Academic literature on the topic 'Dementia care accessibility'
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Journal articles on the topic "Dementia care accessibility"
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Pierse, Tom, John Cullinan, Fiona Keogh, and Eamon O'Shea. "159 Geographic Accessibility and Capacity of Day Care Services for People with Dementia." Age and Ageing 48, Supplement_3 (September 2019): iii17—iii65. http://dx.doi.org/10.1093/ageing/afz103.93.
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Abstract Background Day care is an important service for some people with dementia and their carers. In Ireland, day care services for people with dementia are delivered by a mix of dementia specific day-care centres and generic centres that cater for people with dementia to various degrees. In this paper we map the geographic variation in the supply of day care services for people with dementia relative to potential need. Methods Using a national HSE survey of day care centres, we estimate the current supply of day care services for people with dementia in both generic and dementia specific centres by combining a number of qualitative and quantitative measures. To identify the variation in supply, we map day care provision at local and regional levels to the number of people with dementia in the area. To consider geographic accessibility, we map and analyse the population living outside the catchment area of the day care centres. Results There is significant variation across the country in the existing capacity of day care centres to cater for people with dementia. The number of places per 100 persons with dementia varies from 9 to 16 across the Community Health Organisation areas. We show that 20 per cent of people with dementia are not living within a 15km radius of a day care centre that caters for people with dementia. Conclusion Day care has a place in the menu of service for people with dementia living in the community. As the number of people with dementia grows, investment in day care centres needs to be targeted to areas of greatest need. In many parts of the country, the current day care centres have limited capacity to provide a service for people with dementia that live in their catchment area. There is considerable geographical inequity in day care provision for people with dementia across the country.
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de Mendonça Lima, C. A. "Diagnosis and differential diagnosis of dementia." European Psychiatry 26, S2 (March 2011): 2108. http://dx.doi.org/10.1016/s0924-9338(11)73811-1.
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The European prevalence of dementias will increase of 40% during the next 40 years, with serious effects on families, communities and healthcare systems (1).A correct diagnosis of dementia is the first step to plan treatment, care and support. There is no single test to identify the cause of dementia. The diagnostic process involves, medical history, mental status exam, physical exam, laboratory tests, psychiatric and (neuro)psychological tests and assessment of individual's functioning. An image of brain is suitable.There is an idea that this diagnostic process can only be realized by highly specialized staff. WHO has recently published the mhGAP Intervention Guide for use in non-specialized health-care settings by health-care providers working at first- and second-level facilities. It includes guidance on evidence-based interventions to make the diagnosis and manage a number of priority conditions, including dementia (2).The recent progress in pathological process understanding of Alzheimer's disease (AD), may help to the proposal of new research criteria that reconceptualise the diagnosis around both a specific pattern of cognitive changes and structural/biological evidence of Alzheimer's pathology (3).These two recent developments are significant contributions to increase the accessibility to a proper diagnosis and care of dementia around the world.
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Szcześniak, Dorota, Rose-Marie Dröes, Franka Meiland, Dawn Brooker, Elisabetta Farina, Rabih Chattat, Shirley B. Evans, et al. "Does the community-based combined Meeting Center Support Programme (MCSP) make the pathway to day-care activities easier for people living with dementia? A comparison before and after implementation of MCSP in three European countries." International Psychogeriatrics 30, no. 11 (February 13, 2018): 1717–34. http://dx.doi.org/10.1017/s1041610217002885.
