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- Risberg, Jarl, et al.
(författare)
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A new tomographic technique for absolute measurements of white and gray matter blood flow
- 2004
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Ingår i: Proceedings of the 8th Nordic Meeting in Neuropsychology, Turku, Finland, August 26–29, 2004, 85.
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Konferensbidrag (refereegranskat)abstract
- Objective. Most methods for measurements of the regional cerebral blood flow are unable to provide absolute blood flow values. Until now interest has been focused on measurement of the gray matter blood flow, while the white matter blood flow has been rather neglected. The aim of the present project was to develop and evaluate an improved method for reliable tomographic measurements of absolute white and gray matter blood flow Method. The new tomographic method (modified Xe-SPECT) is based on an extension of the period of 133Xe inhalation from one to eight minutes followed by 22 instead of four minutes of breathing of ambient air. This gives a markedly enhanced signal from the white matter and better basis for correct quantification of the blood flow. The arrival and clearance of the tracer are recorded by a three head gamma camera system that provides flow maps with a spatial resolution of about one cm. Results The new method has been evaluated in 33 healthy younger and older (around 70 years) subjects as well as in a group of elderly patients with organic dementia. Our preliminary findings indicate that new and clinically valuable information is obtained by the improved Xe-SPECT method.
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- Risberg, Jarl, et al.
(författare)
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A new tomographic technique for absolute measurements of white and gray matter blood flow
- 2003
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Ingår i: Journal of the International Neuropsychological Society. - 1355-6177. ; 9, s. 323-323
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Konferensbidrag (refereegranskat)abstract
- The integrity of the white matter is as important as that of the gray matter and white matter pathology has commonly been reported in elderly subjects and in patients with organic dementia. The aim of the present study is to develop and evaluate an improved method for reliable tomographic measurements of absolute white and gray matter blood flow. The new tomographic method (modified Xe-SPECT) is based on an extension of the period of 133Xe inhalation from one to eight minutes followed by 22 instead of four minutes of breathing of ambient air. This gives a markedly enhanced signal from the white matter and better basis for correct quantification pf the blood flow. The arrival and clearance of the tracer are recorded by a three head gamma camera system that provides flow maps with a spatial resolution of about one cm. The new method has been evaluated in healthy younger and older (around 70 years) subjects as well as in a group of elderly patients with organic dementia. Our preliminary findings indicate that new and clinically valuable information is obtained by the improved Xe-SPECT method
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- Kolkowska, Ella, 1972-, et al.
(författare)
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Socio-Technical Challenges in Implementation of Monitoring Technologies in Elderly Care
- 2016
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Ingår i: Human Aspects of IT for the Aged Population. - Cham : Springer. - 9783319399485 - 9783319399492 ; , s. 45-56
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Konferensbidrag (refereegranskat)abstract
- Although new monitoring technologies (MT) supporting aging in place are continuously developed and introduced on the market, attempts to implement these technologies as an integrated part of elderly care often fail. According to the literature, the reason for that may be the prevailing technical focus applied during development and implementation of monitoring technologies in real settings. The aim of this paper was to investigate the socio-technical challenges that arise during implementation of monitoring technologies in elderly care. We used a qualitative case study and semi-structured interviews to investigate socio-technical (S/T) challenges in implementation of monitoring technologies generally and social alarms especially. Based on our findings we suggest a framework for classification of S/T challenges arising during implementation of monitoring technologies in elderly care and in this way this paper contributes to a better understanding of these challenges.
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- Sjölinder, Marie, et al.
(författare)
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To Meet the Needs of Aging Users and the Prerequisites of Innovators in the Design Process Lessons Learned from Three Pilot Projects
- 2016
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Ingår i: Human Aspects of IT for the Aged Population. - Cham : Springer. - 9783319399423 - 9783319399430 ; , s. 92-104
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Konferensbidrag (refereegranskat)abstract
- The aim of this paper is to analyze cases where participatory design with different stakeholder groups was a beacon in the development of innovations. An important aspect was a strong foundation both in the needs of the elderly and in the feasibility from the market side. Three cases were analyzed from aspects as: environment and development phase of product; participation of different stakeholders; and proxy involvement of care professionals. The impact of this approach is a benefit for aging end-users as well as increased feasibility for the innovation companies, as a result when collaboration of different stakeholders focuses on balancing the demands of the users and the prerequisites of the industry.
