Quality of life: Conceptual challenges in exploring the role of ICT in active ageing

The chapter aims to examine the definitional challenges associated with the term quality of life, measurement challenges, the challenges associated with enhancing quality of life, and the role of information and communication technologies (ICT) in quality of life in old age, and finally comments on the challenges of a modern information society for older people. The term quality of life started as a social scientific index of the relative well-being of whole populations, i.e. the state of states. Nowadays quality of life is more likely to be viewed as an individualized aspect of the modern psyche. This shift in conceptualization is problematic in that, if quality of life is individualized, it cannot be meaningful to assess it in the same way for everyone. Nevertheless, over the years a vast range of methods of measuring quality of life has emerged, leading to several measurement challenges. Wealth, health and social relations have all been found to be prime determinants of subjective quality of life; for ICT to enhance quality of life for older people they need to mediate the relationships between these three important factors and quality of life. To date there is relatively little evidence that ICT has improved the quality of life of older people. Suggestions are made as to why ICT is unlikely to influence life quality for older citizens. The chapter is drawn to a close by asking if quality of life is a meaningless term and if the future is bleak for old people in a modern information society. The answer to both questions is no

Detection and prevention of financial abuse against elders

This article is made available through the Brunel Open Access Publishing Fund. Copyright @ The Authors. This article is published under the Creative Commons Attribution (CC BY 3.0) licence. Anyone may reproduce, distribute, translate and create derivative works of this article (for both commercial and non-commercial purposes), subject to full attribution to the original publication and authors. The full terms of this licence may be seen at http://creativecommons.org/licences/ by/3.0/legalcode.Purpose – This paper reports on banking and finance professionals' decision making in the context of elder financial abuse. The aim was to identify the case features that influence when abuse is identified and when action is taken. Design/methodology/approach – Banking and finance professionals (n=70) were shown 35 financial abuse case scenarios and were asked to judge how certain they were that the older person was being abused and the likelihood of taking action. Findings – Three case features significantly influenced certainty of financial abuse: the nature of the financial problem presented, the older person's level of mental capacity and who was in charge of the client's money. In cases where the older person was more confused and forgetful, there was increased suspicion that financial abuse was taking place. Finance professionals were less certain that financial abuse was occurring if the older person was in charge of his or her own finances. Originality/value – The research findings have been used to develop freely available online training resources to promote professionals' decision making capacity (www.elderfinancialabuse.co.uk). The resources have been advocated for use by Building Societies Association as well as CIFAS, the UK's Fraud Prevention Service.The research reported here was funded by the UK cross council New Dynamicsof Ageing Programme, ESRC Reference No. RES-352-25-0026, with Mary L.M. Gilhooly asPrincipal Investigator. Web-based training tools, developed from the research findings, weresubsequently funded by the ESRC follow-on fund ES/J001155/1 with Priscilla A. Harries asPrincipal Investigator

Care of burns in Scotland: 3-year data from the managed clinical network national registry

Introduction The Managed Clinical Network for Care of Burns in Scotland (COBIS) was launched in April 2007. Primary aims included establishing and maintaining a registry of complex burn injury in Scotland and setting mechanisms to regularly audit outcome of burn treatment against nationally agreed standards of care. On behalf of COBIS, we present 3-year incidence and mortality data of Scottish patients admitted with a complex burn injury in this abstract. Methods From January 2010 onwards, data were prospectively collected for all patients in Scotland with complex burn injury admitted to Scottish burns units. Data collection was initially on a paper pro forma, but subsequently evolved into a web-based audit data capture system to securely link hospital sites involved in the delivery of care of complex burns. Data collected included extent and mechanism of burn, presence of airway burn or smoke inhalational injury, comorbidities, complications, length of stay, interventions and mortality. Quality, completeness and consistency of data collection are audited with feedback to the individual units. Results In a population of approximately 5.3 million, the annual incidence of complex burn injury is 499 to 537 (9 to 10 per 100,000). The incidence of a major burn is 5% of burn admissions. The hospital mortality from a burn is 1 to 2.2%. See Table 1. Table 1. Numbers of complex burns in Scotland 2010 to 2012 Conclusion From these data, Scotland now has comprehensive national figures for complex burn injury. This allows for benchmarking against other international indices, few of which provide comprehensive data. COBIS data can now also be correlated with other mortality data sources. As data quality improves, detailed analysis of mortality data will allow COBIS to identify contributing issues affecting burns patients. Some issues identified already are that patients with burns often die soon after their discharge from hospital of other related and unrelated causes. Subsequent analysis of this will allow COBIS to identify and address issues that may be contributing to these statistics

