scholarly journals Design of housing that improves the quality of life of the high-needs elderly in New Zealand

2021 ◽  
Author(s):  
◽  
Yukiko Kuboshima
Keyword(s):  
Quality Of Life ◽  
New Zealand ◽  
Independent Living ◽  
The Elderly ◽  
Care Needs ◽  
Housing Design ◽  
Physical Environments ◽  
Care Requirements

<p>The ageing population is growing rapidly in New Zealand, and those with high-care needs are increasing at an even higher rate. Government policy calls for ageing-in-place,staying in their own home as long as possible, without entering residential care. Subsequently, there is a growing need for housing that accommodates the impairments and care requirements that typically correspond with ageing. Recently a reduced quality of life (QoL) was reported in one of the independent living options specifically designed for the elderly with care needs in New Zealand. Without change to housing that offers support and care for the elderly, the reduced QoLof residents is likely to remain a problem.  A review of extensive literature onQoL and the role of architecture identifies a number of gaps in existing knowledge about housing design that facilitates the QoL of those elderly with high needs. These gaps include that, while the role of architecture is already established with regard to facilitating independence and control, there have been only limited insights into housing design that facilitates a wider range of aspects of QoL such as facilitating personal identity, important activities, relationships and maintaining high quality of care.Given the absence of design frameworks that are useful for designing housing that improves the QoL of the high-needs elderly in New Zealand,this research develops a holistic framework for housing design that improves the QoLfor this cohort.  Two phases of survey are conducted in three types of senior housing complexes: retirement villages, and both public and private rental housing for the elderly. First, data on the current situations regarding these housing types, focusing on the models of care and physical environments as well as residents’ care requirements, are obtained through two types of questionnaires. This preliminary survey is followed by a qualitative, ethnographical investigation for the QoL of residents that relate to physical environments. Through semi-structured interviews and full-day observation of 30 elderly people who receive assistance in daily life and their caregivers, as well as documentation of physical environments, data are gathered on their perceptions and spatial use. Numerous themes for QoL emerge and are categorised into six main headings: Control in daily activities, Meaningful leisure activities, Meaningful relationships, Maintenance of possessions, Comfort and Quality of care.  A number of design requirements are then identified and discussed with reference to existing knowledge, which leads to the development of a design framework. Housing that improves QoL needs to accommodate a variety of needs that reflect diverse individual preferences, circumstances and types of impairments. There is a need for reorganisation of space to accommodate caregivers, valuable relationships and personal possessions. The careful design of micro space greatly improves residents’ control. The design of a complex is also influential on QoL, particularly for facilitating activities as well as maintaining both privacy and connection. Finally, the potential to implement the framework is examined through designing example models of housing units and complexes. The design framework developed through this research has great potential to improve a wide range of aspects of QoL for the high-needs elderly in New Zealand, thereby helping them maintain satisfying and independent living longer.</p>

scholarly journals Design of housing that improves the quality of life of the high-needs elderly in New Zealand

2021 ◽  
Author(s):  
◽  
Yukiko Kuboshima
Keyword(s):  
Quality Of Life ◽  
New Zealand ◽  
Independent Living ◽  
The Elderly ◽  
Care Needs ◽  
Housing Design ◽  
Physical Environments ◽  
Care Requirements

