Liberating the wanderers: using technology to unlock doors for those living with dementia.

Liberating the wanderers: using technology to unlock doors for those living with dementia.
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解放流浪者:利用技术为痴呆症患者打开大门。

DOI:
10.1111/j.1467-9566.2009.01221.x
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发表时间:
2010
影响因子:
2.9
通讯作者:
Johanna M. Wigg
Johanna M. Wigg
中科院分区:
医学2区
文献类型:
--
作者:
Johanna M. Wigg

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本文重点介绍了在美国痴呆症护理机构中应用于流浪老人的监测技术。利用在两个长期护理环境中收集的数据,我研究了如何使用不同形式的技术(例如和运动探测器)来监测流浪者的风险管理的背景下。与将流浪定义为病理学的封闭设施相比,将流浪定义为有目的和治疗性的护理设施改善了流浪者的幸福感和能动性。这两种环境的比较对流浪的医疗化提出了挑战,并建议有必要重新定义安全流浪的方法,这些方法包括监测但不限制居民的技术。我认为,监视技术,如锁上门,通过阻止他们的退出能力,使个人失去人性和恐惧。相比之下,运动检测器等监控技术可以通过允许个人在护理提供者的陪伴下安全地漫步来提高生活质量和健康益处。允许个人安全漫游的努力既挑战了这种行为的医学化,也挑战了强调其风险的倾向。
This paper focuses on surveillance technologies applied to wandering elders in dementia care facilities in the United States. Drawing on data collected in two long-term care settings, I examine how different forms of technology (e.g. and motion detectors) are used to monitor wanderers in the context of managing risk. In contrast to the locked facility that defined wandering as pathology, the care facility that defined wandering as purposeful and therapeutic improved wanderers' sense of wellbeing and agency. The comparison of the two environments challenges the medicalisation of wandering and suggests a need to redefine approaches to safe wandering that incorporate technologies that monitor but do not confine residents. I argue that surveillance technologies such as locked doors dehumanise and frighten individuals by halting their ability to exit. In contrast, surveillance technologies such as motion detectors may offer increased quality of life and health benefits by allowing individuals to wander safely in the company of a care provider. Efforts to allow individuals to wander safely challenge both the medicalisation of this behaviour as well as the tendency to emphasise its riskiness.
根据拟议的医疗保险和医疗补助法规评估疗养院老年人使用精神安定药物的情况。
DOI: --
发表时间: 1991
期刊: JAMA : the journal of the American Medical Association
影响因子: --
作者:
Garrard,J;Makris,L;Dunham,T;Heston,LL;Cooper,S;Ratner,ER;Zelterman,D;Kane,RL
通讯作者: Kane,RL
DOI: 10.1001/archneur.60.8.1119
发表时间: 2003-08-01
影响因子: --
作者:
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