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The elderly and a remote home care: The case of Slovenia
Kerbler Bo?tjan
Stanovni?tvo , 2013, DOI: 10.2298/stnv1301023k
Abstract: Due to increasing ageing, western countries are facing an increase in financial needs to provide suitable healthcare, social care and housing for the elderly. One of society’s responses to these issues is the idea of moving elder-care activities to their living environments. This can be achieved with the help of information and communication technologies (ICT) by which home care could be provided remotely. However, the findings of various authors suggest that elderly people have mostly negative attitudes towards a remote home care. In order to determine the views of the elderly towards this service in Slovenia, a survey was conducted, the results of which are discussed in this article. Contrary to our assumption, it turned out that elderly people have positive attitudes towards remote home care. This was attributed to effectively informing respondents and increasing their understanding of the operation and usability of the service. Raising the awareness of potential users is therefore crucial for its acceptance in a society.
Guidelines for family caregivers of elderly dependent to at home care.
Neusa Maria Azevedo,Fatima Helena Espirito Santo
Online Brazilian Journal of Nursing , 2009,
Abstract: The currently growth of Brazilian population has caused profound changes in social, political, economic, health system, and family relationships. The family is the focus of attention of the nurse education, representing a link between the elderly and the health service to take care in your home. The aim of this study is to identify which guidelines would be provided to elderly dependent-at-home's family caregivers; describe the daily care of the family home to the elderly. It will be expected to contribute to the systematization of guidelines for family caregivers of dependent-at-home elderly; promoting to client a better care and broadening nurses's scope of work for improvement in efficiency and quality of its services. This study is the project of professional master of nursing care of Federal Fluminense University of Rio de Janeiro, Brasil. Qualitative study with case management; For data collecting it was used techniques such as participant observation and semi structured interviews with elderly people participant in the program of home hospitalization at a general public hospital of Rio de Janeiro. The data information will be submitted to content analysis and further discussion in the light of authors who approach the subject.
Evaluation of Supervision Practice of the Social Services provided to Elderly in Home Care Centre
Postmodern Openings , 2010,
Abstract: In this paper we propose to explore and analyze the social services offered to elderly in Home Care Centre. An important role is overseeing the proposal of the supervision process into the centre, for improving the quality of the services provided to beneficiaries. Attention will be placed also to a number of skills and qualities that a successful supervisor need to have. The main data from this research have been acquired by the application of qualitative research techniques such as: interview, focus group and “observer participant” tehnique. Also we will offer a series of recommendations for the supervisors that works along with social workers in providing quality services to elderly.
Swedish advanced home care: organizational structure and implications of adopting this care model in Brazilian health care system
Perroca, Marcia Galan;Ek, Anna-Christina;
Revista Latino-Americana de Enfermagem , 2004, DOI: 10.1590/S0104-11692004000600002
Abstract: the purpose of this paper was to describe the organization of the advanced home care program provided in a region of sweden and to discuss some benefits and implications of this model adoption in brazilian settings. data triangulation as interview, observation and questionnaire was used. thirty two professionals participated in this study. the organizational structure, working method, home visits, and related health resources were described. the investigated model presented both clear effectiveness and versatility; therefore feasible to be adopted in brazilian settings improving their population health care. doubtless, the improvement of life quality and security are the best benefits this model of care can provide.
