| 5321. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Older peoples care consumption from municipalities, County Council (CC), and informal care
- 2004
-
Ingår i: Advanced health sciences of tomorrow. ; , s. 22-22
-
Konferensbidrag (refereegranskat)abstract
- Objectives: The aim was to investigate care consumption in CC, municipalities and informal care for people 65+, make comparisons between age groups, and with regard to housing and informal care.Methods: The study design was cross-sectional. Data was drawn from elderly (n=1958) living in four municipalities in the southern part of Sweden and having municipal care. Data were collected regarding demography, functional abilities, and professional and informal care, and was linked to the CC administrative register including hospital care and outpatient care during year 2001.Results: 49 % got care in special accommodation (SA). The oldest (85+) had more help in PADL from home service care than the youngest elderly (65-74) but less visits/month by nurses in home nursing care compared to the youngest elderly. Primary health care visits were more frequent among the oldest, and visit to psychiatry and specialist care was more frequent among the youngest elderly. The frequency of help in IADL from spouse was lower in the oldest group. More elderly in SA had contact with primary health care by physician, compared to elderly at home. Outpatient specialist care and hospital care were more frequent among elderly living at home in contrast to SA.Conclusion: Elderly (65+) is not a homogenous group with regard to care consumption. The youngest elderly consumes more of specialised care while the oldest consumes more of primary health care. In the same way persons living at home has a higher consumption of specialised care than those living in SA. If those differences are due to marginalisation of the oldest old or due to characteristics addressed to SA remains to be explained.
|
|
| 5322. |
- Karlsson, Staffan, 1959-
(författare)
-
Older people`s public health care and social services : Functional ability, health complaints, agreement in needs assessment and care satisfaction
- 2008
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim was to describe and compare functional ability and health complaints of older people receiving municipal care in relation to housing and informal care, and factors associated with medical health care, municipal care and informal care. Further, the aim was to investigate agreement in needs assessments between personnel and older people and to investigate care satisfaction and health-related quality of life among older people receiving municipal care and services. Study I and II included 1958 persons aged 65 years and above, who were assessed for functional ability, health complaints, and level of informal and municipal care and service. Study II in addition included data from a register including medical health care. In study III (n=152), standardised needs assessments were performed by the staff. Later, the older person’s view was collected in a personal interview concerning functional ability, health complaints, public and informal care. In addition (Study IV, n=166), SF-12 was used for measuring health-related quality of life and for measuring care satisfaction. Cohabitation was a predictor of a combination of municipal and informal care at home (OR: 5.935), while assistance with Instrumental Activities of Daily Living (IADL) provided by municipal home care and services predicted municipal care only (OR: 0.344). Care in special accommodation was predicted by advanced age (OR: 1.051), dependency in IADL (OR: 19.883), Personal Activities of Daily Living (PADL) (OR: 02.695), and impaired cognitive ability (OR: 3.849) with receiving municipal care only as a reference. Living alone (OR: 0.106), dependency in IADL (OR: 11.348) and PADL (OR: 2.506), impaired cognitive ability (OR: 3.448), impaired vision or blindness (OR: 1.812) and the absence of slowly healing wounds (OR: 0.407) were predictors of special accommodation with a combination of informal and municipal care at home as a reference. 35% of those with public care at home were admitted to hospital and 76% had contact with outpatient care by physician compared to 26% and 87% respectively of those in special accommodation. Living in special accommodation was associated with more contacts with primary health care (B=0.643) and fewer contacts with specialist care (B=-0.722). Informal care was associated with more contacts with primary health care (B=0.413), specialist care (B=0.787), admissions to (B=0.265) and days in hospital (B=1.573). Agreement for dependency in IADL and PADL varied between good (κ=0.78) and moderate (κ=0.43). Poor agreement was found for dizziness (κw=0.17) and fair agreement for impaired hearing, urinary incontinence, pain, anxiety and depressed mood (κw between 0.21 and 0.37). Older persons reported more health complaints than were found in the personnel’s assessments, although significantly lower estimation was found only for incontinence and vision. Agreement for provided public care at home was poor, while for informal care it varied between very good and moderate. Low care satisfaction was associated with dependency in IADL (B=-1.338 and B=-1.630), impaired mobility (B=-12.579), blindness (B=-26.143), faeces incontinence (B=-11.898 and B=-17.529) and anxiety (B=-6.105 and B=-27.197), while high care satisfaction was associated with dependency in PADL (B=2.109) and receiving informal care with IADL from spouse (B=8.738). In special accommodation, low care satisfaction had to do with continuity, timing, the staff’s personal characteristics and with their ability to give service. At home, the older people were the least satisfied with the staff’s ability to do housework and to give medical care, with the staff’s amount of time and with their own influence over their care.
