scholarly journals Telemedicine in elderly care during the Covid-19 Pandemic: experience report

Introduction: Telemedicine has been progressively applied and accepted, especially in the current context, the new Coronavirus pandemic, with an overload on the health system and the need for social isolation. Objective: To report the experience of global geriatric assessment practice by medical students through teleconsultations. Experience report: Teleconsultations were carried out by medical students in which instruments were applied for the global geriatric assessment of a 72-year-old woman from a short-term institution. Results: It was identified that the patient was independent to perform activities of daily living, however, she had uncontrolled blood pressure, depressed mood and demonstrated incredibility to the vaccination. The experience proved to be beneficial for students, due to the geriatric practice, and for the elderly woman, who received guidance to meet health demands and ensure her overall well-being. Conclusion: Telemedicine is a promising tool to ensure comprehensive care for elderly patients in a context of social isolation. Teleconsultations were important to highlight the advantages and obstacles of this type of care, which still requires overcoming complex structural problems for its effective application, such as the need for investment in equal access to quality internet and training of health professionals and the elderly in management of digital media.

2020 ◽  
pp. 69-91
Author(s):  
Nguyen Ha Dong

This paper investigates how intergeneration support influence rural elders’ subjective wellbeing in Vietnam, based on the data of the survey ‘Strengthening Social En gagement in Elderly Care in Changing Economic and Family Structure in Asia: Policy and Practical Dialogues between Local Communities in Vietnam and Japan’ conducted in 2017. The sample analysis of this paper is 307 respondents aged 60 and older in rural areas in the middle of Vietnam. Subjective wellbeing includes psychological well-being, self-rated health and life satisfaction. We find that all elders’ psychological wellbeing becomes more positive when they provide financial support for their children. Despite the economic difficulties and the prevalence of filial norm, the financial provision is not viewed as the burden to the older adults but helps them to confirm their position and power in the intergenerational relations. Nonetheless, receiving the spiritual care is more like to improve their psychological well-being and life satisfaction. The results suggest that the effect of the intergenerational support exchange should be taken into consideration when improving the quality of life for the elderly.


2021 ◽  
Vol 4 (3) ◽  
pp. 89-94
Author(s):  
Natalia Sperli Geraldes Marin dos Santos Sasaki ◽  
Marília Louvison ◽  
Camila Garcel Pancote ◽  
Maria de Lourdes Sperli Geraldes Santos ◽  
Amena Alcântara Ferraz Cury ◽  
...  

Objective: This paper is an examination of the experiences of a selected group of older Brazilians people which aims to analyse how they have been impacted by COVID-19 and, particularly, how they have been affected by protective social isolation measures. Methodology: 42 older residents of Sao Jose do Rio Preto were interviewed by phone. The applied script question was developed by International Longevity Centre the Netherlands, based at the Leyden Academy on Vitality and Aging. The data collection instrument consisted of five categories of analysis: social activities, social contacts and connectivity, well-being, vitality and health, and COVID-19 news and reports. Results: All in-person social activity ceased with the implementation of the isolation measures. Most of the interviewees pointed out to be suffering do to absence of their children, grand-children, other relatives and close friends from whom they have being apart since the beginning of the Corona virus pandemic. A large number of the interviewees recognized a worsening of their health condition and attributed it to the suspension of the physical activities and the social life that they had before isolation. Conclusion: The interviewed showed some insight about the experiences of older Brazilian adults during the COVID-19 pandemic. They all revealed a strong awareness of their physical vulnerability regarding corona virus. Most accepted the need to protect themselves through isolation or any other measures. However, there are barriers that difficulty the elderly people isolation as they live with of member of the family with different ages and in poor financial situations.


