Academic literature on the topic 'Physical environment in aged care'
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Journal articles on the topic "Physical environment in aged care"
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Moore, Kirsten J., Keith D. Hill, Andrew L. Robinson, Terry P. Haines, Betty Haralambous, and Jennifer C. Nitz. "The state of physical environments in Australian residential aged care facilities." Australian Health Review 35, no. 4 (2011): 412. http://dx.doi.org/10.1071/ah10932.
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Objective. This paper examines the quality and safety of the physical environment in Australian residential aged care facilities (RACFs). Design. Cross-sectional study. One assessor completed environmental audits to identify areas of the physical environment that needed to be addressed to improve the wellbeing and safety of residents. Setting. Nine RACFs participating in a broader falls prevention project were audited. RACFs were located in Queensland, Tasmania or Victoria and were chosen by convenience to represent high level, low level, dementia and psychogeriatric care, regional and metropolitan facilities, small and large facilities and a culturally specific facility. Main outcome measure. An environmental audit tool was adapted from a tool designed to foster older person friendly hospital environments. The tool consisted of 147 items. Results. Across all sites 450 items (34%) required action. This ranged from 21 to 44% across sites. The audit domains most commonly requiring action included signage, visual perception and lighting, and outdoor areas. Conclusions. Although not representative of all residential facilities in Australia, this audit process has identified common environmental problems across a diverse mix of residential care facilities. Results highlight the need for further investigation into the quality of physical environments, and interventions to improve physical environments in Australian RACFs. What is known about the topic? Despite the importance of the physical environment on the health, wellbeing and safety of older people in residential aged care facilities, few studies have comprehensively evaluated the physical environment in facilities in Australia. What does this paper add? This paper provides findings from comprehensive audits of nine residential aged care facilities representing a broad range of facility settings in terms of location, level and type of care and target population. Findings indicate that each facility had at least 21% of items requiring action with an average of 34% of items requiring action across all facilities. What are the implications for practitioners? There is a need to undertake intermittent, thorough assessments of the physical environments in which residents live and, if applicable, implement strategies or modifications to improve the environment. Areas requiring particular consideration may be lighting, colour contrasts, signage and outdoor areas.
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Davis, Sandra, Sari Young, and Marita Chisholm. "Behaviors of concern, individualized care and physical environments in rural residential aged care." Alzheimer's & Dementia 6, no. 4 (July 2010): S316. http://dx.doi.org/10.1016/j.jalz.2010.05.1033.
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Knox, Jennifer. "Reducing physical restraint use in residential aged care." International Journal of Evidence-Based Healthcare 5, no. 1 (March 2007): 102–7. http://dx.doi.org/10.1097/01258363-200703000-00005.
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Tonge, Karen, Rachel A. Jones, and Anthony D. Okely. "Environmental Influences on Children’s Physical Activity in Early Childhood Education and Care." Journal of Physical Activity and Health 17, no. 4 (April 1, 2020): 423–28. http://dx.doi.org/10.1123/jpah.2019-0119.
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Background: To examine the relationship between attributes of early childhood education and care (ECEC) settings and children’s physical activity and sedentary behavior. Methods: Cross-sectional study involving 490 children aged 2–5 years from 11 ECECs. The ECEC routine, size of the outdoor environment, and time spent in the outdoor environment were calculated for each center. Children’s physical activity and sedentary time were measured using accelerometers. Multivariate linear regressions were used to examine associations of the attributes of ECEC centers with the outcome variables, adjusting for the effects of center clustering and gender. Results: Children in ECECs that offered free routines (where children can move freely between indoor and outdoor environments) had lower levels of sedentary time (28.27 min/h vs 33.15 min/h; P = .001) and spent more time in total physical activity (7.99 min/h vs 6.57 min/h; P = .008) and moderate- to vigorous-intensity physical activity (9.49 min/h vs 7.31 min/h; P = .008). Children in ECECs with an outdoor environment >400 m2 had less sedentary time (28.94 min/h vs 32.42 min/h; P = .012) than those with areas <400 m2. Conclusion: Modifiable practices such as offering a free routine and increasing time spent in outdoor environments could potentially offer an easy and sustainable way for ECEC centers to promote physical activity and reduce sedentary time among children.
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Tao, Yiqi, Stephen Lau, Zhonghua Gou, Jiayan Fu, Boya Jiang, and Xiaowei Chen. "Privacy and Well-Being in Aged Care Facilities with a Crowded Living Environment: Case Study of Hong Kong Care and Attention Homes." International Journal of Environmental Research and Public Health 15, no. 10 (October 1, 2018): 2157. http://dx.doi.org/10.3390/ijerph15102157.
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This study aims to understand the relationship between bedroom privacy and well-being of the elderly in aged care facilities with a compact living situation. A majority of studies on this topic were carried out in a low-density population context. The crowded living situation might compromise the well-being of residents. This study proposed five architectural parameters to measure bedroom privacy in aged care facilities: total open surface per unit, openness/solid ratio per bed, height of partition wall, number of people per unit, and personal control over bedroom privacy. SF-12 v.2 Health Survey was used to collect information on physical and mental health status. The study surveyed nine Care & Attention homes and their 213 residents in Hong Kong. The total open surface per unit and the openness/solid ratio per bed were positively associated with the physical health of residents. The height of partition walls was associated negatively with their physical and mental health conditions, and the number of people per unit was negatively associated with their physical health. More than half of respondents preferred a single unit with high partition walls; however, 40% of respondents preferred low partition walls. The provision of privacy for the elderly should be balanced with their needs for social interactions; total open surface per unit, openness/solid ratio per bed and height of partition wall should be taken into consideration. The study provides evidence and design guidelines for improving privacy in aged care facilities with a compact living environment.
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Andrew, Alexa, and Lorraine Ritchie. "Culture Change in Aged-Care Facilities: A Café's Contribution to Transforming the Physical and Social Environment." Journal of Housing For the Elderly 31, no. 1 (January 2, 2017): 34–46. http://dx.doi.org/10.1080/02763893.2016.1268557.
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Souza, Jacqueline de, Jaqueline Lemos de Oliveira, Jordana Luiza Gouvêa de Oliveira, Letícia Yamawaka de Almeida, Loraine Vivian Gaino, and Denise Marie Saint-Arnault. "Promotion of women’s mental health: the influence of physical health and the environment." Revista Brasileira de Enfermagem 72, suppl 3 (December 2019): 184–90. http://dx.doi.org/10.1590/0034-7167-2018-0415.
