Biosensing in Old Age

Living Data ◽  
2019 ◽  
pp. 125-150
Author(s):  
Celia Roberts ◽  
Adrian Mackenzie ◽  
Maggie Mort ◽  
Theresa Atkinson ◽  
Mette Kragh-Furbo ◽  
...  
Keyword(s):  
At Risk ◽  
Older People ◽  
Old Age ◽  
Self Care ◽  
Monitoring Systems ◽  
Care Systems ◽  
Low Functioning ◽  
Remote Care ◽  
At Home

How does biosensing reach into the lives of older people living at home? Here we examine care monitoring systems for older people, or telecare, as this has become known. We focus in particular on the wearable falls detector, an alarm device which triggers, it is claimed, when a person trips or falls. We explore findings from ethnographies of home telecare and from citizens’ panel debates on how individuals and families live with such systems, and how falls detectors are constructed as workable. Following individuals' interactions with telecare we question the notion of self-tracking, preferring the term dys-tracking as better reflecting their relationship with automated devices. Falls detectors are technically highly complex, collecting data difficult to interpret. Ageing bodies are invariably assessed as low functioning and intrinsically at risk. Views from our citizens’ panels however, show a more active and imaginative constituency where practices of self-care exist alongside remote-care systems.

Family relationships for self-care-dependent older people at home

2007 ◽  
Vol 7 (3) ◽  
pp. 252-257 ◽  
Author(s):  
Hiroko Kodama ◽  
Yuko Suda ◽  
Ryutaro Takahashi ◽  
Masanori Nishimura ◽  
Yuji Izumo ◽  
...  
Keyword(s):  
Older People ◽  
Family Relationships ◽  
Self Care ◽  
At Home

scholarly journals Older people at risk in times of pandemic? A qualitative study of coping narratives that support resilience in older people

2021 ◽  
Author(s):  
Lucía Pérez Sánchez ◽  
Beatriz Guadalupe Maza Pérez ◽  
Guiana Fernández De Lara López Fernández De Lara López
Keyword(s):  
At Risk ◽  
Older People ◽  
Old Age ◽  
Adult Population ◽  
Continuous Process ◽  
Psychological Impact ◽  
The Elderly ◽  
Coping Resources ◽  
World Health ◽  
Cross Sectional

Background: The World Health Organization mentions that the stress that COVID-19 triggers and confinement are causing a strong psychological impact on societies, due to the relationship made of the binomial pandemic and death. The above exposes the political scenario of COVID-19 for the elderly that once again exhibits the image of the elderly as fragile beings, incapable of thinking and deciding for themselves, who must be cloistered and isolated. However, despite the empirical evidence that shows a vulnerable and at-risk population in the context of the current pandemic, other theoretical views differ and emphasize the strengths that are manifested in this stage of life. Objective: To understand the narrative construction and resilient processes that the older adult population has experienced concerning COVID-19. Special attention was paid to the discourse on psycho-emotional consequences, social beliefs about old age, discrimination, as well as the omissions of human rights and dignity of the elderly. Method: qualitative descriptive cross-sectional ethnomethodological design, with a continuous inclusion sample, corresponding to 15 participants, between 64 and 85 years old, living in Mexico. Results: It was identified that the participating older adults have sufficient psycho-emotional coping resources, due to the efficacy of the regulation of the feelings experienced. However, it is still influenced by the social perception of stereotypes and stigmatization. Conclusions: The results coincide with the postulates of positive psychology and psycho-gerontology regarding the development of capacities and potentialities as a continuous process, and that in older adulthood they become present, thanks to the accumulation of experiences, individual and collective. This underlines the importance of including other ways in which old age is lived and studied, and therefore in the methodologies and proposals for intervention.

Elder abuse

2013 ◽  
Author(s):  
Jill Manthorpe
Keyword(s):  
At Risk ◽  
Older People ◽  
Old Age ◽  
Elder Abuse ◽  
Care Homes ◽  
Effective Interventions ◽  
Abuse And Neglect ◽  
The Creation ◽  
Poor Practice

Old age psychiatrists will encounter situations of elder abuse in their practice. Whatever their work and professional policies they will need to think the unthinkable and to provide leadership to teams and across services. Asking and observing what is happening are key elements of their role. There is further need to work collaboratively to support older people at risk and to empower then by fostering or sustaining resilience. Old age psychiatrists can assist in prevention and in the building of supportive communities. They have a key role to play in furthering research and the creation of effective interventions for perpetrators. Their engagement with staff and residents in care homes may prevent poor practice and diminish opportunities for abuse and neglect.

scholarly journals Self-Efficacy of Older People Using Technology to Self-Manage COPD, Hypertension, Heart Failure, or Dementia at Home: An Overview of Systematic Reviews

2020 ◽  
Author(s):  
Garuth Chalfont ◽  
Céu Mateus ◽  
Sandra Varey ◽  
Christine Milligan
Keyword(s):  
Heart Failure ◽  
Older People ◽  
Systematic Reviews ◽  
Self Efficacy ◽  
Patient Activation ◽  
Self Care ◽  
The Self ◽  
Self Management ◽  
Overview Of Systematic Reviews ◽  
At Home

Abstract Background and Objectives Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results Five included articles contained 74 primary studies involving 9,004 participants with chronic obstructive pulmonary disease, hypertension, heart failure, or dementia. Evidence for self-care telehealth technology supporting the self-efficacy of older people with LTCs living at home was limited. Self-efficacy was rarely an outcome, also attrition and dropout rates and mediators of support or education. The pathway from telehealth to self-efficacy depended on telehealth modes and techniques promoting healthy lifestyles. Increased self-care and self-monitoring empowered self-efficacy, patient activation, or mastery. Discussion and Implications Future research needs to focus on the process by which the intervention works and the effects of mediating variables and mechanisms through which self-management is achieved. Self-efficacy, patient activation, and motivation are critical components to telehealth’s adoption by the patient and hence to the success of self-care in self-management of LTCs. Their invisibility as outcomes is a limitation.

