Purpose Currently, most technology (robotics, smart homes, etc) that has been developed for the healthcare sector are difficult in use, expensive and often not affordable for individual persons in their home situation. Affordable innovations that activate people instead of taking tasks over can be a major breakthrough intervention in several treatments for different patient groups. On the other hand the already existing assistive innovations in home situations still don’t reach a large population (1). Scaling up innovations in public sectors, has more challenges in comparison with private sectors (2,3). The hypothesis of this study is that technical innovations need a social innovative approach to improve the availability and the use of technology by a larger population of people living with dementia. Method A Dutch Ecosystem research model for Dementia Care (EDC) was created. The main building blocks of social innovation in the EDC are communities of practice (CoP). In these CoPs, representatives of companies, knowledge institutes, healthcare organizations and governmental bodies are collaborating to study how people with dementia can be sufficiently supported based on three key principles: shared values, shared knowledge, shared savings. Per CoP case-studies are done. One CoP and accompanying case study focussed on putting ambulant nursing students as linking pin between assistive technology and people living with dementia at home. Results & Discussion A CoP seems to be a strong vehicle to tackle and gain knowledge on a specific issue, in this case reducing the gap between innovative assistive technology and people living with dementia. One major barrier (Table 1) for clients is to ask for help in learning to use technology. Healthcare students appear to be the linking pin between stakeholders’ perspectives and overcome the barrier of hesitant to ask for help. The huge intrinsic drive to come up with solutions from different stakeholder perspectives is structurally facilitated by the EDC.
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Purpose Worldwide, there are 30 million people with dementia (PWD) in 2009 and 100 million in 2050, respectively.These numbers show the need for a change in care for PWD. Leisure is one of these care aspects. Leisure activities can support PWD in several ways: meeting basic needs, providing comfort and social interaction, and reducing boredom, agitation, and isolation. An exemplary activity targeted at meeting these needs is ‘De Klessebessers (KB)’ (The Chitchatters), which aims to stimulate social interaction among PWD and provide comfort with supporting technology. This is innovative since technology for PWD generally concentrates on safety and monitoring activities. The activity comprises a radio, television, telephone, and treasure box. Method This study’s focus follows from the original aim of the KB-designers; to stimulate social interaction. In a nursing home and day care centre, the KB game was played with different groups of PWD (n=21: 12 females, 9 males, mean MMSE=17, range 3-28). In the morning KB (with technology), and in the afternoon an activity called ‘Questiongame’ (without technology) were played for 45 minutes. These activities were played twice in a two-month period, and outcomes were compared in terms of impact on social interaction. Group sizes ranged from 3 to 8 PWD assisted by 1 or 2 activity therapists. Two researchers observed the players during the activity with the Oshkosh Social Behavior Coding (OSBC) scale, which encompasses both verbal and nonverbal social and nonsocial behaviour. These behaviours can have a person-initiated and otherinitiated character (quantitative study). A total of 6 activity therapists were interviewed on the KB afterwards (qualitative study). Results & Discussion The quantitative results showed significantly higher scores for KB for the total of social interaction compared to Questiongame. Most of the behaviour is other-initiated (activity therapist). PWD with a lower MMSE score showed more non-verbal behaviour. For PWD with a MMSE score below 7, there was no difference in social interaction between the two activities. According to the qualitative research, KB triggered more social interaction, since the movies and music were stimulating the players to initiate a conversation, to which other players responded. The results of this research correspond with earlier research, which concludes that leisure activities with technology can show positive results on well-being.
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Social needs are important basic human needs; when not satisfied, loneliness and social isolation can occur and subsequently sickness or even premature death. For older people social needs can be more difficult to satisfy because of the loss of resources such as health and mobility. Interventions for older people to satisfy social needs are often not evaluated and when evaluated are not proven successful. Technological interventions can be successful, but the relationship between technology and social wellbeing is complex and more research in this area is needed. The aim of this research is to uncover design opportunities for technological interventions to fulfil social needs of older people. Context-mapping sessions are a way to gain more insight into the social needs of older people and to involve them in the design of interventions to fulfil social needs. Participants of the context-mapping sessions were older people and social workers working with older people. Four sessions with a total of 20 participants were held to generate ideas for interventions to satisfy social needs. The results are transcripts from the discussion parts of the context-mapping sessions and collages the participants created. The transcripts were independently analysed and inductive codes were attached to quotations in the transcripts that are relevant to the research question and subsequently thematic analysis took place. Collages made by the participants were independently analysed by the researchers and after discussion consensus was reached about important themes. The following three main themes emerged: ‘connectedness’, ‘independence’ and ‘meaningfulness’. Technology was not identified as a separate theme, but was addressed in relation to the above mentioned themes. Staying active in a meaningful way, for example by engaging in volunteer work, may fulfil the three needs of being connected, independent and meaningful. In addition, interventions can also focus on the need to be and remain independent and to deal with becoming more dependent. The older people in our study have an ambivalent attitude towards technology, which needs to be taken into account when designing an intervention. We conclude this paper by making recommendations for possible technological interventions to fulfil social needs.
