Architecture and the Swedish welfare state: three architectural competitions that innovated space for dependent and frail older people

2014 ◽  
Vol 35 (4) ◽  
pp. 837-864 ◽  
Author(s):  
JONAS E. ANDERSSON
Keyword(s):  
Older People ◽  
Architectural Design ◽  
Past Century ◽  
Built Environments ◽  
Frail Older People ◽  
Living Well ◽  
Swedish Society ◽  
Architectural Competitions ◽  
The Relationship

ABSTRACTIn 2012, three architectural competitions were held as part of the strategic programme ‘Living Well, Growing Old’, launched by the Swedish government in 2010. The intention was to use the innovative quality of the architectural competition in order to conceive future-oriented built environments for the ageing Swedish society. In Sweden, several architectural competitions with a focus on space for dependent and frail older people have been organised over the past century. Architectural design has been incorporated into reforms for social care of older people. This study focuses on the relationship between architecture and socio-political visions in three architectural competitions, realised in 1907, 1948 and 1979. The study demonstrates that architectural competitions within this field are more than a list of functional and spatial requirements for architects to respect. Instead, they are socio-political statements that define spatial frameworks within an ideological view on how ethically to provide care for dependent and frail older people in a welfare regime.

scholarly journals Quality of Care Provided by Family Caregivers of Older People With Dementia: Measurement and Interpretations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 152-152
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Primary Reason ◽  
People With Dementia ◽  
High Level ◽  
The Impact ◽  
The Relationship

Abstract Family caregivers of older people living with dementia are relatives, friends, or neighbors who provide assistance related to this condition, but who are unpaid for the services they provide. Although caregiving could be personally rewarding, many caregivers report a high level of strain. Compared to caregivers of older adults who do not have dementia, family caregivers of older people living with dementia report lower quality-of-life (QoL). In a published systematic review examining the relationship between family caregiver QoL and the quality of care provided, only one study was found to be somewhat relevant. The study suggested that the primary reason for an absence of research into the link between family caregiver QoL and quality of care was the absence of a questionnaire for measuring quality of care in dementia. Therefore, any attempt to investigate the impact of caregiver QoL on the care provided to older people with dementia must first address the lack of an instrument to measure quality of care. To address this issue, we interviewed approximately 20 family caregivers in order to elicit feedback on measurements and interpretation of the quality of care provided by family caregivers of older people living with dementia. Content analysis of the interview transcripts revealed that the quality of relationships with family, caregiver availability to provide or supervise care, and availability of paid or volunteer help are important for the quality of care provided. These results have important implications, particularly for the development of an instrument to measure quality of care in dementia.

scholarly journals Contemporary Serbian Orthodox church architecture: Architectural competitions since 1990

Spatium ◽  
2016 ◽  
pp. 10-21 ◽  
Author(s):  
Bozidar Manic ◽  
Dragana Vasiljevic-Tomic ◽  
Ana Nikovic
Keyword(s):  
World War Ii ◽  
Architectural Design ◽  
Church Architecture ◽  
Orthodox Church ◽  
Orthodox Christian ◽  
Christian Churches ◽  
Award Winning ◽  
Architectural Competitions ◽  
The Relationship ◽  
The Temple

This paper focuses on the architectural competitions for Orthodox Christian churches in Serbia since 1990, both on the analysis of the designs submitted and the competition requirements. The first competition for an Orthodox church in Serbia after World War II was announced for Pristina in 1991. After that, competitions for the temple in Cukarica, Novi Beograd, Nis, Aleksinac and Krusevac were conducted. Thanks to the fact that architectural competitions allow a greater degree of creative freedom to the architects than regular practice, various solutions were offered, from replicas of models from architectural history and tradition to fully non-traditional proposals. Depending on the relationship to tradition, architectural design approaches can be classified into three main groups: radically modernizing, conservatively traditionalist, and compromising. Of the six competitions conducted, four churches were built, which are among the most architecturally successful newer churches in Serbia. This points to the importance of the implementation of the architectural competition in this field of architecture. The diversity of the award-winning projects shows that there is awareness of the possibility for the further development of church architecture, favouring a moderate approach.

The roles of friends and neighbours in providing support for older people

2000 ◽  
Vol 20 (3) ◽  
pp. 341-367 ◽  
Author(s):  
ANDREW NOCON ◽  
MAGGIE PEARSON
Keyword(s):  
Older People ◽  
Social Services ◽  
White Paper ◽  
Frail Older People ◽  
Policy Makers ◽  
The People ◽  
Direct Support ◽  
Published Research

Most published research on informal care for older people focuses on the support provided by relatives. The role of non-kin carers can, however, also be significant in supporting older people in their own homes. In this paper, we report the findings from an exploratory study of the support provided by friends and neighbours who are the main carers of frail older people. It draws on interviews with an opportunistic sample of friends, neighbours and older people, which explored their views about the support arrangements, the reasons why help was provided and any difficulties experienced. Several friends and neighbours provided intensive and frequent help, and some played a key role in co-ordinating other services. One of the main forms of direct support related to older people's quality of life, at a broader level than the practical help provided by statutory services. The flexibility of such support, and the friends' and neighbours' concern for older people as individuals, were particularly important to the people they helped. Nevertheless, such help was not provided without costs to the carers. The study highlights the need for policy-makers and practitioners not to take help from friends and neighbours for granted and, in line with the White Paper Modernising Social Services, to provide the support services they need.

