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The lived experience of older people using assistive technology
- Authors:
- MCCAIG Marie, et al
- Journal article citation:
- Working with Older People, 16(4), 2012, pp.170-174.
- Publisher:
- Emerald
The aim of this small-scale investigation was to gain an appreciation of the conceptions, feelings and beliefs about the use of assistive technology (AT) in older people. A Husserlian phenomenological approach was adopted because of its descriptive rather than interpretive philosophy. Six individuals, aged over 65 years living in the same supported housing accommodation in Scotland were interviewed. Six key themes emerged: being unsure; being old; being a bother; being on my own; being neighbourly and being independent. Reactions to assistive technology were highly individualised and salient. The authors believe that AT has the potential to significantly impact on care delivery but suggest that in order to humanise the technology it is necessary to understand the person who is using it. They stress the importance of making sure that users are sufficiently well informed to enable them to make informed joint decisions. Whenever possible carers and family members should be involved. It is suggested that the question is not about whether to install AT but how to do so in a manner that optimises the experience for all concerned. Clarity is needed in relation to resources, governance, roles and responsibilities to support an effective implementation process.
Older people and information and communication technologies: an ethical approach
- Author:
- AGE (The European Older People's Platform)
- Publisher:
- AGE: The European Older People's Platform
- Publication year:
- 2008
- Pagination:
- 6p.
- Place of publication:
- Brussels
This short paper debates the fine balance between technology that promotes independence for older people and that which threatens individual freedom. The use of assistive technology raises many challenges, not least that of ensuring that basic human rights are not compromised. Key ethical principles and tensions governing research and practice in this area are listed as: autonomy and consent of the end user; benefice to the end user, balancing risk, safety and independence; achieving a balance between avoiding harm and respecting decisions, dignity, integrity and preferences and, justice, treating the individual fairly and respecting their rights. Central to the development of technological products to be used by older people is a human-centred approach; consultation and real end user involvement are considered essential.
Self-care, plesio-care, telecare and m-care: a new assisted living model
- Authors:
- DOUGHTY Kevin, GODFREY David, MULVIHILL Billy
- Journal article citation:
- Journal of Assistive Technologies, 6(4), 2012, pp.292-301.
- Publisher:
- Emerald
This paper critically reviews the motivations for introducing different connected healthcare to support Assisted Living in older and other vulnerable groups. The aim is to develop a new sustainable approach. The authors consider the assessment criteria currently being employed and the resulting costs and limitations in providing a person centred approach. The implications of introducing new technologies such as plesiocare and mCare (mobile care) are then debated. One of the most cost-effective applications of technology was found to be in the support of informal carers but the telecare equipment that they are offered may not be the most appropriate. The findings are limited by a lack of formal risk assessments that are person centred. The implications include the need for improved training in assessment processes and access to a wider inventory of technologies.
Technological solutions potentially influencing the future of long-term care
- Author:
- MORI Angelo Rossi
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 68p.
- Place of publication:
- Brussels
Work Package 4 of the ANCIEN (Assessing Needs of Care in European Nations) project seeks to forecast the potential direct and indirect influences of various kinds of technologies on long-term care (LTC), and in particular on the roles of care recipients and formal and informal carers. This paper contributes to this project by working out a technology-driven forecast of the changes on the LTC activities potentially induced by future technological deployments. It argues that information and communication technologies (ICT) together with the use of home devices and aids may greatly influence the rise of new models of care. Future technological deployments will induce changes in the respective roles of the care recipient and of the formal and informal carers, with an impact on 3 major concerns: the transformation of the care recipient into a proactive subject; the augmented potentiality for home care; and the new functions that informal carers could assume. The greatest impact on the LTC system will not be due to the spontaneous and fragmented diffusion of aids among individual consumers, but rather by large-scale organisational changes of the entire welfare system, supported by the use of enabling technologies.
Using technology to enhance the ageing experience: a market of analysis of existing technologies
- Authors:
- GOLDWATER Jason, HARRIS Yael
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.5-28.
- Publisher:
- Springer
- Place of publication:
- New York
Drawing on experience in the United States, this article discusses health technologies, their benefits, and how these tools will transform the way people age during the next decade. The article looks at how electronic health records can be used to increase efficiency, support care coordination, and provide caregivers timely access to information at any time or location. It also describes how telehealth can increase quality and access to care in an inpatient setting and can also support individuals wishing to age in place.
Caring for older people in the community
- Editors:
- HUDSON Angela, MOORE Lesley, (eds.)
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2009
- Pagination:
- 245p.
