85-year-old woman, Helmi, has widowed recently. Her adult daughter lives far away, the distance is 400 km. Helmi lives alone in a rural area, in a remote aging village, from which to the centre of the nearest village is 20 km. An elderly neighbour lives nearby and visits Helmi weekly. Helmi has been diagnosed with Alzheimer’s disease. In a previous home care visits Helmi’s activities of daily living, her psychosocial well-being and managing at home have been assessed. Based on the assessment, a care and service plan has been made to support Helmi’s safe living at home and psycho-social wellbeing.
In a mutual agreement with Helmi, a decision has been made on technology utilization to secure safe living at home and day activities once a week in a village’s service centre for older people. Helmi has now a transport service and she will be taken on Wednesdays by taxi to the village’s service centre 20 km away, where she has the opportunity to go to sauna, meet other people of day activities and visit the food store. Helmi has received a week ago Hoivaturva –safety and activity tracking system to monitor her daily activity at home for securing safe living. Helmi’s activity and the course of the day can be followed in real time 24 hours by home care services and by daughter using a smartphone or computer application.
Today, the home care nurse checks that the Hoivaturva-device has worked without problems and that its use can be continued on behalf of Helmi and the daughter to ensure the safe living at home.
Today, Helmi will also receive a medication dispensing service machine to alert daily medication intake and to secure safe pharmacotherapy. The nurse installs the device and guides Helmi and her daughter in its use.
The nurse teaches Helmi and her daughter to use the following devices:
- Hoivaturva – Safety and activity tracking system
- Evondos – Medication dispensing service
Or welfare technology, that is available in partner’s country.
At the meeting there are Helmi, a daughter and home care nurse.
Remind the goals.
Emotion phase:
• Ask about the feelings during the exercise: first the client, then the nurse.
Fact phase
• What happened – describe what happened step by step.
• What went well?
• Feedback from observers on verbal and non-verbal interaction and critical activities.
Analysis phase
• Why specific decisions were made?
• How it should / could be done (ideas are generated by students, the tutor leads to the conclusions)?
• What to do to make it better?
• Students’ questions.
• What do you remember from the exercise (each student says 1 item – preferably everyone should say something different)?
• What should happen (select 3-4 items here that should always be discussed with students regardless of whether they happened or not)?
• Point out step by step what the students’ behavior should look like – exemplary.
• Motivate students to think reflectively while deceiving strengths and correct paths.
Cultural competencies
• How was the client encountered as an individual? How the client’s rights were taken into account?
• How the nurse demonstrated cultural sensitivity in interaction with the client?
• How the client’s experience and attitudes towards gerontechnology was discussed during a home visit?
• What role does technology play in home care services? In what way can technology benefit the client and the professional and the services? What ethical issues may arouse using gerontechnology?
TOPIC
Gerontechnology for supporting older person’s coping and safe living at home
PREBRIEFING
Introduce:
– scenario topic
– the procedure that will be practiced in the scenario
– get acquainted with the gerontechnology equipment in a simulation environment
– prerequisites (what the student should know)
– learning outcomes to be realized
– what the division of tasks will be
– scenario execution time
REFERENCES, MATERIALS FOR CLASSES
- Sundgren S, Stolt M, Suhonen R. Ethical issues related to the use of gerontechnology in older people care: A scoping review. Nursing Ethics. 2020;27(1):88-103. doi:10.1177/0969733019845132, https://journals.sagepub.com/doi/full/10.1177/0969733019845132
- Safety and activity tracking system (Hoivaturva): https://seniortek.fi/ratkaisu/hoivaturva/ (in Finnish) and https://www.tuttunet.fi/referenssit/seniortek.html (in Finnish)
- Medication dispenser service (Evondos) https://www.evondos.com/homepage.html
PREREQUISITES
- The student has knowledge of changes in the functional capacity of older people.
- The student has knowledge of empowering patient education.
- The student has the ability to encounter the older person and interact with him/her.
- The student knows about gerontechnology applications for supporting functional capacity, independent and safe living and well-being of the older person.
INTRODUCTION
Same client, as in scenarios 1 and 2. 85-year-old woman, Helmi, has widowed recently. Her adult daughter lives far away, the distance is 400 km. Helmi lives alone in a rural area, in a remote aging village, from which to the centre of the nearest village is 20 km. An elderly neighbour lives nearby and visits Helmi weekly. Helmi has been diagnosed with Alzheimer’s disease. In a previous home care visits Helmi’s activities of daily living, her psychosocial well-being and managing at home have been assessed. Based on the assessment, a care and service plan has been made to support Helmi’s safe living at home and psycho-social wellbeing.
In a mutual agreement with Helmi, a decision has been made on technology utilization to secure safe living at home and day activities once a week in a village’s service centre for older people. Helmi has now a transport service and she will be taken on Wednesdays by taxi to the village’s service centre 20 km away, where she has the opportunity to go to sauna, meet other people of day activities and visit the food store. Helmi has received a week ago Hoivaturva –safety and activity tracking system to monitor her daily activity at home for securing safe living. Helmi’s activity and the course of the day can be followed in real time 24 hours by home care services and by daughter using a smartphone or computer application.
Today, the home care nurse checks that the Hoivaturva-device has worked without problems and that its use can be continued on behalf of Helmi and the daughter to ensure the safe living at home.
Today, Helmi will also receive a medication dispensing service machine to alert daily medication intake and to secure safe pharmacotherapy. The nurse installs the device and guides Helmi and her daughter in its use.
The nurse teaches Helmi and her daughter to use the following devices:
• Hoivaturva – Safety and activity tracking system
• Evondos – Medication dispensing service
At the meeting there are Helmi, a daughter and home care nurse.
CURRENT CLINICAL CONDITION
85-year-old woman, has widowed recently, lives alone in a rural area. Adult daughter lives far away. Neighbour visits weekly. Client has been diagnosed with Alzheimer’s disease and a medication has been started on it. A decision has been made on technology utilization to secure safe living at home and day activities once a week in a village’s service centre for older people.
INTERVIEW
Client-centered and empowering patient education.
