scholarly journals Standards for achieving a comfortable design for the Alzheimer's patients pathways

2021 ◽  
Vol 274 ◽  
pp. 01025
Author(s):  
Radwan Alshawaf ◽  
Ivan Krasnobaev

The elderly is an essential part of society because of their interaction with their surrounding environment and their personal experiences. They were categorized into several levels based on the physiological and psychological needs. Alzheimer's patients constitute a good percentage within society, but there is no accurate data. In cases where the patient suffers from a progressive lack of spatial awareness, studies have developed several criteria to study semi-open spaces intended for the elderly. However, it did not set design standards. Consequently, this paper examines the design standards and requirements for Alzheimer's patients. It is a virtual practical study that simulates optimal standards.

Author(s):  
Shanta Pragyan Dash ◽  
N. Lakshmi Thilagam

Social cohesion in public open spaces has been recommended as one of the key elements for improving the wellbeing of the elderly. Social cohesion includes relational elements and individuals' feeling of association. Over the past few decades, increasing social interaction in the neighbourhood is part of larger urban areas and has been regarded as one of the social sustainability initiatives and plays an important role in megacities sustainability. Comprehending place attachment is necessary to enhance elderly people's interactions to make them self-reliant. The study aims to identify the characteristics of open spaces with their major influential factors for enhancing social cohesion for the well-being of the elderly in an urban residential environment through a systematic literature review. The study focuses on addressing three research questions and analysing its results from primary literature studies in the review process. Ten electronic databases were searched for relevant work from papers written in English between 2011 and 2021. Quantitative, qualitative, and mixed methods studies were included. A narrative synthesis was carried out of published works to address the research questions after identifying the various characteristics.  The review, which includes 57 published papers, found that the Open spaces are ideally characterized by accessibility, walkability, reduced fear and security, built environment characteristics, landscape elements, climate, best practices, and New Urbanism principles. On the other hand, social cohesion is influenced by activities, safety and security, public places, accessibility, natural elements, noise levels, vehicular interruptions, dimensions and geometry, climate, and physical amenities. A conceptual framework relating to open space attributes and social cohesion is proposed as the finding of the research. Prioritizing the attributes based on the physical, behavioural, and psychological needs of the elderly to keep them active in their aging process could be the further scope of research in this direction.


2021 ◽  
pp. medethics-2020-107185
Author(s):  
Sara Kate Heide

Defining quality of life is a difficult task as it is a subjective and personal experience. However, for the elderly, this definition is necessary for making complicated healthcare-related decisions. Commonly these decisions compare independence against safety or longevity against comfort. These choices are often not made in isolation, but with the help of a healthcare team. When the patient’s concept of quality of life is miscommunicated, there is a risk of harm to the patient whose best interests are not well understood. In order to bridge this gap in understanding and unite seniors with their caretakers as a cohesive team, we need to establish a definition of quality of life. In this paper, my personal experiences with the elderly will be analysed along with five essays on the topic of ageing. These sources provide clear evidence that quality of life for seniors is majorly determined by the ability to preserve one’s lifelong identity. When making difficult decisions in geriatric healthcare, this greater understanding of the determinants of life quality will allow treatments to best serve the elderly. Defining quality of life allows healthcare providers to shift the focus from minimising disability toward maximising ability. I believe this shift would provide seniors with better health outcomes and properly enhance the quality of their years.


2020 ◽  
pp. 1420326X2095044 ◽  
Author(s):  
Jianxiang Huang ◽  
Yang Chen ◽  
Phil Jones ◽  
Tongping Hao

Open spaces in Hong Kong are in short supply and they are often underused due to the adverse climate, especially in hot and humid summer. This is a missed opportunity that can be otherwise realized to promote health and social interactions for local communities. The high density urban environment makes the condition worse by raising the urban heat island effect and leaving planners with fewer mitigation options. This study aims to test the hypotheses that an unfavourable thermal environment disrupts the use of outdoor open spaces; if yes, whether such disruptions differ by age groups. On-site measurement and computer simulations were conducted in three open spaces in public housing estates in Ngau Tau Kok, Hong Kong. Thermal conditions were assessed using the Universal Thermal Climate Index. Occupant activities were recorded, together with a questionnaire survey. Results showed that an open space purposefully designed for breeze and shading was 2.0°C cooler in Universal Thermal Climate Index compared with the other two. It attracted more optional/social activities, higher frequency of visits, and longer duration of stay. The elderly activities were more susceptible to disruptions from heat stress compared with younger groups. Elderly activities largely diminish when ambient thermal environment exceed 39°C in Universal Thermal Climate Index. Findings have implications to design and retrofitting of open spaces in order to maximize their use.


