Bakgrund: Sveriges befolkning är beräknad att växa och studier visar på att många skulle föredra att dö i hemmet över instutitonell vårdplats. God palliativ sjukvård kräver tillgänglighet och kompetens samt följsamhet till de fyra hörnstenarna. Patienter känner en stress över att involvera anhöriga i deras situation därför är det viktigt att ta reda på hur de anhöriga ser på situationen.  Syfte: Syftet med litteraturstudien är att beskriva anhörigas upplevelser av palliativ vård i hemmet. Metod: Litteraturstudie baserad på nio kvalitativa studier. Data insamlades från Databaserna Cinahl och Psycinfo. Sökord för att forma korrekt söksträng innehöll: palliative care, family, family perspective mm. Med avgränsningar så som english text och år:2000-2020. Analys utfördes enligt en femstegsanalys. Resultat: Två tema hittades med tre respektive sub-tema. Delaktighet och Relationer var huvudtemana. Sub-temana bestod av: Förändring i vardagen; Ansvar; Tillräcklig eller bristfällig information; Relationen med formella vårdgivare; Relationen med övrig släkt och vänner; Relationen med patienten. Konklusion: Vården hemma hos patienter bör alltid tänka på att de närstående som bor, eller tillfälligt bor, tillsammans med patienten också är en del av vården som behöver stöd, hjälp och information. / Background: Sweden's population is expected to grow, studies show that many would prefer to die at home over institutional place of care. Good palliative care requires accessibility and competence and is designed from the four cornerstones. Patients feel a stress over involving relatives in their situation, therefore it is important to find out how the relatives view the situation. Aim: The purpose of this study is describing relatives' experiences of palliative care at home. Methods: Literature study based on nine qualitative studies. Data were collected from the Cinahl and Psycinfo databases. Keywords forming the correct search string contained: palliative care, family, family perspective etc. With boundaries such as english text and year: 2000-2020. Analysis was performed according to a five-step analysis. Result: Two main themes were identified with three sub-themes respectively. Participation and Relationships were the main themes. Sub-themes consisted of: Change in everyday life; Responsibility; Sufficient or incomplete information; The relationship with formal caregivers; The relationship with other relatives and friends; The relationship with the patient. Conclusion: At home caretakers should always keep in mind that the relatives who live, or temporarily live, together with the patient are also part of the care that needs support, help and information.

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京都大学 / 0048 / 新制・課程博士 / 博士(エネルギー科学) / 甲第19818号 / エネ博第324号 / 新制||エネ||65(附属図書館) / 32854 / 京都大学大学院エネルギー科学研究科エネルギー社会・環境科学専攻 / (主査)教授 東野 達, 教授 宇根﨑 博信, 准教授 MCLELLAN,Benjamin / 学位規則第4条第1項該当 / Doctor of Energy Science / Kyoto University / DFAM

Age-friendly parks support older adults' health as places for urban outdoor recreation when more remote nature becomes inaccessible. I analyzed data from a previous survey (n = 266) to explore factors important for older adults' nature experience knowledge to find essential features of age-friendly park design. The data from the survey showed that many older adults had a functional impairment. Still, they used nature areas within walking distance for peace and tranquility and valued age-friendly design features. I also performed semi-structured interviews with planners (n = 6) at Östersund Municipality, Sweden, to understand how their work was affected as the proportion of older adults increased. The planners emphasized supporting older adults' independence through cross sectoral projects and more collaboration between public, private, and non-profit actors. Findings were discussed and implemented into Badhusparken and Surfbukten, urban green spaces in Östersund, to understand planning in practice and park features needed to support age-friendly outdoor recreation. My conclusion was that features regarding age-friendly parks are complex and equal participation is an issue that requires more interdisciplinary research, especially regarding possibilities with age-friendly projects and networks as ways to overcome challenges with an aging population. / <p>2023-06-09</p>

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Canada’s aging population is expected to have an impact on all public institutions; for public libraries, the emergence of a large, multi-generational user group of older adults challenges the current paradigm of services to seniors. This thesis examines a subset of this user group: baby boomer library patrons who are in a caring relationship with elders. It investigates how these patrons interact with the public library both for themselves, and as carers, in order to reveal library-related issues particular to this growing segment of the population. The study takes place within a conceptual framework derived from the ethic of care, and from emerging theories of library-as-place rooted in the fields of human geography and sociology. Using a qualitative instrumental case study method, long form interviews were conducted with respondents recruited through theoretical sampling extended by snowball sampling. While not generalizable, findings suggest that while these baby boomer respondents value their libraries deeply, there is potential to create services and practices more attuned to the needs of older adults who are in relationships with elders.

Canada’s aging population is expected to have an impact on all public institutions; for public libraries, the emergence of a large, multi-generational user group of older adults challenges the current paradigm of services to seniors. This thesis examines a subset of this user group: baby boomer library patrons who are in a caring relationship with elders. It investigates how these patrons interact with the public library both for themselves, and as carers, in order to reveal library-related issues particular to this growing segment of the population. The study takes place within a conceptual framework derived from the ethic of care, and from emerging theories of library-as-place rooted in the fields of human geography and sociology. Using a qualitative instrumental case study method, long form interviews were conducted with respondents recruited through theoretical sampling extended by snowball sampling. While not generalizable, findings suggest that while these baby boomer respondents value their libraries deeply, there is potential to create services and practices more attuned to the needs of older adults who are in relationships with elders.