<p>The ageing population is growing rapidly in New Zealand, and those with high-care needs are increasing at an even higher rate. Government policy calls for ageing-in-place,staying in their own home as long as possible, without entering residential care. Subsequently, there is a growing need for housing that accommodates the impairments and care requirements that typically correspond with ageing. Recently a reduced quality of life (QoL) was reported in one of the independent living options specifically designed for the elderly with care needs in New Zealand. Without change to housing that offers support and care for the elderly, the reduced QoLof residents is likely to remain a problem.  A review of extensive literature onQoL and the role of architecture identifies a number of gaps in existing knowledge about housing design that facilitates the QoL of those elderly with high needs. These gaps include that, while the role of architecture is already established with regard to facilitating independence and control, there have been only limited insights into housing design that facilitates a wider range of aspects of QoL such as facilitating personal identity, important activities, relationships and maintaining high quality of care.Given the absence of design frameworks that are useful for designing housing that improves the QoL of the high-needs elderly in New Zealand,this research develops a holistic framework for housing design that improves the QoLfor this cohort.  Two phases of survey are conducted in three types of senior housing complexes: retirement villages, and both public and private rental housing for the elderly. First, data on the current situations regarding these housing types, focusing on the models of care and physical environments as well as residents’ care requirements, are obtained through two types of questionnaires. This preliminary survey is followed by a qualitative, ethnographical investigation for the QoL of residents that relate to physical environments. Through semi-structured interviews and full-day observation of 30 elderly people who receive assistance in daily life and their caregivers, as well as documentation of physical environments, data are gathered on their perceptions and spatial use. Numerous themes for QoL emerge and are categorised into six main headings: Control in daily activities, Meaningful leisure activities, Meaningful relationships, Maintenance of possessions, Comfort and Quality of care.  A number of design requirements are then identified and discussed with reference to existing knowledge, which leads to the development of a design framework. Housing that improves QoL needs to accommodate a variety of needs that reflect diverse individual preferences, circumstances and types of impairments. There is a need for reorganisation of space to accommodate caregivers, valuable relationships and personal possessions. The careful design of micro space greatly improves residents’ control. The design of a complex is also influential on QoL, particularly for facilitating activities as well as maintaining both privacy and connection. Finally, the potential to implement the framework is examined through designing example models of housing units and complexes. The design framework developed through this research has great potential to improve a wide range of aspects of QoL for the high-needs elderly in New Zealand, thereby helping them maintain satisfying and independent living longer.</p>

HUBUNGAN PERAN FAMILY CAREGIVER TERHADAP QUALITAS HIDUP LANSIA

2019 ◽  
Vol 11 (1) ◽  
pp. 51-56
Author(s):  
RIANI PRADARA JATI ◽  
Sekar Farah Nabila
Keyword(s):  
Quality Of Life ◽  
Family Caregiver ◽  
Random Sampling ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Chi Square ◽  
The Poor ◽  
The Family

  Penempatan peran yang baik bagi Family Caregiver sangatlah membantu lansia dalam meningkatkah qualitas hidupnya, meningkatkan motivasi dalam menjalankan hidup Penelitian ini bertujuan Mengetahui hubungan peran Family Caregiver dalam pemenuhan qualitas hidup bagi lansia di Kelurahan Langenharjo Kabupaten Kendal. DesainPenelitianDeskriptifKorelasional menggunakan pendekatan Krosectional,tehnikSamplingStratified Simple Random Sampling dengan karakteristik heterogen, dari populasi mempunyai hak yang sama untuk diseleksi sebagai sampel teknik undianPengambilan data dengan menggunakan kuesioner yang telah diuji validitas dan reliabilitasnya. Uji statistik Chi-square, dengan taraf signifikasi 5%jumlah sampel pada penelitian ini 70 sampel pada Family Caregiver dari 213 populasi yang ada. Hasil penelitian dari 70 responden didapatkan Peran Family Caregiver tidak baik dengan qualitas hidup tidak baik 33 (47,1%), sedangkan Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik 3 (4,3%). Untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia tidak baik sebanyak 6 responden (8,6%) sedangkan untuk distribusi Peran Family Caregiver kurang baik dengan qualitas hidup lansia baik sebanyak 23 responden (32,9%). Terakhir, untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia tidak baik didapatkan hasil 2 responden (2, 9%) sedangkan untuk distribusi Peran Family Caregiver baik dengan qualitas hidup lansia baik didapatkan hasil 3 responden (4,3%)Menunjukkan nilai ρ value 0,001 (ρ < 0,05) berarti ada hubungan antara dukungan keluarga dengan kepatuhan lansia dalam keikutsertaan posyandu lansia. Disarankan kepada semua Family Cregiver lansia untuk mampu memahami pentingnya perhatian, dukungan bagi lansia dalammeningkatkan qualitas hidup yang lebih baik bagi lansia.   Kata kunci : Peran family caregiver, qualitas hidup, lansia.   ABSTRACT Placement of a good role for Family Caregiver is very helpful for the elderly to improve their quality of life, increase motivation in living life Research Objective: To know the relationship between the role of Family Caregiver in fulfilling quality of life for the elderly in Langenharjo Village, Kendal Regency. Descriptive Correlational Research Design uses a cross sectional approach, Sampling Stratified Simple Random Sampling technique with heterogeneous characteristics, from the population has the same right to be selected as a sample lottery technique Retrieving data using a questionnaire that has been tested for validity and reliability. Test Chi-square statistics, with a significance level of 5% the number of samples in this study 70 samples on the Family Caregiver from 213 populations. Results of the Study Of 70 respondents found the role of Family Caregiver was not good with poor quality of life 33 (47.1%) , while the role of the Family Caregiver is not good with the quality of life of a good elderly 3 (4.3%). For the distribution of the role of Family Caregiver is not good with the quality of life of the poor family as many as 6 respondents (8.6%) while for the distribution of the Role of Family Caregiver is not good with the quality of life of good elderly as many as 23 respondents (32.9%). Finally, the distribution of the Role of Family Caregiver with good quality of life for the poor is obtained by 2 respondents (2, 9%), while the distribution of the Role of Family Caregiver with good quality of life for the elderly is obtained by 3 respondents (4.3%). 0.001 (ρ <0.05) means that there is a relationship between family support and the compliance of the elderly in the participation of the elderly posyandu. It is recommended to all elderly Cregiver families to be able to understand the importance of attention, support for the elderly in improving the quality of life better for the elderly   Keywords: Role of Family Caregiver, Quality of Life, Elderly