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ABSTRACTBackground:The “pathway to care” concept offers a helpful framework for preparing national dementia plans and strategies and provides a structure to explore the availability and accessibility of timely and effective care for people with dementia and support for their informal carers. Within the framework of the JPND-MEETINGDEM implementation project the pathways to regular day-care activities and the Meeting Centers Support Programme (MCSP), an innovative combined support form for people with dementia and carers, was explored.Methods:An exploratory, descriptive, qualitative, cross-country design was applied to investigate the pathways to day care in several regions in four European countries (Italy, Poland, United Kingdom, and the Netherlands).Results:Before implementation of MCSP, of the four countries the United Kingdom had the most structured pathway to post-diagnostic support for people with dementia. MCSP introduction had a positive impact on the pathways to day-care activities in all countries. MCSP filled an important gap in post-diagnostic care, increasing the accessibility to support for both people with dementia and carers. Key elements such as program of activities, target group, and collaboration between healthcare and social services were recognized as success factors.Conclusions:This study shows that MCSP fills (part of) the gap between diagnosis and residential care and can therefore be seen as a pillar of post-diagnostic care and support. Further dissemination of Meeting Centers in Europe may have a multiple impact on the structure of dementia services in European countries and the pathways to day care for people with dementia and their carer(s).
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Rosli, Roshaslina, Michaela Goodson, Maw Pin Tan, Devi Mohan, Daniel Reidpath, Pascal Allotey, Shahrul Kamaruzzaman, Ai-Vyrn Chin, and Louise Robinson. "Challenges and Research Priorities for Dementia Care in Malaysia from the Perspective of Health and Allied Health Professionals." International Journal of Environmental Research and Public Health 18, no. 21 (October 20, 2021): 11010. http://dx.doi.org/10.3390/ijerph182111010.
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Few studies to date have evaluated dementia care in Malaysia, and the focus of studies has primarily been on epidemiological and laboratory research. In this study, we aimed to identify potential challenges for the delivery of dementia care in Malaysia and priorities for research and enhancing existing dementia care. This study used thematic analysis to evaluate the open and focus group workshop discussions guided by semi-structured questions. Triangulation of the collected data (sticky notes, collated field notes, and transcripts of discussions) was achieved through stakeholder consensus agreement during a workshop held in 2017. Five main themes as priorities for dementia care were identified: (1) availability of a valued multi-disciplinary care service, (2) accessibility of training to provide awareness, (3) the functionality of the governance in establishing regulation and policy to empower care services, (4) perceived availability and accessibility of research data, and (5) influence of cultural uniqueness. The findings of this study seek to enhance existing dementia care in Malaysia but have potential application for other low and middle-income countries with a similar social and health care set up. The constructed relationship between themes also tries to tackle the challenges in a more efficient and effective manner, as none of these aforementioned issues are standalone challenges. In addition, we demonstrated how a carefully constructed workshop with defined aims and objectives can provide a useful analysis tool to evaluate health and social care challenges in a multidisciplinary forum.
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Moon, Sungje, Mankyu Choi, and Minsung Sohn. "Suicide among Older Adults with Dementia: Effects of Korea’s Long-Term Care Insurance System." International Journal of Environmental Research and Public Health 18, no. 12 (June 18, 2021): 6582. http://dx.doi.org/10.3390/ijerph18126582.
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South Korea recently expanded its coverage rate of long-term care insurance (LTCI) by adding a “dementia special grade” in 2014 to improve care service accessibility and extend health life for older adults with dementia. In this study, we propose a multifaceted policy to reduce the suicide risk among older adults with dementia by evaluating the effectiveness of using the long-term care services (LTCS). A sample of 62,282 older adults was selected from the “Older Adults Cohort DB” of the National Health Insurance Service. We conducted Kaplan–Meier and Cox regression to represent the yearly survival curve from 2002 to 2015 according to the individual characteristics. Difference-in-difference estimation was conducted to identify the effect of LTCS on suicide rates by using LTCS before and after 2014. The suicide risk of older adults using LTCS was about 0.256-times lower than those who did not use it (OR = 0.296, 95% CI = 0.183–0.478), whereas it increased after the expansion of the dementia grading (OR = 2.131, 95% CI = 1.061–4.280). To prevent the risk of suicide among older adults with dementia, not only did the mortality rate vary depending on the sex, activities of daily living (ADL), and type of caregiver at the individual level but appropriate national intervention and management, such as improving the accessibility of LTCS, are also needed.
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Smriti, Diva, Rose Ann DiMaria-Ghalili, Laura Gitlin, Aleksandra Sarcevic, Erjia Yan, and Jina Huh-Yoo. "Information Quality Assessment Framework for Online Dementia Care Resources." Innovation in Aging 4, Supplement_1 (December 1, 2020): 823. http://dx.doi.org/10.1093/geroni/igaa057.3003.
