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Characteristics of female 65+ in home care service – at 11 sites in Europe. email@example.com. The age wave is a female wave. We want to help older females in their surfing on the wave They may need help to cope with up and downs. www.studvest.no. Baby-boomers.
We want to help older females in their surfing on the wave
They may need help to cope with up and downs
The importance of seniors will accelerate in 2011 until 2031 when the last of the boomers turns 65
Statistics Canada September 2006.
White; interRAI Ottawa 2007
Three factors are considered critical:
definitions of eligibility,
assessment procedures and
balance of care
(Challis & Hughes 2002)
The data for this presentation are derived form the AdHOC study. Community Care at 11 sites in Europe
Measurement: Resident Assessment Instrument for Home Care (RAI-HC).
(Carpenter et al. 2004, Henrard et al. 2006)
Female: Mn=82.80 Std 7.20
Male : Mn= 80.88 Std 7.48
mobility in bed,
dressing upper and lower body,
locomotion inside and outside home,
Cognitive skill of daily decision making
CPS measures the level of cognitive performance; it runs from 0 to 6 (6 is worst). Cut off point CPS=3 was chosen to indicate significant cognitive impairment of dementia severity. “3” is equivalent average to 15 points in Mini Mental State Examination (MMSE).
Many older widows are unnecessarily isolated because their common drivers license was buried together with the husband.
In Norway 82% of the men and 29% of women have a driver licence at the age of 75+ (SSB 2006).
Sensors can track people and alarms can be activated if something unnatural such as a fall is detected. Neither the old people nor their next of kin have sufficient information about the terminology of AT or the concept of “smart house”.
Lansely et al (2004) analysed detailed design studies to measure the cost of technology versus use of formal care. They concluded that “Appropriately selected adaptations and AT can make a significant contribution to the provision of living environments which facilitate independence. They can both substitute for traditional formal care services and supplement these services in a cost-effective way.
Tinker & Lansely (2005) found that older people welcomed AT when it addressed a perceived need. Their personal integrity would still be better taken care of in their own home, than in an institution.
For those cognitive impaired who wish to live in their own homes the main problems are fire prevention or wandering not knowing where they are.
Fire may be prevented
by installation of heath sensors that automatically cut the electricity before fire gets started.
The GSM bracelet is designed to help Alzheimer's patients by notifying the careers if the wearer wanders outside a pre-defined "secure zone." It is monitored via Assisted GPS and has a GSM/GPRS transmitter/receiver with a SIM card for voice and data.
In Europe there is a huge variation between northern and southern countries.
The Nordic welfare model allows older people of both sexes to live independently for longer and this is what the majority wants.
Appropriately selected adaptations and AT can make a significant contribution to the provision of living environments which facilitate independence.
For tailoring the best care a comprehensive assessment is needed.
The Czech Republic
Home, residential and palliative care
Liv Wergeland Sørbye
Medical Problems in Women over 70 ed. Rees & KeithLondon: Taylor and Frances 2007http://www.rcog.org.uk/index.asp?PageID=73&BookCategoryID=1&BookTypeID=35&BookDetailsID=1857
Gabrel CS. Characteristics of elderly nursing home current residents and discharges: data from the 1997 National Nursing Home Survey. Adv Data. 2000 Apr 25;(312):1-15.http://www.cdc.gov/nchs/data/ad/ad312.pdf
Arias E. United States life tables 2002. National vital statistic report volum 53 (6) 2002. http://www.cdc.gov/nchs/data/nvsr/nvsr53/nvsr53_06.pdf
Kõnig B. Life expectancy in the new EU. Federal statistical office Germany. http://www.destatis.de/presse/englisch/pm2004/p2050022.htm
Bonke J, Koch-Weser E. The Welfare State and Time Allocation 9:2001 http://www.sfi.dk/graphics/SFI/Pdf/Working_papers/workingpaper2001_9.pdf.
Lansley P, McCreadie C, Tinker A. Can adapting the homes of older people and providing assistive technology pay its way? Age Ageing. 2004 Nov;33(6):571-6. Epub 2004 Sep 3.
Tinker A, Lansley P. Introducing assistive technology into the existing homes of older people: feasibility, acceptability, costs and outcomes. J Telemed Telecare. 2005;11 Suppl 1:1.