Artificially intelligent nursing homes: a scoping review of palliative care interventions

Frontiers in Digital Health, Journal Year: 2025, Volume and Issue: 7

Published: Feb. 11, 2025

Introduction The world’s population is aging at a rapid rate. Nursing homes are needed to care for an increasing number of older adults. Palliative can improve the quality life nursing home residents. Artificial Intelligence be used palliative services. aim this scoping review synthesize research surrounding AI-based interventions in homes. Methods A PRISMA-ScR was carried out using modified guidelines specifically designed computer science research. wide range keywords considered searching six databases, including IEEE, ACM, and SpringerLink. Results We screened 3255 articles inclusion after duplicate removal. 3175 were excluded during title abstract screening. further 61 full-text screening stage. included 19 our analysis. Studies either focus on intelligent physical systems or decision support systems. There clear divide between two types technologies. key issues address future definitions, data accessibility, stakeholder involvement. Discussion This paper presents first consolidate findings indicate that integrated have yet explored. broad machine learning solutions remain unused within context care. These relevance both nurses scientists, who may use reflect their own practices when developing such technology.

Language: Английский

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Development and application of a questionnaire on the smart care needs of older adults living in long-term care communities

Geriatric Nursing, Journal Year: 2025, Volume and Issue: 63, P. 51 - 60

Published: March 31, 2025

Language: Английский

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From Command to Care: A Scoping Review on Utilization of Smart Speakers by Patients and Providers

Mayo Clinic Proceedings Digital Health, Journal Year: 2024, Volume and Issue: 2(2), P. 207 - 220

Published: April 11, 2024

Smart speakers have gained considerable consumer adoption and research interests. Despite their innovative interaction capabilities, a notable void exists in the literature, with no comprehensive scoping review that scrutinizes consolidates usage of smart by providers patients. This study performed to explore standalone use health settings, focusing on potential support empower patients manage well-being. Following Preferred Reporting Items for Systematic Reviews Meta-Analyses guidelines, search from January 2014-September 2023, using select keywords, was across PubMed, Web Science, Medline, IEEE, ACM, JAMIA, Embase, CINHAL, EBSCO, Cochrane. The literature yielded 1546 articles, which 59 met inclusion criteria. identified studies are categorized into helping (n=54) themes independent living, reducing loneliness improving social life, aiding patient self-care self-management, promoting physical activity, rethinking care service delivery, remote monitoring communication, information queries (n=24) recording accessing medical information, provider workload. These studies, controlled environment limited patients, found speakers' high feasibility, acceptability, positive reception providers. Furthermore, findings showcase opportunities leverage challenges address future integrating seamlessly settings.

Language: Английский

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Nursing Home Reform in the Context of National Long‐Term Care Services and Policy: The Devil in the Details of the National Academies Report

Journal of the American Geriatrics Society, Journal Year: 2023, Volume and Issue: 71(2), P. 357 - 361