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Abstract Persons with dementia and caregivers can benefit from online resources. The quality and accessibility of these resources, however, can vary. We present work on the Information Quality Framework for Online Dementia Care Resources. To develop the framework, we first empirically examine resources being retrieved with query terms developed with a medical librarian. Searching one of the possible keyword combinations related to living with dementia on Google “Alzheimer AND financial planning” returned 18,900,000 results. Among the top 13 results on the first page of the search results, six were websites of government or non-profit organizations, four were for-profit companies, and three were advertisements. Out of eight unique organizations and companies, two provided support through online communities, but only one is active. The next steps include developing systematic ways to evaluate the credibility and accuracy of these resources, and search and test broader topics of dementia care resources online.
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Duran-Kiraç, Gözde, Özgül Uysal-Bozkir, Ronald Uittenbroek, Hein van Hout, and Marjolein I. Broese van Groenou. "Accessibility of health care experienced by persons with dementia from ethnic minority groups and formal and informal caregivers: A scoping review of European literature." Dementia 21, no. 2 (December 8, 2021): 677–700. http://dx.doi.org/10.1177/14713012211055307.
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The number of persons with dementia from ethnic minority backgrounds is increasing. However, ethnic minority groups use health care services less frequently compared to the general population. We conducted a scoping review and used the theoretical framework developed by Levesque to provide an overview of the literature concerning access to health care for ethnic minority people with dementia and (in)formal caregivers. Studies mentioned barriers in (1) the ability to perceive a need for care in terms of health literacy, health beliefs and trust, and expectations; (2) the ability to seek care because of personal and social values and the lack of knowledge regarding health care options; and (3) lack of person-centered care as barrier to continue with professional health care. Studies also mentioned barriers experienced by professionals in (1) communication with ethnic minorities and knowledge about available resources for professionals; (2) cultural and social factors influencing the professionals’ attitudes towards ethnic minorities; and (3) the appropriateness of care and lacking competencies to work with people with dementia from ethnic minority groups and informal caregivers. By addressing health literacy including knowledge about the causes of dementia, people with dementia from ethnic minorities and their informal caregivers may improve their abilities to access health care. Health care professionals need to strengthen their competencies in order to facilitate access to health care for this group.
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Dong, Weizhen. "Adult Day Programs in the New Reality of High Prevalence of Dementia-with A Toronto Case Study." European Journal of Medical and Health Sciences 4, no. 1 (February 10, 2022): 27–34. http://dx.doi.org/10.24018/ejmed.2022.4.1.1206.
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Objectives: Adult Day Programs (ADPs) have been playing an important role providing services to community dwelling elders and their families in health-related prevention, intervention, and family caregiver support. At the time when there is a high prevalence of dementia among older elders, demand for such services will grow. Learn the experiences of ADPs can help identifying service gaps, which are crucial for developing measures to improve such programs’ effectiveness. Methods: This is a case study on the ADPs at the Toronto Geriatric Centre with qualitative research strategy. Interviews and focus group discussions were the data collection methods employed to gather feedbacks from its staff members, clients, and family caregivers. Results: The ADPs at the TGC are helpful to their clients and their families, but have issues in language accessibility, physical accessibility (programs’ schedule and transportation), financial accessibility (affordability), and care accessibility-there is a lack of professional caregivers for those participants who need onsite care. Discussion: The high prevalence of dementia among ADPs’ clients and the resource shortage are the main difficulties facing the TGC. If it was to achieve its intended goal, more resources are needed for their improvements in accessibility, which would involve a user-friendly operation schedule, free or minor-cost transportation, and sufficient program staffing that include professional caregivers. Covid-19 pandemic poses challenges to the entire eldercare sector. ADPs’ post-pandemic arrangements should address emerging needs of the elders they serve. Community elders, especially those persons with dementia, and their families need ADPs for aging at home.