scholarly journals Monitoring Health Parameters of Elders to Support Independent Living and Improve Their Quality of Life

Sensors ◽  
2021 ◽  
Vol 21 (2) ◽  
pp. 517
Author(s):  
Ilia Adami ◽  
Michalis Foukarakis ◽  
Stavroula Ntoa ◽  
Nikolaos Partarakis ◽  
Nikolaos Stefanakis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Independent Living ◽  
Elderly Population ◽  
Well Being ◽  
The Elderly ◽  
Chronic Illnesses ◽  
Age Related ◽  
Self Sufficiency ◽  
Health And Well Being

Improving the well-being and quality of life of the elderly population is closely related to assisting them to effectively manage age-related conditions such as chronic illnesses and anxiety, and to maintain their independence and self-sufficiency as much as possible. This paper presents the design, architecture and implementation structure of an adaptive system for monitoring the health and well-being of the elderly. The system was designed following best practices of the Human-Centred Design approach involving representative end-users from the early stages.

Ethics and the law involving the elderly

2017 ◽  
Author(s):  
Chris Dodds ◽  
Chandra M. Kumar ◽  
Frédérique Servin
Keyword(s):  
Quality Of Life ◽  
Palliative Care ◽  
Informed Consent ◽  
The Elderly ◽  
Outcome Data ◽  
Ethical Principles ◽  
Assisted Death ◽  
The Uk

The role of ethics in the care of the elderly is discussed, and some of the aspects of importance to anaesthesia are reviewed. Ethical principles are commonly viewed as either consequential, where the risk/benefit balance between necessary harm (surgery) provides improved quality of life, or deontological, where it is simply the action that is judged and not the outcome. The lack of individualized outcome data is identified as a major issue for the consequential process. Consent for surgery (and anaesthesia) is described in the context of the UK, but it is applicable worldwide. The validity of informed consent is reviewed against the criteria of competence, lack of duress, and appropriately provided information. The capacity to give consent and the use of legal alternatives such as health attorneys is detailed. Finally, the debate on excellent palliative care rather than assisted death is reviewed.

