Search results for "pitkäaikaishoito"

Ageing in place together : older parents and ageing offspring with intellectual disability

2020

AbstractLimited research has been conducted about ageing in place among older parents who co-habit with their ageing offspring with intellectual disability (ID). This study aims to explore which older parents would choose ageing in place together with their ageing offspring with ID instead of moving and what factors are associated with this choice. A face-to-face interview was conducted using the ‘housing pathways’ framework with older parents (⩾60 years) co-habiting with their ageing offspring with ID (⩾40 years) from two local authorities in Taiwan. In total, 237 families completed our census survey between June and September 2015. The results showed that 61.6 per cent of the participants…

Physical activity history and end-of-life hospital and long-term care

2009

Background: Little is known about the early predictors of need for care in late life. The purpose of this study was to investigate whether physical activity from midlife onward was associated with hospital and long-term care in the last year of life. Methods: We studied a decedent population of 846 persons aged 66–98 years at death, who, on average 5.8 years prior to death, had participated in an interview about their current and earlier physical activity. Data on the use of care in the last year of life are register-based data and complete. Results: Men needed on average 96 days (SD 7.0) and women 138 days (SD 6.2) of inpatient care in the last year of life. Among men, the risk for all-cau…

Revisiting the Nordic long-term care model for older people - still equal?

2022

With the extensive long-term care services for older people, the Nordic countries have been labelled ‘caring states’ as reported (Leira, Welfare state and working mothers: the Scandinavian experience, Cambridge University Press, Cambridge, 1992). The emphasis on services and not cash benefits ensures the Nordics a central place in the public service model (Anttonen and Sipilä, J Eur Soc Policy 6:87–100, 1996). The main feature of this ideal model is public social care services, such as home care and residential care services, which can cover the need for personal and medical care, as well as assistance with household chores. These services are provided within a formally and professionally b…

Looking for the Easy Way Out : Demographic Panic and the Twists and Turns of Long-Term Care Policy in Finland

2019

This chapter aims to map the twists and turns in the development of long-term care policy in Finland since the start of the 1990s. The main argument of the chapter is that these changes have to a large part been motivated by what is called here ‘demographic panic’, that is, fear of consequences of population ageing to the public purse. Various policy changes have taken place during the last three decades. Since the late 1980s, Finnish long-term care policies have been made under the shadow of the ‘demographic time bomb’ discourse that argues that care expenditures are to rise exponentially if determined action is not taken to curb the expenditures. As a result, the focus of policy has been …

Electronic Health Records reshaping the socio-technical practices in Long-Term Care of older persons

2020

Electronic Health Records (EHRs) in Long-Term Care (LTC) of older persons are expected to improve resident-centered care by reducing ambiguities in information coordination between LTC workers and organisations. While there are research findings concerning such intended outcomes, we are interested in analysing what sort of other, possibly unanticipated outcomes the use of EHRs in LTC may produce. We argue that the scrutiny of EHRs in LTC requires an understanding of their implementation as socio-technical processes, whereby EHRs are perceived as performative artifacts of LTC rather than technological tools or passive objects. While EHRs have been extensively studied in health-care settings,…

Psychophysical burden and lack of support : Reasons for care workers’ intentions to leave their work in the Nordic countries

2021

Long-term care of older adults is currently suffering from a shortage of trained personnel and high turnover rates. Care work is poorly paid, demanding, increasingly time-bound and both mentally and physically burdensome. In this study, we examined the individual, organisational and economic factors that predict professional care workers’ intentions to leave their current employment, using the NORDCARE survey data (2015, N = 3801) collected in Denmark, Finland, Norway and Sweden. The respondents were mainly practical and assistant nurses. The analysis showed that the predictors of intentions to leave were similar in the four countries. The most consistent organisational predictors of leavin…

Toimijuuden tukeminen ikääntyneiden pitkäaikaishoidossa

2018

Ikääntyneiden kotona asumista pyritään tukemaan monin eri tavoin, onhan se myös yksi valtakunnallisista vanhuspoliittisista linjauksista. Lisäksi 1.7.2013 voimaan tullut laki ikääntyneen väestön toimintakyvyn tukemisesta sekä iäkkäiden sosiaali- ja terveyspalveluista painottaa ikääntyneen mahdollisuutta asua omassa kodissaan tai avohuollon palveluasumisessa mahdollisimman pitkään. Siitä huolimatta osa ikääntyneistä joutuu väistämättä pitkäaikaiseen laitoshoitoon. Tutkielman tehtävä on tutkia, millaisena ikääntyneen toimijuuden tukeminen näyttäytyy ikääntyneiden pitkäaikaishoidossa ja mielenkiintoni kohdistuu siihen, millaisena se näyttäytyy ympäristössä, jossa arkea määrittävät rutiinit sek…

Family's role in long‐term care : A qualitative study of Finnish family members' experiences on supporting the functional ability of an older relative

2022

Family members are important providers of care for older people. In residential long-term care, however, their role is not always simple and straightforward: responsibility for care provision rests officially with staff members, but in practice family members often contribute to providing care. The main reason for admission to long-term care is functional decline. At the same time, the maintenance of functional ability is a central goal in long-term care. It is therefore reasonable to assume that functional ability is also an important factor in the relationship between family members and long-term care residents. This study aims to explore how family members experience their role in suppor…

Johtamisen laatu ja johtamiskäytännöt ikääntyneiden pitkäaikaishoidossa

2010

Dementiaa sairastavien ikääntyneiden elämänlaatu pitkäaikaishoidossa

2011

Tutkimuksen tarkoituksena oli selvittää keskivaikeaa ja vaikeaa dementiaa sairastavien keskisuomalaisten ikääntyneiden elämänlaatua. Elämänlaatua on tutkittu niin maailmalaajuisesti kuin Suomessa paljon, mutta dementiaa sairastavat on otettu tutkimuskohteiksi vasta lähiaikoina. Elämänlaadun kokonaisuus on monipuolinen ja haastava tutkimuskohde, ja sen yhdistäminen dementiaa sairastavien tutkimukseen tuo esiin uusia haasteita. Tutkimus on osa vielä julkaisematonta väitöskirjaprojektia, jossa tutkittiin ikääntyneitä yhdentoista keskisuomalaisen kunnan alueelta. Aineiston keruussa on käytetty Care Keys -projektissa luotuja mittareita, QUALID -elämänlaatumittaria ja Cornell -depressioseulaa. Tu…