scholarly journals Sustainable Care in a Familialist Regime: Coping with Elderly Care in Slovenia

2020 ◽  
Vol 12 (20) ◽  
pp. 8498
Author(s):  
Maša Filipovič Hrast ◽  
Valentina Hlebec ◽  
Tatjana Rakar

In countries with prevalent family care and less developed care services, it is important to understand the ways families cope with the care needs of their frail family members as part of policy learning to make care systems more sustainable. Filial care is a vital element of family care, yet is significantly restrained by the involvement of carers in the labour market; unequal gender distribution of the care burden; and insufficient recognition of, and policy support, for family care. This article considered the issue of the sustainability of elderly care in a familialist country, Slovenia, by identifying the coping strategies families adopt for the provision of care. To this end, in-depth qualitative data based on a purposeful sample of 55 community-resident users of social home care services and their 55 family carers were used. We identified five external coping strategies: use of formal care services, use of extended family network, use of wider community network, cohabitation, and home adjustments. Among internal strategies, we detected work-related adjustments; abandoning leisure activities; abandoning vacations; establishing new routines; accepting and finding satisfaction in care; increased psychological distress, such as worries and overburdening; and some unmet care recipient needs. Very few strategies may be described as supported by policy actions, despite such support being essential for increasing the sustainability of the family-based care model.

Author(s):  
Teemu Rantanen ◽  
Teppo Leppälahti ◽  
Jaakko Porokuokka ◽  
Sari Heikkinen

Technological advances in elderly care have been rapid, and the introduction of robots in care will be a topical issue in the near future. There has been little research into the possibility of influencing care workers’ attitudes towards robots by project activities, and how to make the change easier for work communities. This study focuses on a robotics project that took place in elderly and home care services in one municipality in Finland (total of 45 care workers). During the project, four robotics workshops and one extended pilot session were implemented. The study follows quasi-experimental settings, and it included two measurements (before and after project activities) and a control group, but no randomization. The data were collected by questionnaires and were analyzed statistically. The project under study brought about minor positive changes in home care workers’ attitudes towards the usefulness of care robots. In the final measurement, the difference between the test group and the control group was significant in the two dimensions of positive attitudes. The research supports the hypothesis that project activities can be used to influence home care workers’ attitudes towards robots. This can also facilitate the introduction of care robots in home care services. However, the construction of a technology-positive care culture is a long-term process, which requires training and development, technological development and strong strategic management at various levels.


2019 ◽  
pp. 140349481989080 ◽  
Author(s):  
Mari S. Aaltonen ◽  
Lina H. Van Aerschot

Aims: Ageing in place has become a policy priority. Consequently, residential care has been reduced, and more older people with multiple care needs reside at home with the help of informal care and home care services. An increasing share of these people has memory disorders. We examined the extent to which memory problems, in addition to other individual characteristics, are associated with unmet care needs among community-dwelling older people. Methods: The study employed cross-sectional survey data from community-dwelling people aged 75+ collected in 2010 and 2015, analysed using binary logistic regression analysis. The study population consisted of people who had long-term illnesses or disabilities that limited their everyday activities ( N = 1928). Nine per cent reported substantial memory problems. Of these, 35.7% had a proxy respondent. Results: People with memory problems have more care needs than those with other types of disability or illness. They receive more care but still have more unmet needs than others. About a quarter of people with memory problems reported that they did not receive enough help. This result did not change significantly when the proxy responses were excluded. Even a combination of informal and formal home care was insufficient to meet their needs. Conclusions: Insufficient care for people with memory problems implies a serious demand for further development of home care services. The care needs of this population are often complex. Unmet needs represent a serious risk to the well-being of people with memory disorders, and may also create an extensive burden on their informal caregivers.


