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Biomedical subjects

T Klie

Publications and source records attributed to T Klie.

At least 19 recordsLinked to original sources
PubMed2006

[Investment of time in long-term care].

In a survey involving 230 persons in need of long-term care, the time required to perform support and nursing care measures was recorded and the time slices of the different contributors to the nursing care tasks were assessed. The results gave clear evidence that the amount of working time is not only depending on the severity of the case, but likewise influenced by determining factors linked to the social background. In equally less severe cases, the time spent on nursing care varied from 20 to 100 hours. In particular those with a main carer assigned to liberal civic culture, a weak informal support network and residence in an urban environment will face disadvantages regarding the time spent on their support.

Animals↗
PubMed2006

[The effects of need and chances for care time spent in home care arrangements].

Within the concomitant research on the implementation of individual care budgets in Germany, the results of verbal interviews involving 329 persons in need of care were analysed with respect to the relation between the actual time expenditure for care measures and its dependency on the level of care required (according to the statutorily regulated levels of long-term care in Germany) on the one hand as well as determining factors of the environment (social networks, milieus) on the other hand. The results of the survey showed that with a high level of care required, the social environment as a chance factor becomes particularly influential. Under disadvantageous environmental circumstances, the difference in time spent on care measures for varying levels of care required was rather low. Disadvantageous environmental circumstances were not compensated by professional services or support provided by other sectors.

Activities of Daily Living↗
PubMed2006

[Family care].

Explore the source record for details and available documents.

Aged↗
PubMed2005

[Effectiveness of a multifactorial intervention to reduce physical restraints in nursing home residents with dementia].

At present, observational studies and expert opinion are the best evidence for the use of physical restraints. Large regional and national disparities are described in acute and long-term care. Epidemiological data demonstrate a prevalence of 3-5% body-fixed or near body restraint devices. The hip fracture rate in Germany are approximately 50 per 1000 resident years. Between 40-50% of the residents in nursing homes are treated with psycho-tropic medication potentially limiting their physical mobility. The presented study protocol was designed to test the effectiveness of a multifactorial intervention to reduce physical restraints in long-term care (LTC) residents particularly with cognitive impairment. The intervention consists of an educational and an organizational part to empower staff members to improve their skills and practice in using restraints. Technical devices to reduce fall related injuries are additionally offered to the LTC facilities. The study population includes 200 LTC residents in 54 facilities in three states in Germany. The sample size calculation was based upon a 5% prevalence rate in the control group and an expected reduction of 50% in the intervention group. The protocol is a waiting-list control design. All waiting facilities will be offered to participate after their waiting period. Primary endpoints are the number of restrained residents and resident time (hours) of being restrained. The use of psychotropics, falls, fall-related injuries and the incidence of residents newly being restrained is being monitored. The study starts with a baseline documentation of all facilities followed by randomization and a three month intervention. Change agents will be responsible for the intervention. Technical devices will include a newly developed soft hip protector and sensor mats which notice the intent of leaving the bed. The aim of the study is to develop an evidence-based model for a knowledge transfer project to implement minimum restraint environments in LTC.

Accidental Falls↗
PubMed2005

[Conceptual and legal variations between the treatment of people with dementia receiving inpatient and ambulatory care].

In Germany, there clearly appears to be a gap between care carried out at home and in in-patient settings (residential nursing care). Numerous innovative projects of alternatively structured care, like for instance shared flats or group care units for people with dementia are placed in between the traditional, either home-based or institutionalised care patterns. It seems imperatively necessary to overcome the rigid separation between the inpatient sector and care carried out at home. In this article, backgrounds, necessities and perspectives of projects placed in between the traditional structures are discussed.

Ambulatory Care↗
PubMed2005

[The concept of dignity for people with disabilities and need for care, balancing between autonomy and cultural issues].

In this article, the concept of dignity deriving from the German constitution is questioned in its ambiguity. An idea of human dignity solely aiming on self determination is challenged. There is an ambivalence containing an obligation to endeavour a person's dignity in situations, where it only remains in the "autonomy of the moment", referring to dignified determining factors, appreciation in interaction and the acceptance of dependency. To maintain solidarity by accentuating and habituating this concept of dignity, is one of the main cultural challenges in a society subject to demographic and social changes.

Aged↗
PubMed2003

[Dying with dignity-between autonomy and care. A contribution to the current legal discussion in Germany].

The juridical discussion about "dying with dignity" in Germany is concentrated on the aspect of autonomy of the patients and the juridical instruments of "power of attorney". The aspects of care for dying patients and a multidimensional concept of dignity are in danger of being neglected. In the context of the discussion of rationing in the health sector the accentuation of the aspect of autonomy could support the development of new acceptance of euthanasia and the stoping of treatment. In this essay the current discussion in Germany will be shown with consideration of current legal decisions.

Advance Directives↗
PubMed2002

[Managing patients with dementia--current status and formulating dementia policy desiderata and options ].

The demographic and epidemiological scenarios, concerning persons with dementia, are in tension between the legal general conditions of care, on the one hand, and the conceptual alignment, on the other hand; this tension is hardly resolved by the momentary activities in health and care policy. Even on the level of assessment, there are scarcely any instruments to picture the specific needs of patients with dementia. Concepts of supply for persons with dementia are widely still divided by the differentiation between stationary and outpatient. Intelligent mixtures and paradigmatic reorientation towards normalization or split responsibility have not yet enfolded their embossing effects in practice. The care of persons with dementia is in many respects still bound in pre-technical constellations: this applies to the conceptual bias inside an institution or service of old people's care, to legal and economical general conditions and instruments of control and in many ways also to the technical discourse. The relevancy of attendance of people with dementia today and in the future justifies talking about "dementia policy". Options for dementia policy lay in a consequent adaptation of the theory of the New Welfare Mix, which was developed by the political sciences, including discussion about normalization in the area of help for disabled people and in the reformulation of competence between the means of fringe benefits and employees' benefits in joint responsibility.

Aged↗
PubMed1998

[Repositioning social work with the elderly? Effect of competitive elements and new guidance models on the profile of a profession].

The article discusses changes in the context within which the social professions are exercised. The chances for a refinancing of social work and indeed its very locations change in line with the transition to new steering elements in the social body and the new implementation of competitive elements in the realm of public law. With the economising of the social sphere social work is questioned under economic aspects. Simultaneously it gains normative significance. This is true with regard to standards for the quality of services and institutions, and further in the context of the discussion concerning the revitalisation of local social policy for the elderly. Precisely the economising of the social sphere raises the question whether the municipalities may be excused from their responsibility to form, preserve and support the obligations of social work with the elderly. This article denies this.

Aged↗
PubMed1998

[Nursing care in social change. Effects of nursing care insurance on the status of the disabled].

The effects of "Care-insurance" on the situation of those in need of home care, is the object of first implementation-studies of SGB XI. They largely agree on the high level of satisfaction found among those who draw the benefits of the insurance scheme, particularly among those who claim a cash premium; further they largely agree on the low level of influence of the "Care-insurance" on changes in the form of nursing. An account of the results of the milieu-oriented "Freiburger Pflegestudie", which investigates the effects of "Care-insurance" differentiated according to the various types of care-situations, forms the centre of the article.

Aged↗