Elder abuse

2020 ◽  
pp. 865-870
Author(s):  
Jill Manthorpe
Keyword(s):  
At Risk ◽  
Older People ◽  
Old Age ◽  
Elder Abuse ◽  
Care Homes ◽  
Effective Interventions ◽  
Abuse And Neglect ◽  
The Creation ◽  
Poor Practice

Old age psychiatrists will encounter situations of elder abuse in their practice. Whatever their work and professional policies they will need to think the unthinkable and to provide leadership to teams and across services. Asking and observing what is happening are key elements of their role. There is further need to work collaboratively to support older people at risk and to empower then by fostering or sustaining resilience. Old age psychiatrists can assist in prevention and in the building of supportive communities. They have a key role to play in furthering research and the creation of effective interventions for perpetrators. Their engagement with staff and residents in care homes may prevent poor practice and diminish opportunities for abuse and neglect.

Medicine in old age

2010 ◽  
pp. 5389-5405
Author(s):  
Gordon Wilcock ◽  
Kenneth Rockwood
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Older People ◽  
Old Age ◽  
Self Care ◽  
Personal Care ◽  
Slow Movement ◽  
Geriatric Population ◽  
Health Related ◽  
Degree Of Disability

Frailty occurs in a mainly older or geriatric population, is linked to the accumulation of a number of different health-related problems, and may influence disease presentation. A frequently used clinical definition recognizes presentations comprising weight loss, exhaustion, slow movement, a low level of physical activity, and weakness. It can also be graded by degree of disability: (1) very mild frailty describes someone who has given up complex hobbies; (2) mild frailty implies some dependence on ‘instrumental activities of daily living’; (3) moderate frailty involves intermediate self-care activities; and (4) severe frailty requires personal-care dependence. The complexity of frailty underlies the difficulties that often arise when managing the care of an older person. Understanding the concept and consequences of frailty is essential to the problems of and successful management of many older people....

CASE MANAGEMENT FOR OLDER PEOPLE AT HOME: REVIEW OF AN ‘AT RISK’ REGISTER

1993 ◽  
Vol 12 (2) ◽  
pp. 25-28 ◽  
Author(s):  
P.M. Sadler ◽  
I.D. Cameron ◽  
K. Kerr
Keyword(s):  
At Risk ◽  
Case Management ◽  
Older People ◽  
At Home

The management of foot problems in the older person through podiatry services

2011 ◽  
Vol 21 (4) ◽  
pp. 331-339 ◽  
Author(s):  
Wesley Vernon ◽  
Alan Borthwick ◽  
Jeremy Walker
Keyword(s):  
At Risk ◽  
Older People ◽  
Self Care ◽  
Evidence Base ◽  
Professional Autonomy ◽  
Scope Of Practice ◽  
Older Person ◽  
Foot Care ◽  
Foot Problems

SummaryThe scale of foot problems in the population is high, and highest in older people. Whilst podiatry is solely concerned with the foot, other professions with a broader remit are also involved in foot care, as not only the foot may be at risk but also there may be serious systemic sequelae. Foot problems can be usefully viewed from a functional, hierarchical perspective. The interventions required are suggested by considering problems according to this hierarchy. Many approaches exist for the management of foot conditions from educated self-care to surgery. In managing such conditions, multi-disciplinary approaches are required. Podiatry has developed considerably over the years, has a growing research base, an extensive scope of practice and anticipated developments. The profession can develop further, particularly in its preventative role, in terms of professional autonomy and in further increasing its evidence base.

scholarly journals The Application of Salutogenesis for Social Support and Participation: Toward Fostering Active and Engaged Aging at Home

2022 ◽  
pp. 249-258
Author(s):  
Mélanie Levasseur ◽  
Daniel Naud
Keyword(s):  
Social Support ◽  
Older People ◽  
Old Age ◽  
Sense Of Coherence ◽  
Intervention Research ◽  
Community Programs ◽  
Aging At Home ◽  
Aaron Antonovsky ◽  
Aging Factors ◽  
At Home

AbstractIn this chapter, the authors discuss some important aging factors that could increase the likelihood of a stronger sense of coherence (SOC): aging at home, participation, and social support. In his last paper, Aaron Antonovsky (1993) highlighted an example of an intervention among older people, living in their homes, who refused to accept help. He suggested that if researchers had been guided by the salutogenic question of “how to strengthen the comprehensibility, manageability, and meaningfulness of elders,” their intervention research could have been much more sophisticated and rich. The authors are addressing this call. In this chapter, they analyze how social support, active participation, mobility, and other factors can strengthen SOC in old age. They also bring some examples of individual and community programs that are already operating within this salutogenic orientation.

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