The role of telecare in supporting the needs of elderly people

Brownsell, Simon; Aldred, Hazel; Hawley, Mark

doi:10.1258/135763307781644870

Cited by 19 publications

(11 citation statements)

References 2 publications

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“…The aforementioned step was critical since a majority of the assistive technologies were developed for persons with typically nonprogressive traumatic, anoxic, or focal vascular brain injuries, and a determination had to be made as to which ones seemed to be potentially modifiable for the deficits of those with progressive neurodegenerative dementias. We also specifically excluded telecare approaches that have been amply reviewed elsewhere 12. Moreover, cognitive aids that lack the ability to determine the user's current activity context and necessity or appropriateness of an intervention, such as simple reminder systems were also eliminated.…”

Section: Methodsmentioning

confidence: 99%

Intelligent Assistive Technology Applications to Dementia Care: Current Capabilities, Limitations, and Future Challenges

Bharucha

Anand

Forlizzi

et al. 2009

The American Journal of Geriatric Psychiatry

319

175

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Section: Methodsmentioning

confidence: 99%

Intelligent Assistive Technology Applications to Dementia Care: Current Capabilities, Limitations, and Future Challenges

Bharucha

Anand

Forlizzi

et al. 2009

The American Journal of Geriatric Psychiatry

319

175

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“…Typically these have been introduced where significant geographic or resource barriers exist in accessing healthcare. This is a growing field of research and a recent review has highlighted that for common management problems associated with older age, remotely assisted care could significantly reduce their impact [17]. Medicine in general has been slow to grasp the possibilities of information and computing technologies.…”

Section: Cognitive Behavioral Therapy For Chronic Pain Managementmentioning

confidence: 99%

Psychology of Chronic Pain and Evidence‐Based Psychological Interventions

Eccleston

2010

Evidence‐Based Chronic Pain Management

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Understanding the psychology of pain and the psychology of analgesic behavior can improve your practice as a pain clinician, enrich your experience of dealing day to day with suffering, and provide you with new ways of thinking about working in pain. I start with the fundamental aspects, exploring the psychological factors that influence and structure the experience of pain, introduce specific psychological models that help one understand patient behavior, and finally focus on the evidence base for psychological interventions for pain.Psychology as an academic subject was born from physiology and philosophy. It has been influenced in its short history by political developments in social science, methodological advancements in biological science, and fashionable attempts to make itself an applied science, offering opinions and expertise in subjects that range from marketing and business to individual change through psychotherapy. It is instructive to bear in mind when reading anything about psychology that as a science it (a) occupies territory not occupied by any other science; that is, the explanation, prediction and control of behavior, (b) its theories draw on a wide range of other sciences, so such explanations can sometimes be based in the behavior of molecules, and other times based in the behavior of populations, and (c) that it slips between deductive and inductive methods, often without comment. What this means is that to the nonpsychologist it can sometimes appear to be freefloating; at its worse it operates only to state the obvious, at its best it displays astonishing perspicacity, providing explanations that enable people to act.Applied to pain, what this means is that it is unhelpful to think of a unitary psychology of pain. There are at least three psychologies that are useful to consider in this chapter. The first we call "cognitive" because it relates to private mental events, experiences of thought or perception. The second we call "social" because it relates to influences on behavior that arise from our evolutionary imperative to behave collectively. The third we call clinical, because it relates to specific attempts to intervene with individuals or groups for a desired health-related outcome. I will briefly introduce what we know about the cognitive, social, and clinical psychologies of pain. Next, the evidence for psychological interventions in acute and chronic nonmalignant pain is reviewed. Finally, we focus on what we don't know that we really need to know, in order to move forwards.First, it is important to revisit briefly the definition of pain, from a psychological perspective.

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“…The vision for Telecare is that fewer older people will require institutional care, and more will remain independent in their own homes for longer (Percival & Hanson, 2006). It is argued that Telecare can prevent or minimise the need for increased levels of care and support for older people (Brownsell, Aldred, & Hawley, 2007) and assist goals of independence, participation and identity in older people (Bowes & McColgan, 2012). Quality of life and psychological well‐being are also reportedly enhanced (Hirani et al., 2014).…”

Section: Introductionmentioning

confidence: 99%

Care navigators decision‐making in prescribing Telecare for older people

MacInnes

2020

Health Soc Care Community

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This aim of this study was to explore the decision-making process of Care Navigators in prescribing Telecare for older people living at home. The study took place in the South of England. A structured model of decision-making was used as the theoretical framework and a qualitative approach was employed. Care Navigators (n = 7), acting on behalf of the Local Authority as 'external trusted assessors' were interviewed according to a semi-structured interview schedule. Documentary evidence of decision-making (Telecare Reasoning Forms) (n = 10), were also analysed and added to the interview data. The main themes identified were the process of decision-making, training needs, and the support of Care Navigators and partnership working. Care Navigators adopted a complex decision-making process involving information gathering, information synthesis, consideration of alternatives to Telecare and implementation. Decision-making has a strong ethical dimension, especially around funding. Training focused on the functioning and technical aspects of equipment. However, other training needs were identified in order to support decision-making, for example, assessing mental capacity. Peer support networks were valuable to Care Navigators and they developed good relationships with social care and Telecare provider staff. However, professionals making referrals to the Care Navigators for Telecare often did not understand their role or funding eligibility. In conclusion, Care Navigators are well-placed to prescribe Telecare in terms of knowledge and decision-making skills. Comprehensive training is necessary in order to support decision-making. Peer support and education of professionals referring for Telecare is also advocated.

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The role of telecare in supporting the needs of elderly people

Cited by 19 publications

References 2 publications

Intelligent Assistive Technology Applications to Dementia Care: Current Capabilities, Limitations, and Future Challenges

Intelligent Assistive Technology Applications to Dementia Care: Current Capabilities, Limitations, and Future Challenges

Psychology of Chronic Pain and Evidence‐Based Psychological Interventions

Care navigators decision‐making in prescribing Telecare for older people

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