1965 ◽  
Vol 65 (3) ◽  
pp. 146
Author(s):  
Harriet Cross ◽  
Doris Schwartz ◽  
Barbara Henley ◽  
Leonard Zeitz

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251707
Author(s):  
Caroline Alleaume ◽  
Pierre Verger ◽  
Patrick Peretti-Watel ◽  

Introduction With France one of the European countries most strongly affected by COVID-19 in the spring of 2020, French authorities imposed a nationwide lockdown for 8 weeks (March 17–May 10). This study explored the perception of the adult population about the need for—and access to—psychological support from health care professionals (HCP) in response to concerns about the psychological needs during lockdown. Material and method This online cross-sectional survey of a representative sample of the adult general population of mainland France (N = 2,003) took place during the last four days of the French lockdown (May 7–10, 2020). Results One in eight respondents (12.2%) perceived a need for psychological support from an HCP during the lockdown; most had symptoms of depression and/or anxiety of at least moderate intensity. Only a third (29.8%, 3.6% of the entire sample) actually obtained this support. Factors associated with this perceived need included: age under 35, economic difficulties due to lockdown, pre-lockdown use of psychological support, infection with COVID-19, serious worries about becoming infected, and heavy media use to obtain information about the disease. Among those who perceived a need for psychological support, the elderly were the most likely not to consult an HCP. People aged 35–64, those with high income, and those seriously worried about developing COVID-19 were the most likely to forgo seeking access to care because of their fear of infection by the coronavirus-2019. Conclusion The perceived need for psychological support from an HCP and access to it appeared to be strongly associated with COVID-19 exposure factor. More research about this association is needed to improve the health authorities’ understanding of the population’s psychological needs in this situation and to enhance HCPs’ abilities to meet them. In particular, further research of its specific impact on youth is necessary.


Author(s):  
Sérgio Luiz V. Tomasini ◽  
Beatriz Fedrizzi

Resumo: O presente artigo apresenta uma série de discussões a cerca da importância da presença de espaços abertos junto a instituições para idosos, tomando por base os resultados de uma pesquisa de mestrado centrada neste tema e desenvolvida a partir do estudo da realidade vigente no município de Porto Alegre-RS. A referida pesquisa foi desenvolvida, basicamente a partir de dois estudos de campo: o primeiro, um levantamento preliminar onde foram analisadas características físicas dos espaços abertos de uma amostra de 12 instituições; e, o segundo, um estudo de casos comparativo envolvendo duas instituições com diferentes condições de disponibilidade e qualidade de espaços abertos. Os resultados do primeiro estudo demonstraram um panorama predominantemente negativo quanto à presença e qualidade dos espaços abertos disponíveis nas instituições, com espaços demasiadamente restritos, pouco funcionais e esteticamente pouco interessantes. O segundo estudo, por outro lado, demonstrou, entre outros resultados não abordados neste artigo, uma influência da qualidade do pátio sobre a satisfação dos idosos em relação à instituição e sobre o tempo de permanência dos idosos nas áreas externas. Este estudo revelou ainda que, de forma geral, os idosos utilizam muito pouco outros espaços abertos fora da instituição como parques e praças, o que reforça a importância da presença de locais desta natureza junto à instituição. Palavras-chave: Instituições para Idosos. Espaços Abertos. Qualidade de Vida. Abstract: This article presents several aspects related to the importance of outdoor spaces in institutions for the elderly. It is based on the results of a master’s degree research project on this topic, which was developed according to the analysis of the actual situation of institutions in the city of Porto Alegre-RS. Two field studies were the basic sources of data for this research: the first one analyzed the physical characteristics of outdoor spaces in a sample of 12 institutions; the second one was a comparative study including two institutions with different conditions regarding the availability and quality of outdoor spaces. The results of the first study showed an overall negative situation of availability and quality of outdoor spaces in the institutions. The spaces presented restricted availability and functionality and little aesthetic interest. The second study, on the other hand, showed the influence of the quality of outdoor spaces on the satisfaction of the elderly regarding the institution and their length of stay in the outdoor. This study also revealed that elderly people usually do not use the other open areas outside the institution, such as parks and squares, very frequently. This aspect highlights the importance of outdoor spaces in institutions for the elderly. Keywords: Institutions for the Elderly. Open Spaces. Quality of Living.


Author(s):  
Kuo-Wei Hsu ◽  
Jen-Chih Chao ◽  
Ching-Yi Hsu

Due to traffic and industrial and seasonal air pollution, wearing masks outside the home has long been a daily habit for many people in Taiwan. After the emergence of the novel coronavirus (COVID-19), which has an incubation period of up to 14 days, wearing masks and maintaining social distancing was advised to reduce exposure to this new environmental risk. This study investigates open and semi-open spaces in three districts in central Taiwan, using a non-participant observation method, with the aim of understanding people’s mask-wearing behavior. The results indicate that mask-wearing rates were higher in urban areas than in rural ones and among females than males. By age cohort, mask-wearing was most prevalent among young adults and middle-aged people and least prevalent among minors, with the elderly occupying a middle position. Masks were also more likely to be worn in semi-open spaces than in open ones. This study enriches our understanding of environmental risk perception of the pandemic and of public perceptions, which are vital to increasing the adoption of preventative measures.


