Albert The home environment is critical for maintaining health and well-being among the medically ill and people living with disabilities. Access to appropriate supportive care technologies and home health care services depends in part on where homes are located, what sorts of spaces are available for care in the home, and whether basic services such as utilities are reliable.
These aspects of home environments are difficult to measure, even when features of homes are narrowly defined and only a single attribute, such as safety, is considered Gitlin, Measurement challenges become more complex when considering that each of these environmental features also has a cultural or social component.
Homes are located in neighborhoods, where home health care providers may not feel welcome or safe because of crime in a low-income neighborhood and discrimination or suspicion in a higher income one. Homes differ in their spaces available for care but also in the willingness of families to make these spaces available, adapt them as needed, and work with home health staff to provide care.
Also, utilities, telephone service, and access to services differ by community, with some communities well serviced and others shortchanged.
Thus, the home environment is nested in social and cultural layers that may lead to different home care outcomes, even with similar patients and common home environments Barris et al.
The cultural component is immediately visible in family adaptation to home care.
Families differ in the degree to which they reorganize themselves and their living spaces to accommodate care for the disabled or medically unstable Albert,with different tolerance for disorder and different strategies for reducing such disorder Rubinstein, Page Share Cite Suggested Citation: The National Academies Press.
For some families, hospice and death in the home is unthinkable or perhaps not possible if home hospice services are unavailable. For other families, hospice and death in the home is the preferred outcome. The same may apply to other medical technologies, such as home infusion technologies, or to different types of care, such as managing the demented or incontinent patient at home.
In this sense, cultural, social, and community environments must also be considered as human or ergonomic factors relevant to the adoption and successful use of home care technologies.
Consider one model of technology adoption that has been applied to the use of consumer health information technology, the patient technology acceptance model Or et al. In this approach, key determinants of acceptance of Internet monitoring of health status among patients with cardiac disease included perceived usefulness of the technology performance expectancyperceived ease of use effort expectancyand the perceived sense that others would use such a technology in similar circumstances subjective norm.
Each of these determinants has a cultural, social, or community component. Perceived ease of use depends on social support from families, whether families will help maintain technologies, and how receptive they are to instruction from home health care providers.
Finally, subjective norms involve social influence and clearly depend on the kinds of social contact families have, where they live, and how insular they are in culture or language.
The significance of this dimension of home care should not be underrated.
One middle-aged African American caregiver followed in our research had adapted her home to accommodate advanced dementia care of her mother. The hospital bed was centrally placed in the living room.
She had attached a crib mobile to the bed and replaced its objects with photographs of family members and other keepsakes important to her mother.
A commode was placed near the bed, and she herself slept in an adjacent room to monitor her mother at night.Full text of "LYNDON STATE COLLEGE CRITIC " See other formats.
Study 1 documented avoidance personal goals as an antecedent of life stressors and life stressors as a partial mediator of the relation between avoidance goals and longitudinal change in subjective well-being (SWB).
50 IS - 8 PY - /06// N2 - Surveys indicate that belief in conspiracy theories is widespread. Previous studies have. To examine the effect of cultural, social, and community environments on home care, I begin with a brief treatment of the social-ecological model as it applies to these home care environments.
I focus particularly on culture as it may be relevant to home care, the least studied of these elements.
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Though much has been written about culture in family firms (Denison et al., ), the influence of family in the development of a family culture, though universally assumed, has not been the subject of many empirical studies. On a cold day December 1, , Mrs. Rosa Parks did what she did everyday- she the bus to work.
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