RESUMEN
Technology plays a major role in care. Against the background of demographic ageing, the use of assistive technologies to support and relieve carers in their work is becoming more and more important. One sector that is increasingly coming into focus is home care by family caregivers. Here, the use of assistive technologies takes place under specific conditions. The article proposes a care-ethical perspective to understand these conditions. It critically discusses issues of power and participation in the negotiation of care that can be associated with the use of technology and outlines a care-ethical perspective on technocare.
Asunto(s)
Servicios de Atención de Salud a Domicilio , Dispositivos de Autoayuda , Humanos , Tecnología , CuidadoresRESUMEN
BACKGROUND: Individual-centered approaches have for a long time defined the gerontological involvement with technology. Despite an approach that expands in terms of space (e.g., neighborhood approaches) or social networks (e.g., caring communities), these approaches are characterized by centering on people as working alone. Material gerontological approaches attempt to theoretically and empirically address this entanglement of humans and technology by decentralizing the human and conceptualizing agency as being distributed among human and nonhuman agents. OBJECTIVE: Drawing on ongoing debates in material gerontology a concept of age assemblages is developed with which age(ing) can be understood as a process distributed between older people, objects, technologies and spaces. At the same time this involves how such theoretical concepts can be applied in the practice of sociotechnical innovations in order to promote successful ageing. MATERIAL AND METHODS: Based on various empirical research studies, the article exemplifies a material gerontological perspective. RESULTS AND DISCUSSION: It is shown how an expansion of gerontology towards more than human worlds of age(ing) can be conceived. The focus is on (1) a decentralization of age(ing) towards "age assemblages", (2) a broadening of the individual human to a distributed more than human agency and, as a result, (3) a shift in the boundaries of research phenomena in gerontology. The article closes with reflections on what the developed concept of age assemblages means for gerontological research and practice.
Asunto(s)
Geriatría , Humanos , Anciano , Geriatría/métodos , EnvejecimientoRESUMEN
Digitization is becoming increasingly important in health promotion and disease prevention. At the same time, the Prevention Act has contributed to the strengthening of health promotion and disease prevention interventions in various settings. In a lifeworld- or setting-oriented approach, disease prevention and health promotion target both the behavior and the situation around individuals. Although the use of digital occupational health management has increased in working environments in recent years, the potential of digitization is still insufficiently exploited. This is particularly true for health promotion and disease prevention among nursing professionals.Therefore, this discussion paper focuses on health promotion and disease prevention in inpatient long-term care facilities. Since the structured implementation of digital applications in care facilities represents an innovation within the organization, this momentum could be used to simultaneously design structures and processes in a way that promotes health. In this context, health promotion through digitization is understood as an organizational task with a needs-sensitive and diversity-oriented focus. Digitization can thus be a vehicle for substantially advancing the establishment of health-promoting facilities in long-term care.