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Masoud, Sara, Carole White, Ashlie Glassner, Shanae Rhodes, Mayra Mendoza, and Kylie Meyer. "THE IMPACT OF THE COVID-19 PANDEMIC ON DEMENTIA CARE: A MULTISTAKEHOLDER PERSPECTIVE." Innovation in Aging 6, Supplement_1 (November 1, 2022): 119. http://dx.doi.org/10.1093/geroni/igac059.475.
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Abstract Persons living with dementia (PLWD) and family caregivers are particularly vulnerable to the effects of the COVID-19 pandemic. A multi-methods study was conducted to describe the impact of the pandemic on dementia care from the perspectives of stakeholders, including PLWD, family caregivers, and health and social care professionals (HCPs).The study was conducted using a community engaged approach. Cross-sectional surveys were conducted with PLWD (n=27), family caregivers (n=161), and HCPs (n=77), followed by focus groups and interviews with a sub-sample of survey participants (n=55). Participants reported declines in health and quality of life for PLWD and family caregivers. Participants experienced delayed or cancelled dementia care attributed to the pandemic. Most reported telehealth and tele-support were effective alternative models to care. The pandemic impacted the quality and accessibility of dementia care. Results highlight opportunities to improve quality of care through addressing inequities and identifying approaches to address isolation and virtual care.
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Ng, Natalie Su Quin, and Stephanie Alison Ward. "Diagnosis of dementia in Australia: a narrative review of services and models of care." Australian Health Review 43, no. 4 (2019): 415. http://dx.doi.org/10.1071/ah17167.
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Objective There is an impetus for the timely diagnosis of dementia to enable optimal management of patients, carers and government resources. This is of growing importance in the setting of a rising prevalence of dementia in an aging population. The Australian Clinical Practice Guidelines and Principles of Care for People with Dementia advocate referral to comprehensive memory services for dementia diagnosis, but in practice many patients may be diagnosed in other settings. The aim of the present study was to obtain evidence of the roles, effectiveness, limitations and accessibility of current settings and services available for dementia diagnosis in Australia. Methods A literature review was performed by searching Ovid MEDLINE using the terms ‘dementia’ AND ‘diagnosis OR detection’. In addition, articles from pertinent sources, such as Australian government reports and relevant websites (e.g. Dementia Australia) were included in the review. Results Literature was found for dementia diagnosis across general practice, hospitals, memory clinics, specialists, community, care institutions and new models. General practitioners are patients’ preferred health professionals when dealing with dementia, but gaps in symptom recognition and initiation of cognitive testing lead to underdiagnosis. Hospitals are opportunistic places for dementia screening, but time constraints and acute medical issues hinder efficient dementia diagnosis. Memory clinics offer access to multidisciplinary skills, demonstrate earlier dementia diagnosis and potential cost-effectiveness, but are disadvantaged by organisational complexities. Specialists have increased confidence in diagnosing dementia than generalists, but drawbacks include long wait lists. Aged care assessment teams (ACAT) are a potential service for dementia diagnosis in the community. A multidisciplinary model for dementia diagnosis in care institutions is potentially beneficial, but is time and cost intensive. New models with technology allow dementia diagnosis in rural regions. Conclusion Memory clinics are most effective for formal dementia diagnosis, but healthcare professionals in other settings play vital roles in recognising patients with dementia and initiating investigations and referrals to appropriate services. What is known about this topic? Delays in dementia diagnosis are common, and it is unclear where majority of patients receive a diagnosis of dementia in Australia. While the Australian Clinical Practice Guidelines and Principles of Care for People with Dementia advocate referrals to services such as memory clinics for comprehensive assessment and diagnosis of dementia, such services may have limited capacity and may not be readily accessible to all. What does this paper add? This paper presents an overview of the various settings and services available for dementia diagnosis in Australia including evidence of the roles, accessibility, effectiveness and limitations of each setting. What are the implications for practitioners? This concerns a disease that is highly prevalent and escalating, and highlights the roles for practitioners in various settings including general practices, acute hospitals, specialist clinics, community and nursing homes. In particular, it discusses the potential roles, advantages and challenges of dementia diagnosis in each setting.
