The purpose of this research is to study the relationship between both the characteristic of the residents and the nursing home and the changes of the ADLs of the residents. Descriptive study was designed. 35 nursing homes and theirs residents in Kaoshiung City were be the sample and 34 questionnaires of the nursing home were returned. Residents¡¦ questionnaire were interviewed by trained personnel twice (pre and post), on June and December 2001 respectively. 310 residents including 141 male, 169 female, average age 72.94 were interviewed. Structural questionnaire was used as the tool, organization¡¦s questionnaire consists of the type of organization, size, admission rate , resignation rate. Resident¡¦s questionnaire including demographic data, Katz Index of ADLs, health status, pressure sore etc. Data analysis including descriptive analysis, T-test, Anova, Pearson relation analysis and linear regression analysis. The result shown that 86.2% of the residents¡¦ ADLs severely dependent on others help. T-Test shown that male has better ADLs than female, widow has better ADLs than couple ¡]P¡Õ0.05¡^. but shown no significant of changes of ADLs. Age, sickness and ADLs and changes of ADLs shown no significant results. On the other hand, the relationship between the characteristic the nursing home and the changes of the ADLs of the residents shown the government aided and ¤½¥ßor°]¹Îªk¤Hnursing home has better changes of ADLs¡]P¡Õ0.01¡^. The greater the size of the organization the better of the ADLs changes, private sector and affliated nursing home shown no significant results of the ADLs changes. Pressure sore is the important index of the quality care of the long term care organization, research sectors always take it as the routine surveillance. This study consisted of 31 cases of pressure sore (10%),¤½¥ßor°]¹Îªk¤Hnursing home has a low incidence of pressure sore, the higher the bed using rate, the worse of the ADLs changes, the higher of the high incidence of the pressure sore, but there is no difference between the resignation rate and the incidence of the pressure sore. The results of this study may help the clinical care-taker to design different care targets in order to help to recover and to improve the ability of ADLs by the characteristic of the residents. Moreover, study of the characteristic of nursing home and effects of the changes of the ADLs of the residents may act as suggestion to the manager and the administrator who may take the different characteristic of the organization into consideration when making policy to improve or to further investment and expansion of the organization.

Near-fall detection is important for medical research since it can help doctors diagnose fall-related diseases and also help alert both doctors and patients of possible falls. However, in people’s daily life, there are lots of similarities between near-falls and other Activities of Daily Living (ADLs), which makes near-falls particularly difficult to detect. In order to find the subtle difference between ADLs and near-fall and accurately identify the latter, the movement of whole human body needs to be captured and displayed by a computer generated avatar. In this thesis, a wireless inertial motion capture system consisting of a central control host and ten sensor nodes is used to capture human body movements. Each of the ten sensor nodes in the system has a tri-axis accelerometer and a tri-axis gyroscope. They are attached to separate locations of a human body to record both angular and acceleration data with which body movements can be captured by applying Euler angle based algorithms, specifically, single rotation order algorithm and the optimal rotation order algorithm. According to the experiment results of capturing ten ADLs, both the single rotation order algorithm and the optimal rotation order algorithm can track normal human body movements without significantly distortion and the latter shows higher accuracy and lower data shifting. Compared to previous inertial systems with magnetometers, this system reduces hardware complexity and software computation while ensures a reasonable accuracy in capturing human body movements.

As the average age of life expectancy continues to rise, so too has the number of elderly individuals seeking long-term care. Performing daily tasks becomes a struggle while those affected by Alzheimer's disease and dementia risk their safety by living alone. Aged individuals lacking the means or faculties to live independently often seek assisted living and memory care facilities as the most viable options for the growing elderly population. Typical facilities are compact and sterile where residents are under watchful supervision to perform basic daily activities. As a result, aged individuals spend every day inside the facility with a structured, monotonous routine. A repetitive lifestyle within the same surroundings and with little autonomy can lead to feelings of isolation, depression, and disengagement from the same facility designed to care for the elderly population. My thesis aims to create an assisted living and memory care village, rather than a facility, that calls upon the comforts of home in a neighborhood setting. Within the village, residents are free to engage, explore, and take part in activities as self-sufficient human beings. Located in Frederick, Maryland, my objective is to design a small-town community that enables both on and off-site engagement. I analyzed architectural design methods that mitigate the struggles of daily activities while maintaining privacy and independence, and also researched a largely overlooked aspect of assisted living facilities: site development. This enabled me to curate a space where residents are free to explore and take part in various activities throughout the site. A monotonous routine leads to a stagnant mind. My thesis aims to create a space where exploration and independence are not only permitted but encouraged. Rather than aging in place, the goal is to live in place while the mind and body are in motion, making new memories and discoveries every day. / Master of Architecture / My aunt faced the challenge of her elderly mother experiencing white coat hypertension: an increase in blood pressure due to anxiety and stress during doctor visits. But it made a remarkable difference after she switched to a specialized geriatric office that emphasized a welcoming, homelike design. The warm ambiance, comforting decor, and personalized care reduced her anxiety, alleviating her white coat hypertension and resulting in regular blood pressure readings. This experience inspired me to emphasize the importance of geriatric-friendly design in assisted living and memory care facilities. In response to this issue, my thesis proposes the creation of an assisted living and memory care village instead of a traditional facility. The village aims to provide a homelike setting where residents can experience a sense of comfort and freedom. I have analyzed architectural design methods that address the struggles of daily activities while maintaining privacy and independence. Additionally, I have explored the often overlooked aspect of site development in assisted living facilities to curate the space thoughtfully where residents are encouraged to explore and engage in various activities throughout the village and evoke feelings of home, community, and comfort.

