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

[c/o hipnet] Data Visualization Enthusiast? Join us on the Data Viz Hub!

Dear Colleagues

The recently launched Data Viz for Development Hub [http://datavizhub.co] is a vibrant community for sharing resources, tools, examples, and ideas about data visualization. Using graphs, charts, maps, tables, infographics, and other visualizations can improve how we communicate information to stakeholders and the larger development community. With a wealth of resources available, and a growing interest across international development practitioners to build effective visualizations, the Hub will help keep communicators, evaluators, developers and others in the know about data viz best practices and new tools, connecting visualizers from all domains of expertise.

Check out the Hub at datavizhub.co, and join the community listserv by emailing:
dataviz AT knowledge-gateway.org with the subject "Join." We look forward to connecting with you about all things data viz!

Questions? Contact Libby Skolnik at libby.skolnik AT jhu.edu

Source: http://www.hipnet.org/

Recent Advances in Research on Housing Transitions and the Life Course - a one-day symposium

Meeting of the Royal Statistical Society Social Statistics section.
DATE: Tuesday 10 December 2013
TIME: 10am-5pm (followed by a drinks reception)
LOCATION: Royal Statistical Society, 12 Errol Street, London EC1Y 8LX

We are pleased to announce a one-day symposium on recent developments in research on housing transitions through the life course.  The event will feature presentations from leading international demographers, geographers and economists on different aspects of housing careers. Topics include:

• the interrelationship between housing and fertility: childbearing patterns by housing conditions and housing changes after the birth of a child
• wage, employment and house-price effects on migration
• intergenerational transmission of home ownership and neighbourhood poverty
• residential mobility, neighbourhood poverty dynamics and neighbourhood choice among families

The symposium is sponsored by the ESRC-funded project “Interrelationships between housing transitions and fertility” (see http://www.bristol.ac.uk/cmm/research/housing for further details). 

SPEAKERS:
William A.V. Clark (University of California, Los Angeles) Clara Mulder (University of Groningen), Heather Joshi (Institute of Education) Hill Kulu (University of Liverpool) David Manley (University of Bristol) Birgitta Rabe (University of Essex) Elizabeth Washbrook (University of Bristol)

A programme and abstracts are at http://www.bristol.ac.uk/cmm/research/housing/symposium/index.html

REGISTRATION AND QUERIES: All are welcome and attendance is free.  Refreshments will be provided, including lunch and a drinks reception.  However, advance registration is essential.  Please complete the online registration form at http://www.cmm.bris.ac.uk/clients/booking/91/ to reserve your place.

[ I mentioned to the organisers about the ongoing transitions I have posted about before; that of older adults moving house (home) often in response to a bereavement to be nearer other family members. This is not the symposium's focus, but remains a question in terms of the potential impact on the individuals concerned and health and social services. pj ]

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

Part II: Pensioners, 'Health students' and Children

For decades the reactive health care system has been founded, loved and sustained through the primary care - secondary care hospital system, together with its complex range of referral systems and processes.

Now demographic trends and economic pressures have seen the emergence and ongoing development of the virtual hospital. Call centers and teams that deliver nursing and medical care in the home to prevent admission and facilitating early discharge are still basically reactive.

What is needed is a cognitive hospital.

A form of hospital that acknowledges the health care system but can finally progress the preventive agenda on an individual, educational basis, fostering self-efficacy, health literacy and if necessary self-care.

Part I: Pensioners, 'Health students' and Children NHS@75?

As the NHS celebrated its 65th birthday its mobility is clearly challenged.

There are signs of furniture-walking now. Admittedly, there are no asylums now to step from to the cottage hospital, oops nearly! Phew - made it - to the fever hospital. Thankfully, those mobility aids are no more - a great sign of progress.

The pressure for ongoing change is relentless. This week's HSJ is highlighting the true fact on its cover:

NOT READY FOR RETIREMENT

There's also a six month exercise by PWC - NHS@75

There are many strands one of which has the following graphic:

If the public is to be informed and proactive about their health then we had better start now....

Medikidz is absolutely great - depression is in there - but as PWC's initiative shows the NHS@75... is going to need much more than explaining illnesses.

Medikidz image: http://www.themarysue.com/medikidz-comic/

Who cares about the future and the weather?

Sci-fi

Cli-fi

Care-fi ?

