Seeking Meaning in Late Stage Dementia

2005 ◽  
Vol 59 (4) ◽  
pp. 335-343 ◽  
Author(s):  
Charles E. Woodman
Keyword(s):  
Literature Review ◽  
Case Studies ◽  
Late Stage ◽  
Family Members ◽  
Family Carers ◽  
Loved One ◽  
Care Theory ◽  
James Hillman ◽  
Dementia Patients

The author uses case studies to illustrate the effectiveness of two techniques which pastoral caregivers may teach to family carers of dementia patients. In the last stages of dementia, it is important to seek meaning and keep in significant contact as long as possible, both for family members as well as for the dementia patients. After a brief literature review, implications for care theory, practice, and policy are reviewed, and a scientific bias is illustrated. These techniques build on the work of C. G. Jung and James Hillman, utilizing metaphor in non-rational uses of language. It is suggested that pastoral caregivers could teach these techniques to families of this population, in the hope of prolonging meaningful connection with their loved one.

scholarly journals Transitioning of Steel Producers to the Steelworks 4.0 –Literature Review with Case Studies

Energies ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 4109
Author(s):  
Bożena Gajdzik ◽  
Radosław Wolniak
Keyword(s):  
Literature Review ◽  
Case Studies ◽  
Steel Industry ◽  
Industry 4.0 ◽  
Strong Dependence ◽  
Industrial Robots ◽  
Basic Material ◽  
Sources Of Information ◽  
Important Place ◽  
Steel Mills

The publication presents a picture of modern steelworks that is evolving from steelworks 3.0 to steelworks 4.0. The paper was created on the basis of secondary sources of information (desk research). The entire publication concerns the emerging opportunities for the development of the steel producers to Industry 4.0 and the changes already implemented in the steel plants. The collected information shows the support environment for changes in the steel sector (EU programs), the levels of evolution of steel mills, along with the areas of change in the steel industry and implemented investment projects. The work consists of a theoretical part based on a literature review and a practical part based on case studies. The work ends with a discussion in which the staged and segmented nature of the changes introduced in the analyzed sector is emphasized. Based on the three case studies described in the paper, a comparative analysis was conducted between them. When we tried to compare methods used in the three analyzed steel producers (capital groups): ArcelorMittal, Thyssenkrupp, and Tata Steel Group, it can be seen that in all organizations, the main problem connected with steelworks 4.0 transition is the digitalization of all processes within an organization and in the entire supply chain. This is realized using various tools and methods but they are concentrated on using technologies and methods such as artificial intelligence, drones, virtual reality, full automatization, and industrial robots. The effects are connected to better relations with customers, which leads to an increase in customer satisfaction and the organizations’ profit. The steel industry will undergo further strong changes, bringing it closer to Industry 4.0 because it occupies an important place in the economies of many countries due to the strong dependence of steel producers on the markets of the recipients (steel consumers). Steel is the basic material needed to make many products, and its properties have been valued for centuries. In addition, steel mills with positive economic, social, and environmental aspects are part of the concept of sustainability for industries and economies.

Sensor e-textiles: person centered co-design for people with late stage dementia

2016 ◽  
Vol 20 (2) ◽  
pp. 76-85 ◽  
Author(s):  
Cathy Treadaway ◽  
Gail Kenning
Keyword(s):  
Design Process ◽  
Late Stage ◽  
Design Methodology ◽  
Design Research ◽  
Family Members ◽  
Sensory Properties ◽  
Content Type ◽  
People With Dementia ◽  
Grounded Practical Theory ◽  
The Moment

Purpose – The purpose of this paper is to present design research investigating the development of sensory textiles with embedded electronics to support the wellbeing of people with late stage dementia in residential care. Design/methodology/approach – The research presented is qualitative and uses a mixed method approach informed by grounded practical theory and positive design methodologies. It uses an inclusive and participatory co-design process involving people with dementia and their families with an interdisciplinary team of experts. Findings – Both the co-design process and the artefacts developed have been beneficial in supporting wellbeing. The textile artefacts have been found to soothe, distract and comfort people with dementia. They have also been shown to facilitate in the moment conversational bridges between family members and carers with persons with dementia. Research limitations/implications – The findings are based on a small cohort of participants, observational reports and descriptive accounts from family members and carers. Practical implications – The paper proposes ways in which simple hand-crafted textiles can be used beneficially to support the wellbeing of people with late stage dementia. It provides examples of how technology can be used to personalise and extend the sensory properties of the artefacts created. Social implications – It promotes an inclusive co-design methodology involving care professionals, carers and people with dementia with designers and technologists. Originality/value – The paper describes new ways of extending sensory properties of textiles through the integration of technology.

