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Maintaining functional independence in elderly adults: the roles of health status and financial resources in predicting home modifications and use of mobility equipment
- Authors:
- MATHIESON Kathleen, KRONENFELD Jennie Jacobs, KEITH Verna M.
- Journal article citation:
- Gerontologist, 42(1), February 2002, pp.24-31.
- Publisher:
- Oxford University Press
Investigates whether health status and financial resources were important predictors. Participants were identified from the National Survey of Self-Care and Aging a nationally representative sample of noninstitutionalized U.S. adults aged 65 and older. Need and enabling characteristics were used to predict home modifications and equipment use in multinomial logistic analysis, controlling for predisposing characteristics. Although several health-status (need) variables had significant, direct effects on functional adaptations, the effects of ADL limitations were diminished at higher levels of impairment. Among the financial (enabling) variables, subjective income measures and supplemental insurance had significant, direct effects on functional adaptations. Promotion of functional adaptations among elderly people may benefit from both a proactive approach that targets elders with few limitations and a consideration of financial factors in addition to health status.
From caring home to smart house - a needs led evolution
- Authors:
- BRADLEY D.A., LEVY S., BROWNSELL S.J.
- Journal article citation:
- New Technology in the Human Services, 14(1/2), 2001, pp.18-27.
- Publisher:
- Centre for Human Service Technology
A persons’ home provides them with a sense of security, familiarity and belonging, all of which contribute to the extent to which they feel that they have control over their life. In recent years technology has established an increased presence in this environment enabling (older) people to benefit from the use of systems, including community alarms, to make their lives more manageable. The Smart House concept is seen by some technology champions as an obvious progression of home healthcare technology, enabling the house to facilitate the support necessary to enable individuals to remain in their own home rather than being forced into a sheltered or institutional setting. Yet it may be argued that care provision through the medium of a Smart House transforms what is essentially an individually crafted environment into a fully operational extension of a clinical environment while losing crucial elements associated with an individual’s personal space. Home care technology that ‘grows with you’ rather than a Smart House that must ‘grow on you’ should therefore be the goal for work to find a technical solution to bridging the gap between available resources and demands on healthcare providers. This paper considers the need for home healthcare technologies and the ways in which they may evolve while introducing the concept of a ‘Technology Prescription’. This mode of future ‘smart’ care provision is suggested as a means of matching user need to appropriate technology, as part of a needs led approach which would allow for the gradual introduction of specific care technologies into a familiar home environment.
Moving and handling in the community
- Author:
- COHEN Phil
- Journal article citation:
- Nursing Times, 4.2.98, 1998, p.64,66.
- Publisher:
- Nursing Times
Employers now routinely ensure that appropriate equipment for moving people is available in hospitals. Investigates the situation for nurses in the community.
A coherent policy for the rehabilitation of people with disabilities: recommendation no. R(92)6 adopted by the Committee of Ministers on 9 April 1992 ...; a model rehabilitation programme for national authorities
- Author:
- COUNCIL OF EUROPE
- Publisher:
- Council of Europe
- Publication year:
- 1992
- Pagination:
- 60p.
- Place of publication:
- Strasbourg
Recommendations which take into account the training of non-health staff, technical aids, sporting activities and practical measures for the employment of people with physical or learning disabilities.