Humanitude in the humanization of elderly care: experience reports in a health service

ABSTRACT Objective: To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly. Methodology: This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations. Results: The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care. Conclusion: The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.

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How Politico-Economic Systems Shape Individuals’ Value of Elderly Care: Evidence From the German Reunification

The Gerontologist ◽

10.1093/geront/gnz128 ◽

2019 ◽

Author(s):

Freya Diederich ◽

Hans-Helmut König ◽

Christian Brettschneider

Keyword(s):

Economic System ◽

Elderly People ◽

Informal Care ◽

Elderly Care ◽

The Elderly ◽

Social Market Economy ◽

Birth Cohorts ◽

Care For The Elderly ◽

Average Marginal Effects ◽

Social Market

Abstract Background and Objectives Perceptions of how societies should care for the elderly people can differ among countries. This study examines to what extent individuals’ value of informal care is shaped by the politico-economic system in which they grew up and if this value adjusts once an individual lives in a different politico-economic system. Research Design and Methods We use data from the German Family Panel and take advantage of the unique setting of the German separation and reunification. Probit models are used to examine the effect of being born in East Germany on individuals’ value of informal care relative to employment at different birth cohorts and survey waves (N = 14,093). Average marginal effects are calculated. Results Twenty years after reunification, East Germans who spent their adolescence under communism exhibit a higher value of informal care relative to employment than West Germans who grew up in a western social market economy. Differences in values between East and West Germans do not significantly converge over time. Discussion and Implications Individuals’ value of informal care is deeply shaped by the politico-economic system in which they grew up. If immigration policies are introduced to increase the care for elderly people, differences in individuals’ cultural perceptions of elderly care should be considered as these will not suddenly adjust.

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Peningkatan Pengetahuan Care Giver Dalam Merawat Lansia Di Pslu Natar

JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) ◽

10.33024/jkpm.v4i3.3842 ◽

2021 ◽

Vol 4 (3) ◽

pp. 481-486

Author(s):

Gunawan Irianto ◽

Arena Lestari

Keyword(s):

Community Service ◽

Elderly Care ◽

Intervention Strategy ◽

The Elderly ◽

Social Institution ◽

Average Score ◽

Care Giver ◽

Training Method ◽

Care For The Elderly ◽

Service Activity

ABSTRAK Kegiatan pengabdian masyarakat ini dilakukan di Panti Sosial Lanjut Usia di Natar Lampung Selatan dengan tujuan meningkatkan pengetahuan care giver atau pendamping untuk melakukan perawatan pada lansia di panti. Sasaran kegiatan ini adalah para care giver yang berjumlah 14 orang, strategi intervensi dilakukan melalui 3 tahapan yaitu perencanaan, pelaksanaan dan evaluasi. Metode pelatihan dengan menggunakan metode ceramah atau presentasi, role play dan diskusi. Evaluasi dilakukan dengan mengunakan kuesioner yang mengukur pengetahuan care giver pre dan post kegiatan pelatihan. Aadanya peningkatan yang cukup signifikan dari pengetahuan care giver tentang perawatan lansia, hal ini terlihat dari persentasi pengetahuan baik meningkat menjadi 90% dengan skor rata-rata 89 dan care giver yang memiliki pengetahuan kurang menjadi 10% dengan skor rata-rata 49.Pelatihan peningkatan pengetahuan caregiver melakukan perawatan lansia secara signifikan meningkatkan pengetahuan care giver dalam merawat lansia di panti. Kata Kunci : care giver, pengetahuan, perawatan lansia ABSTRACT This community service activity was carried out at the elderly social institution in Natar, South Lampung with the aim of increasing the knowledge of caregivers or assistants to care for the elderly in the orphanage. The target of this activity is 14 caregivers. The intervention strategy is carried out in 3 stages, namely planning, implementing and evaluating. The training method uses lectures or presentations, role plays and discussions. The evaluation was carried out using a questionnaire that measured the knowledge of care giver pre and post training activities.There was a significant increase in the care giver's knowledge about elderly care, this can be seen from the percentage of good knowledge increasing to 90% with an average score of 89 and caregivers who have less knowledge to 10% with an average score of 49. Training to increase caregiver knowledge in caring for the elderly significantly increases the knowledge of caregivers in caring for the elderly in the elderly social institution. Keywords: care giver, knowledge, elderly, social institution

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Knowledge Provision Model Through Distance Learning Method for Promoting Quality of Life of the Elderly in Rural Areas of Thailand

Journal of Education and Learning ◽

10.5539/jel.v10n2p129 ◽

2021 ◽

Vol 10 (2) ◽

pp. 129

Author(s):

Sumalee Sungsri

Keyword(s):

Quality Of Life ◽

Elderly People ◽

Rural Areas ◽

Social Relationship ◽

Elderly Care ◽

The Elderly ◽

Community Leaders ◽

The World ◽

Quantitative And Qualitative Methods

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.