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- Persson, Marie
(författare)
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Family caregivers of elderly people with mental illness (not dementia) – who are they?
- 2015
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- In Sweden the context of care services to elderly with mental illness is complex and takes place in primary health care, psychiatric clinics, geriatric clinics and geriatric care. This creates a situation which is hard to overview and handle for the sole family. It is also known that there is a lack of knowledge concerning symptoms of mental illness and psychiatric disorders in old age, which means that elderly people don’t get appropriate assessment, treatment and care. Mental illness in old age differs from mental illness in younger ages; the symptoms may be more complex and are often combined with somatic disorders. Physiological and psychological changes in old age also reflect the mental health, and pharmacological treatment needs to be more careful due to physiological changes in the aged body.These facts have an impact on the family caregivers. Family caregivers regard well-functioning formal care as a good support for them too. When the formal care doesn’t work or work poorly, or the professionals don’t coordinate the care of the aged person with mental illness, the burden is more massive for the family caregiver. It is also a fact that family caregivers of people with mental illness, despite their wishes, often serve as a coordinator for the professional care of their kindred.Despite the unique context of the situation for older adults and their relatives, hardly any Swedish studies about family care giving for persons with mental illness focus on family caregivers of elderly. A common pattern is instead that family caregivers of elderly people with mental illness are included in studies concerning adults with mental illness and their relatives. Considering the fact that both symptoms of mental illness in old age and the way in which elderly are taking formal care of are different comparing to younger adults, this needs to be more explored.The mental illness of the old person and the context of care services are two factors that influences the caregivers’ situation. Another factor is the relationship to the old person with mental illness. In the Swedish studies concerning caregivers to adults with mental illness or psychiatric diseases there is a wide range of relationships, from old spouses and siblings, to middle-aged children and young grown-up grandchildren. The relation to the person with mental illness reflects how the situation is perceived, but there is not much information to find about this over a lifespan.The purpose is to describe the complex situation of the family caregivers to elderly with mental illness and to outline the fact that we don’t know much about them.
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- Söderman, Mirkka, et al.
(författare)
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Caring for the ethnic elders suffering from dementia – experiences of nursing staff
- 2014
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Konferensbidrag (refereegranskat)abstract
- Aim: The aim of this study was to describe and compare the experiences of nursing staff caring for ethnic elderly persons suffering from dementia in an ethnic care setting and a Swedish-speaking care setting. Background: The numbers of ethnic elderly persons who speaks only their native language and are suffering from dementia are growing. As the dementia progresses into its ́ advanced stage the person suffering from dementia first loses the second language and later the native language and needs to be admitted to institutional care. In some municipalities in Sweden ethnic elders suffering from dementia receives care in an ethnic care setting where the persons` native language is spoken, but most ethnic elders suffering from dementia receives care in Swedish-speaking institutions. In terms of communication this may be a challenge for the nursing staff. Methods: The study has a qualitative approach with 27 semi-structured interviews. Data consist of 12 interviews with Finnish-speaking nursing staff working in a Finnish-speaking group home for persons suffering from dementia in Sweden and of 15 interviews with nursing staff working in Swedish-speaking group homes caring for non-Swedish older persons with dementia. The material is analysed with qualitative analysis. Findings: The experiences of the nursing staff showed that caring for the patients in a Finnish-speaking environment meant that they could communicate with the patients in their native language, which in turn stimulated the cognitive, physiological and social abilities of the person with dementia. Besides the language, the Finnish-speaking nursing staff also included cultural aspects such as Finnish music, food and media into the daily life in the care. The nursing staff in the Swedish-speaking group homes, perceived that all patients received equal basic care, but as they did not speak the patients` language communication was limited The language barrier resulted in behavioural disturbances at times in the non-Swedish patients with dementia. Implications: The two types of care settings were compared and besides a mutual language, the bilingual staff in the Finnish-speaking group home were able to include more of the cultural aspects which all together contributed to a sense of homeness for the Finnish elders with dementia. The care in the Swedish-speaking group homes was considered good and equal, but was also experienced as limited and frustrating by the Swedish-speaking nursing staff. Other strategies to communicate with the patients had were used and which will be further discussed.
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