Relationship between home care service use and changes in the care needs level of Japanese elderly
Gohei Kato, Nanako Tamiya, Masayo Kashiwagi, Mikiya Sato, Hideto Takahashi
BMC Geriatrics , 2009, DOI: 10.1186/1471-2318-9-58
Abstract: The participants included 624 of a total of 1,474 users of LTCI services in one city in Japan. Home care service users were stratified into a 'lower care needs level subgroup' and a 'higher care needs level subgroup' based on the baseline care needs level. Simple statistical comparison and multiple logistic regression analyses in which the change in care needs level was set as a dependent variable were performed. Gender, age, and baseline care needs level were designated as control variables. Home based services were treated as independent variables. In this study, home care services consisted of home help, home bathing services, a visiting nurse, home rehabilitation, nursing home daycare, health daycare, loan of medical devices, respite stay in a nursing home, respite stay in a health care facility, respite stay in a sanatorium-type medical care facility, and medical management by a physician.In the lower care needs level subgroup, age (OR = 1.04, CI, 1.01-1.08), use of respite stay in a nursing home (OR = 2.55; CI, 1.43-4.56), and the number of types of long-term care services (OR = 1.33; CI, 1.02-1.74) used during an 11 month period were significantly related to a deterioration of the user's care needs level. In the higher care needs level subgroup, use of medical management by a physician (OR = 6.99; CI, 1.42-41.25) was significantly related to a deterioration of the user's care needs level. There were no home based services significantly related to sustaining or improving the user's care needs level.There were different home service use in two groups (the sustained/improved group and the deteriorated group). Respite stay in a nursing home service use and more types of service use were related to experiencing a deterioration of care needs level in lower care needs level community-dwelling elderly persons in Japan. Further, medical management by a physician service was related to experiencing a deterioration of care needs level in higher care needs level communit
Validating the Johns Hopkins ACG Case-Mix System of the elderly in Swedish primary health care
Anders Halling, Gerd Fridh, Ingvar Ovhed
BMC Public Health , 2006, DOI: 10.1186/1471-2458-6-171
Abstract: The Johns Hopkins ACG Case-Mix System was applied to primary health care diagnoses of 1402 participants (60–96 years) in a cross-sectional community based study in Karlskrona, Sweden (the Swedish National study on Ageing and Care) during a period of two years before they took part in the study. The predictive value of the Johns Hopkins ACG Case-Mix System was modeled against the regular use of 4 or more prescription medicines, also using age, sex, level of education, instrumental activity of daily living- and measures of health perception as covariates.In an exploratory biplot analysis the Johns Hopkins ACG Case-Mix System, was shown to explain a large part of the variance for regular use of 4 or more prescription medicines. The sensitivity of the prediction was 31.9%, whereas the specificity was 88.5%, when the Johns Hopkins ACG Case-Mix System was adjusted for age. By adding covariates to the model the sensitivity was increased to 46.3%, with a specificity of 90.1%. This increased the number of correctly classified by 5.6% and the area under the curve by 11.1%.The Johns Hopkins ACG Case-Mix System is an important factor in measuring comorbidity, however it does not reflect an individual's capability to function despite a disease burden, which has importance for prediction of comorbidity. In this study we have shown that information on such factors, which can be obtained from short questionnaires increases the probability to correctly predict an individual's use of resources, such as medications.During the 20th century there has been a dramatic change in demography of the western world, with an increasing elderly population. The group of elderly >80 years is now the fastest growing segment of the population [1]. With increasing age, there is an increased risk of having one or more chronic diseases [2,3]. People with multiple chronic conditions take up a large part of the healthcare resources [4]. Significant progress has been made in the development of therapies, d
Research Status Quo of Elderly Home Care Demand in China

李涤凡, 李新帝, 黄凯林, 孔海霞, 张明
Nursing Science (NS) , 2016, DOI: 10.12677/NS.2016.53008
We summarized the status quo of domestic home care needs of the elderly, and then put forward some suggestions on the existing problems of home care, in order to understand the home care needs of the elderly and provide evidences for home care service and home care research in the future.
