scholarly journals iTVCare: A home care system for the elderly through interactive television

Author(s):  
Pedro C. Santana-Mancilla ◽  
Luis E. Anido-Rifón

In the world, many older adults are living alone for most of the day. This work propose the use of the television set, a medium well known by seniors, to improve the way that seniors and their caregivers can track daily activities such as medication intakes reminders. Two evaluations were held, a heuristic usability assessment early on the design process and an evaluation of the technology adoption. Both evaluations generated initial evidence that the system supported elders in achieving a better quality of life.

Author(s):  
Pedro C. Santana ◽  
Ricardo Acosta-Díaz ◽  
Juan Contreras-Castillo ◽  
Pedro Damián-Reyes

The problem of providing appropriate and effective medical care to the elderly has gained importance in recent years because of the exponential growth of people older than 65 years. This research work proposes using interactive television embedded in a ubiquitous computing environment to help mitigate some of the effects of discrimination and provide health services to older adults living alone in their homes who require timely medical attention.


Author(s):  
Javier Benítez ◽  
Nieves Perejón ◽  
Marcelino Arriaza ◽  
Pilar Bellanco

Loneliness has always been associated and reported as a risk factor of malnutrition in the elderly. People over 80 who live alone have deserved this study to detect their situation and potential for action to improve their quality of life. Objectives: To determinate the nutritional status of people over 80 living alone in the area of “La Laguna”, Cádiz. Material and method: In PIAMLA`80 program analyse those parameters and their possible correlations in a group of 342 elderly living alone over 80 years old. Different parameters were measured: Integral Geriatric Evaluation, Barthel, Lawton-Brody, Lobo, Gijon, specific analytical blood chemistry and MNA. Results: In a population of 984 people, were selected 342 initially, but finally the group decreases to 247 people. The mean Barthel was 80.42 points, 5.76 Lawton and Gijon from 11.3 Lobo 26.48. The MNA for the whole population was 24.25/30 detecting only a risk age group in women of 85-95. Correlation between nutrition and the biochemical test values showed positive for haemoglobin (0.19), total protein (0.26), Fe (0.32) and albumin (0.46). Conclusions: In our research we have not detected malnutrition in any age group or gender. The use of nutrition test MNA and its MINI version must be generalized as an accurate, clear, quick and easy tool to use.


2010 ◽  
Vol 46 (4) ◽  
pp. 617-632 ◽  
Author(s):  
André de Oliveira Baldoni ◽  
Farah Maria Drumond Chequer ◽  
Elisa Raquel Anastácio Ferraz ◽  
Danielle Palma de Oliveira ◽  
Leonardo Régis Leira Pereira ◽  
...  

In recent decades, the world has undergone a demographic transformation with a rapid growth of the elderly population, resulting in an increased demand for funds to maintain their health and drug consumption. Pharmacokinetic and pharmacodynamic changes occurring in the elderly can interfere directly in the adverse effects of drugs and increase the risk of intoxication. In addition, there are external factors interfering with the pharmacotherapy of the elderly, such as inappropriate use and the lack of access to information. Many therapeutic classes of drugs should be used with caution or avoided in the elderly population, such as anti-inflammatory and some anti-hypertensive drugs, diuretics and digitalis. If not managed carefully, these medicines can affect the safety and quality of life in the elderly. Thus, the aim of this review was to identify drugs that should be used with caution in elderly patients in order to avoid intoxication and/or adverse drug events.


2001 ◽  
Vol 13 (1) ◽  
pp. 63-73 ◽  
Author(s):  
Yochi Shmuely ◽  
Mona Baumgarten ◽  
Barry Rovner ◽  
Jesse Berlin

Background: Depression is the most prevalent disabling psychiatric syndrome of aging and may lead to important decrements in the elderly depressed patient's health-related quality of life (HRQL). The goal of this study was to determine whether severity of chronic illness at admission, severity of depressive symptoms at admission, or living alone before admission was associated with lack of improvement in HRQL at 3 months postdischarge among elderly depressed inpatients. Methods: Subjects were 100 consecutive patients admitted to a 26-bed inpatient geriatric psychiatry unit from 1994 through 1997, who were residing in the community and were not demented. At admission, severity of depressive symptoms was assessed using the Geriatric Depression Scale and severity of chronic physical illness was measured using the Cumulative Illness Rating Scale (Geriatrics). HRQL was assessed at admission and again at 3 months postdischarge using the Medical Outcomes Study (MOS) 6-Item General Health Survey. Results: This study found large improvements in all MOS items between admission and 3 months postdischarge. Severity of chronic physical disease was negatively associated with the probability of improvement in three MOS items (role functioning, psychological functioning, and general health perceptions) whereas the severity of depressive symptoms on admission was negatively associated with the probability of improvement in role functioning, social functioning, and bodily pain. Living alone was negatively associated with social functioning but not with any of the other MOS items. Conclusion: The results of this study suggest that the inpatient treatment of depression in the elderly brings about improvements in quality of life that persist for at least 3 months follwing discharge. The patient's initial level of depression and initial level of physical health may be important factors to be considered when evaluating a patient's prognosis.


