Socially assistive robots on the market : Experiences from inpatient care and potentials for care at home.

BACKGROUND: The article addresses commercial socially assistive robots (SAR). There is evidence of the impact of SAR on older persons in institutional settings. Family care at home has not yet been the subject of systematic research; however, especially at home SAR could help to prevent loneliness, provide emotional support, and foster communication. OBJECTIVE: Inspired by evidence on the potential impact of SAR, the article analyzes their potential for supporting family care at home. A participatory research and development (R&D) project stands as an example of how SAR can improve communication and relations at home. MATERIAL AND METHODS: Apart from the results of selected randomized controlled trials (RCT) in institutional settings, the article provides results from tests that were run in the R&D project. RESULTS: SAR can increase the quality of life of users at home. They are capable of improving relations within family care. They inspire communication, change routines, and provide relief to family caregivers; however, it takes trained human companions to support the use of SAR at home and address ethical aspects. CONCLUSION: If SAR are supposed to deliver their potential for care at home, older persons and their caregivers must be actively involved in research and development. These processes must be systematically evaluated.

Effects of the COVID-19 pandemic on hospice and palliative care in nursing homes-A qualitative study from a multiperspective view.

In Germany, nursing homes are characterised by challenging conditions for adequately supporting residents at their end of life, which have even amplified due to the COVID-19 pandemic. This article therefore analyses how hospice and palliative care in nursing homes has changed due to the COVID-19 pandemic and how the pandemic has affected residents, relatives and employees. Semi-structured interviews with employees, residents and relatives were conducted before and during the COVID-19 pandemic in two nursing homes in North Rhine-Westphalia, Germany. In a pre-post comparison, data were qualitatively evaluated using content analysis according to Mayring. Shifts, congruities and discrepancies in challenges in hospice and palliative care were identified between T0 and T1. Due to contact restrictions, important parts of end-of-life care were missing, and the roles of individuals providing hospice and palliative care were redefined. The interviewed groups experienced changes differently and contradictory statements on satisfaction and expectations about hospice and palliative care were reported. Employees and relatives predominantly perceived the pandemic to be very stressful, while residents endured this period more composedly. Employees stated that, despite the pandemic, they were mostly able to meet residents' requests. However, relatives and residents expressed that minor requests were not reliably fulfilled, neither at T0 nor at T1. Drawing together the different perspectives from employees, residents and relatives offers a bigger picture of challenges in hospice and palliative care in nursing homes and the pandemic effects. Stronger communication of requests and needs as well as greater collaboration, especially under crisis conditions, are essential for a better quality of end-of-life care. There is an urgent need to break down the taboos around the topics of dying and death in nursing homes.