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ABSTRACT Objective: To describe the results of a group of women’s mental health promotion conducted by nurses. Method: This is a quantitative study of the pre- and post-test type. The participants were women aged between 20 and 64 years old attending a Primary Care Unit. We used the Sarason Social Support Questionnaire, the World Health Organization Quality of Life Assessment questionnaire, and the Rosenberg Self-Esteem Scale. Data were collected before, immediately after and three months after the intervention. Results: improvement in the physical and environmental quality of life was identified. However, there was no measurable change in the other indicators adopted. Conclusion: the ludic activities and the Body Mapping technique were promising for improving the physical and environmental domain of quality of life, constituting important tools for nursing care and interventions related to mental health in basic care.
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Storli, Rune. "Children’s Rough-and-Tumble Play in a Supportive Early Childhood Education and Care Environment." International Journal of Environmental Research and Public Health 18, no. 19 (October 5, 2021): 10469. http://dx.doi.org/10.3390/ijerph181910469.
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While a growing body of evidence highlights the benefits of rough-and-tumble play (R&T) in young children, it remains one of the most challenging kinds of play to support in early childhood education and care environment (ECEC) institutions. The present study explores the occurrence and characteristics of R&T in indoor and outdoor environments in a Norwegian sociocultural context where children can freely choose what, where, and with whom to play. The data consist of 100 randomly recorded two-minute videos, which were coded second by second for R&T. Qualitative analysis reveals that in a physically and culturally supportive environment for R&T, children aged 3–5 years perceive indoor spaces that afford physically active play to be more attractive for R&T than outdoor environments. The findings indicate gender differences related to R&T and how girls and boys use the physical environment in different ways. The quantitative findings are discussed within interactional affordances theory and show that children practise perceptual, motor, and social skills to successfully engage in R&T. Enhanced knowledge of children’s skill acquisition in R&T can support practitioners in developing pedagogical skills to facilitate challenging and safe environments for appropriate indoor R&T for both girls and boys.
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Rapelje, Douglas H. "Psychogeriatric Care: Problems and Challenges." Healthcare Management Forum 1, no. 3 (October 1988): 31–36. http://dx.doi.org/10.1016/s0840-4704(10)61334-8.
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From the aspect of homes for the aged, understanding the needs of the elderly mentally frail is the initial step to providing more suitable conditions. Many of the traditional features of these long-term care facilities need to be questioned and challenged. Care does not stop at the physical environment, indeed it goes even beyond establishing excellent relationships with the families involved and a caring, well-trained staff. Stress is needed on emphasizing the resident's remaining capacities and skills, not on behavioural problems.
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Hesketh, Kathryn R., Sara E. Benjamin-Neelon, and Esther M. F. van Sluijs. "How does the UK childcare energy-balance environment influence anthropometry of children aged 3–4 years? A cross-sectional exploration." BMJ Open 8, no. 7 (July 2018): e021520. http://dx.doi.org/10.1136/bmjopen-2018-021520.
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ObjectivesTo assess the association between time spent in care, the childcare energy-balance environment, and preschool-aged children’s body mass index z-score (z-BMI), waist-to-height ratio (WHR) and sum of skinfold thickness (SST).DesignCross-sectional study.Setting and participantsChildren aged 3–4 years were recruited from 30 childcare centres in Cambridgeshire (UK) in 2013.Main outcome measuresObjectively measured height and weight was used to calculate z-BMI; waist circumference and height were used to generate WHR; subscapular and tricep skinfolds were used to calculate SST. Associations between childcare attendance, the nutrition, physical activity, and overall childcare environment, and three anthropometric outcomes were explored using two-level hierarchical regression models, adjusting for demographic and family based confounders.ResultsValid data were available for 196 children (49% female). Time spent in care, the nutrition, physical activity and overall childcare environment were not associated with children’s z-BMI, WHR and SST.ConclusionsChildcare environment and level of attendance were not associated with UK preschool-aged children’s anthropometry. The childcare environment has been central to intervention efforts to prevent/reduce early childhood obesity, yet other factors, including child-level, family level, wider environmental and policy-level factors warrant substantial attention when considering obesity prevention strategies for young children.
Dissertations / Theses on the topic "Physical environment in aged care"
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Liu, Sherry T. "Behavioral, Policy, and Environmental Approaches to Obesity Prevention in Preschool-Aged Children." The Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1395108013.
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Hansen, Annissa Margaret. "Shaping aged care work through technology: A senior manager affordance perspective." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/208914/1/Annissa_Hansen_Thesis.pdf.
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This research identifies the affordances of technology in aged care from the perspectives of senior managers. Interviews with Executives and Directors in a large aged care provider, an aged care industry body, and an aged care technology developer revealed the numerous ways in which technology shapes the aged care work environment. The findings suggest that government, aged care organisations, and technology providers need to balance the efficiencies of technology adoption with the humanistic nature of aged care work.
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Potter, Rachel. "Does the physical environment predict depressive symptoms in older people living in care homes?" Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/55206/.
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40% of residents living in care homes in the United Kingdom have significant depressive symptoms, compared with 9% living in the community. Care homes can appear to be depressing places, but whether the physical environment of homes directly affects depression in care home residents is unknown. The overall aim of the thesis was to establish whether the physical environment or specific features of the physical environment predict depressive symptoms in older people living in care homes. A mixed methods approach was used: 1. A systematic review was conducted to identify and evaluate instruments designed to measure the physical environment of healthcare settings and informed the choice of instrument used to measure the physical environment of care homes in an observational study. 2. Semi-structured interviews with 15 participants living in four care homes identified features of care home design that were considered important to investigate in the observational study and assisted with interpretation of the results. 3. An observational study explored the longitudinal relationship between the physical environment and depressive symptoms using data from an interventional trial among older people living in care homes. The physical environments of 50 care homes were assessed using The Sheffield Care Environment Assessment Matrix (SCEAM). Depressive symptoms were measured using the Geriatric Depression Scale (GDS-15) for 510 residents living in the care homes at baseline, six and twelve months. Multi-level modelling was used to analyse the data. Interviews revealed residents valued environments that increased opportunity for social interaction, maximised physical function, and allowed access to outdoor space. In the observational study the overall physical environment of care homes (overall SCEAM score) did not predict depressive symptoms. Care homes that scored highly on the SCEAM domain community weakly predicted lower depressive symptoms. Controlling for dependency (Barthel Index), social engagement (Index of Social Engagement) and home type (nursing/residential) ‘access to outdoor space’ predicted greater depressive symptoms. This finding initially appeared counterintuitive; however evidence from the interview study suggested access to outdoor space was restricted for residents in many different ways: locked doors, lack of paths, inadequate seating, steep steps, and needing permission or assistance of staff to go outside. Residents may have ‘free access to outdoor space’ but are prevented from using the outdoors for reasons that negatively affect their decisional autonomy and consequently their mood. The research provides evidence to support care home design that encourages social interaction and allows unrestricted access to outdoor spaces in order to positively influence mood in care home residents.
