scholarly journals Interest of the minimum edit distance to detect behaviour change of the elderly person

2021 ◽  
Author(s):  
Soumaya Msaad ◽  
Jean-Louis Dillenseger ◽  
Guy Carrault
Keyword(s):  
Behaviour Change ◽  
Edit Distance ◽  
Elderly Person ◽  
The Elderly

HOME CARE IN OUTPATIENT CARE – STATE AND DEVELOPMENT IN BULGARIA

2018 ◽  
Vol 28 (2) ◽  
pp. 571-574
Author(s):  
Ivanka Stambolova ◽  
Stefan Stambolov
Keyword(s):  
Home Care ◽  
Outpatient Care ◽  
Care Service ◽  
Elderly Care ◽  
Care Center ◽  
Elderly Person ◽  
Chronically Ill ◽  
The Elderly ◽  
Legal Regulation ◽  
Health And Social Care

In outpatient care the home care, including hospices, is recognized as a model for providing quality, cost-effective and charitable care. The focus is mainly on the care that helps everyday lifeof the patient as well as the relatives, rather than on treatment, and in most cases it takes place in the patients' home. In Europe, in recent years there has been a real "boom" in home care due to demographic processes linked to increased needs for elderly care and chronically ill under the conditions of limited financial resources.In outpatient medical care in our country by means of a national framework contract there are regulated visits to the patient's home by a doctor, as well as visits by medical staff employed by him - nurse, midwife, medical assistant / paramedic / for manipulation, counseling and monitoring. At the same time there is no regulated legal activity in the Republic of Bulgaria, which is essentially the subject of home care.Since 1994 „Caritas“ has carried out the "Home Care" service, which provides a complex - health and social care for over 360 sick adults in a place where the elderly person feels the most comfortable - in their own home. „Caritas Home Care“ is provided by mobile teams of nurses and social assistants who visit the elderly at home and provide them with the necessary care according to their health and social needs.With the establishment of the first „Home Care Center“ in Lozenets region, Sofia, with the support of the PHARE ACCESS program in 2003, the Bulgarian Red Cross introduces in Bulgaria an integrated model for provision of health care and social services in the home of adults, chronically ill and people with permanent disabilities. To date, there are a number of problems in home care related to the realization of home care for patients in need in out-of-hospital settings: lack of legal regulation for home care, lack of qualified staff in outpatient care; lack of organization and structures for care; unsettled funding and the inability of the part of the population that is most in need of care to pay for it, there is no regulation to control the activity. Although home care began over 20 years ago, our country is yet to make its way to the European program called „Home care in Europe“.

scholarly journals AnkFall—Falls, Falling Risks and Daily-Life Activities Dataset with an Ankle-Placed Accelerometer and Training Using Recurrent Neural Networks

Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1889
Author(s):  
Francisco Luna-Perejón ◽  
Luis Muñoz-Saavedra ◽  
Javier Civit-Masot ◽  
Anton Civit ◽  
Manuel Domínguez-Morales
Keyword(s):  
Elderly Person ◽  
Fall Detection ◽  
The Elderly ◽  
Daily Life Activities ◽  
Learning Classifier ◽  
The People ◽  
Activity Types ◽  
Remote Monitoring Systems ◽  
Secondary Study

Falls are one of the leading causes of permanent injury and/or disability among the elderly. When these people live alone, it is convenient that a caregiver or family member visits them periodically. However, these visits do not prevent falls when the elderly person is alone. Furthermore, in exceptional circumstances, such as a pandemic, we must avoid unnecessary mobility. This is why remote monitoring systems are currently on the rise, and several commercial solutions can be found. However, current solutions use devices attached to the waist or wrist, causing discomfort in the people who wear them. The users also tend to forget to wear the devices carried in these positions. Therefore, in order to prevent these problems, the main objective of this work is designing and recollecting a new dataset about falls, falling risks and activities of daily living using an ankle-placed device obtaining a good balance between the different activity types. This dataset will be a useful tool for researchers who want to integrate the fall detector in the footwear. Thus, in this work we design the fall-detection device, study the suitable activities to be collected, collect the dataset from 21 users performing the studied activities and evaluate the quality of the collected dataset. As an additional and secondary study, we implement a simple Deep Learning classifier based on this data to prove the system’s feasibility.