Dissertations / Theses on the topic "Dementia care accessibility"
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HSU, MIN-HUA, and 許珉華. "The Application of Accessibility of Dementia Care Resources in Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/bpqt9w.
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碩士慈濟大學
公共衛生學系碩士班
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Background and Purpose：Since the prevalence and incidence of dementia are increasing, the demand for dementia care is increasing. Furthermore, the problem of cognitive impairment is the main reason that makes dementia patients’ function of Activities of Daily Living worse and needs others to take care of them. Therefore, it will be an important issue to allocate dementia care resources. In order to make patients with dementia to obtain care resources equally. We applied the Profit-Willing Distance (PWD) and the Tolerance-Limited Distance (TLD) to explore the spatial accessibility between the dementia patients and the care providers. Method：This was a secondary data analysis study. The participants were divided into two groups. One was adult patients with dementia who have Disability certification and live in the community in Taiwan (n=9704). Another was the dementia care providers (n=1782). We used Geographic Information System (GIS) to address the location and calculate the nearest distance between two groups. Using the Joinpoint Regression Program to obtain PWD and TLD. Finally, we combined the results and defined the accessibility of resources in each county. Result：We divided the dementia care resources in different cities in Taiwan into 3 types. One was Hsinchu City and Chiayi City which have high accessibility resources. Another was the city which has medium accessibility resources, such as Taipei City and Hualien County. The other was Yunlin County and Taitung County which have low accessibility resources. Conclusion：We suggest the policymakers could consider the demand for dementia and the two indicators of PWD and TLD before allocating the resources. Besides, we suggest the policymakers to take the priority order for resource allocation as a reference. First is the city which has low accessibility resources. Second is the city which has medium accessibility resources. And the last is the city which has high accessibility resources.
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Branco, Dina Neidi Simões. "Fatores que condicionam a acessibilidade aos cuidados paliativos dos doentes com demência na perspetiva dos Neurologistas e Paliativistas." Master's thesis, 2019. http://hdl.handle.net/10400.14/32311.
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Introdução: A demência (DEM) é uma síndrome irreversível causada pela
neurodegeneração progressiva, caracterizada pela perda da memória, da linguagem e
da capacidade para realizar AVD. É uma doença desafiante não só pelos problemas que
acarreta para o doente/família como também para os profissionais de saúde. Como uma
resposta possível a esta surgem os cuidados paliativos (CP) com o intuito de adequar e
priorizar cuidados, promovendo a melhor qualidade de vida possível e respeito pela
dignidade humana.
Objetivo: Identificar fatores que condicionam a acessibilidade aos CP dos doentes com
DEM na perspetiva de Neurologistas e Paliativistas.
Método: Estudo descritivo, qualitativo com recurso a análise temática. Amostragem por
bola de neve, constituída por 6 neurologistas e 6 paliativistas. Utilizado guião de
entrevista semiestruturada com recurso a áudio-gravação.
Resultados: Ambas os grupos consideram pertinente o encaminhamento do doente
com DEM para CP. Existem inúmeros fatores a condicionar o encaminhamento: a
sociedade (falta de conhecimento sobre DEM e CP; estigma que associa os CP à doença
oncológica e fase final da vida), políticas/sistema de saúde (falta de estruturas e equipas
especializadas para receber o doente com DEM e dar apoio a este e à sua família;
dificuldade/inacessibilidade do processo de referenciação; pouco investimento na
investigação em CP), profissionais de saúde (falta de formação em DEM e CP; pouca
sensibilização para as necessidades do doente/família; pouco tempo para educar e
capacitar cuidadores; défice na investigação em CP), doente/família (estigma e falta de
conhecimento sobre a índole/benefícios dos CP; falta de conhecimento sobre DEM e
como cuidar o familiar; dificuldade em aceitar que outros cuidem).
