scholarly journals Analysis of the Contribution of Small Residential Care Centers for the Elderly to reduce the Socio Environmental Impact and Foster Entrepreneurship in Brazilian Megacities (São Paulo)

Author(s):  
Heloisa Candia Hollnagel ◽  
Luiz Jurandir Simões De Araújo ◽  
Ricardo Luiz Pereira Bueno

On 2016 the 17 United Nations Sustainable Development Goals (SDGs) of the 2030 Agenda officially came into force proposing that Governments can work to promote inclusive and sustainable economic growth, employment and decent work for all. This study aims to analyze the contribution of Residential Elderly Care Center – RECC to promote SD along with social support in urban centers of megacities. Considering that the current scenario presents: longer life expectancy and increasing numbers of older people; the growing presence of women in the market and the hierarchy of companies making more and more difficult for them to stay at home as well as the failure of public care structure to respond adequately to citizens’ demands new business models are welcome. While the families are getting smaller which removes potential caregivers within them, conversely mobility issues among peripheral areas and public institutions are increasing. Large arrangements for caring can be useful in some contexts, but generally, require commuting from home to the support structure and new public and private investments. The potential reduction of human daily dislocations could improve the environment and life quality in megacities in many aspects: decreasing vehicles CO2 emissions, pollution and the volume of traffic; giving practicality to everyday life of families with dependent members of care and generating new opportunities of small business. In addition, this new residential structures employment might reduce the need to shift the caregivers themselves to their work place, strengthen community bounds and not require immobilization of new properties of the exclusive use for Care centers in highly urbanized areas. The methodology used in this paper is based in the exploratory-descriptive and bibliographical-documentary method. Results of the study are corroborated by a series of complementary research of the authors. Conceptual step-by-step flowchart to assist an entrepreneur to open a RECC is described.

2018 ◽  
Vol 28 (2) ◽  
pp. 571-574
Author(s):  
Ivanka Stambolova ◽  
Stefan Stambolov

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“.


2011 ◽  
Vol 2 ◽  
Author(s):  
Barbara Fersch ◽  
Per H Jensen

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.


Arsitektura ◽  
2019 ◽  
Vol 17 (2) ◽  
pp. 177
Author(s):  
Mintari Nur Aziza ◽  
Hari Yuliarso ◽  
Hardiyati Hardiyati

<p class="Abstract"><em>When entering the elderly phase, humans will experience a physical and psychological conditions declined, this causes the elderly to need special and different services compared to normal adults. In order to overcome these problems, also to reach Surakarta as an Elderly Friendly City, a Elderly Care Center is needed as a place that provides various services needed by the elderly. </em><em>This care center requires a healing environment concept that can create a conducive environment so that it can restore and improve physical and psychological health conditions of the elderly. In order to achieve healing environment, there are some approaches that can be done, such as the sensory approach (sense of sight, sense of touch, sense of hear, and sense of smell), natural approach (healing garden), and psychological approach. The method that used are observational studies to the community, field studies, and literature studies on related theories. The approaches og healing environment concept can be applied in the analysis of planning and design, so that will result the Eldelry Care Center with an environment where the elderly can easily adapt, feel comfortable, safe, and can support the recovery and improvement of the physical and psychological conditions of the elderly.</em><em></em></p>


One of the issues faced by the senior citizens is inherited from the society’s lifestyle which is less active physically, or not active at all. Retirement causes the problems amongst senior citizen more notable as it makes them not physically active anymore. Lifestyle is important in going through their daily life from health aspects, shelter, social life and many more. The aim of this research is focused on the founding of senior citizens’ lifestyle in order to identify their lifestyle, their care practices on their health, and their overall health level as well as views on elderly care center. This research used qualitative and quantitative methodology by distributing questionnaire forms and interviews with a few of respondents in the elderly care center. In summary, these results show that 73.3 percent of respondents have decent health level, but 26.7 percent of respondents have health issues. This research also found that 93.4 percent of the senior citizens prefer to live in an elderly care center compared to living with their own family. Researchers have found that exercises and physical activities can lead to an increase of senior citizens’ health level for those who aged 70 and above.


Author(s):  
Wadad Kathy Tannous ◽  
Divya Ramachandran

India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.


Author(s):  
Hsien-Chou Liao ◽  
◽  
Yan-Ting Lin ◽  
Jhih-Sin Chen ◽  
Min-Han Xiao ◽  
...  

2011 ◽  
Vol 467-469 ◽  
pp. 1893-1898 ◽  
Author(s):  
Lei Zhang ◽  
Qi Xin Cao ◽  
Chun Tao Leng ◽  
Ao Lin Tang ◽  
Fei Shi

The Walking Assistant Robots(WARs) developed by our institute are introduced in this paper. First, three prototypes with different mechanical and control structures are introduced and compared. Then as for the prototypes Ⅲ, its main framework and three important function modules including force sensor based human-machine interaction, Omni-directional vision based tracking and guiding system, and web-based monitoring system are described in detail. The WAR can recognize the user’s intents and execute different assistant functions, such as seating or standing-up assistant, walking assistant, human tracking, location, obstacle detection and avoidance. The application in an elderly care center shows WAR has a perfect and stable performance.


2019 ◽  
Author(s):  
Hungyi Chen ◽  
Yuan-Chia Chu ◽  
Feipei Lai

BACKGROUND Time banking is a good mechanism to provide elderly care in community services with members having mutual benefits, besides social welfare and out-of-pocket fee payment mechanisms. With further integration with off-line works, mobile time banking may provide a better way, compared to traditional web access. On the other hand, blockchain technology has been long encountering difficulty in integrating with real-world economies or activities. Development of a mobile time banking system on blockchain (MTBB) may provide a realistic solution for community elderly care. Besides, the tracking mechanism from blockchain technology itself may also help track the elderly care service transaction records in order to measure better Sustainable Development Goals (SDGs) set by United Nations (UN). OBJECTIVE The aim of this study was to develop the MTBB, which enables tracking service transaction records in community elderly care through mutual helps. METHODS The MTBB was developed to empower organizations, either Corporate Social Responsibility (CSR) organizations, or Non-Profit Organizations (NPOs), to issue time tokens of their proprietary token types to the members who participate in the volunteer activities organized by the organizations respectively. In the service activities, members sign in and sign out before and after the services by using a smartphone app, and then get the time tokens afterwards. Members with time tokens can then exchange time tokens for elderly care services using the same smartphone app. MultiChain is used as the blockchain technology stack, as one of its features to support multiple token types is critical. RESULTS Database applications with smartphone apps integrated with MultiChain were developed. The whole set of the database schema was integrated with two smartphone apps, one for members, and the other for organizations, in addition to the two backend operations modules, one for organizations, and the other for managing all organizations and members. The MultiChain wallet was also integrated into the member app, as well as the organization backend modules for keeping track of the service transactions and time tokens. Metadata with the service transaction information is stored in the MultiChain blocks so that the transaction records are immutable and can thus be analyzed in the future. CONCLUSIONS The twelve characteristics of Cahn’s time banking are the guidelines of developing this MTBB with integration of MultiChain blockchain technology for tracking service transaction records. The study also combines the 1-to-1 member service exchange with organizations holding volunteer activities and issuing proprietary time tokens. With the blockchain transaction tracking mechanism, all of the elderly care service records through or within organizations can be tracked and analyzed to align with UN’s five SDGs.


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