2021 ◽  
Author(s):  
Azadeh Lak ◽  
Parichehr Rashidghalam

Abstract Background: Today, the beneficial impact of public open spaces(POS) on the mental and physical health of the elderly is considered worldwide. However, the knowledge about these effects on the mental health of older adults in disadvantaged urban neighborhoods, especially in developing countries, is still insufficient.Methods: This study investigates the relationship between POS use and the mental health status of elderly residents in the disadvantaged neighborhoods of Tehran, the capital of Iran. The data on the frequency of use of public open spaces and the health status include ten items collected from 420 older adults of disadvantaged neighborhoods in District 10 of Tehran. We used exploratory factor analysis to explore the main factors of the elderly mental health in the disadvantaged neighborhood. Finally, the multivariate multiple regression model was used to determine the relationship between the frequency of POS use and mental health status among older seniors.Results: These ten items identified two fundamental characteristics of mental health status, including “feeling worthless” and “social interaction,” using exploratory factor analysis. “Feeling of worthlessness” was negatively significantly associated with the level of gender, marital, occupation, and education, as well as frequently attending in POS. “Social interaction” was influenced by gender, occupation, and marital status, as well as frequent use of POS. The results showed that the frequency of public open space use has a negative correlation with the feeling of worthlessness and a positive correlation with the older residents’ social interactions and contacts.Conclusion: According to the findings, increasing the more senior residents’ access to public open spaces through planning can improve their mental health as well as their social interactions, especially in disadvantaged neighborhoods.


2017 ◽  
Vol 8 (1) ◽  
Author(s):  
Triana Arisdiani ◽  
Livana PH

Pendahuluan : Jumlah lansia yang banyak di Indonesia haruslah ditangani secara keseluruhan dengan memperhatikan kebutuhannya. Kebutuhan fisiologis dasar lansia yang harus dipenuhi adalah higiene, nutrisi, kenyaman, oksigenasi, cairan elektrolit, eliminasi urin dan fekal, dan tidur. akan berdampak buruk terhadap kesehatan, Kebutuhan fisiologis dan psikologis lansia yang tidak terpenuhi dapat menyebabkan kerentanan terhadap penyakit, stres konfusi, disorientasi, gangguan mood, kurang fresh, menurunnya kemampuan berkonsentrasi, kemampuan membuat keputusan. Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial pramurukti dengan kondisi kesehatan fisik lanjut usia di panti pelayanan sosial lansia cepiring kabupaten Kendal. Metode : Penelitian ini merupakan study deskriptif korelasi dengan pendekatan cross sectional. Jumlah sampel sebanyak 74 orang.  Teknik sampling dalam penelitian ini menggunakan total sampling. Hasil : Hasil penelitian menunjukkan bahwa menunjukkan sebagian besar pramurukti memberikan dukungan dalam tingkat rendah hingga sedang yaitu sebanyak 13 (56,5%) orang. Hasil perhitungan menggunakan chi - square didapatkan nilai p value 0,316 (P>0,05) sehingga hasil analisis tidak adanya hubungan antara dukungan sosial pramurukti dengan kondisi kesehatan fisik lansia. Diskusi : Penelitian ini diharapkan dapat digunakan sebagai referensi untuk mengembangkan penelitian yang serupa menggunakan variabel yang berbeda.Kata Kunci          : Dukungan Sosial, Kondisi Kesehatan Fisik, Lansia Introduction: The large number of elderly people in Indonesia must be handled as a whole by paying attention to their needs. The basic physiological needs of the elderly that must be met are hygiene, nutrition, comfort, oxygenation, electrolyte fluid, urine and faecal elimination, and sleep. will have a negative impact on health, physiological and psychological needs of unmet elderly can lead to susceptibility to disease, confusion, disorientation, mood disorders, lack of freshness, decreased ability to concentrate, ability to make decisions. Objective: This study aims to determine the relationship between pre-proof social support and the physical health conditions of elderly people at the social care institutions of the elderly cepiring Kendal district. Method: This study is a descriptive correlation study with a cross sectional approach. The number of samples is 74 people. The sampling technique in this study used total sampling. Results: The results of the study showed that most of the prostitutes provided support in the low to moderate levels of 13 (56.5%) people. The calculation results using chi-square obtained p value 0.316 (P> 0.05) so that the results of the analysis there is no relationship between pre-proof social support and physical health conditions of the elderly. Discussion: This research is expected to be used as a reference for developing similar research using different variables.Keywords: Social Support, Physical Health Conditions, Elderly


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