The Application of “Internet+” in the Ageing Adaptation of Elderly People with Disabilities at Home

This paper focuses on the role of the Internet in empowering social work to intervene in ageing-in-place services for the disabled elderly in terms of time, space, and resources. Through the practical analysis of home care service providers, the advantages and characteristics of the “Internet” for ageing-in-place services for the disabled elderly are identified, as well as some of the problems that exist in the current intelligent home care service platform. This paper proposes to improve and optimize the “Internet+” by fully enhancing the technical empowerment of the Internet, improving the integration and spanning of space, and giving full play to the role of social work on the Internet. This paper proposes to improve and optimize the “Internet+” elderly home care services for the disabled, so as to solve to a certain extent the practical problems faced by the “Internet+” elderly home care services in the early stage of development. The significance of this paper is that, through the study of the “Internet+” home care services for the elderly with disabilities, the process of the services is sorted out and summarized, and suggestions and measures are put forward for its shortcomings, providing practical methods and feasible paths for future generations, which are of great significance for other social work agencies using Internet tools.

A Mixed-Methods Analysis of Care Arrangements of Older People with Limited Physical Abilities Living Alone in Italy

Older people with limited physical abilities, who live alone without cohabiting family members, need support ageing in place and to perform daily living activities. In this respect, both the available informal and formal care seem crucial. The present study aimed to explore the current role of the care arrangements of older people, especially if they have functional limitations. Qualitative interviews were carried out in 2019 within the “Inclusive ageing in place” (IN-AGE) research project, involving 120 older people who lived at home, alone, or with a private personal care assistant (PCA) in three Italian regions (Lombardy, Marche, and Calabria). A mixed-methods analysis was conducted. Results showed that support networks are still mainly made up of family members, but also of domestic home help (DHH) and PCAs, friends/neighbours, and public services, albeit the latter provide support in a residual way, while the former is not as intensive as it was in the past. Frequency and geographical/living proximity of help play a role, emerging also as a territorial differentiation. The paucity or absence of support, especially from the family, risks compromising the ability of ageing in place. It seems, thus, necessary to innovate and improve, in particular, home services, also through real formal and informal care integration.

House Conversions and Sharing for an Ageing Population in New Zealand

<p>With the rise in the number of people aged 65+ in New Zealand, it seems increasingly important that there is a supply of appropriate housing so they can remain in their communities and ‘age in place’ for as long as possible. Evidence from both literature and statistics showed a mismatch between current and projected household characteristics and the existing housing supply in New Zealand. Therefore, this research investigated the potential for converting existing dwellings to address the housing shortfall and ageing in place in New Zealand. The aim was to make the selected houses both smaller and more age-friendly, as a means of achieving ‘ageing in place’ in well designed, and easy to heat and maintain homes. Two New Zealand housing types were investigated (villa and state house). Using the New Zealand Lifemark 3-star standard, both were redesigned with different degrees of shared space. Three designs were produced for each house, ranging from subdivision (conversion to two smaller units), to having some shared spaces such as a guest bedroom, to private en-suite bedsitting-rooms and all living spaces shared. Using a mixed methods approach, the schemes were evaluated by client and expert participants in three steps. 1. The aim of the questionnaire-based survey was to obtain comments on the conversions, particularly regarding the levels of sharing. Following the two pilot surveys and subsequent revisions, a web and paper-based questionnaire survey was undertaken by 441 respondents aged 55-85. 2. To assess the designs and specifically whether they incorporated appropriate housing standards for people aged 55+, they were evaluated by five built environment and ageing population experts. 3. To probe the reasons behind the survey results, two rounds of client focus groups of 17 participants aged 55+ were conducted. What was clear from the results, and which aligns with other studies, was that a high proportion of older people would prefer to age in place, either in their existing house or in a more suitable dwelling within their community. However, the cost of house conversions was perceived as problematic, as people felt that they would not be in a position to afford to do this, even if they could sell or let the new unit they would not occupy. On the other hand, the significant benefits of upgrading a house for older people include reduced energy bills through effective design strategies, such as thermal insulation and double-glazed windows, and incorporation of future-proof design features such as the installation of assistive devices like stair lifts. Generally, schemes with higher degrees of sharing were not attractive to many respondents and those aged 75-85 were more likely to dislike these than the younger age groups. However, both expert and client groups agreed the acceptability of sharing depends on people’s personal preferences, culture, and background. Findings from this research also show that having a spare multi-purpose room, a private deck and a good-sized dwelling with plenty of sunlight are features most people wanted. This research suggests that people aged 55–85 have very specific housing needs when it comes to ageing in place. Therefore, to ensure their requirements are met and dwellings are usable, engaging potential users in the design process at an early stage is essential.</p>

