The Care© Approach to Enabling Independence

1993 ◽  
Vol 56 (4) ◽  
pp. 120-122 ◽  
Author(s):  
Jackie Pool

In piloting an occupational therapy service in Hampshire Social Services' homes for elderly people, it became evident that the occupational therapy philosophy of enabling independence was perceived by the staff of the homes to be contrary to their role as carers. An approach was required which could demonstrate that the concept of care was not incompatible with that of independence and the CARE© approach was developed. This uses a mnemonic device to show that there are four factors that combine to result in the act of caring: Communicating, Assisting, Rehabilitating and Empathising. When all four factors are present, independence is promoted by enabling the elderly person to function to his/her maximum potential. The CARE approach is currently being used in Hampshire Social Services' homes for elderly people in training programmes for staff. The approach is appropriate to anyone who is involved in caring for others. It is used as a framework that assists the carer to make the transition to the role of an enabler.

Author(s):  
Irina V. Temaeva ◽  

The article reveals the features of the speech transformations of the elderly people associated with the changes in both biological and social characters. The stereotypes of age perception, ageism as a practice in communicating with the elderly, «secondary babbling» are considered. The practical recommendations aimed at removing barriers in interaction with an elderly person and their relevance in the field of social services for this category of citizens are highlighted.


Author(s):  
И.А. Григорьева ◽  
Г.В. Колосова

Современное общество становится все более сложным, меняются не только технологии, но и его социально-возрастная структура. Человечество впервые столкнулось с ситуацией, когда пожилых больше, чем молодежи, и оказалось к этому не готово. Возникает новая задача - согласование взаимодействий и интересов множества субъектов социального взаимодействия в интересах пожилых. Традиционных управленческих воздействий государства становится недостаточно, постепенно складываются механизмы самоорганизации общества и автономности граждан. Новой проблемой стало не только быстрое старение общества, но и увеличение числа пожилых, требующих постоянного ухода в последние годы жизни. Уже сложившиеся «закрытые институты» - дома престарелых - сегодня все менее популярны у населения. В статье предложен обзор российского законодательства о долговременном уходе за пожилыми, а также анализ успехов и барьеров взаимодействия в организации ухода государства, коммерческих и некоммерческих учреждений в Санкт-Петербурге - городе пожилого населения и развитого социального обслуживания пожилых. Поэтому мы вправе сделать вывод, что социальное обслуживание в Петербурге может рассматриваться как перспективная модель развития долговременного ухода за пожилыми. Цель статьи - анализ особенности взаимодействий различных субъектов складывающейся в Петербурге системы долговременного ухода за пожилыми. Нас интересуют ситуации, когда имеющихся правовых норм/регулирования/вмешательства во взаимодействия достаточно, чтобы задачи ухода решались, а участники не страдали, и наоборот - когда имеющихся регулятивов недостаточно и либо задачи не решаются, либо потерпевшей стороной оказывается пожилой человек или его семья. Modern society is becoming more and more complex, not only technologies are changing, but also its socio-age structure. For the first time, mankind found itself in a situation where there are more elderly people than young people, and it turned out to be not ready for this. A new task arises - the coordination of interactions and interests of many subjects of social interaction in the interests of the elderly. The traditional administrative influences of the state are becoming insufficient; mechanisms of self-organization of society and the autonomy of citizens are gradually taking shape. A new problem has become not only the rapid aging of society, but also an increase in the number of elderly people requiring constant care in the last years of their lives, since the already existing «closed institutions». Nursing homes are less popular today. The article provides an overview of Russian legislation on long-term care for the elderly, as well as an analysis of the successes and barriers to interaction in organizing care for the state, commercial and non-profit institutions in St. Petersburg. Petersburg is a city of the elderly population and developed social services for the elderly. Therefore, we have the right to conclude that social services in St. Petersburg can be viewed as a promising model for the development of long-term care for the elderly. The purpose of the article is to analyze the peculiarities of interactions between various subjects of the system of long-term care for the elderly that is emerging in St. Petersburg. We are interested in situations when the existing legal norms/regulation/interference in interactions are sufficient for the tasks of care to be solved, and the participants did not suffer. And vice versa, when the existing regulations are insufficient, and either the tasks are not being solved, or the injured party is an elderly person or his family.


Populasi ◽  
2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Romziah S. B.

Indonesia's fertility rate has continued to decline, it dropped to 2.87 at the end of the long term development plan period. Thisfertility rate is projected to go down by 40 percent in the period 1990-2020. However, the life expectancy will increase to 17 percent. This therefore, means that the decline of the totalfertility rate in Indonesia is faster than the rate of increase of the life expectancy rate.A vital transition in Indonesia will have an affect the number of the elderly people at least upto the year 2020. There will be 28.8 million elderly people or 11.3 percent of the nation's population. Hence, the structure and composition of Indonesia's population will be significantly changed.With the higher level of migration and increasing participation of females in the workforce, chances that an elderly person will have a child living close - by is being reduced, also and the availability of caregivers in thefamily house is also declining. There are few problems facing care for the aged in Indonesia such as: low priority, inadequate information on the elderly, poor facilities and infrastructure, lack of essential personnel, spiraling medical cost, changing epidemiological pattern of disease, lack of resources, inadequate family support, insufficient operations research.To improve on care for the elderly, the following need to be implemented: improved political commitment and the coverageof health service and or social services for the elderly, developing the relevant manpower to work with the elderly, identifying and mobilizingadequate resources to cover care for the aged.


