Dignity in Ageing: Living Well for Longer

  • Katherine Jeays-Ward
  • Vitaveska Lanfranchi
  • Avril D. McCarthy
  • Liz PrydeEmail author
  • Lise Sproson
  • Wendy B. Tindale
Part of the Intelligent Systems Reference Library book series (ISRL, volume 167)


This chapter presents context for the need for better designed technologies within and outside of healthcare settings to support the increasing needs of ageing populations, and provides a model and exemplars through which technology development can have a greater impact.


Dignity Ageing Technology Medical devices Health Independence Methodology Innovation Design User involvement Co-design 


  1. 1.
    Barnett, K., Mercer, S.W., Norbury, M., Watt, G., Wyke, S., Guthrie, B.: Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet 380(9836), 37–43 (2012)Google Scholar
  2. 2.
    Salive, M.E.: Multimorbidity in older adults. Epidemiol. Rev. 35(1), 75–83 (2013)CrossRefGoogle Scholar
  3. 3.
    Collerton, J., Jagger, C., Yadegarfar, M.E., Davies, K., Parker, S.G., Robinson, L., Kirkwood, T.B.L.: Deconstructing Complex multimorbidity in the very old: findings from the Newcastle 85+ study. BioMed Res. Int. 2016(Article ID 8745670) (2016)Google Scholar
  4. 4.
    Department of Health: Report. Long-term Conditions Compendium of Information, 3rd edn. (2012). Accessed: 03/04/2019
  5. 5.
    NHS England: Improving Care for Older People. (2015). Accessed: 03/04/2019
  6. 6.
    World Population Review: (2019). Accessed 04/04/2019
  7. 7.
    Office for National Statistics: Disability-Free Life Expectancy (DFLE) and Life Expectancy (LE): At Age 65 by Region, England (2016)Google Scholar
  8. 8.
    Population Reference Bureau (PRB): 2018 World Population Data Sheet With Focus on Changing Age Structures. (2018). Accessed: 03/04/2019
  9. 9.
    The Kings Fund: Long Term Conditions and MultiMorbidities, from Time to Think Differently. (2015). Accessed: 04/04/2019
  10. 10.
    Couser, W.G., Remuzzi, G., Mendis, S., Tonelli, M.: The contribution of chronic kidney disease to the global burden of major noncommunicable diseases. Kidney Int. 80(12), 1258–1270 (2011)CrossRefGoogle Scholar
  11. 11.
    Stroke Association: State of the Nation Stroke Statistics. (2018). Accessed 3 Apr 2019
  12. 12.
  13. 13.
    Buckley, B.S., Lapitan, M.C.M.: Prevalence of urinary and faecal incontinence and nocturnal enuresis and attitudes to treatment and help-seeking amongst a community-based representative sample of adults in the United Kingdom. Int. J. Clin. Pract. 63(4), 568–573 (2009)CrossRefGoogle Scholar
  14. 14.
    Boyd, C.M., Darer, J., Boult, C., Fried, L.P., Boult, L., Wu, A.W.: Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases. JAMA 294, 716–724 (2005)CrossRefGoogle Scholar
  15. 15.
    Van Weel, C., Schellevis, F.G.: Comorbidity and guidelines: conflicting interests. Lancet 2006(367), 550–551 (2006)CrossRefGoogle Scholar
  16. 16.
    Bajorek, Z., Hind, A., Bevan, S.: The Impact of Long Term Conditions on Employment and the Wider UK Economy. (2016). Accessed: 03/04/2019
  17. 17.
    Devices for Dignity: My Dignity Means: Patient Voices. (2015). Accessed: 03/04/2019
  18. 18.
    Institute for Social and Economic Research and NatCen Social Research: Understanding Society: Waves 1–5, 2009–2014 [computer file], 7th edn. Colchester, Essex: UK Data Archive [distributor]. SN: 6614 (2015)Google Scholar
  19. 19.
    Holt-Lunstad, J., Smith, T.B., Baker, M., Harris, T., Stephenson, D.: Loneliness and social isolation as risk factors for mortality: a meta-analytic review. Perspect. Psychol. Sci. 10, 227–237 (2015)CrossRefGoogle Scholar
  20. 20.
    Valtorta, N.H., Kanaan, M., Gilbody, S., Ronzi, S., Hanratty, B.: Loneliness and social isolation as risk factors for coronary heart disease and stroke: systematic review and meta-analysis of longitudinal observational studies. BMJ 102(13), 1009–1016 (2016)Google Scholar
  21. 21.
    Dixon, S., Palfreyman, S., Shackley, P., Brazier, J.: What is dignity? A Literature Review and Conceptual Mapping. HEDS Discussion Paper 11/13 (Unpublished). Available for download at: (2013). Accessed 01/04/2019