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Loh, Hui Yee. "The Contribution of the Neighbourhood Environment to the Relationship Between Neighbourhood Disadvantage and Physical Function Among Middle-Aged to Older Adults." Thesis, Australian Catholic University, 2018. https://acuresearchbank.acu.edu.au/download/f874dd1116560426fc11fffab625631c655ea1a636cb03fb913415437e2378c7/11526170/LOH_2018_The_contribution_of_the_neighbourhood_environment.pdf.
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Background
With the continuing increases in life expectancies in developed countries, an important public health goal is to ensure successful ageing—morbidity compression, maintenance of physical functioning and active engagement in life. It is well established that the onset of physical function decline begins in mid-life, and functional capacity is critical to maintaining mobility, independence and quality of life. A growing body of literature has found that residents of more disadvantaged neighbourhoods have significantly poorer physical function, independent of individual-level factors. However, the mechanisms through which neighbourhood environments are associated with this relationship remain largely unknown.
The overarching aim of this thesis was to investigate the contributions of the neighbourhood environment to the relationship between neighbourhood disadvantage and physical function among middle-aged to older adults: this was accomplished in three studies. First, I examined the relationship between neighbourhood disadvantage and physical function in the Australian context (Study One). Second, I investigated if this relationship is explained by neighbourhood-level perceptions of safety from crime and walking for recreation (Study Two). Third, I examined the contribution of neighbourhood walkability and walking for transport to the relationship between neighbourhood disadvantage and physical function (Study Three).
Methods
This program of research utilized secondary data from the How Areas in Brisbane Influence HealTh and AcTivity (HABITAT) study. HABITAT is a multilevel longitudinal study underpinned by a social ecological framework. It was conducted in Brisbane among adults aged 45-70 years living in 200 neighbourhoods. HABITAT commenced in 2007 and had subsequent data collection waves in 2009, 2011, 2013 and 2016. For this thesis, the 2013 data were utilised as physical function was first collected in 2013 (n= 6,520). The measure of neighbourhood disadvantage was derived from the Australian Bureau of Statistics’ (ABS) Index of Relative Socioeconomic Disadvantage (IRSD) scores. Physical function was measured using the Physical Function Scale (0 – 100), a component of the Short Form-36 Health Survey, with higher scores indicating better function. In Study Two, participants self-reported their perceptions of safety from crime using items from the Neighbourhood Environment Walkability Scale (NEWS) questionnaire, which were subsequently aggregated to the neighbourhood-level. Walking for recreation (minutes per week) was self-reported by participants. In Study Three, neighbourhood walkability measures (street connectivity, dwelling density and land use mix) was objectively measured and provided by the Brisbane City Council (the local government authority responsible for the jurisdiction covered by the HABITAT study). Walking for transport (minutes per week) was self-reported by participants.
The data were analysed using multilevel regression models (linear, binomial or multinomial). In instances where multilevel categorical models are undertaken, Markov chain Monte Carlo (MCMC) simulation will be employed to estimate odds ratio and 95% credible intervals. All data were prepared in STATA SE 13 and analyses were conducted using MLwiN version 2.35.
Results
Findings from Study One found that residents of more disadvantaged neighbourhoods had significantly poorer physical function. These associations remained significant after adjustment for individual-level socioeconomic position (SEP). Moving forward from the descriptive findings, Study Two found that neighbourhood-level perceptions of safety from crime and walking for recreation partly explained (24% in men and 25% in women) neighbourhood differences in physical function. In Study Three, I found that neighbourhood walkability and walking for transport did not explain the relationship between neighbourhood disadvantage and physical function.
Conclusion
Given the growing proportion of the ageing population in Australia and the resultant increasing pressure on neighbourhood and city infrastructure in Australia, it is important to understand the contributions of the neighbourhood environment in the relationship between neighbourhood disadvantage and physical function. Despite the complexity in understanding neighbourhood socioeconomic differences in physical function, the findings of this thesis suggest that the neighbourhood in which we live is important to physical function. To reduce neighbourhood inequalities in physical function, attention needs to be given to improve the perceptions of safety from crime in more disadvantaged neighbourhoods to encourage more walking for recreation. Living in a walkable neighbourhood is important to support more walking for transport, but may not be sufficient to reduce neighbourhood inequalities in physical function. A multi-faceted intervention is needed to create a healthy, liveable and equitable community for successful ageing.
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Hampson, R. "Setting policy in concrete: the impact of the built environment on older people who live in residential aged care facilities." University of Melbourne, 2008. http://repository.unimelb.edu.au/10187/3425.
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Residents of residential aged care facilities live out the last days of their lives in an institutional environment. These facilities can potentially liberate and/or constrain. The voice of actual residents has been little explored to date. Critical gerontology, which underpins the study, demands that researchers endeavour to understand the lived experience of the older person.This thesis focuses on the impact of the built environment on older people (without dementia) who live in residential aged care facilities. Based on original research undertaken in Victoria and some of the latest thinking from Australia and overseas the study was undertaken using mixed methods. The research involved a review of the literature, in depth small group interviews with residents, staff, family and carers, and surveys and a best practice forum with architects and managers.
The research identified and explored the key areas of concern for each of these stakeholders, considering how residential aged care services could do more to improve the quality of life for residents through the built environment. Three key areas emerged from the study. Firstly, the journey the residents make in their time in the RACF and how the built environment impacts on their quality of life in place and over time. Secondly, the ‘frames of reference’ the key informants to the study hold are explored and how they can impact on the design process. Finally, by analysing the data collected and placing the resident at the centre, a model is proposed which holds potential and significance in relation to the development of RACFs in the future
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Littbrand, Håkan. "Physical exercise for older people : focusing on people living in residential care facilities and people with dementia." Doctoral thesis, Umeå universitet, Geriatrik, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-39784.