scholarly journals Nurse aides' identification of onset and level of agitation in late stage dementia patients

1999 ◽  
Vol 14 (4) ◽  
pp. 202-206 ◽  
Author(s):  
Ann L. Whall ◽  
Margaret E. A. Black ◽  
Dawn J. Yankou ◽  
Carla J. Groh ◽  
Barbara J. Kupferschmid ◽  
...  
Keyword(s):  
Late Stage ◽  
Dementia Patients ◽  
Nurse Aides

scholarly journals Development and validation of the Family Decision-Making Self-Efficacy Scale

2009 ◽  
Vol 7 (3) ◽  
pp. 315-321 ◽  
Author(s):  
Marie T. Nolan ◽  
Mark T. Hughes ◽  
Joan Kub ◽  
Peter B. Terry ◽  
Alan Astrow ◽  
...  
Keyword(s):  
Decision Making ◽  
Self Efficacy ◽  
Family Members ◽  
Terminally Ill ◽  
Loved One ◽  
The Family ◽  
Family Decision ◽  
Patient Scenario ◽  
Family Decision Making ◽  
Test Retest Reliability

AbstractObjective:Several studies have reported high levels of distress in family members who have made health care decisions for loved ones at the end of life. A method is needed to assess the readiness of family members to take on this important role. Therefore, the purpose of this study was to develop and validate a scale to measure family member confidence in making decisions with (conscious patient scenario) and for (unconscious patient scenario) a terminally ill loved one.Methods:On the basis of a survey of family members of patients with amyotrophic lateral sclerosis (ALS) enriched by in-depth interviews guided by Self-Efficacy Theory, we developed six themes within family decision making self-efficacy. We then created items reflecting these themes that were refined by a panel of end-of-life research experts. With 30 family members of patients in an outpatient ALS and a pancreatic cancer clinic, we tested the tool for internal consistency using Cronbach's alpha and for consistency from one administration to another using the test–retest reliability assessment in a subset of 10 family members. Items with item to total scale score correlations of less than .40 were eliminated.Results:A 26-item scale with two 13-item scenarios resulted, measuring family self-efficacy in decision making for a conscious or unconscious patient with a Cronbach's alphas of .91 and .95, respectively. Test–retest reliability was r = .96, p = .002 in the conscious senario and r = .92, p = .009 in the unconscious scenario.Significance of results:The Family Decision-Making Self-Efficacy Scale is valid, reliable, and easily completed in the clinic setting. It may be used in research and clinical care to assess the confidence of family members in their ability to make decisions with or for a terminally ill loved one.

Optimising building performance through integrating risk management and building information modelling during the design process

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ayman Ahmed Ezzat Othman ◽  
Fatma Othman Alamoudy
Keyword(s):  
Risk Management ◽  
Literature Review ◽  
Case Studies ◽  
Design Process ◽  
Building Performance ◽  
Building Information Modelling ◽  
Content Type ◽  
Information Modelling ◽  
Building Information

Purpose This paper aims to develop a framework for optimising building performance through the integration between risk management (RM) and building information modelling (BIM) during the design process. Design/methodology/approach To achieve this aim, a research strategy consisting of literature review, case studies and survey questionnaire is designed to accomplish four objectives. First, to examine the concepts of design process, building performance, RM and BIM; second, to present three case studies to explain the role of using RM and BIM capabilities towards optimising building performance; third, to investigate the perception and application of architectural design firms in Egypt towards the role of RM and BIM for enhancing building performance during the design process; and finally, to develop a framework integrating RM and BIM during the design process as an approach for optimising building performance. Findings Through literature review, the research identified 18 risks that hamper optimising building performance during the design process. In addition, 11 building performance values and 20 BIM technologies were defined. Results of data analysis showed that “Design budget overrun”, “Lack of considering life cycle cost” and “Inefficient use of the design time” were ranked the highest risks that affect the optimisation of building performance. Respondents ranked “Risk avoid” or “Risk transfer” as the most risk responses adopted in the Egyptian context. In addition, “BIM As Built” was ranked the highest BIM technology used for overcoming risks during the design process. These findings necessitated taking action towards developing a framework to optimising building performance. Originality/value The research identified the risks that affect optimising building performance during the design process. It focuses on improving the design process through using the capabilities of BIM technologies towards overcoming these risks during the design process. The proposed framework which integrates RM and BIM represents a synthesis that is novel and creative in thought and adds value to the knowledge in a manner that has not previously occurred.