  22. 22.
    Euroqol: EQ-5D Instruments | About EQ-5D. (2019). Accessed 01/04/2019
  23. 23.
    Sen, A.: Commodities and Capabilities. Oxford: Oxford University Press (1985). ISBN: 9780195650389Google Scholar
  24. 24.
    Potter, C.M., Kelly, L., Hunter, C., Fitzpatrick, R., Peters, M.: The context of coping: a qualitative exploration of underlying inequalities that influence health service support for people living with long-term conditions. Sociol. Health Illn. 40(1), 130–145 (2018)CrossRefGoogle Scholar
  25. 25.
    National Institute for Health Research (NIHR): Who We Are. (2018). Accessed: 03/04/2019
  26. 26.
    Kryl, D., Marjanovic, S., Ni Chonaill, S., Ridsdale, H., Yaqub, O.: Healthcare Technology Co-operatives: Filling a Niche in the English R&D Landscape. Rand technical report TR932 (2011)Google Scholar
  27. 27.
    Department of Health: Innovation Health and Wealth, Accelerating Adoption and Diffusion in the NHS., (2011). Accessed: 03/04/2019
  28. 28.
    Heron, N.M., Tindale, W.B.: Healthcare technology co-operatives: innovative about innovation. J. Med. Eng. Technol. 39(7), 378–381 (2015)CrossRefGoogle Scholar
  29. 29.
    National Institute for Health and Care Excellence: Lower Urinary Tract Symptoms in Men: Management. Clinical guideline [CG97] Published date: May 2010. (2010, updated 2015). Accessed: 02/04/2019
  30. 30.
    National Institute for Health and Care Excellence (NICE): Urinary Incontinence and Pelvic Organ Prolapse in Women: Management. NICE guideline [NG123] (2019)Google Scholar
  31. 31.
    Singh, S., Hamdy, S.: Dysphagia in stroke patients. Postgrad. Med. J. 82(968), 383–391 (2006)CrossRefGoogle Scholar
  32. 32.
    Ekberg, O., Hamdy, S., Woisard, V., Wuttge-Hanning, A., Ortega, P.: Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia 17(2), 139–146 (2002)CrossRefGoogle Scholar
  33. 33.
    Farri, A., Accornero, A., BurdesS, C.: Social importance of dysphagia: its impact on diagnosis and therapy. Acta Otorhinolaryngol. Ital. 27(2), 83–86 (2007)Google Scholar
  34. 34.
    Freed, M., Freed, L., Chatburn, R., Christian, M.: Electrical stimulation for swallowing disorders caused by stroke. Respir. Care 46(5), 466–474 (2001)Google Scholar
  35. 35.
    Sproson, L., Pownall, S., Freeman, J., Enderby, P.: Combined electrical stimulation and exercise for swallow rehabilitation post-stroke: a pilot randomized control trial. Int. J Lang. Commun. Disord. 53(2), 405–417 (2018)CrossRefGoogle Scholar
  36. 36.
    Geeganage, C., Beavan, J., Ellender, S., Bath, P.M.: Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst. Rev. (10) (2012)Google Scholar
  37. 37.
    National Institute for Health and Care Excellence (NICE): Transcutaneous Neuromuscular Electrical Stimulation for Oropharyngeal Dysphagia. NICE Interventional Procedure Guidance No. IPG490 (2014)Google Scholar
  38. 38.
    Bebb, C., Breen, C., Day, C., Mitra, S., Milad, J.E., Grainger, J.: Implementation of a compact haemodialysis system in a real-world environment: assessment of user uptake, safety, performance and usability. In: Presented at EDTA Conference: Copenhagen, Denmark. (2018). Accessed 02/04/2019
  39. 39.
    Harasemiw, O., Day, C., Milad, J.E., Grainger, J., Ferguson, T., Komenda, P.: Human factors testing of the Quanta SC+ Haemodialysis System: An Innovative System for Home and Clinic use. (2018). Accessed 02/04/2019***
  40. 40. Accessed: 04/04/2019Google Scholar
  41. 41.
    The World Bank: Disability Inclusion. (2018). Accessed: 03/04/2019

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Katherine Jeays-Ward
    • 1
  • Vitaveska Lanfranchi
    • 1
    • 3
  • Avril D. McCarthy
    • 1
    • 2
  • Liz Pryde
    • 1
    Email author
  • Lise Sproson
    • 1
  • Wendy B. Tindale
    • 1
    • 3
  1. 1.NIHR Devices for Dignity MedTech Co-Operative, Sheffield Teaching Hospitals NHS Foundation TrustSheffieldUK
  2. 2.Clinical EngineeringSheffield Teaching Hospitals NHS Foundation TrustSheffieldUK
  3. 3.University of SheffieldSheffieldUK

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