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The main purposes of this thesis were to evaluate a high-intensity functional weight-bearing exercise programme, regarding its applicability (attendance, achieved intensity, adverse events) as well as its effect on physical functions and activities of daily living (ADL) among older people living in residential care facilities, with a special focus on people with dementia. Furthermore, a main purpose was to systematically review the applicability and effects of physical exercise on physical functions, cognitive functions, and ADL among people with dementia. A high-intensity functional weight-bearing exercise programme that includes lower-limb strength and balance exercises in standing and walking, was evaluated in a randomised controlled trial among 191 older people, dependent in ADL, living in residential care facilities, and with a Mini-Mental State Examination (MMSE) score of ten or more. One hundred (52.4%) of the participants had dementia. Participants were randomised to an exercise programme or a control activity, consisting of 29 supervised sessions over 3 months, as well as to an intake of a protein-enriched energy supplement or a placebo drink immediately after each session. The effect on physical functions was evaluated using the Berg Balance Scale, usual and maximum gait speed, and one-repetition maximum in a leg press machine measuring lower-limb strength. The effect on ADL was evaluated using the Barthel Index. These outcome measures were followed up at 3 and 6 months by blinded assessors and analysed using the intention-to-treat principle. The evaluation of the applicability of the high-intensity functional weight-bearing exercise programme showed that there was a high rate of attendance, a relatively high achieved intensity in the exercises, and all except two adverse events were assessed as minor or temporary and none led to manifest injury or disease. No statistically significant differences were observed in applicability when comparing participants with dementia and participants without dementia. In addition, the applicability of the programme was not associated with the participants’ cognitive function. Significant long-term effects of the exercise programme were seen regarding functional balance, gait ability and lower-limb strength in comparison with the control activity. The intake of the protein-enriched energy supplement did not increase the effect of the training. Age, sex, depression, dementia disorder, nutritional status, and level of functional balance capacity did not influence the effect on functional balance of the high-intensity functional weight-bearing exercise programme. There were no significant differences between the groups regarding overall ADL performance. Analyses for each item revealed that a significantly smaller proportion of participants in the exercise group had deteriorated regarding indoor mobility at 3 and 6 months. For people with dementia, there was a significant difference in overall ADL performance in favour of the exercise group at 3 months, but not at 6 months. In a systematic review, randomised controlled trials, evaluating the effects of physical exercise among people with dementia, were identified according to pre-defined inclusion criteria. Two reviewers independently extracted predetermined data and assessed methodological quality. Ten studies were included in the review and the majority of the participants were older people with Alzheimer’s disease living in residential care facilities. Four studies reached “moderate” methodological quality and six “low”. The results showed that among older people with Alzheimer’s disease in residential care facilities, combined functional weight-bearing exercise over 12 months at an intended moderate intensity seems applicable for use regarding attendance and adverse events and there is some evidence that the exercise improves walking performance and reduces ADL decline. Furthermore, there is some evidence that walking exercise over 16 weeks performed individually, where the participant walks as far as possible during the session, reduces decline in walking performance, but adverse events need to be evaluated. In conclusion, among older people who are dependent in ADL, living in residential care facilities, and have an MMSE score of 10 or more, a high-intensity functional weight-bearing exercise programme is applicable for use and has positive long-term effects on functional balance, gait ability, and lower-limb strength and seems to reduce ADL decline related to indoor mobility. An intake of a protein-enriched energy supplement immediately after the exercise does not appear to increase the effect of the training. In people with dementia, the exercise programme may prevent decline in overall ADL performance, but continuous training may be needed to maintain that effect. The positive results regarding applicability and effects of combined functional weight-bearing exercise among people with dementia is confirmed when the scientific literature is systematically reviewed. It seems to be important that exercise interventions among people with dementia last for at least a few months and that the exercises are task-specific and intended to challenge the individual’s physical capacity. Whether physical exercise can improve cognitive functions among people with dementia remains unclear. There is a need for more exercise studies of high methodological quality among people with dementia disorders.
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Hikade, Stribling Emily Elizabeth. "Light, Color and Texture: How the Physical Environment Can Aid the Treatment of Cancer." University of Cincinnati / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1242835088.
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Alizadeh, khoei Mahtab. "Assessing factors in utilisation of health services and community aged care services by the Iranian elderly living in the Sydney metropolitan area." University of Sydney, 2008. http://hdl.handle.net/2123/3986.
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Doctor of philosophy (PhD)Abstract As one of the most culturally diverse countries in the world, Australia has a high proportion of minority communities. However, its ageing population, particularly within these ethnic minorities, faces a range of barriers or difficulties in gaining access to and using health and aged care services. This study aims to identify the acculturation factors that affect the health status of Iranian-born elderly immigrants to Australia and their utilisation of health and community aged care services. The results of this study will be of value to Iranian elders, their families, and Australian aged health care service providers. The findings could also contribute towards enriched multicultural policy and improved social fairness, access to services, and equity for the aged from different ethnic backgrounds. 302 Iranian migrants aged 65 years who had lived in the Sydney Metropolitan area for at least six months were surveyed via a written questionnaire, face-to-face interviews, and telephone interviews. The results were analysed using SPSS and then compared to the findings from a 1999 survey of NSW elderly. The results indicate that Iranian migrants suffer higher levels of psychological distress and are more limited in their physical functioning than the general population of older Australians. They are in greater need of assistance with activities of daily living, have a lower sense of wellbeing, and are far less likely to utilise aged care services. Iranian migrant who do not speak English at home experience these disadvantages to an even greater extent English language proficiency was the only acculturation factor found to affect whether Iranian elderly utilised health and community aged care services, while ability to engage in activities of daily living (ADL) was the only health variable associated with their utilisation of community supportive aged care services. This variable did not predict the use of community aged care services in the broader sample of NSW respondents. Since limited proficiency in English placed elderly Iranian migrants at greater health risk and impeded their access to necessary assistance, the findings suggest that they would clearly benefit from English classes and from access to health and community care services and information regarding these services in the Farsi language.
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Jassim, Taghrid. "Preceptors' and nursing students’ experiences of using peer learning in Primary Health Care settings : A qualitative study." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-40603.
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Background: There is a need for students to integrate theory with practice and there is an ongoing search for the best learning and teaching models in Primary Health Care settings. The aim of this study was to explore preceptors' and nursing students’ experiences of using peer learning during clinical practice in Primary Health Care. Methods: A qualitative research approach was used based on semi-structured interviews with 7 preceptors and 8 nursing students performed in May 2017. The interviews were transcribed and analyzed by using content analysis based on an inductive reasoning. Results: Preceptors and students perceived peer learning as a pedagogical model beneficial for learning in primary care settings and described the model as stimulating, challenging and developing. All informants were positive of the peer learning experience and students described that they were seen as individuals and not treated as a couple even if they worked in peers. The physical environment was demanding due to telephone counseling, limited opportunities for using computers and small rooms. Conclusion: This study shows that despite the complex learning environment peer learning as a pedagogical model seems to work well in Primary health care setting. However, there is much to improve to facilitate the student's learning process. The students should be given priority and that the assignment with preceptorship should be highlighted Keywords: Learning environment, Peer learning, Physical environment, Primary Health Care, Structured learning activities.
