercise interventions improve outcomes for frail older people? Findings from a systematic review

2011 ◽  
Vol 22 (1) ◽  
pp. 68-78 ◽  
Author(s):  
Andrew P Clegg ◽  
Sally E Barber ◽  
John B Young ◽  
Anne Forster ◽  
Steve J Iliffe
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Frail Older People ◽  
High Quality ◽  
Term Care ◽  
Exercise Interventions ◽  
Home Based ◽  
Secondary Outcomes

SummaryFrailty is common in older age, and is associated with important adverse health outcomes, including increased risk of disability and long-term care admission.This study aims to evaluate whether home-based exercise interventions improve outcomes for frail older people.We searched systematically for randomized controlled trials (RCTs) and cluster RCTs, with literature searching to February 2010.All trials that evaluated home-based exercise interventions for frail older people were eligible. Primary outcomes were mobility, quality of life and daily living activities. Secondary outcomes included long-term care admission and hospitalization.Six RCTs involving 987 participants met the inclusion criteria. Four trials were considered of high quality. One high-quality trial reported improved disability in those with moderate but not severe frailty. Meta-analysis of long-term care admission rates identified a trend towards reduced risk. Inconsistent effects on other primary and secondary outcomes were reported in the other studies.There is preliminary evidence that home-based exercise interventions may improve disability in older people with moderate, but not severe, frailty. There is considerable uncertainty regarding effects on important outcomes including quality of life and long-term care admission. Home-based exercises are a potentially simple, safe and widely applicable intervention to prevent dependency decline for frail older people.

scholarly journals Association between multimorbidity patterns and disability among older people covered by long-term care insurance in Shanghai, China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zijing Wang ◽  
Wenjia Peng ◽  
Mengying Li ◽  
Xinghui Li ◽  
Tingting Yang ◽  
...  
Keyword(s):  
Older People ◽  
Functional Disability ◽  
Long Term Care ◽  
Strong Association ◽  
Binary Logistic Regression ◽  
Term Care ◽  
Logistic Regression Models ◽  
Disease Pattern ◽  
Long Term Care Insurance

Abstract Background Functional disability and multimorbidity are common among older people. However, little is known about the relationship between functional disability and different multimorbidity combinations. We aimed to identify multimorbidity patterns and explore the associations between these patterns and functional disability. Methods We investigated a multi-stage random sample of 1871 participants aged ≥60 years and covered by long-term care insurance in Shanghai, China. Multimorbidity was defined as the simultaneous presence of two or more chronic diseases in an individual. Participants completed scales to assess basic and instrumental activities of daily living (BADL and IADL, respectively). Multimorbidity patterns were identified via exploratory factor analysis. Binary logistic regression models were used to determine adjusted associations between functional disability and number and patterns of multimorbidity. Results Multimorbidity was present in 74.3% of participants. The prevalence of BADL disability was 50.7% and that of IADL disability was 90.7%. There was a strong association between multimorbidity and disability. We identified three multimorbidity patterns: musculoskeletal, cardio-metabolic, and mental-degenerative diseases. The cardio-metabolic disease pattern was associated with both BADL (OR 1.28, 95%CI 1.16–1.41) and IADL (OR 1.41, 95%CI 1.19–1.68) disability. The mental-degenerative disease pattern was associated with BADL disability (OR 1.55, 95%CI 1.40–1.72). Conclusions Multimorbidity and functional disability are highly prevalent among older people covered by long-term care insurance in Shanghai, and distinct multimorbidity patterns are differentially associated with functional disability. Appropriate long-term healthcare and prevention strategies for older people may help reduce multimorbidity, maintain functional ability, and improve health-related quality of life.

scholarly journals Mapping Research Conducted on Long-Term Care Facilities for Older People in Brazil: A Scoping Review

2021 ◽  
Vol 18 (4) ◽  
pp. 1522
Author(s):  
Patrick Alexander Wachholz ◽  
Deborah Cristina De Oliveira ◽  
Kathryn Hinsliff-Smith ◽  
Reena Devi ◽  
Paulo José Fortes Villas Boas ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Older People ◽  
Study Design ◽  
Scoping Review ◽  
Long Term Care ◽  
Assessment Tools ◽  
Small Scale ◽  
Term Care ◽  
Care Facilities

This scoping review aimed to explore the characteristics, strengths, and gaps in research conducted in Brazilian long-term care facilities (LTCFs) for older adults. Electronic searches investigating the residents (≥60 years old), their families, and the LTCF workforce in Brazil were conducted in Medline, EMBASE, LILACS, and Google Scholar, within the timescale of 1999 to 2018, limited to English, Portuguese, or Spanish. The reference lists were hand searched for additional papers. The Mixed Methods Appraisal Tool (MMAT) was used for critical appraisal of evidence. Data were reported descriptively considering the study design, using content analysis: 327 studies were included (n = 159 quantitative non-randomized, n = 82 quantitative descriptive, n = 67 qualitative, n = 11 mixed methods, n = 6 randomized controlled trials, and n = 2 translation of assessment tools). Regardless of the study design, most were conducted in a single LTCF (45.8%), in urban locations (84.3%), and in non-profit settings (38.7%). The randomized trials and descriptive studies presented the lowest methodological quality based on the MMAT. This is the first review to provide an overview of research on LTCFs for older people in Brazil. It illustrates an excess of small-scale, predominantly qualitative papers, many of which are reported in ways that do not allow the quality of the work to be assured.

Informal caregiving for frail older people at home and in long-term care institutions: who are the key supporters?

1999 ◽  
Vol 7 (6) ◽  
pp. 434-444 ◽  
Author(s):  
◽  
John Bond ◽  
Graham Farrow ◽  
Barbara A. Gregson ◽  
Claire Bamford ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Informal Caregiving ◽  
Frail Older People ◽  
Term Care ◽  
At Home
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