Sydney Multisite Intervention Of LaughterBosses And ElderClowns (SMILE): An RCT Of Humour Therapy In Residential Care
Funder
National Health and Medical Research Council
Funding Amount
$852,237.00
Summary
Sydney Multisite Intervention of LaughterBosses and ElderClowns (SMILE) is a trial of humour therapy. About 400 residents from 36 hostels and nursing homes will be randomly assigned to receive the SMILE treatment or usual care. ElderClowns will visit weekly, and staff volunteers will be trained to be LaughterBosses and bring humour to daily care routines. SMILE will evaluate whether humour therapy improves resident quality-of-life and mood, and reduces staff burnout and turnover.
Development of domain information model for aged & community care in Australia. The aim of this research is to develop a care-oriented reference information and communication model (RIM) that will inform national policy for the development of a national information technology strategic plan for aged care. The model will reflect the domain specific content and work of service providers and consumers in the aged and community care context and the unique cultural, social and professional attributes ....Development of domain information model for aged & community care in Australia. The aim of this research is to develop a care-oriented reference information and communication model (RIM) that will inform national policy for the development of a national information technology strategic plan for aged care. The model will reflect the domain specific content and work of service providers and consumers in the aged and community care context and the unique cultural, social and professional attributes of this sector. The model will be used to evaluate the applicability of the HealthOnline framework, including the relevance of emerging interoperability standards to the aged and community care sector.Read moreRead less
A Platform for Rapid and Flexible Development of Context-Aware Web Services. Context awareness is one of the most exciting trends in computing today, and it holds the potential to make our daily life more productive, convenient and enjoyable. The proposed project will produce a comprehensive platform for developing context-aware Web services, which will facilitate ready implementation of many innovative applications and make important contributions to Australian society and the national economy. ....A Platform for Rapid and Flexible Development of Context-Aware Web Services. Context awareness is one of the most exciting trends in computing today, and it holds the potential to make our daily life more productive, convenient and enjoyable. The proposed project will produce a comprehensive platform for developing context-aware Web services, which will facilitate ready implementation of many innovative applications and make important contributions to Australian society and the national economy. One such application is an intelligent seniors assistance service that will improve quality of life for senior citizens while helping them maintain an independent lifestyle. This project will also place Australia at the forefront of Web service development.Read moreRead less
Gastric, Small Intestinal And Cardiovascular Mechanisms Of Postprandial Hypotension.
Funder
National Health and Medical Research Council
Funding Amount
$701,521.00
Summary
A fall in blood pressure after a meal (known as postprandial hypotension) is an important clinical problem, particularly in the elderly, and is associated with an increase in the incidence of falls, stroke, as well as mortality. The mechanisms responsible for postprandial hypotension are not well understood and current therapies are less than optimal. The studies proposed in the current application have important implications for the management of postprandial hypotension.
Pathophysiology Of Postprandial Hypotension In The Elderly - Role Of Gastric And Small Intestinal Mechanisms
Funder
National Health and Medical Research Council
Funding Amount
$471,176.00
Summary
A fall in blood pressure after a meal (known as postprandial hypotension) is an important clinical problem, particularly in the elderly, occurring in ~50% of nursing home residents and ~30% of healthy older subjects. Postprandial hypotension is associated with a substantial increase in the incidence of falls, stroke, as well as mortality. The mechanisms responsible for the fall in blood pressure after a meal are not well understood, although changes in gastrointestinal blood flow and the release ....A fall in blood pressure after a meal (known as postprandial hypotension) is an important clinical problem, particularly in the elderly, occurring in ~50% of nursing home residents and ~30% of healthy older subjects. Postprandial hypotension is associated with a substantial increase in the incidence of falls, stroke, as well as mortality. The mechanisms responsible for the fall in blood pressure after a meal are not well understood, although changes in gastrointestinal blood flow and the release of gut hormones, have been implicated. While ingestion of carbohydrate, particularly glucose, has been reported to decrease blood pressure most potently, there is inadequate and conflicting information about the effects of other nutrients such as fat and protein. Current therapies are less than optimal. Studies by our research group have established that the fall in blood pressure in response to meals is related to the rate at which nutrients enter the small intestine ie the fall in blood pressure is greater when the stomach empties more quickly. In contrast, gastric distension reduces the fall in blood pressure. Hence, treatment could be directed at facilitating gastric distension and-or slowing the rate of nutrient delivery into the small intestine. Our previous studies have not included any assessment of changes in blood flow to the gut after meals, or of the interaction between gastric distension and small intestinal mechanisms, and have involved healthy older subjects and patients with type 2 (non-insulin dependent) diabetes rather than individuals with known postprandial hypotension. We now have the capacity to measure blood flow in the gut with ultrasound. The studies proposed in the current application represent a logical development from our previous work and have important implications for the management of postprandial hypotension.Read moreRead less