2019 ◽  
Vol 41 (3) ◽  
pp. 405-419 ◽  
Author(s):  
Marina Romeo ◽  
Montserrat Yepes-Baldó ◽  
Miguel Ángel Piñeiro ◽  
Kristina Westerberg ◽  
Maria Nordin

Purpose The purpose of this paper is to analyze the moderation effect of over-commitment in the job crafting–well-being relationship, in the elderly care sector in Spain. Design/methodology/approach A cross-sectional design was implemented and a final sample of 353 participants were assessed using the Job Crafting Questionnaire, an adaptation of the Over-commitment Scale from the Effort-Reward Imbalance Questionnaire, and the General Health Questionnaire (GHQ-12). Findings A positive interaction between relational and task crafting and over-commitment is observed in the prediction of well-being levels. Specifically, the effect of over-commitment in the task crafting–well-being relationship proved to be statistically significant when opposed to low, medium and high levels of over-commitment. Additionally, the effect of over-commitment in the relational crafting–well-being relationship proved to be statistically significant only when opposed to medium and high levels of over-commitment. Finally, a direct and simple effect was observed between cognitive crafting and well-being, not moderated by over-commitment. Research limitations/implications Implementation of non-behavioral measurements, and a non-longitudinal design are suggested. The development of behavioral measures for job crafting is encouraged, along with the implementation of longitudinal designs sensitive to changes in over-commitment. Possible over-commitment results are biased by an economically contracted environment. Practical implications Job crafting training, over-commitment early detection and further research on job crafting strategies’ preferences are suggested. Originality/value The moderating role of over-commitment in the job crafting–well-being relationship in the elderly care sector represents one of these attempts to better understand evidences of how work-related efforts modify a worker’s psychological functioning and adaptation, which is the reason why, specially in contexts of uncertainty, its study becomes relevant.


Author(s):  
Artie W. Ng ◽  
Tiffany C. H. Leung ◽  
Jacky C. K. Ho

The purpose of this book chapter is to explore the similarities and differences in the development of performance measures and accreditation systems for the quality assurance of elderly care service providers of Asian and Western origins, focusing on Hong Kong, Macau, Australia and Canada. Building on a proposed theoretical framework, this study utilizes a multiple-case study method to examine the influencing factors for the accreditation approach adopted by a jurisdiction. The findings suggest that the quality assurance of the elderly care service operators of the Asian origins as selected appears to lag behind those of the Western countries and undergo their own peculiar paths of development. Thus, Hong Kong and Macau could learn from the practical experience of Australia and Canada in terms of their concerted approaches for funding, accreditation and assessments under an increasingly market-driven service sector in which the well-being of the end-users needs to be adequately protected.


Author(s):  
Carmen Llorente-Barroso ◽  
Olga Kolotouchkina ◽  
Luis Mañas-Viniegra

(1) Background: The COVID-19 pandemic has been especially hard on the elderly owing to their particular vulnerability to the virus. Their confinement to prevent the spread of the virus resulted in social isolation, often linked to the unwanted loneliness that hinders their emotional well-being. The enabling capacity of ICT (Information and Communication Technology) to overcome the negative effects of this isolation requires special attention. The purpose of this research is to understand the impact of the use of ICT on the emotional well-being of elderly people during their confinement. (2) Methods: A qualitative exploration method based on four focus groups with elderly people aged 60 years or older and three in-depth personal interviews with experts in education of the elderly were carried out. (3) Results: Research results evidence a negative emotional impact of the confinement (lack of physical contact with their loved ones, fear and uncertainty, feeling of loneliness, sadness at the loss of family members) on the emotional well-being of study participants. Furthermore, the operational capacity of ICT to prevent infection, as well as their positive emotional and humanizing role in providing access to entertainment and hobbies, and in improving self-esteem was also acknowledged. (4) Conclusions: ICT have become a valuable ally for elderly people aged 60 years and older to mitigate the negative effects of social isolation and loneliness imposed by the confinement.


2021 ◽  
Vol 8 (5) ◽  
pp. 667-682
Author(s):  
Atsuko Kawakami ◽  
Derek Lehman ◽  
Kaitlynn Burress