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Care for the elderly: factors that influence the performance of health professionals inprimary care Atenção à pessoa idosa: fatores que influenciam o desempenho dos profissionais de saúde na atenção básica

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.2015.v7i5.126-135 ◽

2015 ◽

Vol 7 (5) ◽

pp. 126

Author(s):

Silvana Tanalise Guedes Almeida ◽

Maria Augusta Medeiros de Souza ◽

Jailson Alberto Rodrigues ◽

Débora Cíntia Oliveira da Silva ◽

Jordana De Almeida Nogueira ◽

...

Keyword(s):

Health Professionals ◽

The Elderly ◽

Care For The Elderly

Objetivo: analisar os fatores que influenciam o desempenho das equipes de saúde da família (ESF) na atenção a pessoa idosa na perspectiva da micro e mesogestão. Método: Estudo tipo inquérito, realizado em João Pessoa - PB, que envolveu 250 profissionais de saúde. Os dados foram coletados por fonte primária, utilizando-se um questionário contendo questões relacionadas à avaliação dos serviços de saúde na atenção ao idoso. Resultados: Quanto aos componentes da micro-gestão, 22,8% apontou falta de aperfeiçoamento para o trabalho com o idoso, baixa oferta de atividades grupais (26,4%), desarticulação da equipe (18,8%) e práticas pouco humanizadas (16,4%). Entre os componentes da esogestão, foram mencionadas inadequação e indisponibilidade de recursos materiais e humanos (16,4%/12,4%), inacessibilidade (28,4%); baixo cumprimento do princípio da integralidade (9,6%). Conclusão: Ampliar a capacidade resolutiva das ESF e potencializar as atribuições específicas da micro-gestão requer adequação tecnológica/estrutural das unidades, investimento em capacitação, inclusão social do idoso. Descritores: Pessoa idosa, Atenção Primária à Saúde, Avaliação de Serviços de saúde.

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Experiences with the privatization of home care: evidence from Denmark

Nordic Journal of Social Research ◽

10.7577/njsr.2051 ◽

2011 ◽

Vol 2 ◽

Cited By ~ 2

Author(s):

Barbara Fersch ◽

Per H Jensen

Keyword(s):

Welfare State ◽

Home Care ◽

Central Government ◽

Elderly Care ◽

The Elderly ◽

Care Providers ◽

Public And Private ◽

Political Actors ◽

Financial Responsibility ◽

Care For The Elderly

Processes of privatization in home care for the elderly in Denmark have primarily taken the form of outsourcing public-care provisions. The content and quality of services have in principle remained the same, but the providers of services have changed. The welfare state has continued to bear the major responsibility for the provision of elderly care, while outsourcing has allowed clients to choose between public and private providers of care. The major aim of outsourcing has been to empower the frail elderly by providing them with exit-opportunities through a construction of this group as consumers of welfare-state provisions. The central government in Denmark has produced the public-service reform, but the municipalities bear the administrative and financial responsibility for care for the elderly. Further, national policymakers have decided that local authorities (municipalities) must provide to individuals requiring care the opportunities to choose. With this background in mind, this article analyses how national, top-down ideas and the ‘politics of choice' have created tensions locally in the form of municipal resistance and blockages. The article draws on case studies in two Danish municipalities, whereby central politicians and administrative leaders have been interviewed. We have identified four areas of tensions: 1) those between liberal and libertarian ideas and values versus local political orientations and practices; 2) new tensions and lines of demarcation among political actors, where old political conflicts no longer holds; 3) tensions between promises and actual delivery, due to insufficient control of private contractors; and 4) those between market principles and the professional ethics of care providers.

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Should the family or the state provide support for the elderly people? Findings from a two-generational Finnish study

International Journal of Sociology and Social Policy ◽

10.1108/ijssp-06-2018-0102 ◽

2019 ◽

Vol 39 (1/2) ◽

pp. 138-155 ◽

Cited By ~ 1

Author(s):

Antti O. Tanskanen ◽

Johanna Kallio ◽

Mirkka Danielsbacka

Keyword(s):

Older Adults ◽

Elderly People ◽

Elderly Care ◽

The Elderly ◽

The State ◽

Younger Adults ◽

Content Type ◽

Public Opinions ◽

The Family ◽

Nationally Representative

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.

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Late diagnosis and vulnerabilities of the elderly living with HIV/AIDS

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000200007 ◽

2015 ◽

Vol 49 (2) ◽

pp. 0229-0235 ◽

Cited By ~ 4

Author(s):

Rúbia Aguiar Alencar ◽

Suely Itsuko Ciosak

Keyword(s):

Qualitative Research ◽

Elderly People ◽

Health Professionals ◽

The Elderly ◽

Late Diagnosis ◽

Sexual Life ◽

Structured Interviews ◽

Living With Hiv ◽

Elderly Living ◽

Hiv Aids

OBJECTIVE To identify vulnerabilities of elderly people with HIV/AIDS and the trajectory that they follow until reaching the diagnosis of the disease. METHOD Qualitative research conducted in specialized clinics in the state of São Paulo, from January to June 2011. Semi-structured interviews were conducted with 11 elderly people who were found to be infected with the virus at the age of 60 years or older. The interviews were analyzed using content analysis. RESULTS In this process four categories emerged, then analyzed with reference to the theoretical framework of vulnerability. CONCLUSION Late diagnosis of HIV infection or AIDS among the elderly happens in the secondary or tertiary service. Issues related to sexual life of the elderly are only questioned by health professionals after the diagnosis, also the time that condom use becomes absolute. It is believed that the investigation of the vulnerability of the elderly to HIV/AIDS allows for carrying out appropriate interventions for this population.

