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Sökning: AMNE:(MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Geriatrik) > Högskolan i Borås

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1.
  • Magnusson, Lennart, et al. (författare)
  • Extended safety and support systems for people with dementia living at home
  • 2014
  • Ingår i: Journal of Assistive Technologies. - : Emerald Group Publishing Limited. - 1754-9450 .- 2042-8723. ; 8:4, s. 188-206
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose– The purpose of this paper is to highlight the complexity surrounding the implementation of advanced electronic tracking, communication and emergency response technologies, namely, an extended safety and support (ESS) system for people with dementia (pwd) living at home. Results are presented from a Swedish demonstration study (2011-2012) conducted in 24 municipalities.Design/methodology/approach– It is a descriptive intervention study with a pre-post test design. Questionnaires were administered to pwd, carers and professionals at the outset and eight months later. ESS logging data were analyzed.Findings– ESS usage rates varied widely. A total of 650 alerts were triggered, mainly when the pwd was outdoors. Activities were reduced amongst pwd, most likely due to a progression of their disease. Carers noted that pwd were more independent than previously on those occasions when they engaged in outdoor activities. Staff considered that nearly half of pwd could remain living at home due to the ESS, compared with a third amongst carers. In total, 50 per cent of carers felt it was justified to equip their relative with an ESS without their explicit consent, compared to one in eight staff.Research limitations/implications– A limitation is the amount of missing data and high drop- out rates. Researchers should recruit pwd earlier in their illness trajectory. A mixed-methods approach to data collection is advisable.Practical implications– Carers played a crucial role in the adoption of ESS. Staff training/supervision about assistive devices and services is recommended.Social implications– Overall, use of ESS for pwd living at home was not an ethical problem.Originality/value– The study included key stakeholder groups and a detailed ethical analysis was conducted.
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  • Gillsjö, Catharina, Senior Lecturer, 1963-, et al. (författare)
  • Balance in life as a prerequisite for community-dwelling older adults' sense of health and well-being after retirement : an interview-based study
  • 2021
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 16:1
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE This study aimed to describe community-dwelling older adults’ perceptions of health and well-being in life after retirement.METHODS This study is part of a larger project using a mixed-methods design to address lifestyles’ influence on community-dwelling older adults’ health. Individual semi-structured interviews were conducted with 18 older adults in age 70 to 95 years. Data were analysed according to a phenomenographic approach.RESULTS The results encompass four categories describing variations in community-dwelling older adults’ perceptions of health and well-being after retirement: feeling well despite illness and disease, interacting with and being useful for oneself and others, independently embracing opportunities and engaging in life, and maintaining a healthy lifestyle.CONCLUSIONS The absence of illness and disease is not a clear prerequisite for a sense of health and well-being. To promote and preserve health and well-being after retirement, older adults strived for—and coached themselves to uphold—a balance in life, focusing on not burdening others. This life orientation after retirement must be acknowledged by society at large, especially from an ageist perspective, and in health and social care to preserve and promote health and well-being.
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  • Hedén, Lena E, et al. (författare)
  • Effects of the Intervention "reflective STRENGTH-Giving Dialogues" for Older Adults Living with Long-Term Pain : A Pilot Study
  • 2020
  • Ingår i: Journal of Aging Research. - : Hindawi Publishing Corporation. - 2090-2204 .- 2090-2212. ; 2020
  • Tidskriftsartikel (refereegranskat)abstract
    • Background. Long-term musculoskeletal pain is a major, often undertreated, disabling health problem among an increasing number of older adults. Reflective STRENGTH-giving dialogues (STRENGTH) may be a tool to support older adults living with long-term pain. The main aim of this pilot study was to investigate the immediate and longitudinal effect of the intervention STRENGTH on levels of pain, wellbeing, occurrence of depression symptoms, and sense of coherence (SOC) among community-dwelling older adults suffering from musculoskeletal pain compared to a control group. Methods. The study was semiexperimental with an intervention group and a control group. The effect of a single STRENGTH intervention was reported on the Numeric Rating Scale (NRS) regarding pain and wellbeing. To evaluate the longitudinal effect of STRENGTH, using the Brief Pain Inventory-Short Form (BPI-SF), the Geriatric Depression Scale-20 (GDS-20), SOC-13 at baseline (T1), and six months after the intervention/no intervention (T2), a total of 30 older adults, aged 72 to 97 years (Mdn 86 years), were included consecutively and fulfilled the intervention series (n = 18) or untreated controls (n = 12). Results. The intervention with STRENGTH decreases pain (NRS 6 Mdn versus NRS 4 Mdn, p<0.001) and increases wellbeing (NRS 7 Mdn versus NRS 8 Mdn, p<0.001). After a six-month study period with STRENGTH, no longitudinal effect difference was found compared to baseline. Compared to the control group, there was an increasing trend between decreased pain level and increased SOC level for STRENGTH intervention. Conclusions. This pilot study supports STRENGTH's effect as a pain-alleviating model that provides a decrease in pain levels and an increase of wellbeing in older adults with long-term pain. STRENGTH dialogues could be a useful intervention to provide individually holistic care in older adults living with long-term pain. 
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  • Bångsbo, Angela, 1968 (författare)
  • Collaborative challenges in integrated care: Untangling the preconditions for collaboration and frail older people's participation
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Introduction: Frail older people often have comprehensive and complex care needs involving different caregivers and professionals. Deficits in integrated caretaking often result in hospital readmission. Aim: The aim of this thesis was to describe and analyze preconditions for collaboration and participation in integrated care for frail older people from the professionals’ perspective. Methods: In study I patient participation was examined with a case study, including face-to-face interviews with health and social care professionals and audio-recordings of discharge planning conferences. Study II explored inter-professional and inter-organizational collaboration using a focus group technique, focusing discharge planning conferences. Study III was quantitative, and described and compared the influence of different factors on the importance of inter-organizational collaboration within the integrated care process program “Continuum of care for frail older people.” Study IV quantitatively evaluated the preconditions for implementation of the program. Results: Study I showed that frail older people’s participation in discharge planning conferences was achieved when the older people took or were supported to be active participants, the professionals had clear roles, authority, they created a structured, calm atmosphere, and older people and professionals were well prepared before discharge planning takes place. Study II demonstrated that conflict in collaboration arose between professionals and organizations, implicating a tacit framework, e.g. who is responsible and has the authority to make decisions and what are the prioritizations in relation to the choice of care actions for older people. In Study III, educational level i.e. post-secondary education, influenced inter-organizational collaboration more than organizational affiliation. Study IV showed that the preconditions for the program implementation were limited with regard to the professionals’ understanding and ability to change their work procedure, and their commitment decreased. Conclusion: Inter-professional and inter-organizational collaboration need improvements to ensure a continuum of high-quality care and frail older people’s participation in the discharge process. Insufficient knowledge among the professionals obstructed collaboration in favor of organizationally related norms and values and professional boundaries. Implementing complex interventions in organizations with high employee turnover and competing projects takes time and dedication.
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