Finding meaning in the experience of dementia: The place of spiritual reminiscence work. This project will use spiritual reminiscence work to study the experience of dementia and the spiritual dimension focussing on how people with dementia find meaning and develop coping strategies. Dementia is a significant issue for an ageing society where estimates of prevalence indicate a rise of 254% from 1995-2041. The greatest challenge to people diagnosed with dementia is their search for meaning lead ....Finding meaning in the experience of dementia: The place of spiritual reminiscence work. This project will use spiritual reminiscence work to study the experience of dementia and the spiritual dimension focussing on how people with dementia find meaning and develop coping strategies. Dementia is a significant issue for an ageing society where estimates of prevalence indicate a rise of 254% from 1995-2041. The greatest challenge to people diagnosed with dementia is their search for meaning leading to the development of effective coping strategies as their memory loss and confusion progresses. Outcomes will impact on persons with dementia, staff and carers, with improved quality of life for allRead moreRead less
Moving beyond crisis management: Creating a future for people with disabilities living with ageing parents. The needs of thousands of people with disabilities being cared for by ageing parents are beyond the capacity of our existing formal mechanisms for providing care. In order to mitigate this national crisis in support, this research will establish effective, resource efficient support strategies where there are currently no plans in place for future care arrangements. By enhancing the capaci ....Moving beyond crisis management: Creating a future for people with disabilities living with ageing parents. The needs of thousands of people with disabilities being cared for by ageing parents are beyond the capacity of our existing formal mechanisms for providing care. In order to mitigate this national crisis in support, this research will establish effective, resource efficient support strategies where there are currently no plans in place for future care arrangements. By enhancing the capacity of the community to provide support the benefit of existing formal supports will be extended to address the needs of more families. This project will position Australian disability research and support at the forefront of international efforts to legitimize the claim of people with disabilities and their families on community resources.Read moreRead less
Facilitating intuitive interaction with complex devices for older users. Poorly designed interfaces impact more strongly on older people. Helping designers to make more intuitive interfaces for older community members has great potential for improving their lives and health, and thus benefiting the community generally. Making modern devices easier for older people to use will allow them to participate more fully in society and/or the workplace. This will also help to prevent them from becoming i ....Facilitating intuitive interaction with complex devices for older users. Poorly designed interfaces impact more strongly on older people. Helping designers to make more intuitive interfaces for older community members has great potential for improving their lives and health, and thus benefiting the community generally. Making modern devices easier for older people to use will allow them to participate more fully in society and/or the workplace. This will also help to prevent them from becoming isolated and possibly depressed. This project will apply intuitive interaction to healthcare devices that older people use, which can save costly mistakes and even lives.Read moreRead less
Partnership Centre: Dealing With Cognitive And Related Functional Decline In Older People
Funder
National Health and Medical Research Council
Funding Amount
$12,500,000.00
Summary
The focus of this Partnership Centre is how to better apply our existing knowledge and how to create new knowledge that will directly improve support to those elderly suffering from cognitive decline, their carer’s (formal and informal) and the various agencies delivering services for them. This Partnership Centre’s Investigator Team will engage in a range of activities to improve aged care service planning (including continuity of care and risk assessments of community care); develop and implem ....The focus of this Partnership Centre is how to better apply our existing knowledge and how to create new knowledge that will directly improve support to those elderly suffering from cognitive decline, their carer’s (formal and informal) and the various agencies delivering services for them. This Partnership Centre’s Investigator Team will engage in a range of activities to improve aged care service planning (including continuity of care and risk assessments of community care); develop and implement new approaches to support informal carer’s; reduce stigma around cognitive decline in both the health care and community context; improve the size and quality of the aged care workforce; assist with decision making, rights, citizenship and related ethics through education; improve aged care regulation; promote responsible medication management; develop and disseminate up-to-date clinical guidelines; and implement proven models of care.Read moreRead less