The purpose of this study is to identify some of the predictors of social network formation with a focus on everyday behaviors such as greeting neighbors, attitudes about elder care, civic involvement, and hobby or social group membership. Using data from the 2010 and 2012 waves of the Japanese General Social Survey, we found that factors in which individuals have more control over are associated with the formation of social networks whereas factors that individuals have little to no control over are less likely to affect network formation. Specifically, elderly individuals who greet their neighbors and those who view elder care as an individual’s or family’s responsibility are more likely to have larger social networks. Likewise, civic engagement and participation in neighborhood associations are also significantly associated with forming social networks. Surprisingly, our analysis revealed that participating in hobby groups, length of residency in a community, and other control variables such as gender, income, and education are not significantly associated with forming social networks. Our findings indicate that the key components to building strong social networks are found within mundane daily activities. We conclude with several suggestions for how the elderly and communities can build elders’ social networks and thereby improve well-being. The implications of this study include raising awareness among individuals to prepare for a better, well-connected life in old age as well as suggesting local government programs for elderly care to help build more effective programs. Counselors could use this information to encourage their elderly clients to build social networks by increasing daily social interactions with neighbors and obtaining the view of self-reliance on elder care responsibility.  Future researchers should seek to integrate the elder’s medical information in analyses in order to consider a comprehensive plan for the elderly’s well-being.


2020 ◽  
Vol 6 (2) ◽  
pp. a4en
Author(s):  
Luiz Sinésio Silva Neto ◽  
Neila Barbosa Osório ◽  
Fábio Santos Metódio ◽  
Maria Helena Paulo

The world begins the year 2020 in the midst of a crisis, with socioeconomic impacts and in the way of life in general, caused by a pandemic resulting from the new coronavirus COVID-19. Among the recommendations of health organizations, there is social isolation, especially the risk groups that include the elderly. In social isolation, the elderly are subject to depression, anxiety, in addition to the difficulty in practicing physical activities, one of the essential elements to keep the body and mind in healthy conditions. Thus, the present article brings an experience report developed with elderly people between 53 and 71 years old, who digitally participate in a group that promotes the interaction and encouragement of physical activities directed to the elderly.


2022 ◽  
Vol 9 ◽  
Author(s):  
Bérangère Naudé ◽  
Anne-Sophie Rigaud ◽  
Maribel Pino

Social isolation in geriatric institutions is a real threat to older adults' (OAs) well-being. Visits from family members, when they are not impacted by geographical distance or illness, sometimes fail to provide sufficient opportunities for social connectedness and interaction to prevent and/or combat OAs' loneliness and social isolation. Information and Communication Technologies (ICTs) offer promising solutions to this problem. Video calls provide a quick and convenient way for remote communication between OAs and their families, and a complement to face-to-face visits in geriatric settings. Over the last months, during the several confinements imposed to stop the transmission of COVID-19 over the world, several care homes and long-care facilities have equipped themselves with laptops, tablets and video call applications to help OAs remain in contact with their relatives. However, numerous technical and human-related factors may hinder the use of video calls in these settings. The complexity of technological devices, as well as OAs limited digital skills, low confidence and experience in the use of technology are some examples. Furthermore, the specific context of use and the required implication of multiple actors (care professionals, family members) should also be considered when examining the use and implementation of video calls in geriatric institutions. We conducted a narrative review of literature describing the use of video calls in geriatric institutions between 2000 and 2021, especially because of the little information related to OAs' use of video calls in geriatric settings. One thousand one hundred ninety-seven references were screened and 15 studies focusing on the usability, acceptability and effectiveness of video calls were included. A qualitative, deductive thematic analysis inspired by a Health Technology Assessment (HTA) multidimensional model was used to identify barriers, enablers and solutions to video calls implementation in geriatric institutions. The results from the HTA-based analysis provide encouraging evidence for the feasibility of video call use in geriatric settings, and its efficacy on reducing social isolation among residents. However, numerous technical, human-related, ethical and organizational barriers persist and should be addressed in future works. The present analysis has also allowed the identification of potential solutions to overcome these barriers, which are discussed in this publication.


2020 ◽  
Vol 6 (3) ◽  
pp. a1en
Author(s):  
Neila Barbosa Osório ◽  
Deuzivania Carlos de Oliveira ◽  
Leda Santana de Noleto ◽  
Luiz Sinésio da Silva Neto

This article aims to relate students belonging to the University of Maturity in times of social isolation due to a pandemic of COVID-19, as well as actions carried out by the students of the UMAnizando project, guiding them with quality information, such as activities carried out are being important in the sense of filtering information that is really useful, for the purpose of appropriate prevention at the moment, the project made it possible to guide with safety and protection, so that afflictions can be minimized in a coherent way thinking about the emotional and physical well-being of the elderly, in which he used a descriptive methodology of experience reports.


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