Published: Feb. 1, 2023

As the late Robert Kane pointed out, term "nursing home" is inaccurate: most provide very little nursing, and few offer a homelike environment. No one wants to reside there until they need to, even then, residents wish return community. The media love malign them, have been largely left out of Medicare other federal financing initiatives, their staff are paid less given more responsibility than hospital workers. attitude general public healthcare policy world avoid topic. Most people do not want contemplate becoming frail being unable maintain own households; ageism may also play role. Policymakers prioritize reform same extent as experts advocates, that nursing home care accounts for only 5% national health expenditures (Centers Medicaid Services, 2020). Thus, it has easy broader community ignore this corner delivery system. This complacency was shattered by COVID-19, which appeared single long-term facilities with deadly precision. first US setting garner attention because outbreak (Baker Weise, 2020; McMichael et al., During months followed, nearly 40% deaths from virus were in homes settings (Girvan Roy, pandemic progressed spread throughout country, proportion gradually decreased achieved high vaccination rates; still, mid-2022, cumulative morbidity mortality COVID-19 stood at 1,136,796 confirmed cases 154,250 among 1,218,268 2500 2022). rate death raised awareness vulnerability living congregate well who them. Residents such typically suffer multiple chronic conditions many cognitive impairment, makes isolation difficult. Although catalyst examining quality, underlying factors put risk, staffing shortages, inadequate training, complex regulatory environment, years. Spurred severe impact homes, National Academies Sciences, Engineering, Medicine (NASEM) convened committee create report on quality homes. supported funding John A. Hartford Foundation, Commonwealth Fund, Sephardic Foundation Aging, Jewish Healthcare Fan Fox & Leslie R. Samuels Foundation. made up 14 academics, two consultants, government official. NASEM committee's work represented several articles an accompanying editorial issue. charged how U.S. delivers, finances, regulates measures target audience included Congress, Centers Services (CMS), states, industry, consumers, interested involved parties. hoped similar 1986 study, its would lead significant improvement (U.S. 1987). worked intensively over year develop comprehensive, evidence-supported report. They conducted thorough literature review; discussed relevant issues evidence meetings; heard deliberated presentations three dozen leaders government, consumer groups; received responded 16 additional experts' comments preliminary be criticized overrepresenting resulting 604-page document far comprehensive review set recommendations articulated years (National Medicine, authors applaud important timely project. correctly insists systemic needed effect meaningful change. It therefore emphasizes all elements report's recommendations—including goals, policies, processes, systems, workforce, financing, measurement, performance improvement—should considered package, piecemeal way; issue highlight key themes emerged There number major we believe should highlighted boldness, novelty, or overall importance. include incorporating resident family experience into (recommendation 6A); making design changes private bedrooms bathrooms smaller units 1E); ensuring payments adequate cover high-quality 4B); addressing ownership transparency accountability (recommendations 3A, 3B, 5D); promoting initiative spur adoption upgrade information technology 7A, 7B, 7C). does, however, some limitations, stem specific areas addressed part statement task no impact. For example, articulate vision present future role evolving Following release report, services supports (LTSS) landscape dramatically changed. Two marked growth assisted home- community-based (HCBS) Medicaid, largest source now spends HCBS (Murray 2021). These changes, fact acute hospitals (LTACHs) vie populations, demonstrate considerable overlap deliberate planning interrelationships between these entities. quite possible, continued expansion state support LTSS (including living) will continue exert downward pressure population. consist increasing receiving postacute (Sloane, 2022), whereas persons advanced dementia functional impairment (Zimmerman Also, serving mental illness (Fashaw 2020), raising questions about nature workforce population behavioral expressions. If trends continue, look different what envisioned based prior profiles. Care resources might then modified heavily emphasize physical care, communication disciplines, one-on-one (as opposed group) services, health, palliative care. In vein, address whether paired integrated services. (2010) noted decades ago, goals differ those difficult, if impossible, facility excels both sending patients creating home. correlation residents, appears limited vaccination—a domain populations (Wang Hefele, Therefore, question ask provided separate and, not, better accommodate disparate service models within entity could seen concerns, so change thinking shape merely muddy decisions. demonstration projects alternative payment 4A, 4D, 4E) go further by, considering incentives delivering single-purpose facilities. stimulate investment regions country supply inpatient rehabilitation. A pragmatic regarding falls short really professionalize certified assistant (CNA). soft: "competitive" wages benefits, 45 hours "consideration" wage floors student loan forgiveness. One stronger recommendation call governments and/or cost CNA training continuing education, although suggestions implementing made. contrast, firmly recommends using registered nurses supervisors instead licensed practical advises social workers have, minimum, bachelor's degree 1 experience. lauded placing goal supporting person-centered top list 1A). above, 6A closely related 6B 6C improvements current measurement regime. Placing satisfaction par step toward system recognizes responsible full spectrum Maslow's hierarchy needs (Kusmaul 2022; Maslow, 1943). gone further, recommending tight integration concepts reporting relate life. Valid reliable methods measuring residents' life (Kane 2003; Van Haitsma 2014) preferences (Degenholtz (Abbott 2022) existed time. CMS recently issued guidance states measure publicly statistics participant choice control Medicaid-financed (Tsai, ironic long lagged behind sector terms standardized assessment. Analogous various outcomes reported, Minimum Data Set revised capture but directly life, composite indicator reported. Relying (i.e. Consumer Assessment Health Provider Survey—Nursing Home) low likelihood affecting primarily focuses CMS; does played regard (e.g. WA Cares Fund) improving Minnesota Ohio collecting members' ratings satisfaction, experimented value-based purchasing. majority spending shifted HCBS, wide variation across compared (rebalancing). Efforts increase use had case mix providing alternatives relatively needs, clearly increased demands staff. Finally, half implemented form managed (MLTSS). programs pay privately plans fixed monthly premium finance incentivized shift flexibility reimbursement implement schemes. outlined standards MLTSS plans, met. Indeed, direct payer overseeing marketplace competing insurance plans. new tools disposal, effectiveness yet understood. To assigns implementation playing considered. highlights can final (7A–D) focus adoption, interoperability, research. However, forms improve encouraged studied. restrictions visitors during led innovative uses video calling (Davitt Brown, Another area where finding robotic companions (Moyle 2019; Pu 2019). research consider innovations discreet monitoring coming years, especially potential extend ability growing older arrived complicated political moment United States; parties polarized along lines make regulation any seem unlikely. consensus around entitlement reach. clear disability, frailty, old age affect everyone. All families face decisions relatives. revealed problems facing universal. Hopefully, crisis tragic loss catalysts roadmap stands landmark implemented, undoubtedly substantial adults disabilities live settings. limitations policymakers, researchers, providers bear mind. scope challenge mission supplement sponsored active members Research Quality Interest Group Gerontological Society America. None. J. Travers served contact editor supplement, article included, decision article.