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Netten, Ann Penelope. "Residential care and senile dementia : the effect of the physical and social environment of homes for elderly people on residents suffering from senile dementia." Thesis, University of Kent, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.236247.
Full textBooks on the topic "Physical environment in aged care"
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Christenson, Margaret A. Aging inthe designed environment. New York: Haworth Press, 1990.
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Finnema, Evelyn Janet. Emotion-oriented care in dementia. Groningen, the Netherlands: Institute for Research in Extramural Medicine (EMGO), 2000.
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Fabiano, Len. Working with the frail elderly: Beyond the physical limitations. 2nd ed. Seagrave, Ont: ECS, 1989.
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D, Taira Ellen, ed. Aging in the designed environment. New York: Haworth Press, 1990.
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Physical: An American checkup. New York: Picador / Farrar, Straus and Giroux, 2007.
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Physical: An American checkup. New York: Farrar, Straus and Giroux, 2006.
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Canada, Canada Health. Returning home: Fostering a supportive and respectful environment in the long-term care setting. Ottawa: Naitonal Clearinghouse on Family Violence, 2000.
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R, Haug Marie, Ford Amasa B. 1922-, and Sheafor Marian, eds. The Physical and mental health of aged women. New York: Springer Pub. Co., 1985.
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Fabiano, Len. Working with the frail elderly: Beyond the physical disability : the challenge of long term care today & tomorrow. 2nd ed. Seagrave, Ont: Education & Consulting Service for Health Care, 1989.
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A positive environment?: Physical and social influences on people with senile dementia in residential care. [Canterbury, Kent]: Brookfield, Vt., U.S.A., 1993.
Find full textBook chapters on the topic "Physical environment in aged care"
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Ho, Stephen, and Steve Hoare. "The Physical Environment." In Longer-Term Psychiatric Inpatient Care for Adolescents, 9–19. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-1950-3_2.
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AbstractMany readers will have worked in facilities that were once state-of-the-art in design, but have become unfit for the purpose. Capacity to modify the physical environment of a psychiatric unit in response to changing clinical need or practice is essential. The Walker Unit differs from adolescent units at other locations because of its larger internal footprint and greater secure outdoor space. Substantive modifications to the Walker Unit over time have included requisitioning of space to create a learning centre, modification of some bedrooms to create a parent retreat, the establishment of a sensory room, and repurposing of the seclusion area to become a de-escalation suite. The chapter will describe the physical environment of the Walker Unit referenced to Australasian Health Facility Guidelines, and current best practice.
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Abu-Taleb, Abdul-Rahman M. "Pediatric Intensive Care Physical Environment." In Textbook of Clinical Pediatrics, 2479–84. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-02202-9_262.
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Körükcü, Öznur, and Kamile Kabukcuoğlu. "Health Promotion Among Home-Dwelling Elderly Individuals in Turkey." In Health Promotion in Health Care – Vital Theories and Research, 313–27. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_22.
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AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.
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Nordin, Susanna, and Marie Elf. "The Importance of the Physical Environment to Support Individualised Care." In Individualized Care, 207–15. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-89899-5_19.
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Cadenhead, Charles D., Laurie Tranchina Waggener, and Bhargav Goswami. "The Role of Architecture and Physical Environment in Hospital Safety Design." In Surgical Patient Care, 159–83. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-44010-1_12.
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Quehenberger, Viktoria, and Karl Krajic. "Applying Salutogenesis in Residential Care Settings." In The Handbook of Salutogenesis, 447–57. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79515-3_41.
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AbstractThis chapter focuses on aged and highly aged patients who have long and rather comprehensive contacts with healthcare institutions of long-term care, either in residential aged care or in community-dwelling. Therefore, it is well accepted in the literature that a salutogenic orientation and health promotion measures could contribute to the quality of life, well-being, and health of this group. Furthermore, a good sense of coherence (SOC) can be considered as a positive resource for coping with the physical, mental, and social challenges and transitions related to aging.But the state of descriptive research on salutogenesis focusing not only on residents but also somewhat less so on community dwellers is still scarce and has mostly been conducted in few countries. Concerning intervention research only very few studies have specifically applied salutogenic principles to promote positive health among older people.In light of this scarce research situation, the authors make recommendations for further research in this relevant and growing area of health care.
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Moore, Gary T. "The Physical Environment and Cognitive Development in Child-Care Centers." In Spaces for Children, 41–72. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4684-5227-3_3.
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Borda, Ann, Cathy Said, Cecily Gilbert, Frank Smolenaers, Michael McGrath, and Kathleen Gray. "Feasibility of Non-contact Smart Sensor-Based Falls Detection in a Residential Aged Care Environment." In Intelligent Systems Reference Library, 165–86. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-30817-9_7.
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Fadda, Jazla. "Quality of Healthcare: A Review of the Impact of the Hospital Physical Environment on Improving Quality of Care." In Sustainable Building for a Cleaner Environment, 217–53. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-94595-8_20.
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Pope, Catherine, Andrée May Le, and John Gabbay. "People, Place and Innovation: How Organizational Culture and Physical Environment Shaped the Implementation of the NHS TC Programme." In Culture and Climate in Health Care Organizations, 60–69. London: Palgrave Macmillan UK, 2010. http://dx.doi.org/10.1057/9780230274341_6.
Full textConference papers on the topic "Physical environment in aged care"
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Iglesias Victoria, Patricia, Gary Behm, and Tae Oh. "Intelligent Mobility Cane for People Who are Blind and Deaf-Blind: A Multidisciplinary Design Project That Assists People With Disabilities." In ASME 2015 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2015. http://dx.doi.org/10.1115/imece2015-51926.