2018 ◽  
Vol 26 (1) ◽  
Author(s):  
Alijan Ahmadiahangar ◽  
Yahya Javadian ◽  
Mansour Babaei ◽  
Behzad Heidari ◽  
Seyedreza Hosseini ◽  
...  

Sensors ◽  
2019 ◽  
Vol 19 (7) ◽  
pp. 1613 ◽  
Author(s):  
Farhan Sabir Ujager ◽  
Azhar Mahmood

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.


2020 ◽  
Vol 64 (3) ◽  
pp. 127-131
Author(s):  
N. Auyelbekova ◽  
◽  
N. Akhtaeva ◽  

The article touches upon the problem of self-regulation of mental states of the elderly. The features of the emotional state of elderly people are described. Variants of effective self-regulation are proposed, the causes of negative states and ways to overcome them are analyzed. Purpose of the research: analysis of the emotional state of people over 60 and a way to successfully overcome the internal crisis through self-regulation. The article describes the initial results of a study of 20 respondents. The total number is planned in the amount of 80 people, the methods used in the study are listed. The article identifies the fulcrum, thanks to which an elderly person can cope with his inner experiences and find peace and harmony


Author(s):  
Vandana Ganganapalli ◽  
Sujatha N. ◽  
Bhaskar Kurre

Background: Globally, more than 300 million people of all ages suffer from depression. With an ageing population, depression among the elderly is likely to increase in the coming years, with higher prevalence among the elderly people than that in the general adult population. This study was intended to know the prevalence of depression and factors associated with depression among elderly people.Methods: A cross-sectional study was conducted in the urban field practice area of Navodaya Medical College, Raichur. A pre-designed and pre-tested questionnaire was used to interview the elderly person, after taking verbal consent. Depression was assessed using geriatric depression scale (short version). The study duration was from 1st September 2018 – 31st December, 2018 with 360 sample size.Results: Out of 360 elderly people, the prevalence of depression was found to be 31.4 %. The prevalence of depression was more in females 31.9% (63 out of 197). Significant association of depression was noted with age, socio-economic status, marital status, type of family, education and occupation with p<0.05.Conclusions: Around 1/3rd of the study participants were found to be suffering from depression. Depression was significantly associated with age, illiteracy, nuclear family, dependent on family members. Family support to the elderly population may prevent depression.


Author(s):  
Anna Kuchciak

MUNICIPAL COUNCIL OF SENIORS - THE ROLE OF " THE VOICE OF EXPERIENCE" IN THE MATTERS OF LOCAL COMMUNITIESUnder the Act dated 11 October 2013 amending the Act on Municipal Self- Government, the ability to create municipal councils of seniors was introduced. The considered amendment is one of the wide range of legislative changes resulting from the process of population aging. The article attempts to assess how this optional collective body, aimed primarily at the civic activation of the elderly people and identification of their needs, works in the structure of the basic unit of the territorial system.


Author(s):  
Ann Mariya P.R ◽  
Delna Mary George ◽  
Elsamol Francis ◽  
Thasni R.A ◽  
Twinkle Joseph ◽  
...  

To assess the fall of risk among the elderly in selected urban area of Thrissur. Objectives a) To assess the fall risk among the elderly people in selected urban area of Kachery, Thrissur. b) To associate fall risk score with selected demographic variables. c) To correlate fall risk assessment questionnaire score and modified fall prevention checklist for personal risk factors score among elderly individuals. d) To teach the elderly people about fall prevention exercise. Methodology: Non-experimental descriptive research design is adopted in this study. We selected 60 samples through random sampling technique. Standardized fall risk assessment questionnaire built by national aging research institute and modified fall prevention checklist for personal risk factors built by Hamilton county was used to collect the data. Tool was administered by interview method for assessing fall risk. Fall preventive intervention module developed, validated and administered following data collection. The data collected were analyzed by using descriptive and inferential statistics. Result: The demographic profile of elderly people shows that 46.66% belongs to age group between 60-70 years and most of them 58.33% were females. The majority 73.33% of elderly person are at low risk for fall and 26.66% are at high risk for fall in questionnaire and 81.67% of elderly are low risk for fall, 18.33% are risk and there is no elderly person high risk for fall in checklist. The overall fall risk is high among elderly individual alone in home and low in elderly in nuclear families. The risk for fall among elderly based on previous history of fall shows that elderly with visual impairment those who don’t have previous knowledge about fall prevention and elderly age between 91-100 is high risk for fall. The risk for fall based on ability to perform ADL in elderly shows those who living alone in the home high risk for fall. There is significant association between score with selected variables like age, previous knowledge about fall prevention, elderly residing in their home alone. We found that there is perfect positive correlation r=1 between fall risk assessment, questionnaires and checklist score. Discussion: At the end of the study the investigator found that the risk for fall based on the assessment of fall history among elderly people shows that, there is significant association between age (p=0.0273) that is, age group between 91-100 years are high risk for fall. Previous knowledge about fall prevention shows that, elderly without previous knowledge about fall prevention is at high risk for fall (p= 0.03074). In sensory impairment that is, elderly having visual impairment (p=0.998) having risk for fall. The risk for fall among elderly people based on their ability to perform activities of daily living shows that, elderly residing in their home alone shows more risk for fall.


1988 ◽  
Vol 69 (8) ◽  
pp. 518-524 ◽  
Author(s):  
Beth Burstein

Elderly people often reject help despite their apparent suffering. Family members may react to a client's pain or deterioration by imposing change on the elderly person. The author discusses the causes for these phenomena and suggests treatment techniques.


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