House Conversions and Sharing for an Ageing Population in New Zealand

<p>With the rise in the number of people aged 65+ in New Zealand, it seems increasingly important that there is a supply of appropriate housing so they can remain in their communities and ‘age in place’ for as long as possible. Evidence from both literature and statistics showed a mismatch between current and projected household characteristics and the existing housing supply in New Zealand. Therefore, this research investigated the potential for converting existing dwellings to address the housing shortfall and ageing in place in New Zealand. The aim was to make the selected houses both smaller and more age-friendly, as a means of achieving ‘ageing in place’ in well designed, and easy to heat and maintain homes. Two New Zealand housing types were investigated (villa and state house). Using the New Zealand Lifemark 3-star standard, both were redesigned with different degrees of shared space. Three designs were produced for each house, ranging from subdivision (conversion to two smaller units), to having some shared spaces such as a guest bedroom, to private en-suite bedsitting-rooms and all living spaces shared. Using a mixed methods approach, the schemes were evaluated by client and expert participants in three steps. 1. The aim of the questionnaire-based survey was to obtain comments on the conversions, particularly regarding the levels of sharing. Following the two pilot surveys and subsequent revisions, a web and paper-based questionnaire survey was undertaken by 441 respondents aged 55-85. 2. To assess the designs and specifically whether they incorporated appropriate housing standards for people aged 55+, they were evaluated by five built environment and ageing population experts. 3. To probe the reasons behind the survey results, two rounds of client focus groups of 17 participants aged 55+ were conducted. What was clear from the results, and which aligns with other studies, was that a high proportion of older people would prefer to age in place, either in their existing house or in a more suitable dwelling within their community. However, the cost of house conversions was perceived as problematic, as people felt that they would not be in a position to afford to do this, even if they could sell or let the new unit they would not occupy. On the other hand, the significant benefits of upgrading a house for older people include reduced energy bills through effective design strategies, such as thermal insulation and double-glazed windows, and incorporation of future-proof design features such as the installation of assistive devices like stair lifts. Generally, schemes with higher degrees of sharing were not attractive to many respondents and those aged 75-85 were more likely to dislike these than the younger age groups. However, both expert and client groups agreed the acceptability of sharing depends on people’s personal preferences, culture, and background. Findings from this research also show that having a spare multi-purpose room, a private deck and a good-sized dwelling with plenty of sunlight are features most people wanted. This research suggests that people aged 55–85 have very specific housing needs when it comes to ageing in place. Therefore, to ensure their requirements are met and dwellings are usable, engaging potential users in the design process at an early stage is essential.</p>

Regenerational Residence

<p>New Zealand has an ageing population whose dwelling options for retirement are largely inappropriate. Retirement homes and villages are increasing throughout the country yet these often cause a decline in functional ability. Accordingly, demands on public healthcare have increased, necessitating a shift in recommendations towards homecare and ‘ageing in place.’ Ideally, aged-care should take place within extended families, yet this requires specific accommodation. Historically, standalone housing such as ‘granny flats’ or moving in with the extended family has been the solution. However, these have drawbacks such as inefficiency and distance from the wider community. There remains potential for a denser, economic housing solution within walking distance to local amenities. There is also a growing interest in developing medium-density housing (MDH) in New Zealand. However, this typology has shortfalls when it comes to multigenerational families such as small living rooms and limited outdoor areas. Further, the multi-storey nature of MDH promotes stairs, being particularly restrictive for ageing residents. Is it possible for MDH to be designed to accommodate ageing in place effectively within New Zealand? The needs associated with ageing are important to consider for long-term living. For effective aged-care, the literature advocates designing for both health improvements and accommodating dysfunctions. These two needs are addressed respectively in architecture through regenerative and intergenerational design. A personal and relational lens further investigates both of these terms. Regenerative elements involve personal wellness and relational reciprocity, whereas intergenerational elements include personal autonomy and relational interconnectivity. For each of these elements, the design methods draw qualitatively from existing precedents, indicating potential generators to inform an iterative, site-specific model. A suitable site and program provide relative design parameters. The chosen context is Nelson because the ageing population is straining healthcare while there is also significant potential for MDH. The generators and parameters drove the preliminary design process, ultimately integrating these drivers within a developed design proposal. This exegesis proposes that MDH can effectively accommodate ageing in place by overlapping such drivers through iterative modelling to create specific design principles.</p>

