Long-term care in an aging society: theory and practice

2016 ◽  
Vol 53 (10) ◽  
pp. 53-4395-53-4395
Keyword(s):  
Long Term Care ◽  
Theory And Practice ◽  
Term Care ◽  
Aging Society

Developing a Rule-Based Expert System to Infer Customized Care Plans for Long Term Care Patients

2021 ◽  
Author(s):  
Chih-Hsuan Yeh ◽  
Chiao-Ling Hsu ◽  
Polan Chang
Keyword(s):  
Expert System ◽  
Long Term Care ◽  
Health Providers ◽  
Term Care ◽  
Rule Based ◽  
Care Plans ◽  
Aging Society ◽  
Increasing Demand

Systems of long-term care are needed in aging society to meet the needs of older people. In rapidly increasing demand for long-term care, how to ensure the quality of long-term care is an important issue. Therefore, we designed a rule-based expert system that automatically generates customized care plans based on the assessment results. Aims to provide health providers a useful tool in long term patients management.

scholarly journals INTEREST GROUP SESSION—INTERNATIONAL AGING AND MIGRATION: AGING SOCIETY: INDIVIDUAL, FAMILY, AND COMMUNITY COLLABORATION FROM A GLOBAL PERSPECTIVE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S375-S375
Author(s):  
Noriko Toyokawa ◽  
Vivian W Lou
Keyword(s):  
Social Sciences ◽  
Older People ◽  
Long Term Care ◽  
Mexican Immigrants ◽  
Term Care ◽  
International Convention ◽  
Older Immigrants ◽  
Aging Society

Abstract The purpose of this symposium is two-fold: (1) to promote mutual understanding and communication regarding the long-term caregiving plans for older immigrants/refugees between policymakers and researchers in the fields of behavioral and social sciences and (2) to discuss the needs for connecting local needs of older immigrants/refugees and their families with a global plan for aging society. The symposium is structured by three empirical studies on older adults and their caregivers by behavioral and social sciences researchers, followed by a presentation of the needs for an international convention on the rights of older people by an advocate in the global network to promote older people’s health. Miyawaki and colleagues focus on the residential status quo, family relations, and prevalence of chronic diseases among older Vietnamese refugees in Houston, TX, U.S.A. Liu’s qualitative study on Taiwanese professional caregivers’ perceptions of clients in adult daycare services reveals the relation between staff’s negative image of aging and their practice. Toyokawa conceptualizes middle-aged Mexican immigrants’ sense of family obligation, as their obligation for reducing children’s caregiving burden and the endorsement predicts their well-being. Three presenters point out the need for standards for basic needs of refugees/immigrants, staff training, and the quality of long-term care, and discuss the meaning of culturally sensitive support based on their studies. Finally, Marumoto advocates the need for an international convention of the rights of older people and standardization of the quality of long-term care. Specific approaches to ‘harness the network’ between local and global efforts are discussed.

scholarly journals Developing and Managing Health Systems and Organizations for an Aging Society

2021 ◽  
pp. 244-250
Author(s):  
Ana Filipa Ramos ◽  
César Fonseca ◽  
Adriana Henriques
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Health Service ◽  
Long Term Care ◽  
Nursing Profession ◽  
Central Issue ◽  
Care Needs ◽  
Term Care ◽  
Aging Society

With the worldwide trend towards aging and increasing numbers of chronic diseases, the promotion of self-care as a central issue in public health is a necessity. Recently, several international entities recommend that the nursing profession rethink its focus of intervention and maximize the relevance attributed to fundamental and long-term care. The implementation of fundamental care has been associated with improved of health service security, reduced mortality rate, and hospital readmission. At the same time, for an appropriate response of the health system, it is crucial to know the care needs of people aged 65 and over, which can be met by the analysis of electronic health records.

scholarly journals Exploring work engagement in the context of person-centred practices: a qualitative study in municipal long-term care facilities for older people

2021 ◽  
Vol 11 (2) ◽  
pp. 1-17
Author(s):  
Hilde Hovda Midje ◽  
◽  
Kjell Ivar Øvergård ◽  
Steffen Torp ◽  
◽  
...  
Keyword(s):  
Older People ◽  
Work Engagement ◽  
Social Group ◽  
Group Process ◽  
Long Term Care ◽  
Theory And Practice ◽  
Meaning Of Work ◽  
Term Care ◽  
Healthcare Facilities

Background: To provide high-quality and cost-effective person-centred care, organisations need employees who are committed to perform at their best. Employee work engagement, defined as a positive, fulfilling approach to work, is known to correlate favourably with employee wellbeing and performance and with the service climate. Extended understanding about the meaning of work engagement can promote the development of environments that are both conducive to person-centred practices and good places to work. Aim: To explore the meaning of work engagement in the context of person-centred practices in municipal healthcare facilities for older people. Methods: A total of 16 individual interviews were conducted with a purposive sample of registered nurses and nursing assistants working in municipal healthcare facilities for older people in Norway. Data were analysed using a stepwise-deductive-inductive approach. Findings were generated inductively from the themes that emerged in the interviews and were later reflected on in relation to both theory and practice. Findings: Work engagement is manifest at individual and collective levels, involving intrapersonal, interpersonal and social/group components. Engagement is experienced as contributing to employee work capacity and team effectiveness with respect to person-centred processes. Conclusion: At individual, collective and environmental levels, employee engagement facilitates the development of person-centred practices in organisations providing long-term care for older people, to the benefit of residents and staff. Implications for practice: • Work engagement should be recognised as a condition that fosters employees’ ability and willingness to suspend judgment and appreciate the service user’s perspective • Individual-level engagement is contagious, facilitating development of supportive work environments, which, in turn, enables person-centred practices • Engagement should be approached simultaneously as an intrapersonal, interpersonal, and social/group process, with individual- and group-level outcomes