The Etisalat Prize for Literature
(c/o Open Book, BBC Radio 4 and The Financial Times)

International Day for the Elimination of Violence Against Women

The 16 days ends on International Human Rights Day (December 10).

Image source email from: http://www.usaid.gov/

IPONS 2012 Leeds: Dementia and Robots - SF and Isaac Asimov ruined me, what about you?

Just before I disappear for 11 days holiday...

In the 1970s I could go into (the old) Smiths in Wigan with £1 and buy three paperbacks. I built quite an SF library that includes Heinlin, Clarke, Smith, Aldiss, Van Vogt, and Asimov, all a bit musty now and boxed.

Robots featured in many of those old books and Issac Asimov in particular with his Three Laws of Robotics. As a result I've tended to take robots for granted, not just in fiction and film but health care too. Big mistake!

It's almost as if every decade we should watch Blade Runner again and reflect. Take our bearings, triangulating them with these other things-beings. ...

The demographic time bomb is proving quite an incentive for developments in leading edge robotics. 

One of the IPONS keynotes with Dr Susan Barnes and Dr Theodore Metzler presented Three Dialogues Concerning Robots in Elder Care.

We were introduced to general developments including Asimo, which I remember seeing on QI:



- and a specific nursing example:


Through their three dialogues ranging through the developments of artificial intelligence and consciousness, Drs Barnes and Metzler also introduced Paro a Therapeutic Robot, which is modeled after a baby harp seal. For many years dolls of various sorts have been used in residential and nursing homes to provide comfort for selected residents. This is an example of personalised care. I know because there are times when it has seemed not quite right. The paradox is that this arises not necessarily from the client's response to the doll, but sometimes that of the other residents. The response of relatives and visitors can also vary, especially when efforts are ongoing to find ways to help someone settle. Seeing - and hearing someone who is agitated is distressing for all.

Needless to say the keynote prompted many robot related questions. Are we deceiving people who are cognitively impaired? Is this a variation of covert administration of medicine? It was later afternoon 1500 hours or thereabouts, which had me thinking about the phenomena of sundowning. A time of day when some residents can feel they need to be elsewhere. Former responsibilities and roles come back to the fore with what can be chaotic results.

This excellent keynote also made me think about how care needs are matched to technologies. What is the ethical spectrum of telecare, of remote care, of robotics (surgical, locomotion, dementia care)?

A person living with dementia at home may benefit from have a robotic carer / assistant who can respond to the repetitive questions that often follow. A robot is not going to get frustrated, angry (Asimov's Laws?) by such behaviour, unless it were conscious?

On the other hand don't we need the frustration of a family member, a carer, a human to alert society at large to this local crisis - situation? What are the reporting capabilities of the robot system?

I realised many years ago the notion of windows of opportunity in terms of supporting independence - delivering care. There may be an optimum period in a person's health career to introduce day care, respite care, care at home, a robot ...?

Nursing (like me) needs to wake up.

The next twenty - thirty years are going to be a real challenge in all sorts of ways and for many reasons. Throughout that time and beyond a good dose of philosophical thought will be the order of the day. IPONS got me thinking anew: perhaps you too? The society are planning changes to the website, membership and journal options.

Back at month end.
P.S. ICN abstract submitted. Prospect of a public health presentation next month.

106? No! That's not the meaning of 'personalised' care [I]

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

Person-alised care c/o Andrea, Jamal, Leila, Kareem, Nada, Cassie, Graham, Addy, Gizela, Sandra, Kate, Tony, Em, ...	Diagnosis - dementia, confusion, agitation Care needs include: personal hygiene, dressing, washing ...
Carer - support relationship building trust, empathy, rapport...	106 Policy, Governance, Audit, Outcomes, Feedback, Commissioning, ...

What is the meaning of continuity?

BBC News: Dementia patient 'had 106 carers'.

[HIFA2015] International Nurses Day, May 12 "Closing the gap: From evidence to action"

Dear Colleagues / collaborators,

Nurses worldwide under the umbrella of the International Council of Nurses celebrates the International Nurses Day yearly on May 12. This is to pay tribute to the millions of men and women who put their lives to the service of humanity, in accordance with convention 149 of the ILO (Nursing Personnel Convention) passed in 1997. This celebration however has not yet gained the recognition it should, for how can one explain the fact that this day may even go by unnoticed in some countries, or are we therefore saying it is not worth it and why is this day not even a public holiday like for other professional groups.

