Expectations and Ethical Dilemmas Concerning Healthcare Communication Robots in Healthcare Settings: A Nurse’s Perspective

Mapping Intimacies ◽

10.5772/intechopen.96396 ◽

2021 ◽

Author(s):

Yuko Yasuhara

Keyword(s):

Older Adults ◽

Ethical Dilemmas ◽

Healthcare Providers ◽

Interdisciplinary Team ◽

Patient Rights ◽

Patient Communication ◽

Healthcare Settings ◽

Healthcare Communication

This chapter describes expectations and ethical dilemmas concerning healthcare communication robots (HCRs) from a nurse’s perspective. Ethical dilemmas in nursing settings are wide-ranging. When HCRs are introduced to long-term facilities and hospitals for patient communication, new kinds of ethical dilemmas may arise. Using interviews with healthcare providers, I examined the potential ethical dilemmas concerning the development and introduction of HCRs that may interact with older adults. This analysis was based on four primary issues from the nurses’ perspective. Since HCRs will be used in healthcare settings, it is important to protect patient rights and maintain their safety. To this end, discussion and collaboration with an interdisciplinary team is crucial to the process of developing these robots for use among patients.

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Child modern slavery, trafficking and health: a practical review of factors contributing to children’s vulnerability and the potential impacts of severe exploitation on health

BMJ Paediatrics Open ◽

10.1136/bmjpo-2018-000327 ◽

2020 ◽

Vol 4 (1) ◽

pp. e000327 ◽

Cited By ~ 2

Author(s):

Laura C N Wood

Keyword(s):

Healthcare Providers ◽

Health Concern ◽

Global Public Health ◽

Children And Families ◽

Child Trafficking ◽

Healthcare Settings ◽

Windows Of Opportunity ◽

Modern Slavery ◽

Developmental Health

Child trafficking is a form of modern slavery, a rapidly growing, mutating and multifaceted system of severe human exploitation, violence against children, child abuse and child rights violations. Modern slavery and human trafficking (MSHT) represents a major global public health concern with victims exposed to profound short-term and long-term physical, mental, psychological, developmental and even generational risks to health. Children with increased vulnerability to MSHT, victims (in active exploitation) and survivors (post-MSHT exploitation) are attending healthcare settings, presenting critical windows of opportunity for safeguarding and health intervention.Recognition of child modern slavery victims can be very challenging. Healthcare providers benefit from understanding the diversity of potential physical, mental, behavioural and developmental health presentations, and the complexity of children’s responses to threat, fear, manipulation, deception and abuse.Healthcare professionals are also encouraged to have influence, where possible, beyond the care of individual patients. Research, health insights, advocacy and promotion of MSHT survivor input enhances the collaborative development of evidence-based approaches to prevention, intervention and aftercare of affected children and families.

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Evidence-Based Approaches to Suicide in Older Adults—Zero Suicide

Innovation in Aging ◽

10.1093/geroni/igaa057.2131 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 625-625

Author(s):

Luming Li

Keyword(s):

Older Adults ◽

Suicide Prevention ◽

Implementation Strategies ◽

Essential Elements ◽

Clinical Settings ◽

Evidence Based ◽

Term Care ◽

Future Directions ◽

Healthcare Settings

Abstract This individual symposium abstract will focus on evidence-based approaches to suicide in older adults, with particular focus on the Zero Suicide Model. Zero Suicide Model is a framework that applies seven essential elements of suicide care (Lead, Train, Identify, Engage, Treat, Transition, Improve). The model provides a systematic approach for quality improvement for suicide prevention and offers implementation strategies for “real-world” clinical settings using the Assess, Intervene, and Monitor for Suicide Prevention (AIM-SP) program for suicide-safer care. The authors will describe implementation of Zero Suicide in general healthcare settings that care for older adults, including health systems and outpatient clinics. The authors will also describe the value of Zero Suicide other settings such as long-term care centers, where older adults are cared for. In addition, the authors will describe future directions for research in the Zero Suicide Model and additional opportunities in public policy for suicide prevention.