|
|
| 5323. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Perspectives on equal health and well-being
- 2018
-
Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 13:1
-
Tidskriftsartikel (refereegranskat)
|
|
| 5324. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Professional’s and older person’s assessments of functional ability, health complaints and received care and service : A descriptive study
- 2010
-
Ingår i: International Journal of Nursing Studies. - Oford : Elsevier. - 0020-7489 .- 1873-491X. ; 47:10, s. 1217-1227
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the study was to investigate the level of agreement between the needs assessment made by professional on the one hand, and the older person's views on the other. A further aim was to explore if the estimations made by the professional were systematically lower or higher compared to the views of the older person.Participants: The study included 152 individuals, 65+, who received public care and services in southern Sweden. The concept public care and services include home help, home nursing care, rehabilitation and special accommodation.Methods: Standardised needs assessments were performed by home help officers, registered nurses and one physiotherapist. Subsequently to the needs assessment, the older person's view was collected in a personal interview. Standardised assessment form was used covering items about demographic data, functional ability, health complaints, adaptation in housing, public and informal care. The concept informal care includes care from spouse and children. Cohen's Kappa was used for analysis of level ofagreement. and Chi-square tests for differences in estimation.Results: Level of agreement for dependency in instrumental activities of daily living (IADL) and personal activities of daily living (PADL) varied between good (kappa = 0.78) and moderate (kappa = 0.43). Poor agreement was found for occurrence of dizziness (kappa(w) = 0.17) and fair agreement for impaired hearing (kappa(w) = 0.27), urinary incontinence (kappa(w) = 0.38), pain (kappa(w) = 0.21), anxiety (kappa(w) = 0.37) and depressed mood (kappa(w) = 0.37). Older persons reported more health complaints than in the professional's assessments, significantly lower estimation was found for incontinence and vision. Level of agreement for provided public care at home (home help and home nursing care) was poor, for informal care it varied between very good and moderate.Conclusions: Needs assessments appeared to focus on older persons ADL, cognition anti informal care, while health complaints and social needs were less in focus. A more comprehensive view including preventive and palliative approach may improve quality of life for older persons receiving care and service. (C) 2010 Elsevier Ltd. All rights reserved.
|
|
| 5325. |
|
|
| 5326. |
- Karlsson, Staffan, 1959-, et al.
(författare)
-
Quality of care significance for Quality of life in persons with dementia at risk of moving into nursing home : a cross-sectional stud
- 2016
-
Konferensbidrag (refereegranskat)abstract
- Background: Quality of life in persons with dementia is, in large part, dependent on the quality of care they receive. Investigating both subjective and objective aspects of quality of care may reveal areas for improvement regarding their care, which information may ultimately enable persons with dementia to remain living in their own homes while maintaining quality of life. The aim of this study was threefold. Firstly, we wanted to describe self-reported quality of life in persons with dementia at risk of nursing home admission. Secondly, the aim was to describe subjective and objective aspects of quality of care. The third aim was to investigate the significance of quality of care for quality of life in persons with dementia at risk of nursing home admission.Methods: A cross-sectional interview study design was used, based on questionnaires about quality of life in persons with dementia and different aspects of quality of care. The participants were 177 persons with dementia at risk of nursing home admission. Descriptive and comparative statistics were used to analyse the data.Results: Persons with pain showed significantly lower quality of life in the dimensions behavioural competence (p=0.026) and psychological wellbeing (p=0.006) compared with those without pain. Satisfaction with received care seemed to have a positive effect on quality of life. The overall quality of life was perceived high even though one-third of the persons with dementia had daily pain and had had a weight loss of ≥4% during the preceding year. Furthermore, 23% of the persons with dementia had fallen during the last month and 40% of them had sustained an injury when falling.Conclusion: This study indicates need for improvements in home health care and social services for persons with dementia at risk for nursing home admission. Registered nurses are responsible for nursing interventions related to pain, patient safety, skin care, prevention of accidents, and malnutrition. Therefore, it is of great importance for nurses to have knowledge about areas that can be improved to be able to tailor interventions and thereby improve quality of care outcomes such as quality of life in persons with dementia living at home.
|
|
| 5327. |
- Karlsson, Stefan, 1978-
(författare)
-
Real-Time optical flow
- 2013
-
Annan publikation (mjukvara/multimedium) (övrigt vetenskapligt/konstnärligt)
|
|
| 5328. |
|
|
| 5329. |
- Karlsson, Staffan, 1959-
(författare)
-
Swedish health care and elderly care
- 2013
-
Ingår i: 2013 International Symposium on Healthcare for the Elderly. ; , s. 99-103
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)
|
|
| 5330. |
- Karlsson, Stefan, 1978-, et al.
(författare)
-
Synthesis and detection of log-spiral codes
- 2011
-
Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Simultaneous positioning and identifying objects accurately and reliably is a fundamental problem in computer vision. General solutions to this problem is still challenging. For certain applications to achieve high accuracy and reliability in both tasks can be achieved if the objects can be labeled, e.g. multiple simultaneous robot tracking and navigation. We suggest a labeling technique using spiral patterns for optimal position estimation and identity recognition using the generalized structure tensor and tresholds. The technique adapts the synthesis of the labels to the frequency characteristics of the detection method. The approach has been implemented and tested by an over-head camera to track and control 8 robots in real-time.
|
|