scholarly journals The project “understAID” – a platform that helps informal caregivers to understand and aid their demented relatives

2014 ◽  
Vol 83 (2) ◽  
pp. 182-188
Author(s):  
Elżbieta Skorupska ◽  
Ewa Mojs ◽  
Włodzimierz Samborski ◽  
José C. Millán-Calenti ◽  
Ana Maseda ◽  
...  
Keyword(s):  
Social Learning ◽  
Case Studies ◽  
System Integration ◽  
Informal Caregivers ◽  
Real Case ◽  
International Project ◽  
Formal Caregivers ◽  
Dementia Patients ◽  
The Social

“UnderstAID” is a platform that helps informal caregivers to understand and aid their demented relatives. It is an international project initiated by Denmark, Poland and Spain.The aim of the project is to design, and implement the multimedia platform “understAID” to support informal caregivers of dementia patients. The project was launched in April 2013 and is expected to end 36 months later. The project is divided into five tasks concerning the final aim. The aim of task 1 is the management of the project, as well as the exploitation and dissemination of gathered information. Task 2 is meant to define the contents and solutions of the CarePlatform based on the knowledge gained from real-case studies. Demented elderlies from each country (n = 40) suffering from different degrees of dementia were evaluated by formal caregivers and dementia professionals. The aim of task 3 is the development of the social learning interface. Task 4 focuses on the CarePlatform development and system integration. Finally, task 5 assumes testing and validation of the platform. The platform is devised to be available in two versions, namely the light one for mobile appliance and the premium version. Also different activities leading to the popularization of the platform are planned.

scholarly journals Blockchain in Health Care Innovation: Literature Review and Case Study From a Business Ecosystem Perspective (Preprint)

2020 ◽  
Author(s):  
Shuchih Ernest Chang ◽  
YiChian Chen
Keyword(s):  
Health Care ◽  
Life Cycle ◽  
Literature Review ◽  
Case Studies ◽  
Paradigm Shift ◽  
Potential Health ◽  
Business Ecosystem ◽  
Blockchain Technology ◽  
The Impact

BACKGROUND Blockchain technology is leveraging its innovative potential in various sectors and its transformation of business-related processes has drawn much attention. Topics of research interest have focused on medical and health care applications, while research implications have generally concluded in system design, literature reviews, and case studies. However, a general overview and knowledge about the impact on the health care ecosystem is limited. OBJECTIVE This paper explores a potential paradigm shift and ecosystem evolution in health care utilizing blockchain technology. METHODS A literature review with a case study on a pioneering initiative was conducted. With a systematic life cycle analysis, this study sheds light on the evolutionary development of blockchain in health care scenarios and its interactive relationship among stakeholders. RESULTS Four stages—birth, expansion, leadership, and self-renewal or death—in the life cycle of the business ecosystem were explored to elucidate the evolving trajectories of blockchain-based health care implementation. Focused impacts on the traditional health care industry are highlighted within each stage to further support the potential health care paradigm shift in the future. CONCLUSIONS This paper enriches the existing body of literature in this field by illustrating the potential of blockchain in fulfilling stakeholders’ needs and elucidating the phenomenon of coevolution within the health care ecosystem. Blockchain not only catalyzes the interactions among players but also facilitates the formation of the ecosystem life cycle. The collaborative network linked by blockchain may play a critical role on value creation, transfer, and sharing among the health care community. Future efforts may focus on empirical or case studies to validate the proposed evolution of the health care ecosystem.

scholarly journals The Development of Wine Tourism in Atypical Wine Regions: the Challenge of Multistakeholder Cooperation?

2019 ◽  
Vol 24 (2) ◽  
pp. 127-142
Author(s):  
Katleen Vos
Keyword(s):  
Literature Review ◽  
Case Studies ◽  
Exact Science ◽  
Successful Development ◽  
Wine Tourism ◽  
Recent Trends ◽  
Tourism Destinations ◽  
Development And Management

In the last decades, worldwide wine tourism has been steadily progressing and has grown substantially as a research object. Several academic papers treat strategies for development and management of wine tourism. This paper aims to describe recent trends in wine tourism, and more specifi­cally, the development of wine tourism in atypical wine regions. Therefore, it synthesises the key findings from the second UNWTO wine tourism conference. Furthermore, it argues that the successful development of wine tourism is not an exact science. Emerging wine destinations often have many dif­ficulties to overcome. Using literature review and case studies, it explores the possibilities to create successful destinations and highlights the impor­tance of co-operation, co-creation within networks and creativity to create value for wine tourism destinations.

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