Older homebound women's perceived risk of being unable to reach help quickly: Influence of situations involving age‐peers

Porter, Eileen J.; Lasiter, Sue

doi:10.1002/nur.21507

Cited by 3 publications

(3 citation statements)

References 31 publications

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“…The most stated reason for getting a PERS was the possibility of getting help fast in an emergency [ 27 , 30 , 32 , 33 , 35 , 38 - 40 ]. Living in isolation, poor mobility, experiences with hospital stays after a “long lie” following a fall, and concern for personal safety were all catalysts for acquiring the alarm [ 29 , 35 , 37 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

“…Several studies found that some users would not activate the PERS even in emergencies [ 9 , 30 , 34 , 48 ]. Reasons given were as follows: “wanted to manage on their own,” “forgot,“ “call neighbor,” “see if it passes,” “don’t want to be dragged off to hospital,” “afraid to bother,” “called 911,” “unsure whether serious enough emergency,” “don’t want strangers in the house,” and “unsure of helpers’ qualifications” [ 16 , 29 , 32 , 38 , 43 ]. Many respondents never felt in need, and therefore never activated their alarm [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

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The Personal Emergency Response System as a Technology Innovation in Primary Health Care Services: An Integrative Review

Stokke¹

2016

J Med Internet Res

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BackgroundMost western countries are experiencing greater pressure on community care services due to increased life expectancy and changes in policy toward prioritizing independent living. This has led to a demand for change and innovation in caring practices with an expected increased use of technology. Despite numerous attempts, it has proven surprisingly difficult to implement and adopt technological innovations. The main established technological innovation in home care services for older people is the personal emergency response system (PERS), which is widely adopted and used throughout most western countries aiming to support “aging safely in place.”ObjectiveThis integrative review examines how research literature describes use of the PERS focusing on the users’ perspective, thus exploring how different actors experience the technology in use and how it affects the complex interactions between multiple actors in caring practices.MethodsThe review presents an overview of the body of research on this well-established telecare solution, indicating what is important for different actors in regard to accepting and using this technology in community care services. An integrative review, recognized by a systematic search in major databases followed by a review process, was conducted.ResultsThe search resulted in 33 included studies describing different actors’ experiences with the PERS in use. The overall focus was on the end users’ experiences and the consequences of having and using the alarm, and how the technology changes caring practices and interactions between the actors.ConclusionsThe PERS contributes to safety and independent living for users of the alarm, but there are also unforeseen consequences and possible improvements in the device and the integrated service. This rather simple and well-established telecare technology in use interacts with the actors involved, creating changes in daily living and even affecting their identities. This review argues for an approach to telecare in which the complexity of practice is accounted for and shows how the plug-and-play expectations producers tend to generate is a simplification of the reality. This calls for a recognition that place and actors matter, as does a sensitivity to technology as an integrated part of complex caring practices.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Personal Emergency Response System as a Technology Innovation in Primary Health Care Services: An Integrative Review

Stokke¹

2016

J Med Internet Res

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“…Many overseas studies have found that the prevalence of homebound women is significantly higher than men. The reasons could be complex, [ 18 , 21 ] which may be due to diet habits, sexual hormone levels, work stress, and social pressure, and also due to the profound influence on their behaviors by the traditional role of a man and a woman in the family, that is, men are encouraged to work outside, while women are encouraged to work at home. Hence men preferred social activities outside the family, while women focused more on family and children and stayed at home.…”

Section: Discussionmentioning

confidence: 99%

Occurrence of and factors influencing elderly homebound in Chinese urban community

et al. 2017

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Studies on the occurrence of homebound and the factors influencing it are available. However, the study of community homebound in China is still in its preliminary stage. No previous studies about this issue are available. This study aims to assess the occurrence of and factors influencing homebound elderly in Chinese communities and to provide a basis for effective intervention and prevention of homebound elderly people.One sample community from three provinces was randomly selected. Investigations were performed on the selected communities and 2180 elderly people were chosen as the research subjects. Unified survey scales were used. Home visit and face-to-face interviews were performed to ensure that no single qualified survey respondent was missed.The rate of morbidity in homebound elderly Chinese community was found to be 15.49% and it gradually increased with age, and also with a lower education or poorer Activities of Daily Living (ADL). Single factor analysis showed that general situation, living habits, physical condition, mental condition, society, social support, and other factors affected the occurrence of community homebound elderly. Women were more likely to be homebound than men (P < .05). Having a spouse or high income reduced the rate of morbidity in the homebound elderly (P < .05). Multifactor regression analysis revealed that poor ADL, depression, hearing impairment, being old, no exercise, and low social support are the main influencing factors.Appropriate measures should be taken based on the specific influencing factor to prevent the occurrence of homebound.

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Getting help quickly: older people and community worker perspectives of contingency planning for falls management

Charlton

Murray

Kumar

2016

Disability and Rehabilitation

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Objective Despite consistent evidence for the positive impact of contingency planning for falls in older people, implementation of plans often fail. This is likely due to lack of recognition and knowledge about perspectives of older people about contingency planning. The objective of this research was to explore the perspectives of older people living in the community about use of contingency planning for getting help quickly after a fall. Method A systematic literature search seeking qualitative research was conducted in April 2014, with no limit placed on date of publication. Medline, EMBASE, Ageline, CINAHL, Health-Source-Nursing/Academic Edition, AMED and Psych INFO databases were searched. Three main concepts were explored and linked using Boolean operators; older people, falls and contingency planning. The search was updated until February 2016 with no new articles found. After removal of duplicates, 562 articles were assessed against inclusion and exclusion criteria resulting in six studies for the meta-synthesis. These studies were critically appraised using the McMaster critical appraisal tool. Bespoke data extraction sheets were developed and a meta-synthesis approach was adopted to extract and synthesise findings. Findings

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Older homebound women's perceived risk of being unable to reach help quickly: Influence of situations involving age‐peers

Cited by 3 publications

References 31 publications

The Personal Emergency Response System as a Technology Innovation in Primary Health Care Services: An Integrative Review

The Personal Emergency Response System as a Technology Innovation in Primary Health Care Services: An Integrative Review

Occurrence of and factors influencing elderly homebound in Chinese urban community

Getting help quickly: older people and community worker perspectives of contingency planning for falls management

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