The Mental Efficiency of the Elderly Person with Type II Diabetes Mellitus

1990 ◽  
Vol 38 (5) ◽  
pp. 505-510 ◽  
Author(s):  
Richard C. U'Ren ◽  
Matthew C. Riddle ◽  
Muriel D. Lezak ◽  
Margaret Bennington-Davis
Keyword(s):  
Diabetes Mellitus ◽  
Type Ii Diabetes ◽  
Elderly Person ◽  
The Elderly ◽  
Type Ii Diabetes Mellitus ◽  
Type Ii ◽  
Mental Efficiency

Prevention and Control of Trichotomy Infection in the Elderly Surgical Patient: An Umbrella Review

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
Teresa Ferreira ◽  
Filipe Orfao ◽  
Cesar Fonseca ◽  
Lara Guedes de Pinho
Keyword(s):  
Health Care ◽  
Narrative Analysis ◽  
Data Extraction ◽  
Elderly Person ◽  
The Elderly ◽  
World Health ◽  
Surgical Patient ◽  
Risk Of Infection ◽  
Umbrella Review ◽  
And Control

Introduction: The World Health Organization creates norms and guidelines for the adoption of good practices in health care that are provided to the surgical patient. In order to prevent and control infections associated with health care, the nurse must follow the guidelines for preparing the surgical patient for success. These infections can be particularly harmful to the elderly person given their vulnerability. The preoperative preparation, includes the trichotomy as one of the interventions to be performed, however, is one of the most controversial interventions that has caused in clinical practice, by the potential risk of infection in the surgical patient. Aim: To investigate the need for trichotomy, or removal of hair, in the preparation of the skin of the surgical patient, clarifying which is the most appropriate technique in the prevention of infection. Methodology: we conducted an umbrella review. The documentary research followed the consultation of bibliographic sources in the Cumulative Index to Nursing & Allied Health (CINAHL) and Public/Publisher Medline (PubMed) databases. The researched articles were grouped in a time horizon between 2011 and 2020. Afer data extraction, a narrative analysis was performed. Results: We found 40 articles from which 8 were selected. Conclusion: Trichotomy should be avoided by increasing the risk of infection of the surgical site. Innovative haircut and vacuum technologies can help in hair removal, mitigating the risk of contaminating the surgical incision. The timing of the trichotomy is not consensual among researchers.

scholarly journals Home-based oral healthcare strategies of elderly people with Alzheimer's disease

2016 ◽  
Vol 19 (5) ◽  
pp. 851-860 ◽  
Author(s):  
Alessandra Martins Ferreira Warmling ◽  
Silvia Maria Azevedo dos Santos ◽  
Ana Lúcia Schaefer Ferreira de Mello
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Health Care ◽  
Oral Health ◽  
Elderly Person ◽  
The Elderly ◽  
Oral Health Care ◽  
University Graduates ◽  
Elderly Persons ◽  
Home Based

Abstract Objective: To identify strategies used in the oral health care of elderly persons with Alzheimer's disease in the home. Method: an exploratory, descriptive study with a qualitative approach to collecting and analyzing data was performed. Data was collected through interviews with 30 caregivers and analyzed by the content analysis technique. Results: The majority of subjects were female, daughters of the elderly person, university graduates and aged 32-77 years. The strategies identified were grouped into categories according to the participation of the caregiver: does not participate in care actions or oral health assessments; reminds the elderly person about oral hygiene, demonstrates movements and assists with some procedures; directly carries out actions of care. Conclusion: The strategies employed are related to the degree of dependence of the elderly person, as the caregiver acts based on the need for oral health care and the difficulties in carrying out such care.

