scholarly journals Fragile familiarity in transnational home care arrangements for older people

2019 ◽  
Vol 13 (2) ◽  
pp. 51-82
Author(s):  
Karin van Holten ◽  
Heidi Kaspar ◽  
Eva Soom-Ammann
Keyword(s):  
Service Delivery ◽  
Home Care ◽  
Older People ◽  
Family Caregivers ◽  
Older Persons ◽  
Elder Care ◽  
Care Service ◽  
Ageing In Place ◽  
Home Space ◽  
Care Worker

This paper examines the notion of familiarity in live-in elder care settings and how it is challenged, changed, and reestablished. Live-in care is a strategy to prevent disruptions and preserve familiarity in enabling older persons in need of extensive care to stay at home – and thus, to enable ageing in place. This paper problematizes this strategy based on interviews with family caregivers who engaged a migrant live-in care worker in Switzerland. The key argument is that live-in care arrangements constitute an all-embracing form of inserting formal, paid-for care service delivery into the informal, private, intimate space of home. The live-in care arrangement not only challenges the familiarity of the home space, but also seems to ask for strategies of adaptation to familiarize the unfamiliar. Therefore, the introduction of live-in care is consequential for all involved parties and requires largely underestimated efforts to adapt to the new home space.

scholarly journals Psychometric validation of the Carers of Older People in Europe Index among family caregivers of older persons with dementia

2018 ◽  
Vol 6 ◽  
pp. 205031211879281
Author(s):  
Jill-Marit Moholt ◽  
Oddgeir Friborg ◽  
Mari Wolff Skaalvik ◽  
Nils Henriksen
Keyword(s):  
Factor Analysis ◽  
Older People ◽  
Family Caregivers ◽  
Older Persons ◽  
Negative Impact ◽  
Model Fit ◽  
Dementia Caregivers ◽  
Confirmatory Factor ◽  
Test Retest Reliability

Objectives: The Carers of Older People in Europe Index is a first-stage assessment tool to detect family caregivers in need of support. This instrument assesses caregivers’ subjective perceptions of their caregiving circumstances. The present study examines the psychometric properties of the Norwegian version of the Carers of Older People in Europe Index among family caregivers for older persons with dementia living at home. Methods: Cross-sectional survey data were collected from 430 dementia caregivers. The sample was randomly split as follows: the first half of the sample was used to identify the measurement model using an exploratory factor analysis, and the second half of the sample was used to cross-validate the model using a confirmatory factor analysis. The criterion validity and reliability (internal consistency and test–retest reliability) of the Carers of Older People in Europe Index were also examined. Results: Using an exploratory factor analysis, we extracted three factors that were consistent with previous findings: negative impact of caregiving, positive values of caregiving and quality of support. This model fit the data well using a confirmatory factor analysis. Moreover, a second-order model could replace the three-factor correlated model without sacrificing the model fit, supporting the use of a global impact of caregiving score. The three factors and the global factor correlated with the criteria measures in the expected directions. The internal consistency was assessed using Cronbach’s alpha and was good for the negative impact ( α = 0.86) and the quality of support ( α = 0.76) factors. The positive values factor was less consistent ( α = 0.64). The test–retest reliability was examined using Spearman’s rank order correlation and was good for all three factors. Conclusion: The psychometric properties of the Norwegian version of the Carers of Older People in Europe Index are good. The instrument assesses dementia caregivers’ situations across three primary factors or alternatively validly summarizes the factors in a global impact of caregiving score.

scholarly journals 097How Do People Perceive Home-care Robots? A Questionnaire Study with Older People, Family Caregivers, and Care Professionals in Japan

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii1-iii12
Author(s):  
Sayuri Suwa ◽  
Mayuko Tsujimura ◽  
Mina Ishimaru ◽  
Atsuko Shimamura ◽  
Hiroo Ide ◽  
...  
Keyword(s):  
Home Care ◽  
Older People ◽  
Family Caregivers ◽  
Questionnaire Study ◽  
Care Robots

scholarly journals Physical Activity Levels of Older Adults Receiving a Home Care Service

2013 ◽  
Vol 21 (2) ◽  
pp. 140-154 ◽  
Author(s):  
Elissa Burton ◽  
Gill Lewin ◽  
Duncan Boldy
Keyword(s):  
Physical Activity ◽  
Home Care ◽  
Older People ◽  
Care Service ◽  
Home Care Service ◽  
Activity Levels ◽  
Age Group ◽  
Service Group ◽  
Group A ◽  
Active Investigation

The 3 study objectives were to compare the activity levels of older people who had received a restorative home care service with those of people who had received “usual” home care, explore the predictors of physical activity in these 2 groups, and determine whether either group met the minimum recommended activity levels for their age group. A questionnaire was posted to 1,490 clients who had been referred for a home care service between 2006 and 2009. Older people who had received a restorative care service were more active than those who had received usual care (p = .049), but service group did not predict activity levels when other variables were adjusted for in a multiple regression. Younger individuals who were in better physical condition, with good mobility and no diagnosis of depression, were more likely to be active. Investigation of alternatives to the current exercise component of the restorative program is needed.

Potentiality made workable – exploring logics of care in reablement for older people

2018 ◽  
Vol 39 (9) ◽  
pp. 2018-2041 ◽  
Author(s):  
MALENE NØRSKOV BØDKER
Keyword(s):  
Home Care ◽  
Older People ◽  
Elder Care ◽  
Health Care Systems ◽  
Moral Standards ◽  
Inclusive Approach ◽  
The Face ◽  
Care Systems ◽  
Abstract Notion ◽  
Training Programmes

ABSTRACTIn the face of population ageing, Western health-care systems are currently demonstrating an immense interest in mobilising older people's potentials. With this agenda in mind, several countries have introduced reablement: a type of home care aimed at mobilising older people's potentials for independence by means of short-term training programmes. Based on extensive ethnographic fieldwork conducted in Denmark's home care sector, this paper explores how elder-care professionals translate the abstract notion of ‘potentiality’ into practice. Theoretically, the paper draws on Annemarie Mol's term ‘logic of care’. I demonstrate that professionals draw on two co-existing logics of care: a logic of reablement encapsulating ideals of successful ageing and life-long development; and a logic of retirement, which in contrast allows people at the end of life to retreat and engage in enjoyable activities. Professionals manage to balance these logics in order to live up to policy obligations while at the same time complying with moral standards of good care. However, very little is achieved in terms of increased independence. I argue that by narrowly focusing on bodily and quantifiable potentials, the ‘potentiality paradigm’ holds the risk of deeming older people to lack potential. In conclusion, I therefore encourage a more inclusive approach to elder-care and ageing that recognises the complexities of ageing, including older people's potentials for retreat and leisure.

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