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Queer Healthcare Communication

Oxford Research Encyclopedia of Communication ◽

10.1093/acrefore/9780190228613.013.1188 ◽

2021 ◽

Author(s):

Nicole Hudak

Keyword(s):

Healthcare Providers ◽

Medical Schools ◽

Transgender People ◽

Transgender Identity ◽

Heterosexual Identity ◽

Healthcare Settings ◽

Healthcare Needs ◽

Medical Institutions ◽

Healthcare Communication ◽

A Site

Queer healthcare communication spans different literature and topic areas. The medicalization of queer bodies has historically and continues to influence how queer individuals interact and communicate within healthcare settings. Further, heterosexism is rampant within medical institutions that perpetuate the idea that all patients are heterosexual. Because of the influence of heterosexism, medical schools are designed to ignore queer bodies. If queer bodies are acknowledged, they are positioned as something exotic and not presented as a typical patient. Heterosexism is further communicated in patient and provider interactions by providers assuming their patients’ heterosexual identity and assuming all queer patients are promiscuous. In turn, queer patients may make decisions about their healthcare based on providers’ heterosexist attitudes. Providers who practice medicine have also demonstrated their limited knowledge about queer patients and how to care for them. The literature on discrimination of queer patients focuses more on how providers have used both verbal and non-verbal forms of communication. In looking at queer discrimination, queer invisibility demonstrates more covert functions of healthcare communication. Due to the invisibility of queer patients, disclosure becomes a site of interest for researchers. While some queer patients try to seek out queer-friendly providers, researchers have given recommendations on how healthcare providers can improve their queer competency. Finally, some notable topics within queer healthcare communication include queer pregnancy, HIV, and why transgender identity should be a separate topic as transgender people have their own healthcare needs.

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Abstract P054: The Benefits Of Physical Activity On Cardiovascular Indicators In Community-dwelling Hypertensive Older Adults: A Nationwide Health Examination Cohort Data In Korea

Hypertension ◽

10.1161/hyp.76.suppl_1.p054 ◽

2020 ◽

Vol 76 (Suppl_1) ◽

Author(s):

Jeong-Ah Ahn

Keyword(s):

Physical Activity ◽

Older Adults ◽

Healthcare Providers ◽

The Elderly ◽

Community Dwelling ◽

Uncontrolled Hypertension ◽

Health Examination ◽

Group I ◽

Over Time

Purpose: The aim of this study was to explore the effects of physical activity on cardiovascular indicators in community-dwelling hypertensive older adults. Methods: This study was a longitudinal study using the Elderly Cohort Database of National Health Insurance Service in Korea between 2002 and 2013. Participants were 10,588 older adults with hypertension. The author extracted variables of physical activity, blood pressure, blood glucose, body mass index, and total cholesterol levels for 11 years from the database. Participants were divided into 4 groups according to the changes in physical activity performance over time in 2013; Group I (totally inactive), II (inactive to active), III (active to inactive), and IV (totally active). Cox proportional hazard model was used to confirm the risk of cardiovascular indicators over time in each group. Results: Participants’ mean age was 64.2 years in the initial year of 2002. The number of participants in Groups I, II, III, and IV was 4032, 2697, 1919, and 1940, respectively. As a result, Group IV had a significantly decreased risk for uncontrolled hypertension by 13% compared to Group I (HR = 0.87, 95% CI = 0.800-0.948). Also, Group II showed a significantly decreased risk for uncontrolled diabetes by 6% compared to Group I (HR = 0.94, 95% CI = 0.888-0.999). Conclusion: Physical activity is one of the most important non-pharmacological and self-management intervention that can be easily applied to older adults with hypertension. It is considered that the continuous performance of physical activity can significantly lower the long-term cardiometabolic risks in older adults. Healthcare providers should be aware of the importance of the physical activity of older adults and encourage them to perform and maintain it steadily for better long-term cardiometabolic outcomes.

