Search results for ‘Subject term:"activities of daily living"’ Sort:
Results 1 - 10 of 16
Individual determinants of task division in older adults' mixed care networks
- Authors:
- JACOBS Marianne T., et al
- Journal article citation:
- Health and Social Care in the Community, 22(1), 2014, pp.57-66.
- Publisher:
- Wiley
Older adults in need of long-term care often receive help from both informal and formal caregivers. The division of tasks between these different types of caregivers may vary among such mixed care networks. Traditional models of task division suggest that formal and informal caregivers may either supplement each other or specialise in the care activities performed. This study explores division of Activities of Daily Living (ADL) andI Instrumental ADL (IADL) between informal and formal caregivers of older people in the Netherlands, using data collected in 2007 on 458 mixed care situations. Four types of task divisions of informal and formal care are distinguished: the complementation model [neither Activities of Daily Living (ADL) nor instrumental ADL (IADL) tasks shared, 14%], the supplementation model (both ADL and IADL tasks shared, 39%) and informal and formal specialisation (one type of task shared, one type of task not shared, 27% and 20% respectively). Analyses show that the intensity of care provision, the informal caregivers' motives and the presence of privately paid help – more than care receiver's health – are related to type of task division with formal care. For example, when the informal caregiver provides more hours of help and out of a strong personal bond, the likelihood of informal specialisation increases, whereas the likelihood of formal specialisation decreases. When privately paid help is present, the complementation model is more likely, whereas the supplementation model is less likely to be found. Results are discussed regarding the differential consequences for co-ordination and co-operation in mixed care networks. (Edited publisher abstract)
Towards meaningful activity and engagement
- Authors:
- THWAITES Susannah, HENDERSON-GREENE Marie
- Journal article citation:
- Journal of Dementia Care, 21(1), 2013, pp.18-19.
- Publisher:
- Hawker
Key policy documents emphasize the importance of activity and meaningful engagement with care home residents with dementia. However incorporating occupation and activity as part of regular care practice can pose a real challenge. The authors report on their use of the Pool Activity Level (PAL) tool to improve engagement with care home residents and argue the case for ongoing support to care homes using PAL. PAL is based on the principle that people with dementia have abilities as well as difficulties and that when an enabling environment is established their potential activities can be realised. The PAL tool and its associated Individual Action Plans are practical ways of guiding the provision of daily living and leisure activities. The authors, both occupational therapists, were seconded to deliver a two year project working across 11 homes in the north east of England. The aim was to reduce the use of antipsychotic medication in the homes and increase non-pharmacological responses to challenging behaviour. Training sessions on the use of PAL were followed by a period of implementation and finally an evaluation. The care assistants and activity organisers found PAL easy to understand and use and felt it valued their skills and knowledge. They were motivated to integrate it into their working practices but there was a need for ongoing management support and follow up sessions.
Basic personal care MOT
- Authors:
- CARR Deborah, WELLINGTON Sam
- Publisher:
- Nottinghamshire Council. Learning Disability Partnership Board
- Publication year:
- 2009
- Pagination:
- 16p.
- Place of publication:
- Sutton-in-Ashfield
The aim of this document is to provide advice and guidance to staff assisting people with a learning disability in aspects of basic personal care. It covers the topics of personal hygiene, oral hygiene, fingernail and hand care, toenail and foot care, shaving, hair care, clothing. This supplements policy and guidance in the development of a personal support plan which forms part of the person centred plan.
Bathing without a battle: personal care of individuals with dementia
- Editors:
- BARRICK Ann Louise, et al, (eds.)
- Publisher:
- Springer Publishing
- Publication year:
- 2002
- Pagination:
- 162p.
- Place of publication:
- New York
Presents an individualised, problem solving approach to bathing and personal care of people with dementia. Based on original research and clinical experience, this book details strategies and techniques that can be used in both institutional and home settings. The approach is also appropriate for care activities other than bathing. Provides practice guidelines, transfer techniques, lists of suppliers of bathing equipment and the description of a complete training programme for care workers.
Changing the philosophy of care in long-term care: testing of the restorative care intervention
- Authors:
- RESNICK Barbara, et al
- Journal article citation:
- Gerontologist, 49(2), April 2009, pp.175-184.