- Place of publication:
- Chichester
This book is a compilation from 9 academics and practitioners, including the two editors. The first section (Chapters 1-3) discusses the past and current influences on physical, psychological and social ‘nursing’ practices and ethical tensions, when working with older people. Topics covered in the second section (chapters 4-6) with regard to contemporary challenges with older people who may have learning disabilities and dementia as well as experiencing ageing are, health education, sexual health, substance misuse, and the role of assistive technology. Examples of lived scenarios from service users and reflections from professionals are included. Current issues of kinship care for older people, ethics, palliative care and end of life decision making, complementary therapies, vulnerability, citizenship, informed consent, advocacy, empowerment, personalisation and a person centre approach are also mentioned. The third section from the joint editors, is on future challenges and covers: community hospitals, bringing diagnostic technology and chemotherapy interventions closer to cancer patients, the national panel for information and communications technology, ‘whole system demonstrators’, moving towards seamless care, and partnership with older people projects.
Perceptions, preferences, and acceptance of information and communication technologies in older-adult community care settings in Ireland: a case-study and ranked-care program analysis
- Authors:
- WALSH Kieran, CALLAN Aoife
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.102-122.
- Publisher:
- Springer
- Place of publication:
- New York
This study examines the perceptions and preferences of older people (as current care users) and the general population (as prospective care users) on the role of information and communication technologies (ICT) within the community-care provision in Ireland. Data were used from four case studies of community care sites, three focus-group discussions and 60 face-to-face exploratory survey interviews (based around stated-preference scenarios) with a general population sample. Care preferences were rooted in orthodox forms of person-led care provision. Perceptions of technology, experience/familiarity with technology, and difficulty conceptualizing technology and need for technology assistance, are interconnected in how people influence ICT preferences and acceptance. More dominant, however, were micro- and macro-contextual factors associated with community care, namely (1) the state of the older adult community care sector; (2) the desire for person-to-person contact; (3) the context of place.
Going the extra mile in delivering extra care for people living with dementia
- Author:
- JOY Helen
- Journal article citation:
- Journal of Care Services Management, 3(1), December 2008, pp.33-40.
- Publisher:
- Taylor and Francis
Over the next 50 years, the number of people aged over 65 will increase from 9.3 million to 16.8 million, according to the Department of Health's 'Building Telecare in England' report, dated 19th July, 2005. This paper explores the ways in which providers of care can better manage behaviours relating to dementia and increase the dignity, independence and quality of life for people living with the condition. The article focuses on person-centred care, building design, educating relatives, keeping active and the role of technology. It draws on the experience and ethos of Brunelcare, which is a South-West charity and registered social landlord, which has been working with and for older people in and around Bristol since the 1940s.
Future care: rethinking technology enhanced aged care environments
- Authors:
- LOY Jennifer, HASKELL Natalie
- Journal article citation:
- Journal of Enabling Technologies, 12(2), 2018, pp.91-100.
- Publisher:
- Emerald
Purpose: Cutting-edge hospital and residential care architecture and interior design aim to address the emotional and practical needs of patients, staff and visitors. Yet, whilst improving on past practice, current approaches to design still rarely recognise or respond to individuals. The purpose of this paper is to provide a review of design-led research into digital technology across disciplines for the personalisation of healthcare environments and is informed by the authors’ ongoing hospital-based research. Design/methodology/approach: This review is based on a design anthropology framework providing insight into designing for changing the experience for older patients in current healthcare contexts and future focused strategies, integrating digital technologies and human-centred design across scale and disciplines. It is informed by ongoing hospital studies based on design-led research methodology, drawing on design anthropology and ethnographical methods. Findings: Technology enhanced, human-centred, assistive devices and environments implemented into healthcare across scale are developing but integration is needed for meaningful experiences. Research limitations/implications This review is a positioning paper for design-led research into digital technology across scale and medium. Practical implications: This paper provides the basis for practical research including the ongoing hospital-based research of the authors. Social implications: This approach potentially enhances emotional experiences of connected healthcare. Originality/value: Future care scenarios are proposed, with technology and human experience as key drivers. Individualised and personalised solutions better cater for diversity. Within this context, it is strategic to question and test new ways of crafting the older persons care experience. This paper brings new direction to this discussion. (Edited publisher abstract)
Social work and dementia
- Authors:
- MOORE David, JONES Kirsty
- Publisher:
- Sage
- Publication year:
- 2012
- Pagination:
- 141p.
- Place of publication:
- London
This book focuses on the rapidly changing face of dementia care social work in the light of the personalisation agenda. The authors also address issues that have received relatively little attention in the literature, such as the number of people with dementia who experience abuse. The book has been written with the support of staff and service users from two English local authorities. The first chapter introduces the various forms of dementia, considers how it may feel to live with dementia and reviews treatment options. It closes with a discussion of the different paradigms of dementia: the medical model, the social model and the enriched model. The second chapter looks at legislation, guidance and dementia. Chapter three considers the challenges and complexities faced by professionals when safeguarding people with dementia. The fourth chapter demonstrates how the personalisation agenda is being used to transform social care particularly through self-directed support. Chapter five introduces the idea of re-ablement and telecare, looking at how these can contribute to promoting the independence of dementia sufferers. The book ends with a discussion of the future of dementia care and the role of social work within this. The book is aimed at both social work students and practitioners involved in supporting people with dementia and their carers.