Starting Well Health Visiting Practice Guides: An Independent Audit

This report presents findings from a small study of the use of the health visiting practice guides developed as part of the Staring Well National Demonstration project. The views of twenty-one health visitors, based in two teams located within the Greater Glasgow Health Board area, were elicited via in-depth semi-structured interviews. The fieldwork was undertaken in November 2003, three years after the establishment of the Project. The aim of the study was to investigate what the health visitors thought about the process involved in drawing up the guides, the purpose behind their development, and the extent to which the health visitors were using the guides in their current practice. The intention was to interview all the health visitors currently working in the two Starting Well teams, based in South and East respectively, together with a small number of health visitors working generically, i.e. those not attached to Starting Well and managing a ‘traditional’-style case load

Executive functions in insight versus non-insight problem solving: an individual differences approach

Original article can be found at: http://www.informaworld.com/smpp/title~content=t713685607~db=all Copyright Informa / Taylor and FrancisThis study investigated the roles of the executive functions of inhibition and switching and of verbal and visuo-spatial working memory capacities in insight and non-insight tasks. Eighteen insight tasks, 10 non-insight tasks and measures of individual differences in working memory capacities, switching and inhibition were administered to 120 participants. Performance on insight problems was not linked with executive functions of inhibition or switching but was linked positively to measures of verbal and visuo-spatial working memory capacities. Non-insight task performance was positively linked to the executive function of switching (but not to inhibition) and to verbal and visuo-spatial working memory capacities. These patterns regarding executive functions were maintained when the insight and non-insight composites were split into verbal and spatial insight and non-insight composite scores. The results are discussed in relation to dual processing accounts of thinking.Peer reviewe

Framing the detection of elder financial abuse as bystander intervention: Decision cues, pathways to detection and barriers to action

This article is (c) Emerald Group Publishing and permission has been granted for this version to appear here (http://bura.brunel.ac.uk/handle/2438/8569). Emerald does not grant permission for this article to be further copied/distributed or hosted elsewhere without the express permission from Emerald Group Publishing Limited.This article has been made available through the Brunel Open Access Publishing Fund.Purpose – The purpose of this paper is to explore the detection and prevention of elder financial abuse through the lens of a “professional bystander intervention model”. The authors were interested in the decision cues that raise suspicions of financial abuse, how such abuse comes to the attention of professionals who do not have a statutory responsibility for safeguarding older adults, and the barriers to intervention. Design/methodology/approach – In-depth interviews were conducted using the critical incident technique. Thematic analysis was carried out on transcribed interviews. In total, 20 banking and 20 health professionals were recruited. Participants were asked to discuss real cases which they had dealt with personally. Findings – The cases described indicated that a variety of cues were used in coming to a decision that financial abuse was very likely taking place. Common to these cases was a discrepancy between what is normal and expected and what is abnormal or unexpected. There was a marked difference in the type of abuse noticed by banking and health professionals, drawing attention to the ways in which context influences the likelihood that financial abuse will be detected. The study revealed that even if professionals suspect abuse, there are barriers which prevent them acting. Originality/value – The originality of this study lies in its use of the bystander intervention model to study the decision-making processes of professionals who are not explicitly charged with adult safeguarding. The study was also unique because real cases were under consideration. Hence, what the professionals actually do, rather than what they might do, was under investigation.Economic and Social Research Counci

Verbalization and problem solving: insight and spatial factors

Original article can be found at: http://www.bpsjournals.co.uk/ Copyright The British Psychological SocietyTwo groups of participants attempted eight examples of each of four different problem types formed by combining insight v. non-insight and verbal v. spatial factors. The groups were given different verbalization instructions viz., Silent (N=40) or Direct Concurrent (N=40). There were significant differences between insight and non-insight tasks and between spatial and verbal tasks in terms of solution rates and latencies. Significant interactions between the verbal v. spatial factor and verbalization condition on solution rates and latencies reflected a greater (negative) effect of verbalizing on spatial as against verbal problems. However, no significant interactions of the insight v. non-insight factor with verbalization condition on solution rates or latencies were found. These results favoured the “business as usual” view of insight problem solving as against the “special process” view which predicted larger effects of verbalization for insight problems as against non-insight problems.Peer reviewe

Audit of burns patients in the intensive care setting [poster]

No abstract available