- Publisher:
- Oxford University Press
This American study aimed to test the effectiveness of a 12-month restorative care (Res-Care) intervention on the beliefs related to Res-Care, knowledge of Res-Care, observed performance of Res-Care with residents, and job satisfaction among nursing assistants (NAs) in nursing home (NH) settings. A randomized controlled trial was used including 12 sites and using a repeated measure design with follow-up testing done at 4 and 12 months. An intention-to-treat principle was followed in all analyses, and generalized estimating equations were used to perform repeated measures. A total of 556 NAs consented to participate and completed baseline assessments (265 in treatment and 258 in control sites), 427 completed 4-month follow-up (218 in treatment and 195 in control sites), and 357 completed 12-month follow-up (168 in treatment and 158 in control sites). There was a statistically significant increase in the treatment group participants’ outcome expectations related to Res-Care activities and performance of Res-Care at 4 months, and an increase in knowledge of Res-Care and job satisfaction at 12 months. There was no difference between the groups with regard to self-efficacy expectations. Implication: This study provides an important step in understanding the implementation of a Res-Care philosophy in NH settings and the benefit this can have for NAs.
The Trebus archive: piecing the fragments together
- Author:
- CLEGG David
- Journal article citation:
- Journal of Dementia Care, 15(3), May 2007, pp.27-32.
- Publisher:
- Hawker
The author describes the development of the Trebus project, which is an archive of stories, letters, drawings, films and music developed with people suffering from dementia. He then describes his work in Care UK homes managing its Activity Based Care Project (ABC). The project enables residents to become involved and helping out with day-to-day tasks, such as making beds, polishing furniture, or setting tables.
Helping people with learning disabilities manage continence: a workbook for support workers and carers
- Authors:
- BRADLEY Alice, LAMBE Loretto
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 2006
- Pagination:
- 99p.
- Place of publication:
- Kidderminster
Continence is one of those things we seldom think about if we don’t have a problem, but which assumes massive proportions if we do. Incontinence is very much a taboo subject and relatively little has been written about it in relation to people with learning disabilities. This workbook has been produced in partnership with people with learning disabilities to rectify the situation. By understanding continence better and improving the support available, care staff can help enhance the quality of life for individuals and, where relevant, for their families.
Risks as dilemmas for home care staff caring for persons with dementia
- Authors:
- SANDBERG Linda, BORELL Lena, ROSENBERG Lena
- Journal article citation:
- Aging and Mental Health, 25(9), 2021, pp.1701-1708.
- Publisher:
- Taylor and Francis
Objectives: Many persons with dementia live at home with support from home care services. Despite this, research is scarce concerning how risks in daily life among persons with dementia are perceived and handled by home care staff. This study aimed to explore how home care staff identify risks in the everyday lives of persons with dementia, and to inquire into how they reasoned about their own actions related to those risks. Method: A qualitative approach was applied for the study. Both individual interviews and focus groups were conducted with home care staff (n = 23). Data was analysed using a constant comparative method. Results: Identifying, reasoning and acting upon risks in the everyday lives of persons with dementia were related to several dilemmas for the home care staff. These dilemmas are described and elaborated on in three categories: 1) Strategies for tracking risks, 2) Dilemmas concerning where to draw the line and deciding when to act, and 3) Dilemmas when acting on risks. Conclusion: The study provides new knowledge about the dilemmas that staff in home care services may face and how they reason about managing risks in the homes of persons with dementia. The study shows that the staff had to weigh risk and safety against the autonomy of persons with dementia. Based on these findings, we want to highlight the importance of competence among home care staff and the organizational conditions that must exist in order to manage the challenges of risky situations. (Edited publisher abstract)
Dementia skill starters: a set of six workbooks covering key areas of dementia care
- Author:
- UNIVERSITY OF STIRLING. Dementia Services Development Centre
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 2010
- Pagination:
- 6 vols.
- Place of publication:
- Stirling
- Edition:
- 2nd ed.
A set of six full-colour, easy to read, jargon-free booklets for home carers. Each booklet deals with a different area of care. These cover: understanding dementia, supporting someone who has dementia, communication, understanding behaviour, bathing and life story work. Each booklet has a 'My Learning' page where readers can log what they have learned and also note their future learning needs.
Active support, participation and depression
- Authors:
- STANCLIFFE Roger J., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 23(4), July 2010, pp.312-321.
- Publisher:
- Wiley
Active Support is a model of support intended to bring about meaningful everyday activities by people with intellectual disabilities. The aim of this study was to examine the medium-term effect of implementation of Active Support on domestic participation, adaptive behaviour, challenging behaviour and depression in adults with intellectual disabilities who lived in community group homes. It investigated the effect of staff training in Active Support in 9 group homes. Outcome data were obtained for 41 clients. The effectiveness of Active Support was evaluated with a pre-test:post-test design, using a number of standardised assessments and other questionnaires, with group home staff as informants. These assessments were conducted before Active Support training and an average of 6.5 months later. The results showed that following implementation of Active Support residents experienced significant increases in domestic participation and adaptive behaviour. There were significant decreases in internalised challenging behaviour, overall challenging behaviour and depression. There was no significant pre–post change in other forms of challenging behaviour.