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Seiring dengan kemajuan ilmu pengetahuan dan teknologi yang menjadi pusat perhatian dunia. Maka manusia dituntut untuk menciptakan peralatan-peralatan canggih untuk teknologi muktahir. Baik itu dalam bidang bisnis, perdagangan, kesehatan, militer, pendidikan, komunikasi dan budaya maupun bidang-bidang lainnya. Maka teknologi ini membawa perubahan pada peralatan-peralatan yang dulunya bekerja secara analog mulai dikembangkan secara digital, dan bahkan yang bekerjanya secara manual sekarang banyak dikembangkan secara otomatis, seperti kamera digital, handycam, dan sebagainya, dalam pembacaan pengukuran juga sudah dikembangkan ke dalam teknik digital. Contohnya perangkat Load Cell. Dan keuntungan menggunakan Load Cell adalah untuk mempermudah dalam pembacaan data untuk meminimalkan kesalahan dalam pembacaan data yang disebabkan adanya human error.Pada pemilihan Load Cell bertujuan untuk memilih kecocokan dalam membuat rancang bangun alat uji tarik kapasitas 3 ton, dimana dalam pemilihan ini kami memilih jenis load cell “S” karna alat yang kita rancang adalah uji tarik bukan uji tekan. Dengan kapasitas load cell 5 ton. Untuk membuat jarak aman dalam pengujian specimen ST41. Load Cell menggunakan system perangkat elektronik pengolahan data yang menjadi sebuah kurva tegangan regangan. Data-data yang diperoleh tersebut berupa besarnya pembebanan hasil dari pengujian specimen ST41. Kata
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BACKGROUND: People experiencing homelessness often encounter progressive incurable somatic diseases in combination with psychiatric and psychosocial problems, and many need palliative care at the end of their lives. Little is known about how palliative care for this group can be started in good time and provided optimally. The objective of this paper is to give insight into the extent people experiencing homelessness have access to good palliative care.
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Artikel student Hoger Hotel Onderwijs. Beoordeling: 8.
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To assess the effects and costs of primary, secondary and tertiary strategies to prevent oral disease in dependent older people.
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Background: Talking Mats is a framework developed to support communication with communication vulnerable people. Objective: The objective was twofold: to provide an overview of the objectives, target groups and settings for which Talking Mats has been used (Part 1), and an overview of empirical scientific knowledge on the use of Talking Mats (Part 2). Methods: In this scoping review scientific and grey literature was searched in PubMed, Cinahl, Psycinfo, Google, and Google Scholar. Articles that described characteristics of Talking Mats or its use were included. For Part 2, additional selection criteria were applied to focus on empirical scientific knowledge. Results: The search yielded 73 publications in Part 1, 12 of which were included in Part 2. Talking Mats was used for functional objectives (e.g. goal setting) and to improve communication and involvement. Part 2 showed that Talking Mats had positive influences on technical communication, effectiveness of conversations, and involvement and decision making in conversations. However, the level of research evidence is limited. Conclusions: Talking Mats can be used to support conversations between professionals and communication vulnerable people. More research is needed to study the views of people who are communication vulnerable and to study the effects of Talking Mats.
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The Internet is changing the way we organize work. It is shifting the requirements for what we call the “schedule push” and the hierarchical organization that it implies, and therefore it is removing the type of control that is conventionally used to match resources to tasks, and customer demand to supplies and services. Organizational hierarchies have become too expensive to sustain, and in many cases their style of coordination is simply no longer necessary. The cost complexity of the industrial complex starts to outweigh the benefits, and the Internet is making it redundant. The question I put forward in this Article, after a short description of how I envision “the change,” is what new requirements should be met by software in order to meet the requirements of the networked economy. Business will develop from Business-to-Consumer (B2C) to Consumer-to- Business (C2B) to People-to-People (P2P), customers more and more taking control over business activities, overhead being replaced by customer focus. This is also a new reality for the software world.
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Background There currently is no field test available for measuring maximal exercise capacity in people with stroke. Objective To determine the feasibility, reproducibility and validity of the Shuttle Test (ST) to measure exercise capacity in people with stroke. Design Longitudinal study design. Setting Rehabilitation department, day care centres from a nursing home and private practices specialized in neuro rehabilitation. Subjects People with subacute or chronic stroke. Interventions A standardized protocol was used to determine feasibility, reproducibility and validity of the 10-meter Shuttle Test (10mST). Main measures Number of shuttles completed, 1stVentilatory Threshold (1stVT). Results The associations of the number of shuttles completed and cardiopulmonary capacity as measured with a portable gas analyser were r > 0.7, confirming good convergent validity in subacute and chronic people with stroke. Criterion validity, however, indicates it is not a valid test for measuring maximal cardiopulmonary capacity (VO2max). Only 60% of participants were able to reach the 1stVT. Higher cardiopulmonary capacity and a higher total score of the lower extremity Motricity Index contributed significantly to a higher number of shuttles walked (p = 0.001). Conclusions The Shuttle Test may be a safe and useful exercise test for people after stroke, but may not be appropriate for use with people who walk slower than 2 km/h or 0.56 m/s.
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