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  • 1. Garcon, Loic
    et al.
    Khasnabis, Chapal
    Walker, Lloyd
    Nakatani, Yukiko
    Lapitan, Jostacio
    Borg, Johan
    Lunds universitet.
    Ross, Alex
    Berumen, Adriana Velazquez
    Medical and assistive health technology: Meeting the needs of aging populations2016Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 56, nr S2, s. S293-S302Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose of the Study: To identify policy gaps in the delivery and availability of assistive health technology (AHT) and medical devices (MD) for aging populations, particularly in low-and middle-income countries (LMICs). Design and Methods: The findings presented in this paper are the results of several narrative overviews. They provide a contextual analysis of the conclusions and evidence from WHO commissioned research and expert consultations in 2013 and 2014, as well as a synthesis of literature reviews conducted on AHT and MD. Results: Practical, life-enhancing support for older people through AHT, MD, and related health and social services is a neglected issue. This is particularly so in LMICs where the biggest increases in aging populations are occurring, and yet where there is commonly little or no access to these vital components of healthy aging. Implications: Health technologies, especially medical and assistive health technology, are essential to ensure older people’s dignity and autonomy, but their current and potential benefits have received little recognition in LMICs. Viewing these technologies as relevant only to disabled people is an inadequate approach. They should be accessible to both older adults with disabilities and older adults with functional limitation. Many countries need much greater official awareness of older adults’ needs and preferences. Such attitudinal changes should then be reflected in laws and regulations to address the specificities of care for older people.

  • 2.
    Gilhooly, M. L.
    et al.
    Brunel Institute for Ageing Studies, Brunel University, Uxbridge, United Kingdom.
    van den Heuvel, E.
    Brunel Institute for Ageing Studies, Brunel University, Uxbridge, United Kingdom.
    Jowitt, F.
    Brunel Institute for Ageing Studies, Brunel University, Uxbridge, United Kingdom.
    Sutherland, I.
    Brunel Institute for Ageing Studies, Brunel University, Uxbridge, United Kingdom.
    Bichard, J.
    Royal College of Art, London, United Kingdom.
    Long, A.
    Bristol Urological Institute, Bristol, United Kingdom.
    McKee, Kevin
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Socialt arbete.
    Dahlberg, Lena
    Högskolan Dalarna, Akademin Utbildning, hälsa och samhälle, Socialt arbete.
    Vibrating underpants, smell sensors and hospital continence services: tools and technologies for improving the lives of people with incontinence2012Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 52, nr s1, s. 185-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Social isolation, loss of self esteem and depression are often a consequence of incontinence. The overall aim of this interdisciplinary project was to reduce the impact of continence difficulties and, thus, assist older people in maintaining a positive identity and good quality of life. The TACT3 project was comprised of three research work packages:

    Assistive technology development:

    Vibrating underpants: A washable fabric underwear wetness sensor and alert mechanism has been developed to alert continence pad users of leakage. In addition, a colour change odour indicating formula has been developed to indicate the presence of the odour of urine at a just imperceptible level.

    Challenging environmental barriers to continence: Two sets of stakeholders were involved, older people with continence difficulties and toilet providers. Focus groups, workshops, interviews and photographic diaries were conducted to identify key issues. A web based map locating toilets in London was developed which is called the Great British Toilet Map.

    Improving continence interventions and services: 140 patients and their carers were interviewed twice within a 12 month interval from a specialist continence clinic for older people and generic continence clinic. Twenty health and social care managers and 200 practitioners were also be interviewed. Care outcomes are being analysed from each clinic and a cost benefit analysis will be carried out.

    Key findings from this three year interdisciplinary project are highlighted. Prototypes of the vibrating underpants and the odour sensor will be on display. This research was funded by the UK New Dynamics of Ageing Programme.

  • 3.
    Marmstål Hammar, Lena
    Mälardalens högskola.
    Involving people with dementia in Swedish research2011Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 51, s. 254-254Artikel i tidskrift (Övrigt vetenskapligt)
  • 4.
    Marmstål Hammar, Lena
    Mälardalens högskola.
    The impact of caregivers’ singing on expressions of resistance and communication during morning care situations in persons with dementia2014Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341, Vol. 54, s. 41-42Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The impact of caregivers’ singing on expressions of emotion and communication during morning care situations in persons with dementia

    The number of persons with dementia (PWD) is increasing rapidly worldwide. Emotions and communication difficulties are common and non-pharmacological interventions should be considered.  The inclusion criteria were diagnosed with severe dementia, living at nursing homes and a Mini–Mental State Examination (MMSE) score > 12. Music Therapeutic Caregiving (MTC), when a caregiver sings for or together with the PWD was conducted during morning care. Baseline and intervention sessions were videotaped during eight weeks. The PWDs’ expressions of resistant behavior were significantly reduced under the intervention situation[Gabriella2] . A significant (P=.000) reduction was observed for the unsociable nonverbal variable Does not respond to question. MTC significantly (P=.01) increased the mean score for the sociable nonverbal variable – Calm –Relaxed. For sociable verbal communication, significant differences were observed for the variables Use coherent communication (P=.012), Use relevant communication (P=.009), Responds to questions (P=.000), Humming (P=.004) and Singing (P=.000).

  • 5.
    Zamorano Llena, Carmen
    Högskolan Dalarna, Akademin Humaniora och medier, Engelska.
    Looking Very Old Age in the Eye: A Nuanced Approach to the Fourth Age in Contemporary Irish Fiction. A Case Study2018Ingår i: The Gerontologist, ISSN 0016-9013, E-ISSN 1758-5341Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and Objectives

    Associations of young-old age with successful aging have contributed to relegating negatively perceived aspects of aging to very old age. This has prompted the formation of the social imaginary of the fourth age. Re-examinations of the fourth age foreground the diversity of aging experiences among the oldest old. In this sense, literature is in a privileged position to contribute individual narratives of aging to this field. The main aim of this article is to analyze Irish writer Jennifer Johnston’s later fiction and how particularly two of her later fictional works contribute a nuanced re-examination of the fourth age through the narrativization of individual aging experiences of the oldest old in the contemporary Irish context.

    Research Design and Methods

    The work of sociologists and social theorists on re-examinations of the fourth age functions as the framework to analyze the selected fictional texts.

    Results

    The analysis of the oldest old characters in Truth or Fiction and Naming the Starsshows the contribution of literary texts to rethinking the fourth age as a time characterized by the inextricable combination of gains and losses, with emphasis on the diversity of the aging experiences of the oldest old and on the importance of sociocultural influence on individual aging.

    Discussion and Implications

    Combining longitudinal analyses with case studies, such as the ones suggested by these fictional texts, can provide a more accurate knowledge of the experience of advanced old age and the fourth age.

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