Conclusão: Os CP são uma resposta oportuna para as necessidades das pessoas com
DEM. Contudo os profissionais de saúde apresentam défice de formação na área da DEM
e CP, tendo este aspeto influência nas perceções que constroem em relação a associação
de ambas as valências. A introdução destes e uma abordagem interdisciplinar e
integrativa, desde o momento do diagnóstico, seria uma mais-valia para os doentes, sua
família/cuidadores e para a sociedade em geral, pelo que se deverão desenvolver
estratégias de mitigação das dificuldades/barreiras referidas.Introduction: DEM is an irreversible syndrome caused by progressive neurodegeneration, characterized by loss of memory, language and ability to perform ADLs. It is a challenging disease not only for the problems it causes for the patient / family but also for health professionals. As a possible answer to this arises PC with the purpose of adapting and prioritizing care, promoting the best possible quality of life and respect for human dignity. Objective: To identify factors that affect the accessibility to PC of patients with DEM from the perspective of neurologists and palliative carers. Method: Descriptive, qualitative study by means of thematic analysis. Snowball sampling, consisting of 6 neurologists and 6 palliative practitioners. Semi-structured interview script used with audio recording. Results: Both groups considered pertinent the referral of the patient with DEM to PC. There are numerous factors conditioning referral: society (lack of knowledge about DEM and PC; stigma that associates PC with cancer and end-of-life), policies / health system (lack of structures and specialized teams to receive the patient with DEM and support him and his family, difficulty / inaccessibility of the referral process, little investment in PC research), health professionals (lack of training in DEM and PC; little awareness of patient / family needs; little time to educate and train caregivers; research deficit in PC), patient / family (stigma and lack of knowledge about the nature / benefits of PC; lack of knowledge about DEM and how to care for the family member; difficulty accepting care from others) . Conclusion: PC is a prudent response to the needs of people with DEM. However, health professionals have a training deficit in the areas of DEM and PC, and this aspect influences the perceptions they build regarding the association of both valences. The introduction of these and an interdisciplinary and integrative approach from the moment of diagnosis would be an asset for patients, their family / caregivers and society in general, therefore strategies should be developed to mitigate the difficulties / barriers referred above.
Book chapters on the topic "Dementia care accessibility"
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Bellini, Gloria, Marco Cipriano, Nicola De Angeli, Jacopo Pio Gargano, Matteo Gianella, Gianluca Goi, Gabriele Rossi, Andrea Masciadri, and Sara Comai. "Alzheimer’s Garden: Understanding Social Behaviors of Patients with Dementia to Improve Their Quality of Life." In Lecture Notes in Computer Science, 384–93. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-58805-2_46.
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AbstractThis paper aims at understanding the social behavior of people with dementia through the use of technology, specifically by analyzing localization data of patients of an Alzheimer’s assisted care home in Italy. The analysis will allow to promote social relations by enhancing the facility’s spaces and activities, with the ultimate objective of improving residents’ quality of life. To assess social wellness and evaluate the effectiveness of the village areas and activities, this work introduces measures of sociability for both residents and places. Our data analysis is based on classical statistical methods and innovative machine learning techniques. First, we analyze the correlation between relational indicators and factors such as the outdoor temperature and the patients’ movements inside the facility. Then, we use statistical and accessibility analyses to determine the spaces residents appreciate the most and those in need of enhancements. We observe that patients’ sociability is strongly related to the considered factors. From our analysis, outdoor areas result less frequented and need spatial redesign to promote accessibility and attendance among patients. The data awareness obtained from our analysis will also be of great help to caregivers, doctors, and psychologists to enhance assisted care home social activities, adjust patient-specific treatments, and deepen the comprehension of the disease.
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Fernández, Robert Pérez, and Rodolfo Ferrando. "Uruguay." In Dementia Care: International Perspectives, 351–56. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0047.
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Uruguay has the oldest population in Latin America, with a prevalence rate of dementia similar to that in developed countries. With regard to dementia care, the key strengths of the National Health System include: equity in accessibility to diagnosis, specialized medical consultations, diagnosis made according to international standards; and the availability of anti-dementia drugs and pharmacological treatments. Its main weaknesses are delayed diagnosis, fragmented care, the use of only a curative model of care, a lack of interdisciplinary team approach, and a lack of non-pharmacological treatments, as well as a lack of communication of diagnoses to patients. In its current format, the health system does not fully guarantee the human rights of people with dementia and their families. Recent actions have been taken by the national association of relatives (AUDAS) and academic groups to address this situation through the presentation of a National Dementia Plan.