I find it hard to believe that until now on this forum no one could think of it, when the celebration is due in barely 36 hours. I understand the delicate nature of health jobs, but this should not be an excuse for not paying tribute where is it due. I know this day should be meant for reflection among nurses and seeking for ways to improve nursing services. This will not happen in isolation, for nurses need the political will and inter sectoral collaboration to do their job effectively, shape a better future for the next generation of nurses consonant with current stakes.

This year, nurses are deliberating on the theme 'closing the gap: From evidence to action'. This topic is quite elaborate and needs lots of considerations both within and without the influence of nurses. Understanding evidence-based practice, seeking for sources of evidence, making the appropriate case for change and moving from evidence to action is the cycle in which nurses hope to reflect as they celebrate this year. Nurses will need new skills and expertise to deal with their clients in today's changing and challenging health environment. This is why this forum is of vital importance and I will continue to thank the team behind it. Nursing training programs may be subject to revision, expanding the legal and professional limits of practice while maintaining strict regulatory sanctions. This increased autonomy will enable nurses take up new functions within the confines of their practice and help in meeting the health needs of our population and not acting as physician substitutes or mini-doctors.

Therefore, I wish all nurses a happy celebration, calling on them to use the very rich celebration kit from the ICN, easily downloadable from their website, www.icn.ch, and share among themselves in all settings where nurses live and work. It is our day and we should be happy and honoured for the services we offer to the six billion people on earth, since nurses form the bulk of health care providers and work in remote areas in all countries.

In Cameroon, thousands of nurses from all the ten regions, shall be meeting in the economic capital Douala between June 14 to 16, to brainstorm on the activities. This event is usually opened by the Minister of Public health or his representative, various scientific presentations, round table conferences and other important activities grace the event and concluded by a closing ceremony during which important decisions taken are communicated to participants.

Tita Pale Isa Ndognjem, BSc, RN
Public Relation officer, Cameroon Nurses Association
2012 Fellow, Commonwealth Nurses Federation
paleisa AT yahoo.com 

Additional link:

C149 Nursing Personnel Convention, 1977
Convention concerning Employment and Conditions of Work and Life of Nursing Personnel (Note: Date of coming into force: 11:07:1979.) 
My source: HIFA2015

Dementia - The size of the challenge

The image and link below is the first of a set on Flickr produced from the Prime Minister's presentation and meeting with the Alzheimer's Society on March 26 2012. A transcript and video are also available:

Transcript - Prime Minister's speech to the Dementia 2012 conference

As the image below suggests there are many stats including the startling variation in services nationwide, for example:

In Belfast diagnosis is at almost 70 per cent.
Here in England we’ve got neighbouring areas with massively different rates…
… in Sheffield 57 per cent; in East Riding – less than 80 miles away – it’s 29 per cent.

KT EQUAL event 'Design ahead: design for an ageing population'

Dear KT EQUAL Supporters,

We are pleased to announce the latest KT EQUAL event entitled 'Design ahead: design for an ageing population' to be held on Friday 2nd March 2012 at the Innovation Centre, Bath.

We have an ageing population, but a reducing health and social care budget. Increasingly individuals will be expected to self-purchase products and services that will allow them to live independently. This will provide a large ‘silver’ consumer market for products that are designed and priced appropriately. Although there is some awareness amongst industry of this market opportunity, there is significant scope for more inclusive design of mainstream products that enhance independent livening or support specific living tasks and activities.

In collaboration with KT EQUAL, ALAN (Assisted Living Action Network) will jointly host this event to raise awareness of the scale of the market opportunity; explore the needs of this population; how they are translated into design requirements to drive product innovation; and what kinds of design tools and approaches can support design for an aging population. The event will bring together commercial partners, users and academics.

Please find a provisional programme for 2nd March here.

In addition to the conference, there will be an evening three course dinner and networking reception on Thursday 1st March. Both events will be held at the Innovation Centre in Bath.

To register for the conference and / or dinner, please visit:

http://assistedlivingaction.net/index.php/events/designing-ahead-mainstream-design-for-an-ageing-population/

£80 conference and dinner
£50 conference only

There are limited spaces for the networking dinner, so please register quickly.

Regards,

Heather Williams
Project Officer (KT EQUAL)
University of Bath
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