Factors Affecting the Level of Depression and Life Satisfaction of Family Caregivers of Frail Older People in Korea

2006 ◽  
Vol 5 (3) ◽  
pp. 399-408 ◽  
Author(s):  
Soo Young Kim ◽  
So Young Min
Keyword(s):  
Older People ◽  
Family Caregivers ◽  
Well Being ◽  
Family Carers ◽  
Frail Older People ◽  
Family Structures ◽  
Factors Affecting ◽  
Aged Society ◽  
Major Factors

South Korea is rapidly becoming an aged society and with changing family structures there is increasing concern about the care of older people. This paper considers the well being of family carers of older people who suffer from dementia or a stroke. One hundred and sixty eight family caregivers, who were caring for elderly relatives, were selected and the major factors affecting their psychological well-being and proposals to improve their quality of life are identified and discussed.

Eating strategies – a qualitative study of how frail, home-dwelling older people in Denmark develop strategies to form meaningful eating situations

2017 ◽  
Vol 39 (3) ◽  
pp. 590-608 ◽  
Author(s):  
TENNA JENSEN ◽  
LIV GRØNNOW ◽  
ASTRID PERNILLE JESPERSEN
Keyword(s):  
Nutritional Status ◽  
Older People ◽  
Participant Observation ◽  
Public Institutions ◽  
Frail Older People ◽  
Structured Interviews ◽  
Public Care ◽  
Older Men And Women ◽  
Insight Into

ABSTRACTThis article analyses the strategies that frail, home-dwelling older people who receive food from public institutions develop and use during eating situations, to gain an insight into how older people mobilise resources in relation to eating. The analysis is based on semi-structured interviews and participant observation sessions with 25 home-dwelling frail older men and women, aged 72–101, who live in Copenhagen and receive food from the municipality. Like healthier older people, frail older Danes develop and use strategies to create acceptable eating situations. The strategies are linked to the arrangement of the eating situation, their former lives and experience with food and eating, and their perception of their own body. The focus on strategies enables insights into how frail older people manage to mobilise resources to create meaningful eating situations. However, even though they mobilise resources to create and maintain eating strategies, these are not all equally appropriate with regards to supporting a healthy nutritional status. The eating strategies used by frail older people and the resources they entail are key to their experience with eating. Focusing on these strategies is useful when developing public care initiatives as this will precipitate an awareness of the resources of this group and how these are activated and contribute to or detract from a healthy nutritional status and a high quality of life.

The effectiveness of a modified advance care planning programme

2020 ◽  
Vol 27 (7) ◽  
pp. 1569-1586
Author(s):  
Renli Deng ◽  
Jianghui Zhang ◽  
Liuliu Chen ◽  
Jiarui Miao ◽  
Jiazhong Duan ◽  
...  
Keyword(s):  
Older People ◽  
End Of Life ◽  
Advance Care Planning ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
Frail Older People ◽  
Advance Care ◽  
Planning Intervention

Background: Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, hospitals and communities to improve the quality of end-of-life care, increase patient and family satisfaction, and reduce healthcare costs and hospital admissions in Western countries. However, it has not been practiced in China. Research objective: This study aimed to evaluate the effectiveness of a modified Advance Care Planning intervention in certainty of end-of-life care, preferences for end-of-life care, quality of life concerns, and healthcare utilization among frail older people. Research design: This study used a quasi-experimental design, with a single-blind, control group, pretest and repeated posttest approach. Participants and research context: A convenience sample of 74 participates met the eligibility criteria in each nursing home. A total of 148 frail older people were recruited in two nursing homes in Zhejiang Province, China. Ethical considerations: The study received ethical approval from the Clinical Research Ethics Committee, the Faculty of Medicine, and The Chinese University of Hong Kong, CREC Ref. No: 2016.059. Findings: The results indicated the Advance Care Planning programme was effective at increasing autonomy in decision making on end-of-life care issues, decreasing decision-making conflicts over end-of-life care issues, and increasing their expression about end-of-life care. Discussion: This study promoted the participants’ autonomy and broke through the inherent custom of avoiding talking about death in China. Conclusion: The modified Advance Care Planning intervention is effective and recommended to support the frail older people in their end-of-life care decision in Chinese society.

scholarly journals The creation of age-friendly environments is especially important to frail older people

2016 ◽  
Vol 38 (4) ◽  
pp. 700-720 ◽  
Author(s):  
JANE M. CRAMM ◽  
HANNA M. VAN DIJK ◽  
ANNA P. NIEBOER
Keyword(s):  
Older Adults ◽  
Older People ◽  
Response Rate ◽  
Frail Older People ◽  
Ageing In Place ◽  
Mixed Methods Approach ◽  
Frailty Status ◽  
Age In Place ◽  
Neighbourhood Characteristics ◽  
The Relationship

ABSTRACTThe preference of older people when it comes to ageing in place may be modified by levels of frailty. The aim of this research is to characterise the relationship between frailty and ageing in place, and to identify differences in neighbourhood characteristics supporting ageing in place missed by frail and non-frail older people. A concurrent nested mixed-methods approach was used. For quantitative evaluation, a sample of 945 independently living older adults residing in four districts of Rotterdam were asked to complete a questionnaire in 2013 (response rate = 62%; N = 558). In addition, 32 interviews were conducted with frail and non-frail older people. Results showed that gender, age and especially frailty were related to missed neighbourhood characteristics. People displayed awareness of their increasing frailty and often acknowledged that it increased the need for neighbourhood characteristics enabling them to age in place. We can conclude that dependence on neighbourhoods varies with frailty status. This relationship is dynamic; with frailty, older people become more dependent on their neighbourhood. However, expectations regarding neighbourhood characteristics seem to dissipate with advanced age and increasing frailty.

Methods for Assessing Quality of Life and Well-Being in Frail Older People

2002 ◽  
Vol 17 (6) ◽  
pp. 737-751 ◽  
Author(s):  
Kevin J. McKee ◽  
Diane M. Houston ◽  
Sarah Barnes
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Well Being ◽  
Frail Older People
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