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Article
Publication date: 28 May 2020

Louise Ritchie, Anna Jack-Waugh, Elsa Sanatombi Devi, Binil V, Anice George, Joyce Henry, Clarita Shynal Martis, Debjani Gangopadhyay and Debbie Tolson

Many individual and family hardships are associated with poorly understood palliative care needs arising from advanced dementia within India. The purpose of this paper is to…

Abstract

Purpose

Many individual and family hardships are associated with poorly understood palliative care needs arising from advanced dementia within India. The purpose of this paper is to explore the experiences of people in India affected by advanced dementia and to shape educational approaches for practitioners and the local community.

Design/methodology/approach

Three focus groups with family carers of people (n = 27) with advanced dementia were undertaken with local communities in South India. One focus group was carried out in English and two in the local language (Kannada) and translated to English.

Findings

The findings of the focus groups are presented in four themes, conditions of caring, intersecting vulnerabilities, desperate acts of care and awareness of education and training needs. These themes highlight the challenges faced by family carers of people with advanced dementia and describe the potential harm, abuse and poor mental well-being facing both the person with dementia and the family carer as a result of their situation.

Research limitations/implications

There is a need to explore ways to ensure inclusivity and sensitivity in the research process and enable equal participation from all participants.

Practical implications

The findings highlight a lack of support for family carers of people with advanced dementia and demonstrate the need for dementia-specific integrated and palliative care approaches in India.

Originality/value

This paper provides insight into the experiences and challenges facing family caregivers of people living with advanced dementia in India to shape practitioner education in a way that will underpin effective dementia-specific palliation and integrated services.

Details

Journal of Integrated Care, vol. 28 no. 4
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 1 December 2005

L.C. Hieu, N. Zlatov, J. Vander Sloten, E. Bohez, L. Khanh, P.H. Binh, P. Oris and Y. Toshev

Aims to investigate medical rapid prototyping (medical RP) technology applications and methods based on reverse engineering (RE) and medical imaging data.

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Abstract

Purpose

Aims to investigate medical rapid prototyping (medical RP) technology applications and methods based on reverse engineering (RE) and medical imaging data.

Design/methodology/approach

Medical image processing and RE are applied to construct three‐dimensional models of anatomical structures, from which custom‐made (personalized) medical applications are developed.

Findings

The investigated methods were successfully used for design and manufacturing of biomodels, surgical aid tools, implants, medical devices and surgical training models. More than 40 medical RP applications were implemented in Europe and Asia since 1999.

Research limitations/implications

Medical RP is a multi‐discipline area. It involves in many human resources and requires high skills and know‐how in both engineering and medicine. In addition, medical RP applications are expensive, especially for low‐income countries. These practically limit its benefits and applications in hospitals.

Practical implications

In order to transfer medical RP into hospitals successfully, a good link and close collaboration between medical and engineering sites should be established. Moreover, new medical applications should be developed in the way that does not change the traditional approaches that medical doctors (MD) were trained, but provides solutions to improve the diagnosis and treatment quality.

Originality/value

The presented state‐of‐the‐art medical RP is applied for diagnosis and treatment in the following medical areas: cranio‐maxillofacial and dental surgery, neurosurgery, orthopedics, orthosis and tissue engineering. The paper is useful for MD (radiologists and surgeons), biomedical and RP/CAD/CAM engineers.

Details

Assembly Automation, vol. 25 no. 4
Type: Research Article
ISSN: 0144-5154

Keywords

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