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- Gard, Gunvor
(författare)
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Factors important for good interaction in physiotherapy treatment of persons who have undergone torture: A qualitative study.
- 2007
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 23:1, s. 47-55
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Tidskriftsartikel (refereegranskat)abstract
- Torture can be defined as the deliberate or systematic infliction of physical or mental suffering to force another person to yield information, as a punishment or to destroy a person's identity. The aim of the physiotherapy treatment for persons who have undergone torture is to relieve or reduce pain, correct musculoskeletal dysfunctions, teach the client to cope with pain, and regain body awareness. A good interaction and communication with each refugee is needed to optimize the treatment. The aim of this study was to identify factors important for a good interaction between physiotherapist (PT) and the patient among PTs specialising in refugees who have been tortured. A qualitative multiple case study was done. Ten physiotherapists working within the Red Cross, psychiatry or primary health care, who held positions specialising in treating persons who have undergone torture were interviewed. The interviews were analysed with content analysis. The results showed that the factors important for a good interaction could be summarised into two themes; prerequisites for a good interaction and interaction factors. Five prerequisites for a good interaction with persons who have undergone torture were found: personal characteristics, professional and therapeutic competence and support, language factors, time, and frames. Five factors in the interaction situation were important for a good interaction: cultural factors, treatments tailored to the patient's needs, to develop confidence and trust, religious factors, and capacity to handle negative emotions. All these factors have to be considered to improve the interaction between PTs and persons who have undergone torture.
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- Melander-Wikman, Anita, et al.
(författare)
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Safety versus privacy : elderly persons' experiences of a mobile safety alarm
- 2007
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Ingår i: 15th International Congress of the World Confederation for Physical Therapy. - : WCPT.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- PURPOSE: The purpose was to develop and test mobile information and communication technology (mICT), in the form of a mobile safety alarm, and to explore how this mobile safety alarm was experienced from an empowerment perspective. RELEVANCE: Future demographic development means an increased elderly population in Sweden. One of the greatest challenges for a society with an ageing population is to provide high-quality health and social care. Many elderly people stay active and healthy at higher ages; however, an increased mean age does not always mean increased health. The demographic development is often described as a huge problem but there is also an approach where "the elderly boom", seen as a cluster, also can be seen as an opportunity for growth. New information and communication technology (ICT) and services aiming at the improvement of the health, comfort and safety of elderly people are being developed and tested. From research it is well known that dimensions of empowerment have an impact on preserving health; and it is also important for the individual to feel safe. In order to enable elderly people to stay at home as long as possible, various kinds of assisted technology are often used: safety alarms are common and are used by elderly people and also by those with functional limitations. PARTICIPANTS: The participants that tested the mobile safety alarm were five elderly people with functional limitation (for example, after a stroke) and four healthy elderly people from a pensioners' organisation. METHODS: The methodology used was an intervention with a mobile alarm containing a drop sensor and a positioning device, as well as qualitative interviews with the research persons. ANALYSIS: In order to analyse the results, qualitative content analysis was used. RESULTS: The result showed that the mobile safety alarm that was developed and tested was seen as offering increased opportunity for mobility, both in terms of being able to be more active and as an aid to self-determination. The fact that the test participants were located by means of the positioning device was not experienced as violating privacy as long as it was clear that the person her/himself could decide to use the alarm. The mobile safety alarm that was tested was a prototype in development and the research persons saw themselves as participants closely and actively involved in the development process, who contributed their recommendations for improvement. CONCLUSIONS: Conclusions that can be drawn are that it is important for elderly persons to actively participate in the development process of new assistive technologies. In development, methodologies for empowerment of the elderly should be used. IMPLICATIONS: Mobile safety alarms can in the future make it easier for elderly persons to be active and mobile and this might increase the options for elderly people to stay healthy.
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- Melander-Wikman, Anita, et al.
(författare)
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The lighthouse alarm and locator trial : a pilot study
- 2007
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Ingår i: Technology and Health Care. - : EBSCO Industries, Inc. - 0928-7329 .- 1878-7401. ; 15:3, s. 203-212
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Tidskriftsartikel (refereegranskat)abstract
- An important factor for health is the possibility to be active and mobile. To make this possible different kind of support are needed. Integrating geographical information systems technology and user experiences is important in the development of more user-friendly positioning devices. The Lighthouse Alarm and Locator trial aimed to test a new mobile alarm system with additional functionality such as positioning and monitoring of vital signs which can be used regardless of location (in hospital, at home). The system was tested by elderly persons from a pensioner organisation and home care personnel answered up on the alarms. After the tests qualitative interviews were performed with the two groups. The results showed that their experiences of the new mobile alarm system could be described in three main categories: to be supervised, to feel safe and to be mobile. These categories formed a theme: Positioning - an ethical dilemma. The clients' mobility was perceived to increase. The personnel did not think that positioning was ethical but the clients (elderly) did.
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