Smart homes, home automation and ambient-assisted living are terms used to describe technological systems that enrich our living environment and provide means to support care, facilitate well-being and improve comfort. This handbook provides an overview of the domain from the perspective of health care and technology. In Part 1, we set out to describe the demographic changes in society, including ageing and diseases and impairments which lead to the needs for technological solutions. In Part 2, we describe the technological solutions, ranging from sensor-based networks, components, to communication protocols that are used in the design of smart homes. We also deal will biomedical features which can be measured and services that can be delivered to end-users as well as the use of social robots. In Part 3, we present best practices in the field. These best practices mainly focus on existing projects in Europe, the USA and Asia, in which people receive help through dedicated technological solutions being part of the continuum of the home environment and care.
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Smart homes, home automation and ambient-assisted living are terms used to describe technological systems that enrich our living environment and provide means to support care, facilitate well-being and improve comfort. This handbook provides an overview of the domain from the perspective of health care and technology. In Part 1, we set out to describe the demographic changes in society, including ageing and diseases and impairments which lead to the needs for technological solutions. In Part 2, we describe the technological solutions, ranging from sensor-based networks, components, to communication protocols that are used in the design of smart homes. We also deal will biomedical features which can be measured and services that can be delivered to end-users as well as the use of social robots. In Part 3, we present best practices in the field. These best practices mainly focus on existing projects in Europe, the USA and Asia, in which people receive help through dedicated technological solutions being part of the continuum of the home environment and care.
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Staffing practices in long-term care lack a clear evidence base and often seem to be guided by opinions instead of evidence. While stakeholders believe intuitively that there is a positive relationship between staffing levels and quality in nursing homes, the research literature is contradictory (1). In this editorial we consider the evidence found in a literature study that we conducted for the Dutch Ministry of Health, Welfare and Sports (VWS). The aim of this study was to summarize all available evidence on the relationship between staffing and quality in nursing homes. Specifically, we focused on the quantity and the educational background of staff and quality in nursing homes. The literature study has contributed to the recent Dutch quality framework for nursing homes (Kwaliteitskader verpleeghuiszorg in Dutch) of the National Health Care Institute. This quality framework was published in January 2017 and provides norms – among other quality aspects – for nursing home staffing. As well as a description of the main findings of the literature study, we present implications for different stakeholders charged with staffing issues in nursing homes.
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Due to societal developments, like the introduction of the ‘civil society’, policy stimulating longer living at home and the separation of housing and care, the housing situation of older citizens is a relevant and pressing issue for housing-, governance- and care organizations. The current situation of living with care already benefits from technological advancement. The wide application of technology especially in care homes brings the emergence of a new source of information that becomes invaluable in order to understand how the smart urban environment affects the health of older people. The goal of this proposal is to develop an approach for designing smart neighborhoods, in order to assist and engage older adults living there. This approach will be applied to a neighborhood in Aalst-Waalre which will be developed into a living lab. The research will involve: (1) Insight into social-spatial factors underlying a smart neighborhood; (2) Identifying governance and organizational context; (3) Identifying needs and preferences of the (future) inhabitant; (4) Matching needs & preferences to potential socio-techno-spatial solutions. A mixed methods approach fusing quantitative and qualitative methods towards understanding the impacts of smart environment will be investigated. After 12 months, employing several concepts of urban computing, such as pattern recognition and predictive modelling , using the focus groups from the different organizations as well as primary end-users, and exploring how physiological data can be embedded in data-driven strategies for the enhancement of active ageing in this neighborhood will result in design solutions and strategies for a more care-friendly neighborhood.