scholarly journals 老齡化背景下長期照護的現實選擇: 基於儒家倫理觀的思考

2010 ◽  
Vol 8 (2) ◽  
pp. 47-56
Author(s):  
Lanshu JIANG ◽  
Ling ZHOU ◽  
Ran REN
Keyword(s):  
Elderly People ◽  
Filial Piety ◽  
Long Term Care ◽  
Living Environment ◽  
Term Care ◽  
Elderly Parents ◽  
Aging Society ◽  
Confucian Virtue ◽  
The Government

LANGUAGE NOTE | Document text in Chinese; abstract also in English.中國邁入老齡化國家之後，失能老人的長期照護將會成為未來養老問題中的難點。失能老人作為病患的權利需要靠社會的福利制度來得以維繫，這在目前中國福利制度仍未十分健全的情況下是很難實現的。本文將通過對中國儒家倫理觀的思考，吸取其精華，探索老齡化背景下符合中國國情的長期照護發展之路。According to the standard set by the United Nations, if more than 10% of the population of a society is over 60 years old, then that society qualifies as an aging society. This means that China has been an aging society since 2000. Currently, China has one hundred and forty-nine million people over 60 years old, of which more than thirty million require long-term care to various degrees. 8% of elderly rural Chinese are unable to afford institutional long-term care, even if such institutional care is available. Obviously, China faces grave challenges in providing long-term care for its ever-increasing elderly population.Unfortunately, Chinese bioethics has failed to conduct careful research on these challenges to develop appropriate Chinese public policy on long-term care. This essay offers a Confucian ethical approach to the issue and proposes a series of policy recommendations framed in terms of Confucian ethical concerns. As is well known, Confucian ethics places great emphasis on the virtue of filial piety (xiao) on the part of children, who are expected to respect and take care of their elderly parents. It is the Confucian view that elderly people should, insofar as is possible, live at home, with the assistance of their children, and lead their elderly lives among their children and grandchildren. Living in an institution with other elderly people is not considered a normal, much less ideal, human living environment. This essay argues that this Confucian value should be preserved in contemporary Chinese society. This requires proper policy formulation and governmental contributions. First, in moral education, the Confucian virtue of filial piety and familial interdependence, rather than individual independence, should be promoted. Second, the government should provide financial incentives and awards to children who choose to stay home to take care of their elderly parents or grandparents. Finally, based on the Confucian virtue of beneficence (ren), the government should offer special assistance to families with seriously disabled elderly members. People should also be encouraged to organize volunteer groups to offer help to needy families. In short, the Confucian moral principle of reciprocity (“do not impose on others what you would not want others to do to you”) suggests that if we do not want to be abandoned by our children and by society when we become old, it is high time for us to act and set appropriate long-term policies.DOWNLOAD HISTORY | This article has been downloaded 935 times in Digital Commons before migrating into this platform.

scholarly journals Establishing Core Competencies and a Professional Curriculum For The Care Service Department in Vocational High Schools in Taiwan

2021 ◽  
Author(s):  
Nan-Chen Hsieh ◽  
Shu-Fang Vivienne Wu ◽  
Juin-Ming Tsai ◽  
Li-Ju Lin ◽  
Juo-Hsiang Sun
Keyword(s):  
High Schools ◽  
Long Term Care ◽  
Care Service ◽  
Core Competencies ◽  
Term Care ◽  
The Core ◽  
Aging Society ◽  
Service Department ◽  
Vocational High Schools

Abstract Background In response to the emergence of the aging society, the vocational high school education system in Taiwan has established the care service department since 2018. The purpose of this study was to develop core competencies and a professional curriculum for the care service department in vocational high schools. Methods This qualitative study enrolled experts and scholars in the field of long-term care as subjects. First, this study invited 20 experts and scholars to take part in a focus group to collect suggestions as the basis for the development of core competencies and a curriculum. Second, this study invited 10 experts and scholars to participate in three rounds of a Delphi survey to evaluate the planning for the development of core competencies and a curriculum that meet educational needs. Results In this study, we identified eight core competency constructs (interpersonal communication, care, creativity and execution, professional care, patient safety and care, resource connection and application, problem-solving and improvisation, and adherence to a professional code of conduct and ethics) and 15 indicators across two dimensions (general competencies and professional competencies) relating to the care services taught in vocational high schools. We then designed 26 professional subjects according to the core competencies. Conclusions In the past, the core competencies required for providing long-term care could only be cultivated in universities. In response, the Taiwanese government has promoted the cultivation of caregivers in high school, encouraging vocational high schools to establish care service departments and learning pathways to meet long-term care demands in Taiwan, overturn the stereotype that long-term care is an unspecialized profession, and enhance the willingness of young adults to work in the long-term care industry. To foster students’ professional competencies, we identified the core competencies for long-term care service education and devised a professional curriculum to foster the skills and knowledge among students that are required for successfully meeting the care needs of a rapidly aging society through work in the long-term care industry after graduation.

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