2018 ◽  
Vol 8 (11) ◽  
pp. 2297 ◽  
Author(s):  
Thais A. Baldissera ◽  
Luis M. Camarinha-Matos

Current demographic trends suggest that people are living longer, while the ageing process entails many necessities calling for care services tailored to the individual senior’s needs and life style. Personalized provision of care services usually involves a number of stakeholders, including relatives, friends, caregivers, professional assistance organizations, enterprises, and other support entities. Traditional Information and Communication Technology (ICT) based care and assistance services for the elderly have been mainly focused on the development of isolated and generic services, considering a single service provider, and excessively featuring a techno-centric approach. In contrast, advances on collaborative networks for elderly care suggest the integration of services from multiple providers, encouraging collaboration as a way to provide better personalized services. This approach requires a support system to manage the personalization process and allow ranking the {service, provider} pairs. In accordance with these requirements, an Elderly Care Ecosystem (ECE) framework and a Service Composition and Personalization Environment (SCoPE) are proposed. ECE provides the context for the personalization method which is based on the match between a taxonomy of care needs and the {service, provider} pairs, and the calculation of a service adherence index to identify suitable services and corresponding providers. To demonstrate the feasibility and applicability of SCoPE, a number of methods and algorithms are presented. Furthermore, an illustrative scenario is introduced in which {service, provider} pairs are ranked based on multidimensional assessment method and composition strategies are based on customer’s profile and requirements.


Curationis ◽  
1995 ◽  
Vol 18 (4) ◽  
Author(s):  
M. M. S. Ntshona

Social, economic and health care needs of elderly black persons in Port Elizabeth and areas in its immediate vicinity are investigated. Conclusions are drawn from a sample study of 301 elderly people. The investigation reveals that the majority of pensioners are -women, their educational standard is below standard 10, and they have little vocational or specialized training. A high proportion (86%) of them are breadwinners and therefore they are unwilling to reside in institutions. Recreational facilities are inadequate. Pension payout points are overcrowded and disorganized. Also health care services are inaccessible to most elderly people. In view of these findings, a community-based approach to care for the elderly is recommended. The approach should promote social interaction among elderly through establishment of luncheon clubs and service centres and well-being of all elderly through geriatric clinics as well as home care services for the infirm. This entails an intersectorial collaboration, with the elderly being fully involved and participating. Considering the exponential growth of the elderly population in South Africa, it is imperative that the government and other organizations should take cognizance of studies of this nature when making future decisions as regards the care of this group.


2020 ◽  
Vol 2020 ◽  
pp. 1-11 ◽  
Author(s):  
Sumini ◽  
Sukamdi ◽  
Evita Hanie Pangaribowo ◽  
Yeremias T. Keban ◽  
Muhadjir Darwin

Elderly care services are important to provide in response to the rapid growth of the elderly population. In developing countries like Indonesia, the speed of growth of the elderly population does not simultaneously occur, so the needs for care services vary. This study discusses the emergence of home care services in response to the increase in elderly population. By taking the case of community home care services in Sleman, this study found the pattern and process of the emergence of local initiatives in home care services. This study also revealed an important factor affecting the implementation of community home care services, that is, leadership.


2019 ◽  
Vol 31 (4) ◽  
pp. 219-223 ◽  
Author(s):  
Meltem Meriç ◽  
Gül Ergün ◽  
Ganna Pola ◽  
Meral Dölek ◽  
Burcu Totur Dikmen ◽  
...  

The determination of nursing students’ attitudes toward elderly discrimination and their opinions about home care is important in that it will affect the quality of care provided to elderly individuals in their homes by the students in the future. For this reason, the aim of this study was to determine relationship between nursing students’ attitudes toward elderly discrimination and their opinions about home care services. This descriptive study was conducted with a total of 318 students from a university nursing faculty during the fall semester of the 2016-2017 academic year. Data for the study were collected using the Home Care Services Evaluation Questionnaire and the Ageism Attitude Scale. It was found that there was a positively significant but weak relationship between the students’ age discrimination scale total score and the positive discrimination subdimension score, and their opinions about home care services ( p < .001). Students’ attitudes toward elderly discrimination were found to make a statistically significant contribution to their opinions about home care services. It was ascertained that students’ attitudes toward elderly discrimination affected their opinions about home care services. It is recommended that geriatric nursing and home care nursing lectures be included in the nursing education curriculum, awareness of the importance of the concept of old age and elderly care be increased by establishing internship fields for students in institutions that provide home care for the elderly, and positive attitudes toward the elderly be promoted.


2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Catherine Ward-Griffin ◽  
Jodi Hall ◽  
Ryan DeForge ◽  
Oona St-Amant ◽  
Carol McWilliam ◽  
...  