Regenerational Residence

<p>New Zealand has an ageing population whose dwelling options for retirement are largely inappropriate. Retirement homes and villages are increasing throughout the country yet these often cause a decline in functional ability. Accordingly, demands on public healthcare have increased, necessitating a shift in recommendations towards homecare and ‘ageing in place.’ Ideally, aged-care should take place within extended families, yet this requires specific accommodation. Historically, standalone housing such as ‘granny flats’ or moving in with the extended family has been the solution. However, these have drawbacks such as inefficiency and distance from the wider community. There remains potential for a denser, economic housing solution within walking distance to local amenities. There is also a growing interest in developing medium-density housing (MDH) in New Zealand. However, this typology has shortfalls when it comes to multigenerational families such as small living rooms and limited outdoor areas. Further, the multi-storey nature of MDH promotes stairs, being particularly restrictive for ageing residents. Is it possible for MDH to be designed to accommodate ageing in place effectively within New Zealand? The needs associated with ageing are important to consider for long-term living. For effective aged-care, the literature advocates designing for both health improvements and accommodating dysfunctions. These two needs are addressed respectively in architecture through regenerative and intergenerational design. A personal and relational lens further investigates both of these terms. Regenerative elements involve personal wellness and relational reciprocity, whereas intergenerational elements include personal autonomy and relational interconnectivity. For each of these elements, the design methods draw qualitatively from existing precedents, indicating potential generators to inform an iterative, site-specific model. A suitable site and program provide relative design parameters. The chosen context is Nelson because the ageing population is straining healthcare while there is also significant potential for MDH. The generators and parameters drove the preliminary design process, ultimately integrating these drivers within a developed design proposal. This exegesis proposes that MDH can effectively accommodate ageing in place by overlapping such drivers through iterative modelling to create specific design principles.</p>

Integrated Healthcare Services for Ageing in Place

This study investigates how healthcare practitioners handle significant circumstancesof providing medical assistance and treatments to patients and what challenges theyface. Drawing on key healthcare stakeholders and mixed smart living methods, wedevelop a guideline service protocol for Internet of Things (IoT) solution to helphealthcare stakeholders in coping with operational difficulties. IoT technology is one ofthe key determinants that empowers healthcare professionals to achieve their tasks,and our goal is to study the functions that provides to local citizens, especially olderpeople, and to evaluate how the functions and platform could assist corporatecompliance policies to increase the efficiency of healthcare service. Our fieldexperiments have indicated a need to educate healthcare users about IoT applicationthat provide advantages in decision making. In addition, our research has explored andevaluated the impacts and factors that influence the development and collaboration byallowing workflows of healthcare stakeholders and by following integrated smart livingplatform and required service protocol.

Automation, Wellbeing and Digital Voice Assistants: Older People and Google devices

Digital Voice Assistants (DVAs) like Google Home provide automated news, media and other content directly into the home. In this article, we outline how Google Home’s content delivery can support the wellbeing and independence of older people. We argue that automated media provided by DVAs enrols older people in a dialectic relationship with the automated content and feminised conversation they deliver, uniquely performed within people’s own everyday life circumstances. We demonstrate this by drawing on ethnographic insights generated during a trial of smart home technologies with older Australian households who are ‘ageing in place’ in regional New South Wales. For most participants, the trial was their first encounter with DVAs and the modes of media and content delivery including for music, news, weather, trivia, jokes, facts and images. While DVAs bring new experiences via content, communication and companionship, they are also subverted, ignored or transformed as people improvise to make them ‘fit’ within their homes and lives. These dynamics underpin how DVAs, automated content delivery and user’s interactions can support people’s sense of wellness and their independent daily practices at home.

Moving residence in later life: actively shaping place and wellbeing

Policy discourse favours the idea of “ageing in place” but many older people move home and into different kinds of residential settings. This article extends the understanding of how relocation can promote as well as diminish older people’s well-being. Using relational understandings of place and capabilities (people’s freedoms and opportunities to be and to do what they value) we explored well-being across the relocation trajectories of 21 people aged 65–91 years living in diverse residential settings in Scotland. We found that a diverse array of capabilities mattered for well-being and that relocation was often motivated by concerns to secure “at-risk” capabilities for valued activities and relationships. Moving residence impacted several other capabilities, in addition to these, both, positively and negatively. We suggest that a capability approach offers a valuable lens for understanding and supporting well-being through behavioural models of late-life relocation.

The impact of social network change and health decline: a qualitative study on experiences of older adults who are ageing in place

Background Older adults prefer to age in place. Social network change and health decline challenge ageing in place, as stressors that make age-related advantages disappear. The aim of this study was to explore social network change and health decline and its impact on older adults who are ageing in place. Method In-depth interviews (n = 16) were conducted with older adults who were ageing in place and who were experiencing health decline and social network change. Procedures for grounded theory building were followed to analyse the interviews with respondents who were discharged from the hospital less than 4 months ago (n = 7). Narrative analysis was conducted to reach a deeper understanding of the expected complexity of experiences of this targeted sample. Results Results encompass a typology with four types of impact: A. Sneak preview of old age, B. Disruptive transition into old age, C. Drastically ageing, and D. Steadily ageing. Additionally, indications were found that older adults should be able to move along the four types of impact and ideally could end up in quartile D, experiencing little or no impact at all (anymore). Conclusion The results present an optimistic view on the possibilities of older adults to continue ageing in place despite experiencing unavoidable and uncontrollable stressors in life. Also, the results provide leads for practice, to develop an action perspective for home care nurses and gerontological social workers to determine and reduce the impact of social network change and health decline on older adults who are ageing in place. Suggestions for further research would be to unravel how to detect temporal setbacks in successful ageing in place.