scholarly journals A Context-Aware Accurate Wellness Determination (CAAWD) Model for Elderly People Using Lazy Associative Classification

Sensors ◽  
2019 ◽  
Vol 19 (7) ◽  
pp. 1613 ◽  
Author(s):  
Farhan Sabir Ujager ◽  
Azhar Mahmood
Keyword(s):  
Elderly People ◽  
Data Extraction ◽  
Contextual Information ◽  
Elderly Person ◽  
The Elderly ◽  
Sensor Nodes ◽  
Behavior Patterns ◽  
Context Aware ◽  
Classification Rules ◽  
Training Time

Wireless Sensor Network (WSN) based smart homes are proving to be an ideal candidate to provide better healthcare facilities to elderly people in their living areas. Several currently proposed techniques have implementation and usage complexities (such as wearable devices and the charging of these devices) which make these proposed techniques less acceptable for elderly people, while the behavioral analysis based on visual techniques lacks privacy. In this paper, a context-aware accurate wellness determination (CAAWD) model for elderly people is presented, where behavior monitoring information is extracted by using simple sensor nodes attached to household objects and appliances for the analysis of daily, frequent behavior patterns of elderly people in a simple and non-obtrusive manner. A contextual data extraction algorithm (CDEA) is proposed for the generation of contextually comprehensive behavior-training instances for accurate wellness classification. The CDEA presents an activity’s spatial–temporal information along with behavioral contextual correlation aspects (such as the object/appliance of usage and sub-activities of an activity) which are vital for accurate wellness analysis and determination. As a result, the classifier is trained in a more logical manner in the context of behavior parameters which are more relevant for wellness determination. The frequent behavioral patterns are classified using the lazy associative classifier (LAC) for wellness determination. The associative nature of LAC helps to integrate spatial–temporal and related contextual attributes (provided by CDEA) of elderly behavior to generate behavior-focused classification rules. Similarly, LAC provides high accuracy with less training time of the classifier, includes minimum-support behavior patterns, and selects highly accurate classification rules for the classification of a test instance. CAAWD further introduces the ability to contextually validate the authenticity of the already classified instance by taking behavioral contextual information (of the elderly person) from the caregiver. Due to the consideration of spatial–temporal behavior contextual attributes, the use of an efficient classifier, and the ability to contextually validate the classified instances, it has been observed that the CAAWD model out-performs currently proposed techniques in terms of accuracy, precision, and f-measure.

scholarly journals Willingness to Participate in Vaccine-Related Clinical Trials among Older Adults

2018 ◽  
Vol 15 (8) ◽  
pp. 1743 ◽  
Author(s):  
Divyanshu Raheja ◽  
Evelyn Davila ◽  
Eric Johnson ◽  
Rijalda Deović ◽  
Michele Paine ◽  
...  
Keyword(s):  
Older Adults ◽  
Clinical Trials ◽  
Clinical Research ◽  
Elderly Person ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Willingness To Participate ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Research Findings

The purpose of this study is to understand among a convenience sample of 400 adults aged 60 years of age or older (1) reasons for being willing or unwilling to participate in a vaccine clinical research study and (2) overall perceptions about vaccine clinical research. A cross-sectional study using a sample of older adults residing in the metro-Atlanta area and surrounding neighborhoods was conducted. The study questionnaire contained 37 questions, including questions about socio-demographics and perceptions about clinical trial processes. Statistical analysis was conducted using logistic regression. The adjusted modeling results indicated that sex, distance to research clinic, and being informed about the research findings played a role in the likelihood of an elderly person participating in a vaccine study. Males were more likely to participate in clinical trials as compared to females (OR: 2.486; CI: 1.042–5.934). Most participants were willing to travel up to 25 miles from the research clinic. Of the respondents, 45% were unlikely to participate if the results of the current trial are not shared. Improving access to clinical trials in terms of distance traveled and ensuring streamlined processes to inform participants about the results of the trial in the future would increase willingness to participate in vaccine clinical trials. The survey could serve as a useful tool for conducting vaccine studies and other clinical trials by understanding the barriers specific to the elderly.