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Vision loss knows no boundaries; it can affect anyone, of any age, income level, race, or ethnic background, at any time. Regardless of the level of visual impairment, vision loss can impact a person’s life and their ability to complete everyday tasks. One of the greatest challenges that a blind or deaf blind person faces is the ability to navigate safely and independently through the physical world. Traveling with little or no vision at all can be challenged and inaccessible, limiting the ability to work, go to school, take care of personal needs, or socialize with others. The purpose of this paper is to describe and discuss a multidisciplinary project to design and build a low cost, light weight “Intelligent Mobility Cane” prototype that will aid deaf-blind and blind persons in navigating surroundings via real-time tactile and directional force feedback and guidance. The system is designed for providing information about a physical surrounding environment to a user. The solution developed by the team is a handle that attaches to a white cane and provides directional feedback to the user using a roller assembly. The roller assembly uses four bearings that rotate in one direction or another to indicate the direction the user should move to avoid obstacles. A vibration motor with different patterns of vibration is also embedded in the handle to warn about objects at upfront. The ultra-sonic sensors are used to convey the information of the environment to the handle itself. The finished cane physically resembles a conventional cane therefore allowing the user to still be able to sweep the cane, tap and feel the ground. To evaluate the performance and usability of the designed handle, the authors visited Association of Blind and Visual Impaired Association, where they formed a group of blind and deaf-blind evaluators. The result of the evaluations was positive and several suggestions were shared by the group to improve the cane.
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Cendrasilvinia, Herose, The Maria Meiwati Widagdo, and Widya Christine Manus. "Burden and Quality of Life of Dependent Elderly Caregivers in Pakuncen Village Yogyakarta." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.08.
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Background: Elderly people face health problems associated with reduced health and increased disability. Dependent elderly on caregivers who cause a burden affecting the quality of life of caregivers. The aim of this study was to analyze the correlation between the burden and quality of life among dependent elderly caregivers. Subjects and Method: A cross-sectional study was carried out in Pakuncen Village, Yogyakarta. The study subjects were 30 informal caregivers who cared for their family member aged ≥ 60 years with moderate dependence. Instruments used to screen dependent elderly included Activities of Daily Living (ADL) and Instrument Activities of Daily Living (IADL) to measure level of independence, MMSE and AD-8 to assess cognitive function of elderly. Caregivers aged ≥ 60 years underwent MMSE and those with scores <24 was excluded. Caregivers’ burden ware measured using The Zarit Burden Interview (ZBI) and Caregiver Reaction Assessment (CRA). Measurements of quality of life among caregivers was conducted by WHOQOL-BREF. Data were analyzed using Spearman-rank correlation. Results: Out of 30 caregivers, 24 were female and 6 were male with an average age of 49 years. Most respondents had light to moderate burden (Mean= 34.27; SD=18.94). Caregivers’ quality of life were low (<60) in psychological (Mean= 58.17; SD= 12.31), social relation (Mean= 59.77; SD= 9.04), and the environment domains (Mean= 51.90; SD= 10.00). Caregivers’ quality of life was high (≥60) in physical health domain (Mean= 63.30; SD=12.83). There were negative correlations between caregiver burden (ZBI and CRA) and the quality life of caregivers (WHOQOL-BREF). Conclusion: In Yogyakarta, the burden of caregivers (ZBI and CRA) and the quality of caregivers’ lives (WHOQOL-BREF) are negatively correlated. Keywords: caregiver, burden, quality of life, dependent, elderly Correspondence: Herose Cendrasilvinia. Faculty of Medicine, Universitas Duta Wacana Christian, Yogyakarta. Jl. Dr. Wahidin Sudirohusodo 5-25 Yogyakarta, 55224. Email: herosecendrasilvinia@gmail.com. Mobile: 081226466770. DOI: https://doi.org/10.26911/the7thicph.01.08
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Rahmawati, Dian. "Psychososial Stimulation in Stunting and Non Stunting Firms." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.24.
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ABSTRACT Background: Stunting is a condition of growth failure among children under five due to chronic malnutrition. According to World Health Organization (WHO), stunting under five is a public health problem if the prevalence is 20% or more. In 2018, stunting in Indonesia is more than 20%, so it becomes a public health problem and needs to be addressed immediately. Stunting does not only affect physical growth but also psychosocial development. Stunting can reduce the quality of human resources (HR) because the body’s organs, especially the brain, are not able to develop optimally, and increase the risk of diseases such as hypertension, diabetes mellitus, heart disease, and stroke. The low psychosocial stimulation has an impact on the subsequent growth of the child. This study aimed to analyze the association between psychosocial stimulation and stunting. Subjects and Method: A case control study was conducted in the Village Bangkok, Kediri, East Java, in August 2020. A total sample of 25 stunting children aged 24-59 months was obtained as a case group and 25 normal toddlers aged 24-59 months as a control group. The dependent variable was the incidence of stunting, while the independent variable was psychosocial stimulation. The stunting measurement was based on the height per age (converted into a Z-score). Measurement of psychosocial stimulation was using the Home Observation for Measurement of the Environment Revisited (HOME) questionnaire consists of 55 statements divided into 8 aspects. The data were collected and analyzed using the Chi Square test. Results: Stunting children showed that psychosocial stimulation were low (20%), medium (64%), and high (16%). While psychosocial stimulation among not stunted children were absent (0%), medium (64%), and high (36%). Psychosocial stimulation was associated with the incidence of stunting (p= 0.031), and it was statistically significant. Conclusion: Psychological stimulation is associated with the incidence of stunting. The psychosocial stimulation provided by families for stunting toddlers is still less than that of non-stunting children. Keywords: stunting, psychosocial stimulation, children under five Correspondence: Dian Rahmawati. Academy of Midwifery of Dharma Husada. Jl. Penanggungan 41A Kediri City 64114, East Java. Email: lintangkayana31@gmail.com. Mobile: +6285645076003. DOI: https://doi.org/10.26911/the7thicph.03.24
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Soares Bicalho, Thamires, Ana Paula Ferreira, Larissa Azevedo da Hora, Roberta Lastorina Rios, Thaís Aparecida de Castro Palermo, and Carolina Magalhães Santos. "Neonatal mortality: the profile of deaths in the state of Rio de Janeiro." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212406.
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Deaths that occur up to 27 days of life are related to maternal and child health. However, the health of the mother-child binomial is built from the beginning of family planning, the responsibility of prenatal care; the technical conduction of childbirth and postpartum with a sensitive observation of the first hours of life. In professional practice, death is classified as earlyand late depending on the postpartum survival time, with Brazilian indicators revealing 53.2% of occurrences related to the first 6 days of life. Given the negative context, this study aimed to reveal the epidemiological profile of neonatal mortality in the state of Rio de Janeiro and relate the causes that may have corroborated the occurrences. This was a descriptive cross-sectional study with cuts between the years 2008 to 2018 (11 years) which, after the data collected from the federal platform TabNet, were distributed in frequency tables for descriptive statistical analysis using the SPSS software version 24.0. From the data collected, it can be stated that the largest proportion of deaths occurred in the early neonatal stage, especially in the city of Rio de Janeiro, which over the years had the highest number of occurrences of all states, but with a pending period of average investigation of the last triennium of 16%. The majority of deaths occurred in the hospital environment, in premature male babies, born by cesarean delivery, low birth weight, of brown race/color with causes of death from conditions originating from the perinatal period such as pneumonia, born to women aged between 20 to 29 years, with study time of 12 years or more. Maternal and child health is a priority within public health policies, however, the population suffers from the reduction or stagnation of investments that optimize the strengthening of the policy by expanding the network of access to consultations, tests, treatment, andmonitoring of puerperal needs. The overload of health professionals working in the unit can also make it difficult to provide care since there is productivity to be achieved, which can interfere with the quality and time of listening and observation of consultations. Given the detailed work, it is concluded that municipal health policies should use their finances to mitigate risk events from prenatal care, turning their eyes to the quality of access to health that it provides in relation to the physical structure, diagnostic equipment, waiting for time and updating of health professionals.