2021 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
Sumalee Sungsri

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.


Author(s):  
Casper Zhang ◽  
Anthony Barnett ◽  
Janice Johnston ◽  
Poh-chin Lai ◽  
Ruby Lee ◽  
...  

With an ageing world population, preservation of older adults’ health and quality of life (QoL) is paramount. Due to lower levels of physical functionality, older adults are particularly susceptible to local environment influences, especially those living alone and lacking family support. Using generalised additive mixed models, we examined associations and confounder-adjusted associations between objectively-measured neighbourhood attributes and QoL domains in 909 Hong Kong Chinese elderly community dwellers. Most examined neighbourhood attributes were not associated with QoL in the whole sample. Neighbourhood residential and entertainment density was curvilinearly and/or linearly related to specific QoL domains. Number of parks was negatively associated with social QoL and having well-treed parks with higher levels of social QoL. Older adults living alone in neighbourhoods with poor access to destinations and few activities in parks showed lower environmental and/or social QoL than their counterparts. Neighbourhood built environment characteristics do not seem to impact Hong Kong older adults’ physical and psychological QoL. Medium-to-high density, well-ordered neighbourhoods with optimal mixes of well-treed public open spaces and services meeting their daily needs may significantly contribute to social and environmental QoL in this population and appear particularly important to those living alone.


1991 ◽  
Vol 5 (1) ◽  
pp. 74-77 ◽  
Author(s):  
C. Meyerowitz

The population of older adults is heterogeneous and can be divided into many subgroups: the young-old, the old-old, the healthy, the sick, the frail, the mentally and physically handicapped, the ambulatory, the chair-bound, house-bound or institution-bound, and the economically advantaged and disadvantaged. This diversity is extremely important to the discussion of the oral health needs, preventive health strategies, and research agenda for the elderly. As life expectancy increases, more attention is being paid to disease prevention so that the quality of life in old age can be improved. However, the link among oral health, systemic disease, and quality of life in the elderly needs to be better-defined. There is some evidence in the literature that indicates that coronal and root caries appear to be major health problems for the elderly. This needs to be corroborated in longitudinal studies. Although periodontal disease prevalence and severity are high in some subgroups of the elderly, these appear to be in decline in the general population. Dental health-care workers must be cognizant of the oral conditions associated with systemic disease and the use of medication, a major concern in older adults. Prevention of oral disease in the elderly requires early intervention, education of the dental health team, and innovative uses of well-established preventive agents such as fluoride. An extensive research effort is needed to answer basic and applied questions regarding the oral health needs of the elderly. Federal and private funding will be necessary. The dental profession will have to demonstrate and be persuasive that money spent on research and care for the elderly is money well spent.


2019 ◽  
Vol 25 (3) ◽  
pp. 185-190
Author(s):  
R. Sh Gvetadze ◽  
V. D Wagner ◽  
G. E Amanaliti ◽  
Lyudmila E. Smirnova

According to the World Health Organization, the elderly are the fastest-growing age group in the world. Scientists addressing the aging issue have put forward a theory of active longevity, based on improving the quality of life of the elderly. Most authors believe that the basis of a long life is an active and mobile lifestyle, a healthy diet, abstinence from bad habits, constant communication and affordable quality health care. Recently, in our country, government officials began to pay attention to the problems of longevity and improving the quality of life of senior and elderly people. The Government of Moscow adopted a decision of December 18, 2018 No. 1578-GO “On the implementation of the Moscow Longevity Project in the city of Moscow”, which provides for a permanent basis to create a system of organizing active leisure activities for senior citizens, expanding forms of social communications, further enhancing their life and longevity. Recent studies show that the quality of life of people in the elderly and senile age is closely related to their health and cannot be limited to biomedical parameters. It depends on an assessment of one’s life course, internal standards, and on effective social activity. Also, quality of life is correlated with factors such as the diet and nutrition quality, the ability to perform physical activities that help reduce the risk of developing chronic diseases and mortality. At the same time, the importance of dental health remains underestimated, despite the fact that healthy mouth organs and tissues are the main factors contributing to quality nutrition, performing an aesthetic role and serving as a symbol of a person’s well-being.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 397-397
Author(s):  
Graham Rowles ◽  
Habib Chaudhury ◽  
Daniel R Y Gan

Abstract Since Chaudhury’s seminal work (2008), spatial ethnographies of the everyday lives of people living with dementia(PLWD) have proliferated. From an experiential perspective, geographies of home (Blunt & Varley, 2004) and geographies of dementia may overlap significantly. We conducted a meta-ethnographic synthesis of n=28 articles to identify points of convergence and divergence in these literatures using comparative thematic analysis with NVivo 12. Whereas geographies of home highlight at-homeness (e.g., ontological safety and daily activities), geographies of dementia underscore communal and civic participation (e.g., social relationships). These themes converge around “social identity” which may be an important construct that helps PLWD feel at home. The quality of life of PLWD in the community may be influenced by prior (and present) experiences of at-homeness. These become more pertinent as older adults shelter in place. We discuss the implications of these findings in relation to relational models of personhood-in-community (Swinton, 2020) and community gerontology.


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