Language: Английский

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Using Voice-activated Technologies to Enhance Well-being of Older Adults in Long-term Care Homes

Innovation in Aging, Journal Year: 2024, Volume and Issue: 8(12)

Published: Jan. 1, 2024

Information communication technologies (ICTs) can enhance older adults' health and well-being. Most research on the use of voice-activated ICTs by adults has focused experiences individuals living in community, excluding those who live long-term care homes. Given evidence potential benefits such to mitigate social isolation loneliness, more is needed about their impacts home settings. With this mind, we evaluated engagement with voice- touchscreen-activated one Canada.

Language: Английский

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Technology use in long-term care during the COVID-19 pandemic: A qualitative study of paid employees’ experiences in Western Canada

Digital Health, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 1, 2024

Background During the COVID-19 pandemic, governments across world implemented processes and policies to limit spread of COVID-19, especially in long-term care (LTC) homes. This led changes technology use for persons living LTC homes, their families friends, as well paid workforce dedicated caring them. Objective The study describes role its impact on experiences staff working northern rural areas Western Canada during COVID-19. Methods A secondary analysis semi-structured interviews with 52 was conducted. Qualitative data analysed thematically using Braun Clarke's thematic approach. Results Analysis revealed that new innovative uses emerged setting including technologies support communication collaboration medical health professionals external Video-conferencing were rapidly facilitate virtual visits residents connect families, further streaming services introduced recreational activities, live music spiritual services. required significant from participate activities. Inadequate Internet infrastructure scheduling difficulties context severe shortages created challenges adoption. Conclusions research provides insight into how can teams communities, supports needed integrate effectively. informs actionable insights those settings.

Language: Английский

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Nursing Home Reform in the Context of National Long-Term Care Services and Policy: The Devil in the Details of the National Academies Report

Public Policy & Aging Report, Journal Year: 2023, Volume and Issue: 33(Supplement_1), P. S35 - S39

Published: Feb. 1, 2023

Language: Английский

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Evidence Base for the Future of Nursing Homes: Special Issue

Innovation in Aging, Journal Year: 2022, Volume and Issue: 6(4)

Published: June 1, 2022

Language: Английский

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Co-Designing a Conversational Agent in Health and Social Care – Perspectives of Professional Care Staff and Older Adults

Lecture notes in computer science, Journal Year: 2023, Volume and Issue: unknown, P. 191 - 202

Published: Jan. 1, 2023

Language: Английский

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