An evaluation of home health care needs and Quality of Life among the elderly in a semi-rural area of Western Turkey

2016 ◽  
Vol 7 (1) ◽  
pp. 8-12 ◽  
Author(s):  
R. Aydin ◽  
E. Unal ◽  
M.E. Gokler ◽  
S. Metintas ◽  
G.O. Emiral ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Rural Area ◽  
Home Health Care ◽  
The Elderly ◽  
Home Health ◽  
Health Care Needs ◽  
Care Needs ◽  
Western Turkey

Gender differences in health-related quality of life among the elderly: The role of objective functional capacity and chronic conditions

2006 ◽  
Vol 63 (9) ◽  
pp. 2367-2380 ◽  
Author(s):  
Francesc Orfila ◽  
Montserrat Ferrer ◽  
Rosa Lamarca ◽  
Cristian Tebe ◽  
Antonia Domingo-Salvany ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gender Differences ◽  
Chronic Conditions ◽  
The Elderly ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Objective Functional

scholarly journals Investigating the role of social support on the quality of life of the elderly in Mashhad in 2014

2016 ◽  
Vol 1 (2) ◽  
pp. 10-18 ◽  
Author(s):  
A Hosseini ◽  
A Mjdy ◽  
GH Hassani ◽  
◽  
◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
The Elderly

scholarly journals Understanding the Spatial Requirements that Facilitate Personal Leisure Activities of the High-Needs Elderly

2020 ◽  
Author(s):  
Yukiko Kuboshima ◽  
Jacqueline McIntosh
Keyword(s):  
Elderly People ◽  
Independent Living ◽  
Leisure Activities ◽  
The Elderly ◽  
Ageing Population ◽  
Limited Information ◽  
Care Needs ◽  
Ageing In Place ◽  
Housing Design ◽  
Spatial Use

The growth of the ageing population and the desires for ageing-in-place have resulted in an ever-increasing need for housing that can support the independent living of the elderly with care needs. As impairments and care needs increase, spatial use typically changes. However, there is limited information on how to accommodate leisure activities and spatial use in private dwellings to inform housing design. Through an ethnographic investigation of 30 high-needs elderly people living independently, patterns of spatial use for personal leisure activities were established. Seven key themes for residents’ perceptions were revealed, which include; comfort in posture, access to sunshine and warmth, facilitating activities to occupy residents, views to outside, control for doing everything from one space, and keeping active. In the design of housing for the high-needs elderly, greater attention should be given to the micro-environment of the main sitting space, to improve occupant control while enhancing comfort and warmth. This paper provides key considerations for housing design, which will help elderly people continue their fulfilled life in their own home as long as possible.  

scholarly journals Untreated Depressive Symptoms Significantly Worsen Quality of Life of the Elderly and may Lead to the Misdiagnosis of Dementia: A Cross-Sectional Study

2020 ◽  
Author(s):  
Viktor Voros ◽  
Sandor Fekete ◽  
Tamas Tenyi ◽  
Zoltan Rihmer ◽  
Ilona Szili ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Depressive Disorders ◽  
Early Recognition ◽  
The Elderly ◽  
Screening Tools ◽  
Adequate Treatment

Abstract Background: Several studies demonstrated the role of depressive mood and cognitive impairment in the background of elevated mortality and decreased Quality of Life (QoL) of the elderly.Methods: In the framework of the ICT4Life project self-administered questionnaires and clinical screening tools were used to assess QoL, depressive symptoms and cognitive functions of 60 elderly over the age of 65.Results: Males found to be depressed and cognitively declined more frequently; and had higher scores on the depression and lower on the QoL scales. Depressed elderly had lower cognitive levels and their QoL was significantly poorer than that of the non-depressed subjects. Depressive disorders were detected in a quarter of the elderly, and the majority of them did not receive adequate antidepressant medication.Conclusions: Close correlation between depression and cognitive impairment was confirmed, as well as the key role of depression in the background of QoL decline. Results also highlighted the problems of recognition and adequate treatment of depression and cognitive decline in elderly, which can be further complicated by the common symptoms of depressive pseudo-dementia. Early recognition of depressive symptoms is important not only to treat the underlying mood disorder, but also to improve QoL of the elderly.

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