1 in 3 will be older adults by 2025 in Japan

In June Dr Mayumi Hayashi described Japan's vision of 'total care' for its older population in HSJ. The article that prompts this post follows another with lessons for England.

Referring to a "2025 vision" this forward thinking has its roots in established systems of healthcare set up in 1961 and social care established in 2000 (p.25).

Care integration is not new as a fundamental issue in health and social care. It is for me a career legacy issue. As a student nurse it was discussed and debated, closely allied with multidisciplinary and holistic (joined up physical and mental health) care. Even now 37 years later it will drive many arguments and policy deliberations in the run up to the next election here.

Many nations are faced with stark demographics. As the population ages and works its way through wooden blocks, Rubik cubes, it is the population pyramid that takes on increasing significance.


Dr Hayashi lists the need for inclusion, integration and continuation of four components that are essential to the realisation of this vision:

• maximising the integration of healthcare and social care;
• promoting policies for prevention and outreach together with safeguarding;
• embedding supported living programmes and dementia friendly community initiatives; and
• addressing “late life specific” housing needs.

I have mapped these to Hodges' model below:

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

embedding supported living programmes and dementia friendly community initiatives	integration of health and social care
"late life specific" housing needs (integration of health and social care)	promoting policies for prevention and outreach, together with safeguarding

It becomes clear to see in Japan, China and other nations how telecare and smart homes have a role to play. Getting the basics of integrated care resolved firstly is the prerequisite whatever the culture.

Where achieved the integration of health and social care can act as a diagonal brace as it straddles two care domains. Perhaps the model also reflects the ongoing challenges of parity in esteem in mental health care and physical care; and the funding ambiguity for people living with dementia as opposed to other medical conditions?

In January 2014 the FT Weekend magazine also featured an article on ageing in Japan.

Hayashi, M. (2014) Japan's vision of a 'total care' future looks bright, Health Service Journal, 124, 6404, 25-27. 

FT magazine cover image:
https://www.facebook.com/financialtimes/photos/a.10150157857040750.297340.8860325749/10152119294570750/?type=1

Self-determination: individual - group (high-low) resolution

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

	Border Binary Decision
magnanimity

 
Image sources:
"Flag of Scotland (Union Jack colours and proportion)" via Wikimedia Commons.
"Flag of the United Kingdom" via Wikipedia.

Workshop: Re-imagining Commonly Used Mobile Interfaces for Older Adults

We are delighted to announce that Professor Jutta Trevarinus of the Inclusive Design Research Centre at OCAD University, Toronto will deliver a keynote talk at this workshop. We hope you can join us.

Re-imagining Commonly Used Mobile Interfaces for Older Adults

http://www.olderadults.mobi
workshop AT olderadults.mobi

September 23, 2014, Toronto, Canada

Call for Papers

Many countries have an increasingly ageing population. In recent years, mobile technologies have had a massive impact on social and working life. As the older adult population rises, many people will want to continue professional, social and lifestyle usage of mobiles into their 70s and beyond. Mobiles support community involvement and personal independence, but the ageing process can interfere considerably with their usage, e.g. through changes in vision, attention, and motor control. This workshop will bring together researchers who are re-imagining mobile interfaces so that they are more suited for use by older adults.

Position papers are sought related to topics including, but not limited to:

• Multimodal interaction with older adults
• Mobile input and visual interaction with older adults
• Older adults and ubiquitous computing
• Participatory design process for older adults
• Mobile interface evaluation with older adults
• Novel physical interaction for older adults
• The effect and implications for mobile design of the ageing process
• Interdisciplinary perspectives on mobile design for older adults

Position papers should be 4 pages in CHI extended abstract format. Accepted papers will be presented as posters or short talks, with plenty of time for discussion and demos. Authors will be invited to extend for a special issue of the International Journal of Mobile Human Computer Interaction.