Home-Living Elderly People's Views on Food and Meals  [PDF]
Ellinor Edfors,Albert Westergren
Journal of Aging Research , 2012, DOI: 10.1155/2012/761291
Abstract: Background. The aim of the study was to describe home-living elderly people's views on the importance of food and meals. Methods. Semistructured interviews with twelve elderly people. The interviews were analysed using qualitative content analysis. Results. Respondents described how their past influenced their present experiences and views on food and meals. Increased reliance on and need of support with food and meals frequently arose in connection with major changes in their life situations. Sudden events meant a breaking point with a transition from independence to dependence and a need for assistance from relatives and/or the community. With the perspective from the past and in the context of dependency, respondents described meals during the day, quality of food, buying, transporting, cooking, and eating food. Conclusions. Meeting the need for optimal nutritional status for older people living at home requires knowledge of individual preferences and habits, from both their earlier and current lives. It is important to pay attention to risk factors that could compromise an individual's ability to independently manage their diet, such as major life events and hospitalisation. Individual needs for self-determination and involvement should be considered in planning and development efforts for elderly people related to food and meals. 1. Introduction Malnutrition, which includes undernutrition as well as overweight/obesity, is a common problem among the elderly. The prevalence of undernutrition among home-living elderly people was found to be 14.5% according to the Mini Nutritional Assessment (MNA) [1]. Among elderly people who had recently moved to a residential home, 33–37% were malnourished according to the MNA [2]. The higher prevalence of undernutrition among elderly people admitted to residential homes highlights the importance of identifying elderly people who live at home and are at risk of malnutrition, to prevent the development and aggravation of undernutrition, followed by increased dependency on and need for institutional care [1]. In addition, among 70-year-old Swedes, 20% of the men and 24% of the women were obese ( B M I > 3 0 ) [3]. In Swedish nursing homes the prevalence of overweight was 22% and another 8% were obese [4]. Thus, obesity is also a frequent problem among the elderly. The consequences of undernutrition in elderly people include functional decline or frailty [5–7], decreased quality of life [8], increased health care utilisation and costs [9, 10], higher rates of adverse complications from other health conditions [11], and
The relation between the self care strength and life satisfaction of the elderly living in nursing home  [PDF]
Birsen Altay,?lknur Ayd?n Avc?
Dicle Medical Journal , 2009,
Abstract: Objectives: This research has been made to examine the relation between the self care strength and the life satisfaction of the elderly living in the nursing home and factors that affect.Material and methods: Descriptive and cross-sectional type of this study was performed in nursing home in Samsun between December 2007-0ctaber 2008. The sample consist of 56 elderly.The data were collected by Self Care Agency Scale (SCAS) and The Satisfaction With Life Scale (SWLS). SCAS minimum score is 35 and maximum is 140. If the SWLS index is less than 7, it means it is low but, if it is more than 13 this means it is high SWLS in fact. For evaluation, t test, Mann-Whitney U test and Kruskall Wallis analysis were performed. Results: It was found that SCAS form of the elderly the mean score was 86.4 ±18.8. SWLS form the mean score was 20.3 ± 5.9. t can be said that they are higher than mean level. Self-care strength is high those graduated from high school and in individual who are between the rest not problem and to be satisfaction of living in the nursing home. Life Satisfaction was found to be high those the rest not problem and who do not depend on anybody else while doing their daily activity.Conclusion: There is a strong positive relationship be-tween the self-care strength of the elderly individual and their life satisfaction.
Dealing with daily emotions—supportive activities for the elderly in a municipal care setting
Margaretha Norell,Kristina Ziegert,Annica Kihlgren
International Journal of Qualitative Studies on Health & Well-Being , 2012, DOI: 10.3402/qhw.v7i0.9510
Abstract: There are diverse descriptions of supportive activities in nursing to be found in the literature. What they have in common is their association with good care outcomes, but they may differ depending on the context in which the care is given. In a Swedish municipal elderly care setting, registered nurses (RN) work in a consultative way and they describe a part of their tasks as comprising supportive activities without specifying what kind of supportive activities they mean. The aim of the study was to explore the main concern of the support given by RN to a group of patients in an elderly home care setting. The study was conducted using Grounded Theory. Data were collected using nonparticipant observations regarding the supportive activities of 12 RN at the home of 36 patients between the ages of 80 and 102. Most of the home visit lasted about 40 min but some lasted for 90 min. The central category was about dealing with daily emotions. This was done by encouraging the situation and reducing the patient's limitations, but situations also occurred in which there was a gap of support. Support was about capturing the emotions that the patient expressed for a particular moment, but there were also situations in which RN chose not to give support. To develop a holistic eldercare, more knowledge is needed about the factors causing the RN to choose not to provide support on some occasions.
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