Challenges

Many of the challenges in providing support to people with dementia and other frail older people in their homes in rural areas are similar for all implementing partners in Scotland, Sweden and Norway. They include the challenges of overcoming distance and the challenges of meeting the needs of the many older people, who in many areas constitute more than 30 percent of the population in the communities.
In a population older than 80 years, there will be about 40 percent who experience dementia and a larger group will have multiple health related problems adding to their frailty. Frail older people will require extensive support from the families, the community and the care system in order to age in place in remote communities. There is also the common challenge of limited resources, both in terms of personnel and of financial resources. All implementing partners have proved their maturity in implementing the planned services and financial management through their participation in the previous RemoDem project.

There are differences in how care support is organized in the different countries and also differences in infrastructures of for example the availability of data networks in private homes. At the same time, there is a common goal of improving the system for community based support adjusted to the local situation and tradition. It is agreed transnationally that improving the quality of the support in their private homes for people with dementia and other vulnerable older people will be the main road forward in order to meet the challenges of supporting an increasing number of older people in remote rural areas. It is also agreed that this support must include services that use tools to facilitate increased use of remote support and tools that can facilitate a flexible and person centred support system.

The core of a person centred support system is that it is focused and based on the personal needs of the frail older person and their family. This means that the assessment of stakeholder needs is an important basis for developing and implementing the service package that is anticipated to be formed in such a way that it is flexible and adjustable to personal needs, as well as to the different project partner’s tradition of providing support, and the local contexts of the targeted communities. The needs of the individual frail older person, the family and staff providing the services will have a special focus in the project when adjusting the services to the local context. The way the needs of these stakeholders will be assessed and the different ways they will participate and influence the implementation of the project will be adjusted according to local traditions of community involvement.

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