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Patterns of Expenditure in Healthcare for Elderly in Shanghai

China Report ◽

10.1177/0009445520930402 ◽

2020 ◽

Vol 56 (3) ◽

pp. 334-353

Author(s):

Zhu Bifan ◽

Li Fen ◽

Wang Linan ◽

Wang Changying ◽

Jin Chunlin

Keyword(s):

Elderly Care ◽

Age Groups ◽

The Elderly ◽

Pattern Of Care ◽

Younger Adults ◽

Care For The Elderly ◽

The Status ◽

Integration Of Services ◽

Health Accounts ◽

System Of Health Accounts

This study aims to summarise the characteristics of elderly care system and analyse expenditures of healthcare for the elderly in Shanghai. The authors use medical records of 2015 and health account results of 2014 based on System of Health Accounts 2011 to describe the pattern of care expenditures for elderly. Individuals aged 60 years and above account for 19.5 per cent of Shanghai’s population but utilise 52.2 per cent of all outpatient visits and 45.3 per cent of all hospitalisations. Almost two-thirds of their medical expenditures occur in hospitals and 16 per cent in community health centres, corresponding to the status of resource allocation. The out-of-pocket payment ratio of the elderly is lower than that of the younger adults, which is attributable to the preferential reimbursement polices set by the insurance schemes. The leading causes of expenditures are cardiovascular disease, neoplasms and respiratory diseases. Care for the elderly costs more, and the elderly use more services than other age groups. The article recommends the monitoring of irrational utilisation of services, strengthening of primary level care and integration of services across different facilities to streamline care for elderly in Shanghai.

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Service robots: value co-creation and co-destruction in elderly care networks

Journal of Service Management ◽

10.1108/josm-07-2017-0179 ◽

2018 ◽

Vol 29 (2) ◽

pp. 178-205 ◽

Cited By ~ 64

Author(s):

Martina Čaić ◽

Gaby Odekerken-Schröder ◽

Dominik Mahr

Keyword(s):

Elderly People ◽

Elderly Care ◽

Social Contact ◽

The Elderly ◽

Service Robots ◽

Value Networks ◽

Content Type ◽

Value Network ◽

Assistive Robots ◽

Socially Assistive Robots

Purpose The purpose of this paper is to investigate the potential roles for service robots (i.e. socially assistive robots) in value networks of elderly care. Taking an elderly person’s perspective, it defines robot roles according to their value co-creating/destroying potential for the elderly user (i.e. focal actor), while acknowledging consequences for a network of users around the elderly (i.e. network actors). Design/methodology/approach This qualitative, interpretative study employs in-depth phenomenographic interviews, supported by generative cards activities (i.e. Contextual Value Network Mapping), to elicit an elderly person’s tacit knowledge and anticipate the effects of introducing an automated actor on institutionalized value co-creation practices. Findings The proposed typology identifies six roles of socially assistive robots in an elderly person’s value network (enabler, intruder, ally, replacement, extended self, and deactivator) and links them to three health-supporting functions by robots: safeguarding, social contact, and cognitive support. Research limitations/implications Elderly people have notable expectations about the inclusion of a socially assistive robot as a new actor in their value networks. The identified robot roles inform service scholars and managers about both the value co-destruction potential that needs to be avoided through careful designs and the value co-creation potential that should be leveraged. Originality/value Using network-conscious phenomenographic interviews before the introduction of a novel value proposition sheds new light on the shifting value co-creation interplay among value network actors (i.e. elderly people, formal and informal caregivers). The value co-creation/destruction potential of socially assistive robots and their corresponding roles in care-based value networks offer insights for the design of meaningful robotic technology and its introduction into the existing service networks.

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Communication challenges with the elderly

10.1093/med/9780198736134.003.0052 ◽

2017 ◽

Author(s):

Ronald D. Adelman ◽

Michele G. Greene ◽

Milagros D. Silva

Keyword(s):

Health Professionals ◽

Terminal Illness ◽

The Elderly ◽

Psychosocial Needs ◽

Care For The Elderly ◽

Great Heterogeneity ◽

Negative Perceptions ◽

Communication Challenges ◽

Utilization Of Healthcare ◽

The Impact

The significant growth in the elderly population brings with it increased utilization of healthcare resources. Effective geriatric medical care requires effective communication and consideration of the challenges to communication in all stages of the continuum through health and disease. Given the often-negative perceptions of the elderly and the great heterogeneity of this population, it is imperative that health professionals assess each older patient as an individual. The impact of a cancer diagnosis and treatment, as well as a terminal illness, has a powerful effect on the lives of older people. Health professionals who care for the elderly with sensitivity to their personhood, their medical status, and psychosocial needs will have a profound influence on the quality of older patients’ lives.

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