scholarly journals Comparison of the cognitive performance of elderly caregivers with and without chronic pain

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Marielli Terassi ◽  
Estefani Serafim Rossetti ◽  
Karina Gramani-Say ◽  
Tiago da Silva Alexandre ◽  
Priscilla Hortense ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Data Collection ◽  
Cognitive Performance ◽  
Scientific Knowledge ◽  
Elderly Person ◽  
Family Health ◽  
The Elderly ◽  
Initial Hypothesis ◽  
Objective Understanding ◽  
Elderly Caregivers

Abstract OBJECTIVE Understanding and characterizing chronic pain in elderly caregivers, verifying the cognitive performance of the elderly of the sample and verifying whether there is difference in the cognitive performance of elderly caregivers with and without chronic pain. METHOD Participants were people aged 60 years or older who lived with another elderly person in the same household and who were registered in Family Health Units. Data collection took place at participants' homes. Pain was assessed by the EMADOR and cognition was assessed by ACE-R. Statistical analyzes were performed using Shapiro-Wilk's and Mann-Whitney U tests. RESULTS The study included 187 elderly caregivers with chronic pain and 133 without chronic pain, with a higher frequency of women. Chronic pain was present in 58.4% of the participants. Regarding the sociodemographic variables, there was no difference between the groups except for the gender variable (p=0.025). No difference was found in cognitive performance among the elderly with chronic pain and those without chronic pain for any domain of the ACE-R instrument. CONCLUSION The results contradicted the initial hypothesis that there would be a difference between the groups; however, there is a gap in the scientific knowledge on chronic pain and cognition, especially in elderly caregivers, opening perspectives for future investigations.

scholarly journals Elderly victims of abuse: a five year document analysis

2016 ◽  
Vol 19 (1) ◽  
pp. 87-94 ◽  
Author(s):  
Cléa Adas Saliba Garbin ◽  
Renata Colturato Joaquim ◽  
Tânia Adas Saliba Rovida ◽  
Artênio José Isper Garbin
Keyword(s):  
Emotional Abuse ◽  
Family Relationship ◽  
Elderly Person ◽  
The Elderly ◽  
Psychological Violence ◽  
Cross Sectional ◽  
Police Records ◽  
Perpetrators And Victims ◽  
Location Type ◽  
Relationship Of

Objective To verify the occurrence of maltreatment of the elderly and its characteristics (location, type, reason, involvement of alcohol/drugs, profile and family relationship of victims and perpetrators) from the police records of a specialized police station over a five year period. Method A cross-sectional, descriptive and documentary analytical study was performed. The police reports of a medium-sized municipality in the northwest of São Paulo were analyzed from 2008 to 2012. The sociodemographic characteristics of the perpetrators and victims and the data relating to the aggression investigated were: violence; location; reason; the presence of alcohol and drugs during the assault and victim-offender relationship. Data was tabulated using descriptive statistical analysis. Results Of a total of 572 cases, most of the perpetrators were men (69.2%), Caucasian (56.5%), aged 31-40 years (14.20%) with no information regarding occupation provided (50.70%); most of the victims were women (93.0%), Caucasian (71.5%), aged 60-65 years (46.30%), married (34.10%) and unemployed/retired (59.98 %). Emotional abuse was prevalent (57.0%), occurred in the home of the elderly person (81.3%) and the children of the elderly were the main perpetrators (25.3%). The motives were related to arguments in most cases (53.1%). Conclusion Women who were Caucasian, married, aged 60-65, unemployed/retired were the main victims, with the perpetrators most frequently their own children, also Caucasian, single and aged 31-40 years. Psychological violence was the most prevalent, primarily triggered by disagreements among those involved, and it occurred most frequently in the residence of the victim. Most of the attackers were not under the influence of alcohol/drugs.

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