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Mihai, Adriana, Geanina Ilinoiu, and Silvia Trandafir. "Romania." In Dementia Care: International Perspectives, 231–38. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0030.
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In Romania, dementia care has gradually improved in the last decade. Accessibility of psychiatric services and availability of psychiatric and/or psychotherapeutic treatment have been significantly enhanced by new legislations and regulations. Public and private sectors of home care for the elderly have also been developed. Despite these changes, the management of dementia remains challenging because of delay in diagnosis and/or inappropriate treatment. Dementia care in the future in Romania should adopt a professional approach by improving education and training, as well as changing attitudes, not only among doctors (general practitioners, psychiatrists, neurologists, etc.), but also among all those involved in care (nurses, social assistants, relatives, etc.) and the general population. Reducing stigma and discrimination will contribute to early diagnosis and appropriate treatment. Collaborative efforts from a medico-social and community perspective, with the support of government authorities, could provide a source of new funding, which should be distributed according to the needs of each county in Romania.
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Robillard, Julie M., and Tanya E. Feng. "Developing Ethical Web- and Mobile-Based Technologies for Dementia." In Intelligent Assistive Technologies for Dementia, edited by Fabrice Jotterand, Marcello Ienca, Tenzin Wangmo, and Bernice S. Elger, 240–64. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780190459802.003.0014.
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The availability of web- and mobile-based technologies (WMBTs) for dementia prevention and care has grown exponentially over the last decade. These include computer-based resources such as online self-diagnostic tools, mobile-based resources such as applications (“apps”) that track lifestyle metrics or provide interactive platforms for cognitive engagement, and cross-platform resources such as websites providing health information. Despite their potential benefits, key ethical challenges have been identified in WMBTs for dementia both at the individual and societal levels, including issues of privacy, quality, and accessibility. This chapter explores the ethical challenges surrounding the use of WMBTs for dementia and highlights recent evidence on the positive and negative impacts of WMBT solutions. The chapter reviews development and design recommendations that have been put forward to maximize the benefits and minimize the harms of using WMBTs for dementia. It closes by looking to the future and proposing development considerations for future WMBT development.
Conference papers on the topic "Dementia care accessibility"
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Pelegrino, Paulo Sergio, and Alessandra Maria Felipe. "Co-Vivências, a residence model for the elderly that integrates specialized care and family living for active longevity. “Neurology Startups”." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.434.
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The institutionalization of the elderly is very strongly related to the diseases and complications associated with cognitive and functional impairment present in Alzheimer’s disease, Parkinson’s disease, other dementias, and stroke sequelae. The institutionalization of elderly people represents an aid to families. On the other hand, it has been a factor related to the worsening in cognition and functionality when compared to those who remain in their social environment and family life. The different modalities of long-term care facilities (LTCFs) for the elderly in Brazil contribute a lot to the split between care and family life. The present work aims to propose a new model of real estate development, linked to the provision of specialized care without the deprivation of family life and relationship and produce greater benefits in terms of maintaining cognition, autonomy, and independence among the elderly. The future developments proposed here will consist of buildings with apartments of varying sizes according to the needs of families, adequate accessibility, differentiated circulation to facilitate access and proximity of caregivers to the elderly and to reduce the physical distance of the elderly to the assistance and coexistence spaces. They will be equipped with assistance rooms for multiprofessional service and rehabilitation, areas for food, leisure and socializing among the elderly. The Startup will bring together real estate and construction companies, developers, investors and elderly care providers, and will be responsible for the projects, their execution and monitoring. The resources for the construction come from investors, the housing will be allocated to families with elderly people and other sources will come from the provision of care and services offered to the elderly by specialized companies. In addition to the benefits for the elderly and their families, the interaction between different economic sectors and dividend production is promoted.