Abstract Submission Deadline: July 11th 2014
Notification of Acceptance: 24th July 2014
Workshop: 23rd September 2014

Submissions should be made to: submissions AT olderadults.mobi

Questions or queries may be sent to: workshop AT olderadults.mobi

Organisers:
Emma Nicol (University of Strathclyde, Glasgow, UK)
Mark Dunlop (University of Strathclyde, Glasgow, UK)
Marilyn McGee-Lennon (University of Strathclyde, Glasgow, UK)
Lynne Baillie (Glasgow Caledonian University, Glasgow, UK)
Lilit Hakobyan (Aston University, Birmingham, UK)
Katie Siek (Indiana University, USA)

Emma Nicol
Research Associate
Room 14.05 Livingstone Tower
Dept of Computer and Information Sciences
University of Strathclyde
Glasgow, G1 1XH
Scotland, UK

emma.nicol@strath.ac.uk
http://www.cis.strath.ac.uk/cis/staff/index.php?uid=emma

My source: Caring Technology Research Announcement List
http://www.jiscmail.ac.uk/caring-tec-research

New: Journal of Critical Anti-Oppressive Social Inquiry (CAOS)

CAOS 

is an interdisciplinary peer reviewed journal that publishes original articles/art work/poetry that foreground critical forms of social inquiry, research and practice.  

More...

So many gardens: Press Release [ now ]

It had to happen. Twice over.

The irony that just as so many homes with older people living in them have gardens that are in a state of neglect, so too do many nursing and care homes.

Of course this is a sign in those domestics homes of reduced abilities.

In the residential care and nursing homes, garden neglect is reassuring.

A $ure sign that the love and spending is on the blooms inside?

Zero, One, Fifteen, (Thirty, Sixty...?)

SOCIETY

care-S S-cares

context: UK news media 15 minute carer visits to elderly clients

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

Reflecting on Social Care with Hodges' model

The one, self, me, a person. Carers: ethics (and common sense? when is 15 minutes of 'fame' enough?), demonstration of rapport, empathy, dignity, loneliness, independence. Carer stress. Job satisfaction. Staff knowledge and skills. Observation. Mental state. Mood. Choices - personal preferences. Personal - carer's values. Cognition - Re-cognition. Case review. Individualized care? Expressed concerns (wither...?)

theory: task vs. person-centered care mechanistic aspects of care, travel, geography, arrival, tasks, plan, recording, constraints - esp. time, practical problems encountered. Number of carers involved. Safety. Protective clothing. Seasonal factors. Evidence base? Best practice? Relapse rates? Telecare role? Physical mobility - movement. Systems, processes, logistics and scheduling. Degrees of freedom - flexibility. Data, information, datasets. Admissions - depth of data?

practice: task vs. person-centered care Caring relationship building, trust - very personal - intimate care, subjective: time with someone I like / don't like? Relatives experience. Social care infrastructure - community centers. Ability to go out shopping with a carer. Media: BBC 2 Newsnight 7/10/13; The Times; C4 News. Social contact. Social mores (time?)

Policy, professionalism, recording, outcome measures. Agreement - care plan. Care reviews. Ban on 15 minute visits? Management. Standards. Supervision. Zero hour contracts. Pay and conditions. Staff turnover. Vulnerable adults. Personal development, training. Risk of organization's reputations being damaged. Corporate responsibility, values. 'Value for money'. New commissioning systems. Advocacy (position significant). Whistleblowing. 'Francis effect' increase in nursing posts. HSJ, 25 Oct 2013, p.6. 'Funded establishment'.

group - population

Discount the contract, you can then 'discount' the individual worker and the client.

Care Relationship = Care Transaction

Wikipedia: "15 minutes of fame"

A New Dynamic of Ageing: The NDA Programme & Age UK research showcase of the decade

London, The Business Design Centre, 52 Upper Street, Greater London N1 0QH

You’ll know that the UK population is ageing. You’ll know that there is significant work to be done to be better prepared for ageing in our society. So it’s crucial that all of us who work in and for later life use latest evidence on ageing to support those preparations. The New Dynamics of Ageing (NDA) Programme and Age UK are proud to provide a unique opportunity to present that evidence at our joint event, held on Monday 21 October, at the stylish Business Design Centre, Islington, London.

This is the ageing research showcase of the decade, presenting the most comprehensive selection of state-of-the-art ageing research ever seen in the UK. This includes active ageing, quality of life, independence, dignity, money, work, environments, participation and connectivity to name a few. Throughout the day, you can hear from high profile speakers, pick up latest knowledge through our themed sessions, interact with exhibits in our innovative marketplace and meet the researchers. It will also be your chance to network with a wide range of colleagues from the public, private and charity sectors.

http://www.newdynamics.group.shef.ac.uk/showcase.html

Hope to see you there! PJ