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de Aboim Borges, Miguel, and Fernando Moreira da Silva. "The Importance of a Sensory-Motor Wayfinding System for Promoting Autonomy and Mobility on People with Low Vision Condition." In Applied Human Factors and Ergonomics Conference. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe100783.
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Some evidences related to demography will change the way we design built environment, mainly hospitals. The world is facing a situation without precedents, so that soon there will be more elderly of extreme old age than ever before. With a continuous decline in death rates and rising life expectancy among them, reaching 80 years and even over 100. Living longer with a better life quality doesn’t mean a healthier living, but a hospital care dependency related to health problems. We are facing a change of the demographic profile for which we must undertake a mentality readjustment in order to suit and give qualitative answer to these groups’ life. With an increasing ageing population, the burden of age-related sensory impairment is expected to increase. There is a growing interest in the effects of the physical environment on the health and well being of the elderly and disabled population. The research is being held in an ophthalmological hospital, where all kinds of eye pathologies are treated, though presenting difficulties in color discrimination and perception, incapacity of reading at distance and interpreting complex pictograms. For a structured and effective research a participatory design methodology is considered to evaluate patient’s low vision condition and working health professionals testimonials. Through observation, interviews and tests validating its results with groups of specialists. The final result will be the installation in this hospital of a sensory-motor wayfinding system (Percept Walk) reflecting the conclusion held in the research process.
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Li, Xiaoqin, and Jing Wang. "Research on Community Based Aged-Care at Home Information Services in Cloud Computing Environment." In 2015 International Conference on Social Science, Education Management and Sports Education. Paris, France: Atlantis Press, 2015. http://dx.doi.org/10.2991/ssemse-15.2015.45.
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Boucherie, Richard J., Erwin W. Hans, and Timo Hartmann. "Health care logistics and space: Accounting for the physical build environment." In 2012 Winter Simulation Conference - (WSC 2012). IEEE, 2012. http://dx.doi.org/10.1109/wsc.2012.6465222.
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Alzain, Hassan, Ali Abu Qurain, Abdulrahman Al-Jaafari, and Jason Hall. "The Use of Health Management Programs for the Contractors Workforce." In International Petroleum Technology Conference. IPTC, 2022. http://dx.doi.org/10.2523/iptc-22122-ms.
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Abstract This paper aims to detail key success factors in understanding the effective principles of managing the health and well-being of the contractor workforce during and post pandemics, specifically for organizations in the oil, gas and energy industry. Furthermore, it shall provide insights and guidance on how to maintain and enhance contractor workforce experience, particularly during and post the COVID-19 pandemic; detailing the benefits of having well-established health management programs designed specifically for the contractor workforce. The social determinants of health (SDH) can be defined as the social and economic conditions in which people are born, grow, live, learn, work and age. They are nonmedical factors that influence a vast range of health conditions; affecting individuals' overall quality-of-life. Economic policies, social norms and political systems are all examples of forces and factors that shape daily life conditions and affect human health (ODPHP, n.d.; WHO, n.d.a). SDH also encompasses education, employment, socioeconomic status, access to health care, social support as well as neighborhood and physical environment (Artiga and Hinton, 2018). SDH have a crucial influence on health disparities and inequities – "the unfair and avoidable differences in health status seen within and between countries" (CDC, 2020). A well-known key factor in the emergence and perpetuation of health disparities is housing. Several researchers from a diverse array of disciplines explored the various aspects of the association between housing, health and well-being. They endeavored to comprehensively elucidate the major pathways through which housing conditions can negatively impact health equity, with a focus on the broad spectrum of hazardous exposures, their accumulated impact and their historical production. As reported by Rolfe et al. (2020), there is compelling evidence of poor physical health consequences of toxins within homes, damp and mold, cold indoor temperatures, overcrowding, and safety factors. Beyond the aforementioned impacts of physical aspects of housing on physical health, poor housing conditions have also been linked with high risks of poor mental health and well-being (Pevalin et al., 2017).
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"CHANGES IN HEMODYNAMIC STATUS, SLEEP PATTERN, MENTAL HEALTH , AND SOCIAL LIFE AMONG NIGHT SHIFT MEDICAL WORKER IN JORDANIAN HOSPITALS." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/bgcw7569.
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Background: Shift work is essential for many occupations like in the Emergency Medical Service that provides critical services that must be available all hours as a result of the irregularly day and night nature work (e.g., 9 p.m to 7:30 am ) with long-duration shifts (e.g., 24h and 48h) they could end up with a higher risk of disturbances in hemodynamic status which is contributed to (shock, heart failure, pressure changes, Sleep deficiency) along with mental health issue Objective: we aim to compare the blood pressure, heart rate, and O2 saturation and investigate the effect of demographic that includes (BMI, age, sex, educational level, mental status, memory, and decision-making ability. ) symptoms, and substance consumption (including caffeine, tea, energy drink, alcohol, smoking, multi-vitamin ..etc) between two group night shift and day shift Method: this study will be conducted in private hospitals and public hospitals in Jordan (Amman and Irbid ) and its design is a cross-sectional observational where adult health care providers will be invited to participate in completing an interviewer administration questionnaire Results: the high percentage of night medical workers faced a problem in many aspects including sleep disturbances, higher pressure, high caffeine intake, low focus, and decision-making ability along with social and family issues and mental health disturbances Conclusion: so we could conclude that medical night Shift work is associated with impaired alertness and low efficacy due to sleep loss and circadian disturbances so the performance remains mainly impaired during night shifts and the ability to focus and solve the problem and memorize information become lower with time In the end, we hope that medical institutions and hospitals would care more about the working environment not only the physical side but also mental health which should be put under the consideration Keywords: hemodynamic status, night shift, mental health, cardiovascular disease, social life
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Clayton Abreu da Silva, Nadyson, Heloisa Landin Gomes, Cristiane Brasil Francisco, Elisabete Landim Gomes Siqueira, Mariana Manhães do Amaral Peixoto, and Maurício Rocha Calomeni. "The Efficiency of an online physical exercises program in elderly lifestyle on COVID-19 pandemic." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212383.
