Search results for "kotihoito"
showing 10 items of 52 documents
Managing sensor data streams in a smart home application
2020
A challenge in developing an ambient activity recognition system for use in elder care is finding a balance between the sophistication of the system and a cost structure that fits within the budgets of public and private sector healthcare organisations. Much activity recognition research in the context of elder care is based on dense networks of sensors and advanced methods, such as supervised machine learning algorithms. This paper presents the data processing aspects of an activity recognition system based on a simpler, knowledge-based unsupervised approach, designed for a sparse network of sensors. By structuring sensor data management as a streaming system, we provide a simple programmi…
A tailored counseling and home-based rehabilitation program to increase physical activity and improve mobility among community-dwelling older people …
2017
Physical activity (PA) decreases during hospitalization. In particular, the amount of PA engaged in by older people who are hospitalized following musculoskeletal injury is likely to be limited for months after discharge home. Given the importance of an active lifestyle for their recovery and the prevention of future adverse outcomes, there is clearly a need for interventions to increase PA. This article describes the protocol of a randomized controlled trial set up to investigate the effects of a physical activity oriented home rehabilitation program (ProPA) on PA and the restoration of mobility in community-dwelling older people. Men and women aged 60 years or older hospitalized due to a …
Subsidizing private childcare in a universal regime
2023
AbstractAll families in Finland have the freedom to choose between subsidized home care, universal public childcare, and private childcare. We study the impact of the introduction of private childcare subsidies in Finland. Private childcare subsidies have causal effects on take-up but no impact on home care or employment among women with small children. Instead, private services seem to crowd out public childcare. Private services have a socioeconomic gradient by mother’s education that steepens when the subsidy increases. Families’ preferences between home care, public childcare, and private childcare do not explain the result.
Jotain uutta, jotain vanhaa, jotain lainattua : ikääntyneiden perhehoito Suomessa
2017
Tässä artikkelissa tarkastellaan ikääntyneiden perhehoitoa, jolla tarkoitetaan ikääntyneen henkilön lyhyt-, osa-aikais- tai pitkäaikaishoitoa ja asumista perhehoitajan kodissa. Artikkelin tarkoituksena on tunnistaa tekijöitä, jotka ovat perhehoidon taustalla ja joiden varassa perhehoitoa kehitetään ikääntyneiden hoivan yhdeksi vaihtoehdoksi. Lisäksi artikkelissa tarkastellaan perhehoitoa hoivapoliittisena ratkaisuna julkisen ja yksityisen rajalla semiformaaliuden ja (de)domestikaation käsitteiden kautta. Aineistona käytetään eduskunnan täysistuntojen pöytäkirjoja sekä perhehoito- ja perhehoitajalakeja ja näiden lakien hallituksen esityksiä, joita analysoidaan Carol Bacchin WPR-metodin avull…
Sisarusten hoidon järjestäminen kun perheeseen syntyy vauva
2016
TIIVISTELMÄ Huupponen Mari. 2016. Sisarusten hoidon järjestäminen kun perheeseen syntyy vauva. Varhaiskasvatustieteen pro gradu–tutkielma. Jyväskylän yliopisto. Varhaiskasvatuksen laitos. 70 sivua. Tässä tutkimuksessa perehdyin sisarusten hoidon järjestämiseen kun perheeseen syntyy vauva. Tutkimuksen tarkoituksena oli saada selville kuinka yleistä on viedä sisarus päivähoitoon ja mitkä syyt vaikuttavat päätökseen hoitopaikasta. Aiheeseen perehdyin lasten kasvu- ja toimintaympäristöjen kautta, jotka tässä tutkimuksessa ovat koti- ja päivähoitoympäristöt. Vanhemmuutta tarkastelin mm Rautiaisen (2001) vanhemmuuden roolikartan sekä erilaisten kasvatusilmapiirien (Alasuutari 2003; Ugaste 2005) k…
Older persons with signs of frailty in a home-based physical exercise intervention : baseline characteristics of an RCT
2019
Background Increasing the level of physical activity among persons with signs of frailty improves physical functioning. There is a lack of long-term supervised physical exercise intervention studies including a validated definition of frailty. Aims To present baseline characteristics of persons with signs of frailty participating in a randomized long-term home-based physical exercise trial (HIPFRA), and to study associations between the severity of frailty, functional independence and health-related quality-of-life (HRQoL). Methods Three hundred persons, ≥ 65 years old and with signs of frailty (assessed by Fried´s phenotype criteria) were recruited from South Karelia, Finland and randomize…
Integration of an in-home monitoring system into home care nurses' workflow: A case study.
2019
Abstract Background The healthcare system faces a major challenge in caring for an increasingly ageing population as this task requires more resources than are currently available. Adopting monitoring technologies could enable more efficient care practices and support ageing in place. Objectives To investigate how the use of an in-home motion monitoring system can be integrated into home care nurses’ workflows and to uncover the factors behind system adoption. Design A single case study adopting a qualitative approach. Setting A home care unit serving older adults living in independent living residences within an apartment complex. Method Multiple data collection methods were used including…
Early discharge and home treatment of patients with low-risk pulmonary embolism with the oral factor Xa inhibitor rivaroxaban: an international multi…
2020
Abstract Aims To investigate the efficacy and safety of early transition from hospital to ambulatory treatment in low-risk acute PE, using the oral factor Xa inhibitor rivaroxaban. Methods and results We conducted a prospective multicentre single-arm investigator initiated and academically sponsored management trial in patients with acute low-risk PE (EudraCT Identifier 2013-001657-28). Eligibility criteria included absence of (i) haemodynamic instability, (ii) right ventricular dysfunction or intracardiac thrombi, and (iii) serious comorbidities. Up to two nights of hospital stay were permitted. Rivaroxaban was given at the approved dose for PE for ≥3 months. The primary outcome was sympto…
Effects of 12-month home-based physiotherapy on duration of living at home and functional capacity among older persons with signs of frailty or with …
2018
Health concerns, such as frailty and osteoporotic fractures decrease functional capacity and increase use of health and social care services in the aging population. The ability to continue living at home is dependent on functional capacity, which can be enhanced by rehabilitation. We study the effects of a 12-month home-based physiotherapy program with 12-month follow-up on duration of living at home, functional capacity, and the use of social and health care services among older persons with signs of frailty, or with a recently operated hip fracture. This is a non-blinded, parallel group, randomized controlled trial performed in South Karelia Social and Health Care District, Finland (popu…
Digital skills and application use among Finnish home care workers in the eldercare sector
2021
This chapter explores the role digital skills, interest in technology, and social support have in home care workers’ use of digital applications at work. The empirical research is based on the 2019 University of Jyväskylä survey study on eldercare work (N = 6,903), drawn from the members of four majors trade unions in Finland. In this chapter, a sub-sample of home care workers (n = 1,398) is used in the analyses. Structural equation models are used to estimate the direct and indirect effects of available technology support, digital skills, and interest in technology on the actual use of various digital applications at work. According to the results, technology support has no direct effect o…