"Zoekt en gij zult vinden", luidt de bekende uitdrukking. Het Nederlandse MKB heeft veel technieken beschikbaar die voor een bekend probleem in Nederlandse verpleeghuizen een oplossing kan bieden: er raken in verpleeghuizen veel zaken zoek, van hulpmiddelen tot meubilair, wat leidt tot vele uren zoektijd voor zorgprofessionals en bewoners (met dementie) en hun naasten, en wat een negatieve invloed heeft op kwaliteit van zorg en onderhoud. Het doel van dit projectvoorstel is om een oplossing te ontwikkelen voor het zoekraken, niet in kaart hebben en het onbekend zijn met het gebruik, van hulpmiddelen in verpleeghuizen. Er bestaat zogenaamde track & trace technologie om locatie en gebruik van zaken te monitoren. Hoewel deze technologie op terreinen bouw, logistiek en ziekenhuiszorg in opkomst is, wordt deze in verpleeghuizen nog niet grootschalig ingezet. Er is bij bedrijven onvoldoende kennis over hoe deze technologie succesvol kan worden ingezet in verpleeghuizen waarbij de behoeften van zorgprofessionals en bewoners aan de basis van het ontwerp liggen. De maatschappelijke relevantie iets aan de problematiek te doen is niet alleen ingegeven door een behoefte de kwaliteit van zorg te ondersteunen, maar ook om geld te besparen door zoektijd te verminderen, en om beheer- en onderhoud van hulpmiddelen beter te kunnen stroomlijnen (logistiek en financieel) doordat bedrijven en verpleeghuizen een beter inzicht hebben in het gebruik. In dit project wordt met MKB-partners met een achtergrond in elektrotechnische installaties, ICT, bouw en inrichting en hulpmiddelen samengewerkt aan het ontwerpen en evalueren van een ?demonstrator?: een start van een field lab track & trace van hulpmiddelen voor zorginstellingen met twee testlocaties in verpleeghuizen. Dit doen deze partijen samen met twee verpleeghuisorganisaties en hun professionals teneinde een systeem te ontwikkelen dat aansluit bij de behoeften van de werkvloer en derhalve de grootste meerwaarde heeft voor de stakeholders. Hierbij zullen verschillende werkvormen worden gebruikt waarbij de nadruk ligt op de inbreng van alle betrokkenen. Door middel van focusgroep- en ontwerpsessies zullen stakeholders de behoeften op het gebied van track & trace van roerende goederen kunnen definiëren en omzetten in een concreet ontwerp. Het eindresultaat van het project zal naast concrete kennis vooral bestaan uit een tweetal demonstrators die met aanpassing ook in andere zorgsettings ingezet kunnen worden om kwaliteit van zorg en werkprocessen te ondersteunen. Deze demonstrators zullen tevens dienen als platform voor vervolgexperimenten.
To optimize patient care, it is vital to prevent infections in healthcare facilities. In this respect, the increasing prevalence of antibiotic-resistant bacterial strains threatens public healthcare. Current gold standard techniques are based on classical microbiological assays that are time consuming and need complex expensive lab environments. This limits their use for high throughput bacterial screening to perform optimal hygiene control. The infection prevention workers in hospitals and elderly nursing homes underline the urgency of a point-of-care tool that is able to detect bacterial loads on-site in a fast, precise and reliable manner while remaining with the available budgets. The aim of this proposal titled SURFSCAN is to develop a novel point-of-care tool for bacterial load screening on various surfaces throughout the daily routine of professionals in healthcare facilities. Given the expertise of the consortium partners, the point-of-care tool will be based on a biomimetic sensor combining surface imprinted polymers (SIPs), that act as synthetic bacterial receptors, with a thermal read-out strategy for detection. The functionality and performance of this biomimetic sensor has been shown in lab conditions and published in peer reviewed journals. Within this proposal, key elements will be optimized to translate the proof of principle concept into a complete clinical prototype for on-site application. These elements are essential for final implementation of the device as a screening and assessment tool for scanning bacterial loads on surfaces by hospital professionals. The research project offers a unique collaboration among different end-users (hospitals and SMEs), and knowledge institutions (Zuyd University of Applied Sciences, Fontys University of Applied Sciences and Maastricht Science Programme, IDEE-Maastricht University), which guarantees transfer of fundamental knowledge to the market and end-user needs.