Made available in DSpace on 2014-12-17T14:23:31Z (GMT). No. of bitstreams: 1 KallineFS_DISSERT.pdf: 716579 bytes, checksum: b618a9f5983b2a7857d9bd048cffb00c (MD5) Previous issue date: 2013-08-23 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / O r?pido processo de envelhecimento populacional, observado no Brasil, tem gerado uma importante demanda para o sistema de sa?de, configurando-se em grande desafio para as autoridades sanit?rias, particularmente para a implanta??o de novos modelos e m?todos de enfrentamento do problema. No Brasil, a raz?o de sexo (homens/mulheres) mostra que a propor??o de mulheres ? bastante superior ? de homens e os aspectos relacionados ao envelhecimento mostram diferen?as entre ambos os sexos, ressaltando peculiaridades no envelhecimento, tamb?m entre eles. Diante disso, o presente estudo tem como objetivos: avaliar a capacidade funcional, identificar os fatores associados ? depend?ncia para as atividades da vida di?ria (AVD), calculada pela Escala de Lawton abreviada e descrever os perfis socioecon?mico, demogr?fico e de sa?de dos idosos atendidos por equipes da sa?de da fam?lia (ESF) da cidade de Natal-RN. O mesmo foi subdividido em dois artigos: o primeiro aborda a associa??o entre o perfil sociodemogr?fico e epidemiol?gico com a escala de avalia??o funcional, medida pela Escala de Lawton (EL), identificando fatores de risco, enquanto o segundo tem como objetivo estabelecer a associa??o entre a categoriza??o do perfil demogr?fico com a quest?o de g?nero dos idosos. A fonte dos dados ? o resultado de uma pesquisa conduzida por docentes da UFRN nas Unidades de Sa?de da Fam?lia (USF), em quatro Distritos de Sa?de (DS) do munic?pio de Natal-RN. Os dados foram coletados com uma amostra n?o probabil?stica de tamanho 1.068, dimensionada proporcionalmente ao total de idosos atendidos em cada uma das USF dos DS. Os dados foram submetidos a uma an?lise descritiva explorat?ria e a testes de associa??o de quiquadrado de Pearson, com um n?vel de signific?ncia de 5%. Um modelo de regress?o log?stica foi ajustado, tendo a Escala de Lawton como vari?vel dependente e aquelas que formaram o perfil sociodemogr?fico e epidemiol?gico do idoso, como vari?veis independentes. As raz?es de chances, com seus respectivos intervalos de confian?a de 95%, foram calculados. Os resultados mostraram associa??es significantes entre algumas vari?veis sociodemogr?ficas e epidemiol?gicas e a Escala de Lawton. A avalia??o apontou para uma independ?ncia dos idosos, mostrando que a maioria deles n?o precisa de ajuda para executar tarefas do dia-a-dia. Observou-se uma maior autonomia funcional nas AVD para os idosos jovens (60 a 69 anos), que n?o referiram doen?as como Acidente Vascular Cerebral - AVC, ansiedade, glaucoma e incontin?ncia urin?ria, bem como n?o apresentando sinais de depress?o. De modo geral, estas s?o doen?as que demandam aten??o especializada, a fim de propiciar melhor qualidade de vida a esse grupo populacional. Espera-se que os resultados desse estudo possam ser aproveitados para potencializar os benef?cios de uma velhice mais saud?vel, por meio de um acompanhamento eficaz pelas Equipes da Saude da Familia

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