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Tuberculosis Prevention and Control in Long-Term–Care Facilities for Older Adults

Infection Control and Hospital Epidemiology ◽

10.1086/502350 ◽

2004 ◽

Vol 25 (12) ◽

pp. 1097-1108 ◽

Cited By ~ 33

Author(s):

Lauri Thrupp ◽

Suzanne Bradley ◽

Philip Smith ◽

Andrew Simor ◽

Nelson Gantz ◽

...

Keyword(s):

Older Adults ◽

Prevention And Control ◽

Long Term Care ◽

Healthcare Providers ◽

The United States ◽

Disease Diagnosis ◽

Term Care ◽

Care Facilities ◽

And Control

AbstractIn the United States, older adults comprise 22% of cases of tuberculous disease but only 12% of the population. Most cases of tuberculosis (TB) occur in community dwellers, but attack rates are highest among frail residents of long-term–care facilities. The detection and treatment of latent TB infection and TB disease can pose special challenges in older adults. Rapid recognition of possible disease, diagnosis, and implementation of airborne precautions are essential to prevent spread. It is the intent of this evidence-based guideline to assist healthcare providers in the prevention and control of TB, specifically in skilled nursing facilities for the elderly.

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Malnutrition Prevention

10.1007/978-3-030-63892-4_4 ◽

2021 ◽

pp. 51-64

Author(s):

Patrick Roigk ◽

Fabian Graeb

Keyword(s):

Older Adults ◽

Interdisciplinary Team ◽

Later Life ◽

Nutritional Intake ◽

Evidence Based ◽

Healthcare Settings ◽

Pressure Injury ◽

Hospital Stays ◽

Poor Outcomes

AbstractA healthy nutritional intake is required to prevent malnutrition. Furthermore, nutrition is associated with improved quality of life in older adults. Simultaneously, many factors influence nutritional intake in later life. Onset and progression of acute or chronic diseases and a reduced dietary intake play a crucial role in developing malnutrition. Malnutrition is associated with poor outcomes such as pressure injury, increased length of hospital stays and increased mortality. The aim of the chapter is to increase the nutritional-based knowledge of the interdisciplinary team to prevent malnutrition in all its forms. Therefore, this chapter offers evidence-based information to support interdisciplinary prevention of malnutrition in older adults across diverse healthcare settings.

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LETTER TO THE EDITOR: COVID-19: ROLE OF INTEGRATED REGIONAL HEALTH SYSTEM TOWARDS CONTROLLING PANDEMIC IN THE COMMUNITY, INTERMEDIATE AND LONG-TERM CARE

Journal of Frailty & Aging ◽

10.14283/jfa.2020.39 ◽

2020 ◽

pp. 1-2

Author(s):

R.A. Merchant

Keyword(s):

Older Adults ◽

Nursing Home ◽

Long Term Care ◽

Hospice Care ◽

Healthcare Providers ◽

Nursing Home Residents ◽

Term Care ◽

Delay In Diagnosis ◽

Care Facilities

Older adults at home, intermediate and long-term care (ILTC) setting including nursing home and hospice care are vulnerable to COVID-19 infection with increased morbidity and mortality. Singapore is one of the fastest aging countries in Asia where 14.4% of population is above 65 years old and this will double by 2030 (1). About 16000 older adults live in long-term care facilities and many more attend different types of day care facilities (2). Many of the residents are frail, with underlying dementia and / or multimorbidity and often present atypically causing a delay in diagnosis. In many countries, COVID-19 has spread amongst nursing home residents with mortality ranging from 24% in Hungary to 82% in Canada (3). It is known that 56% of residents may test positive while in pre-symptomatic stage, and many countries have put in initiatives to decrease the risk of spread in care homes (4). COVID-19 pandemic has highlighted the importance of communication and collaboration amongst ILTC providers which in many countries are run by non-governmental organization’s, healthcare providers, regional and national healthcare leaders.

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