According to the statistics from Department of Health, Executive Yuan, in 2007,brain attack has been listed as the third of the top ten reasons for death. In Taiwan, the occurrence rate of brain attack on population above 35-year-old is 3/1000. And the total amount of population above 35-year-old is nearly 10,000,000. Then the latest number of occurrence of brain attack is approximately 30,000¡COnce the stroke happens, under such a circumstance, not only the expense of acute care increases but also the long-term medical care expense, the family and social cost will become larger. In view of that, the long-term care plan for stroke patient has been in urgent need. This research, ¡¨Long-distance Community Health Care Nursing Service for Stroke Patients¡¨, which is originated from a plan conducted by a medical center in Southern Taiwan. Based on Andersen¡¦s¡]1968¡^health behavior model as the theoretical structure¡Awe studied 102 patients who had a stroke (including high stroke risk patients)within one year in Kaohsiung. In this study, we applied JMP V6.0¡]SAS Institute, Cary, NC, USA¡^to analyzing case characters¡Aconducting univariate analysis by £q2 analysis and ANOVA. Then we applied multivariate logistic regression analyses to significant variables. We hope to find out the predisposition, enabling factors and need factor from those important predictor variables in ¡§Long-distance Community Health Care and Nursing Service¡¨. We research the differences of stroke patients¡¦ behaviors, providing those research results as the reference materials for related business promotional strategy in future, hoping to advance the quality of long-term care and nursing for stroke patients. In this study, total 102 copies of the questionnaire were sent out and returned, with a return rate of 100%, and 100 copies of questionnaire were effective. The research results show that: 1. Predisposition¡GThere are significant differences on these items--¡§Number of Children¡¨(Demography), ¡§Buddhist¡¨(Religion) and ¡§Those who have a health check within nearly one year¡¨(Health Concept). 2.Enabling factors¡GThere are significant differences on these items--¡¨Monthly Family Income¡¨(Economical factor),¡¨Monthly Balance of Payment¡¨(Economical factor) and ¡§Commercial Insurance¡¨(Insurance resource). 3.Need factors¡GPeople (those who think their health state stay at the average level), Health State (¡§High Blood Pressure and Heart Attack¡¨,¡¨Eye Diseases¡¨, ¡¨Cancer¡¨,¡¨Bone and Muscle¡¨,¡¨Asthma¡¨,¡¨Ears Disease¡¨and ¡¨Neural Diseases¡¨are involved. The behavior research includes ¡§Number of Accepting Medical Treatment per month¡¨(1 to 2 times), ¡§Activity in Daily Life ¡¨¡]ADL¡BIADL-Shopping Ability¡^and ¡§Functional Behaviors¡¨. 4. To sum up, the predisposition, enabling and need factors in this research could partially influence using behaviors¡Ain accordance with Andersen¡¦s inference in health behavior model. In conclusion¡G1.¡¨Long-term Community Health Care and Nursing¡¨ can be applied to stroke patients, which can help patients to build up effective self-management and advance life quality; 2. This service combines Medical Service Chain established by Information-Telegraphic Technology. Currently, blood pressure checking and telephone consultation are most popular service among interviewees, and other kinds of service are under development; 3. Stroke patients with different demographical characters show a great difference on using behaviors; 4. To speak briefly, this service can meet the ideal long-term care and nursing standard for local aging population.

Canada’s aging population is expected to have an impact on all public institutions; for public libraries, the emergence of a large, multi-generational user group of older adults challenges the current paradigm of services to seniors. This thesis examines a subset of this user group: baby boomer library patrons who are in a caring relationship with elders. It investigates how these patrons interact with the public library both for themselves, and as carers, in order to reveal library-related issues particular to this growing segment of the population. The study takes place within a conceptual framework derived from the ethic of care, and from emerging theories of library-as-place rooted in the fields of human geography and sociology. Using a qualitative instrumental case study method, long form interviews were conducted with respondents recruited through theoretical sampling extended by snowball sampling. While not generalizable, findings suggest that while these baby boomer respondents value their libraries deeply, there is potential to create services and practices more attuned to the needs of older adults who are in relationships with elders.

Many countries in the world experience demographic transition - significant decrease of fertility rates and increase share of the old population. The pace and characteristics of demographic shifts however are individual for each country. At the same time these countries face low inflation rates or even deflation. In this thesis I demonstrate how demographic changes are correlated with low inflation rates. I estimated two different models - VAR and FEM for panel data using two samples of developing countries. The primary argument of using two separate groups for estimating the same problem is robustness check, whether all three imposed hypotheses will hold in any sample of the population. These hypotheses are - first, deflation is positively correlated with increased share of the old population, second, low inflation in developing economies has structural pattern due to demographic changes and third, deflation can be forecastable if it is driven by demographic trends. Despite the heterogeneity of the results from PVAR and FEM, a negative impact of aging population on inflation has been proved. Also estimation results support our two hypotheses that low inflation if it is partially driven by aging structure changes, has structural rather than cyclical characteristics and is predictable. Contribution...