Ageing potentially poses a threat to independent functioning of older adults. Although clinicians commonly focus on physical factors limiting Functional Independence (FI), it is likely that personal and environmental interactions also seem important to maintain FI. Herewith, FI exceeds several professional borders and calls for a uniform, multidisciplinary interdisciplinary supported definition of FI. This study aims to provide such a definition of FI in community dwelling older people. A scoping review was performed. Pubmed/Medline, Psychinfo and CINAHL were searched for studies describing aspects of FI. A literature-based definition of FI was discussed by experts (n = 7), resulting in a formulated final definition of FI and insight into contributing factors to FI. A multidisciplinairy focusgroup a stakeholder consultation (n = 15) ensured clinical relevance for daily practice. Data from the focusgroup stakeholder consultation were analyzed by using Atlas.ti (version 8). Based on the literature search, 25 studies were included. FI was finally defined as “Functioning physically safely and independent from another person, within one’s own context”. The contributing factors of FI comprised physical capacity combined with coping, empowerment and health literacy. Moreover, the level of FI is influenced by someone’s own context. This study confirms the relevance of the physical aspect of FI, but additionally stresses the importance of psychological factors. In addition, this study shows that one’s context may affect the level of FI as well. This underlines the importance of a holistic view and calls for multidisciplinary interdisciplinary collaboration in community-dwelling older people.
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Background: Interprofessional collaboration in practice (IPCP) between professionals from the medical and social domain within primary care is desirable; however, it is also challenging due to fragmented healthcare. Little is known about the development of IPCP in primary care to fit the implementation context. is article describes the methodological development and the final content of an IPCP program. Methods and findings:e development process started with the identification of IPCP competencies in a literature review and a qualitative needs analysis with semi-structured interviews among eight elders and four healthcare professionals. e results were discussed during a first consultation with an expert team, which consisted of ten healthcare professionals. Consensus was reached on the themes role identity, communication, and shared vision development to form the basis of the program. A second consultation with the experts discussed the first version of the program. en, consensus was reached on the final version of the program, which included a blended learning approach consisting of two face-to-face meetings, online learning, and on-the-job learning with a sixteen-hour time investment over a six-week period. Conclusions: e IPCP program was developed based on educational strategies and evidence, and with the support and knowledge of practice experts to fit the implementation context.
People suffering from dementia often have problems with way finding and feel restless. In this paper we present an interactive wall developed for decreasing the amount of wandering behaviour of people suffering from dementia. The installation aims at making these people feel more at home in the nursing homes by guiding them with a motion triggered audio path. This leads them to a wall with large windows displaying images and short movie tracks from their hometown. The results of an observation study show that the interactive wall succeeds in attracting people and thus reducing the wandering behaviour. Remarks of the elderly as well as their family and caretakers support this conclusion.
The pressure on the European health care system is increasing considerably: more elderly people and patients with chronic diseases in need of (rehabilitation) care, a diminishing work force and health care costs continuing to rise. Several measures to counteract this are proposed, such as reduction of the length of stay in hospitals or rehabilitation centres by improving interprofessional and person-centred collaboration between health and social care professionals. Although there is a lot of attention for interprofessional education and collaborative practice (IPECP), the consortium senses a gap between competence levels of future professionals and the levels needed in rehabilitation practice. Therefore, the transfer from tertiary education to practice concerning IPECP in rehabilitation is the central theme of the project. Regional bonds between higher education institutions and rehabilitation centres will be strengthened in order to align IPECP. On the one hand we deliver a set of basic and advanced modules on functioning according to the WHO’s International Classification of Functioning, Disability and Health and a set of (assessment) tools on interprofessional skills training. Also, applications of this theory in promising approaches, both in education and in rehabilitation practice, are regionally being piloted and adapted for use in other regions. Field visits by professionals from practice to exchange experiences is included in this work package. We aim to deliver a range of learning materials, from modules on theory to guidelines on how to set up and run a student-run interprofessional learning ward in a rehabilitation centre. All tested outputs will be published on the INPRO-website and made available to be implemented in the core curricula in tertiary education and for lifelong learning in health care practice. This will ultimately contribute to improve functioning and health outcomes and quality of life of patients in rehabilitation centres and beyond.
Mensen met minder geld leven korter en vooral minder lang in goede gezondheid. Geldgebrek maakt het namelijk moeilijker om gezond te eten en leven, en om hulp te vragen. Dit project onderzoekt of en hoe sociale beleidsinterventies de mentale gezondheid en leefstijl van mensen met een bijstandsuitkering of schulden kunnen verbeteren.Doel Dit project wil structurele veranderingen teweegbrengen en makers en uitvoerders van sociaal beleid inzicht bieden in hoe je de gezondheid van mensen met minder geld kunt verbeteren. Dit alles met doel om effectieve sociale beleidsinterventies in te voeren. Resultaten Een literatuurverkenning over sociaal beleid Inzicht in welke combinaties van doelgroepen, context en mechanismen leiden tot gezondheidswinst bij mensen met minder geld Beleidsrichtingen die de weg bereiden voor een toekomstige beleidsdoorbraak Producten om de resultaten met een breed publiek te delen Looptijd 25 augustus 2022 - 24 augustus 2026 Aanpak Dit onderzoek achterhaalt hoe en waarom interventies werken. Dit wordt gedaan door beleidsinterventies in acht verschillende gemeentes te beschrijven en het effect op mentale gezondheid en leefstijl te onderzoeken. In een reeks workshops worden bestuurders, beleidsmakers, en professionals samen met ervaringsdeskundigen uitgedaagd om het beleid van de toekomst te ontwerpen. Op die manier wordt de weg bereid voor een toekomstige beleidsdoorbraak. Relevantie Dit project beoogt structurele verandering in gang te zetten, zodat sociaal beleid mensen met een uitkering of schulden in staat stelt om zo gezond mogelijk te leven. Samenwerking met kennispartners Consumptie en gezonde leefstijl - Wageningen Universiteit Sociaal beleid en volksgezondheid - Universiteit Utrecht Departement Bestuurs- en organisatiewetenschappen, Universiteit Utrecht Afdeling Economie - Universiteit Leiden Gemeentes Amsterdam, Rotterdam, Doetinchem, Ermelo, Aalten, Bronckhorst, Brummen, Elburg Academische Werkplaats Publieke Gezondheid (AGORA) Gelderland Landelijke Federatie Belangenverenigingen Onderling Sterk (LFB) Schouders Eronder Divosa GGD Noord- en Oost-Gelderland Raad voor Volksgezondheid en Samenleving Ministerie van Sociale Zaken en Werkgelegenheid Cofinanciering Gefinancieerd door NWO NWO: Funding for studies on improving the health of people in low socioeconomic positions NWA: Gezondheidsverschillen - beter benutten van het gezondheidspotentieel
