Search results for ‘Subject term:"activities of daily living"’ Sort:
Results 1 - 10 of 37
Development of an internationally accepted definition of reablement: a Delphi study
- Authors:
- METZELTHIN Silke F., et al
- Journal article citation:
- Ageing and Society, 42(3), 2022, pp.703-718.
- Publisher:
- Cambridge University Press
With an ageing society, the demand for health and social care is increasing. Traditionally, staff provide care for their clients rather than with them. In contrast, reablement aims to support people to maximise their competences to manage their everyday life as independently as possible. There is considerable variation between and within countries regarding the conceptual understanding of the approach. This variation affects the ability to evaluate reablement approaches systematically, compare and aggregate findings from different studies, and hinders the development of a robust evidence. Therefore, a Delphi study was conducted in 2018/9 with the aim of reaching agreement on the characteristics, components, aims and target groups of reablement, leading towards an internationally accepted definition of reablement. The study consisted of four Web-based survey rounds. In total, 82 reablement experts from 11 countries participated, reaching agreement on five characteristics (e.g. person-centred), seven components (e.g. goal-oriented treatment plan) and five aims (e.g. increase clients' independency). Furthermore, most experts agreed that reablement is an inclusive approach irrespective of the person's age, capacity, diagnosis or setting. Based on these features, a definition of reablement was developed, which was accepted by 79 per cent of participating experts. This study is a significant step towards providing conceptual clarity about reablement. Future research should focus on evaluating the implementation of agreed reablement components to inform practice, education and policy. (Edited publisher abstract)
Constructing dementia and dementia care: daily practices in a day care setting
- Author:
- PARKER Jonathan
- Journal article citation:
- Journal of Social Work, 5(3), December 2005, pp.261-278.
- Publisher:
- Sage
This article explores the ways in which dementia can be constructed and maintained by the actions, and received ideas concerning dementia, of social care staff practising in a local authority day care setting in the UK. The article is set within the context of ‘daily practice’, the things that we do forming the basis of how things may be (re)defined. The study suggests that the physical environment of the day care setting, the routines and activities provided and the practices of care staff indicate three particular ways in which dementia was constructed. These comprised ‘holding and homogenizing’,‘demarcating and distancing’ and ‘caring and controlling’. Each depended on individual approach, training and experience and was influenced by ‘received’ traditional approaches. This is important to the understanding of dementia care as we seek to recognize diverse experiences and to consider pluralistic approaches to best practice in dementia care. The study indicates the need for training at a deep and reflective level in which the new culture of person-centred dementia care becomes part of daily practice rather than a distant ideal.
Getting to know the person with dementia: the impact of diagnosis
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2013
- Place of publication:
- London
This film introduces six people who have been diagnosed with dementia. The film illustrates how understanding the person with dementia helps to provide person centred care and support. (Publisher abstract)
Managing person-centered dementia care in an assisted living facility: staffing and time considerations
- Authors:
- SIMMONS Sandra F., et al
- Journal article citation:
- Gerontologist, 58(4), 2018, pp.e251-e259.
- Publisher:
- Oxford University Press
Background and Objectives: To describe (a) the unlicensed staff time necessary to provide quality activities of daily living (ADL) care to residents receiving dementia care within an assisted living facility and (b) a staff management approach to maintain quality ADL care. Research Design and Methods: Supervisory staff used a standardized observational method to measure ADL care quality and the staff time to provide care during the morning and evening across 12 consecutive months. Staff were given individual feedback about the quality of their care provision following each observation. Results: The average staff time to provide ADL care averaged 35 (± 11) minutes per resident per care episode with bathing and 18 (± 6) minutes/resident/care episode without bathing. Morning ADL care required significantly more staff time than evening care. There was not a significant relationship between residents’ levels of cognitive impairment or ADL dependency and the staff time to provide ADL care. Quality ADL care was maintained for 12 months. Discussion and Implications: This study provides novel data related to the amount of staff time necessary to provide quality ADL care for persons with dementia in an assisted living care setting. This study also describes a standardized approach to staff management that was effective in maintaining quality ADL care provision. Assisted living facilities should consider these data when determining the necessary unlicensed staffing level to provide person-centered ADL care and how to effectively manage direct care providers. (Edited publisher abstract)
Personal well-being networks, social capital and severe mental illness: exploratory study
- Authors:
- SWEET Daryl, et al
- Journal article citation:
- British Journal of Psychiatry, 212(5), 2018, pp.308-317.