With the number of people living with dementia expected to more than double within the next 25 years, the demand for dementia home care services will increase. In this critical ethnographic study, we drew upon interview and participant data with persons with dementia, family caregivers, in-home providers, and case managers in nine dementia care networks to examine the management of dementia home care resources. Three interrelated, dialectical themes were identified: (1)finite formal care-inexhaustible familial care,(2)accessible resources rhetoric-Iinaccessible resources reality,and (3)diminishing care resources-increasing care needs. The development of policies and practices that provideavailable, accessible, andappropriateresources, ensuringequitable, not necessarily equal, distribution of dementia care resources is required if we are to meet the goal of aging in place now and in the future.


2007 ◽  
Vol 5 (1) ◽  
pp. 11-17 ◽  
Author(s):  
SUSAN JO ◽  
KEVIN BRAZIL ◽  
LYNNE LOHFELD ◽  
KATHLEEN WILLISON

Objective: The purpose of this study is to examine the perspectives of both the spousal caregiver and care recipient on the caregiving experience in home-based palliative care.Methods: A qualitative research strategy involving home-based face-to-face interviews with older palliative care patients and their spousal caregivers was used to examine the caregiving experience.Results: Ten spousal caregivers and care recipient dyads participated in the study. Most informal caregivers viewed caregiving as an extension of the family relationship where caregiving responsibilities evolved over time. Spousal caregivers identified many negative reactions to caregiving, such as fatigue or weariness, depression, anger and sadness, financial stresses, and lack of time. Care recipients acknowledged the emotional and financial strain and expressed concern for their spouses. Both caregivers and care recipients were appreciative of home care services although they identified the need for additional services. They also identified difficulties in communication with formal providers and poor coordination of care among the various services. Both caregivers and care recipients disclosed some challenges with informal supports, but on the whole felt that their presence was positive. Additional positive aspects of caregiving reported by spouses included strengthened relationship with their spouse and discovering emotional strength and physical abilities in managing care.Significance of results: Health care and social service professionals need to recognize and understand both caregiver and care recipient perspectives if they are to successfully meet the needs of both members of the dyad.


2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Vanessa Rossetto ◽  
Beatriz Rosana Gonçalves de Oliveira Toso ◽  
Rosa Maria Rodrigues

ABSTRACT Objective: To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN) in the state of Parana. Method: Quantitative, descriptive, exploratory, multiple case studies. Data was collected with professionals from the eight home care services in Parana. Data were analyzed using the Strengths, Weaknesses, Opportunities and Threats (SWOT) methodology, from which a 5W2H method of action plan was developed, resulting in a flow chart. Results: Considering the strategies found in Home Care services, such as planned hospital discharge, caregiver training, organized transportation and singular therapeutic project, a flow organization protocol for children with special health care needs in Home Care services was developed. Conclusion: The protocol developed makes it possible to organize the care provided to children with special health care needs in home care.


2021 ◽  
Vol 257 ◽  
pp. 03060
Author(s):  
Shih-Feng Chang ◽  
Wei-Fen Du ◽  
Jin Wang ◽  
Ma-Yan Lin ◽  
Du Peng

With the continuous growth of China’s elderly population, the demand for elderly care services has increased dramatically. Due to the influence of Chinese people’s cultural concept of elderly care, most of the elderly are more inclined to home-based care, enjoy the happiness of children and grandchildren, and enjoy family happiness. At present, there are some problems in home-based health care services, such as lack of professional talents and single service mode. This entrepreneurial project which is proposed by Wish Magic has grasped the pain points of China’s elderly care problems, and brought about some problems. Efforts should be made to build a sharing platform for elderly care services, attract professionals to provide professional services for the elderly, and hold diversified activities to meet the material and spiritual needs of the elderly. The planned market strategy of the project is divided into three steps. Firstly, the project will be carried out in the first and second tier cities, and then expanded to the third tier cities. Later, the market will be expanded to the fourth tier cities. At the same time, the project will cooperate with government departments to strive for government funding and policy support, and provide accurate services in combination with online and offline ways, so as to meet the diversified pension needs of the elderly.


Sign in / Sign up

Export Citation Format

Share Document