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The moderate and periodic practice of physical exercise promotes cell protection against viral infection due the balance between cellular immune response, determined directly by T lymphocytes, and humoral cells in which specific antibodies participate, produced by mature B lymphocytes. The countries members of the United Nations Organization (UNO) approved the Aging International Action Plan (AIAP) where are proposed strategies to support the prevention of mental disorders, the treatment of aged illness, as well the strengthening of a care network and support to aged people with the participation of the family, volunteers, and community. Following the UNO tendency, Campos dos Goytacazes/RJ governance started the 60+ health project developed by the superintendence of the Elderly's Rights under to the active and healthy aging for promotion of an active lifestyle to aged population. Given the above, the study goal was to verify the effectiveness of physical exercises proposed virtually on the individual lifestyle of aged people. 458 individuals of both sexes, with age above 60 years were introduced in the study. 356 aged people participated in the physical exercises program, and 102 non-participated in the virtual activities. As a data collection device was used the Individual lifestyle profile questionnaire known as wellness pentacle, a conceptual basis for the evaluation of lifestyle of individuals or groups. Videos with physical exercises proposed were uploading to the Youtube platform, and also directly sent to aged people on social isolation imposed by COVID-19, from app messages. In front of the found results, it is possible to claim that the practice of physical activity with online guidance and prescription impacted positively in the aged people's quality of life inserted on 60+ health project making evident the importance of physical activity practice during the COVID-19 pandemic.
Reports on the topic "Physical environment in aged care"
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Jauny, Ray, and John Parsons. Delirium Assessment and Management: A qualitative study on aged-care nurses’ experiences. Unitec ePress, November 2017. http://dx.doi.org/10.34074/ocds.72017.
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Aged residential care (ARC) residents with morbid health conditions frequently experience delirium. This condition is associated with diminished quality of life, preventable morbidity and untimely death. It is challenging and costly to manage delirium because of the complex interplay of physical and psychiatric symptoms associated with this condition in both primary and secondary services. With awareness of risk factors and knowledge about delirium, ARC nurses can play a vital role in early identification, assessment and treatment, but most importantly in preventing delirium in aged-care residents as well as improving health outcomes. Focus groups were carried out with ARC nurses to ascertain their opinions on how they assess and manage delirium in ARC facilities in South Auckland, New Zealand. Findings identified that there were strengths and weaknesses, as well as gaps in assessment and management of delirium. Nurses would benefit from delirium education, appropriate tools and adequate resources to help them manage delirium. Issues with diagnosing delirium, anxiety about challenging behaviours, family dynamics, lack of training and absence of IV treatment were noticeable features in this study.
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SUN, JUNJIANG, GUOPING QIAN, Shuqi Yue, and Anna szumilewicz. Factors influencing physical activity in pregnant women from the perspective of a socio-ecological model: A systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0073.
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Review question / Objective: The main aim of this review is to analyse the impact factors of material physical activity in an ecological model and to analyse differences in influencing factors between pregnant women's PA and moderate-to-vigorous intensity physical activity (MVPA) , provide a reference for the research, intervention, and policy designation of maternal physical activity. Rationale: In combination with McLeroy et al. (1988)behavior is viewed as being determined by the following: (1) Personal level: the internal factors of the individual characteristics,(sociodemographic and biological, behavior, psychological ); (2) interpersonal level: interpersonal processes and primary groups-formal and informal social network and social support systems,(eg: family、public, etc.); (3)organization level: social institutions with organizational characteristics, such as health services, gyms and may also include influences from health care providers and Physical activity consultant, etc.; (4) community level: relationships among organizations, institutions, and informal networks within defined boundaries，（eg： appropriate facilities、living environment, etc.); and finally (5) public policy level: local, state, and national laws and policies.
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Hatef, Elham, Renee F. Wilson, Susan M. Hannum, Allen Zhang, Hadi Kharrazi, Jonathan P. Weiner, Stacey A. Davis, and Karen A. Robinson. Use of Telehealth During the COVID-19 Era. Agency for Healthcare Research and Quality (AHRQ), January 2023. http://dx.doi.org/10.23970/ahrqepcsrcovidtelehealth.
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Objectives. To assess how to provide telehealth care by identifying characteristics of telehealth delivery, patient populations, settings, benefits and harms, and implementation strategies during the COVID-19 era. Data sources. PubMed®, CINAHL®, PsycINFO®, and the Cochrane Central Register of Controlled Trials were searched from March 2020 to May 2022. Additional studies were identified from reference lists and experts. Review methods. We included studies that reported characteristics of telehealth use; benefits and harms of telehealth; factors impacting the success of telehealth, including satisfaction/dissatisfaction and barriers/facilitators; and implementation outcomes. We conducted a mixed-methods review, synthesizing quantitative and qualitative studies. Two reviewers independently screened search results for eligibility, serially extracted data, and independently assessed risk of bias of included studies. Results. We included 764 studies; 310 studies were included in our syntheses. Patients using telehealth were more likely to be people who are young to middle-aged, female, White, of higher socioeconomic status, and living in urban settings. Visits for mental and behavioral health conditions were more frequent than visits for other conditions, and mental or behavioral care was also more likely to be delivered via telehealth than care for other conditions. Across a variety of conditions, telehealth produced similar clinical outcomes as compared with in-person care. Telehealth care is appropriate for some patients, but more information is necessary to determine the suitability of telehealth for specific patient populations; patients and providers felt that telehealth may be less suitable and less desirable for patients with complex clinical conditions; and some patients perceive telehealth as a barrier to improved health outcomes owing to the absence of a physical exam and challenges in developing rapport and communicating with their care team. There was a lack of evidence addressing implementation cost, penetration, and sustainability of telehealth, and about telehealth implementation at the health system level. Conclusions. Whereas telehealth use spiked after the beginning of the pandemic, the characteristics of patients using telehealth follow a pattern similar to that for other healthcare and digital health services. We found that the use of telehealth may be comparable to in-person care across different clinical and process outcomes. Telehealth implementation has addressed the needs of both patients and providers to some extent, even as clinical conditions, patient and provider characteristics, and type of assessment varied. Telehealth has provided a viable alternative mode of care delivery during the pandemic and holds promise for the future.