- Publisher:
- Cambridge University Press
Background: Connectedness is a central dimension of personal recovery from severe mental illness (SMI). Research reports that people with SMI have lower social capital and poorer-quality social networks compared to the general population. Aims: To identify personal well-being network (PWN) types and explore additional insights from mapping connections to places and activities alongside social ties. Method: We carried out 150 interviews with individuals with SMI and mapped social ties, places and activities and their impact on well-being. PWN types were developed using social network analysis and hierarchical k-means clustering of this data. Results: Three PWN types were identified: formal and sparse; family and stable; and diverse and active. Well-being and social capital varied within and among types. Place and activity data indicated important contextual differences within social connections that were not found by mapping social networks alone. Conclusions: Place locations and meaningful activities are important aspects of people's social worlds. Mapped alongside social networks, PWNs have important implications for person-centred recovery approaches through providing a broader understanding of individual's lives and resources. (Edited publisher abstract)
Bathing in residential care: understanding the experiences of residents and their care providers
- Authors:
- HOLROYD Ann, HOLROYD Heather
- Journal article citation:
- Quality in Ageing and Older Adults, 16(2), 2015, pp.106-117.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand how changes in an older adult’s physical capacity alter their bathing preferences, how the care environment incorporates residents’ values and beliefs around bathing to fulfil these changing care needs, and how institutional factors, such as staff scheduling and communication processes, influence Resident Care Aides’ (RCAs) bathing practices. Design/methodology/approach: A multiple methods approach involving surveys and interviews with residents and RCAs in a Canadian residential care facility. This paper draws mostly from the semi-structured, qualitative interviews with older adult residents (n=9; Mini Mental Status Exam (MMSE) scores > 15) and RCAs (n=10) on two nursing units offering different bathing options. Findings: Decreasing energy levels and physical decline were commonly cited reasons for residents’ changing bathing preferences. Residents were overall very appreciative of the bathing care they received in residential care, and identified the weekly tub bath as an anticipated encounter where they experienced a valued social interaction with their assigned RCA. While identifying bathing as an occasionally stressful aspect of their work, RCAs also described the bathing experience as an intimate bonding activity. The study identified bathing as an important activity in residential care. Originality/value: Previous studies have focused on moderate to severely cognitively impaired older adults’ and their demonstration of agitated behaviours during bathing. Most participants in this study had only minor cognitive impairment, as measured by MMSE scores (average score=20.6); therefore, this study provides insight into the experiences and needs of older adults whose perspective is not generally reflected in the literature. (Publisher abstract)
Mapping out a better future
- Journal article citation:
- Learning Disability Today, 13(6), November/December 2013, pp.16-17.
- Publisher:
- Pavilion
- Place of publication:
- Hove
A mother with two sons with autism and learning disabilities became increasingly frustrated with the long process of referral and assessments as they made the transition from children's to adult services, that she created her own resource tool. The 24/7 Grid is a practical visual resource than enables a vulnerable person to participate in designing, understanding and influencing the services they receive. It presents a visual representation of daily activities - when a person can be fully independent, when they need supervision, or when they need a lot of help. Examples are also provided where the Grid indirectly helped to save money. (Original abstract)
Caring for people with dementia
- Author:
- EMBRACE-LEARNING
- Publisher:
- Embrace-Learning
- Publication year:
- 2011
- Place of publication:
- Altrincham
An e-learning training course developed for those caring for someone with dementia, whether within the family or as a professional. The six study units cover: What is dementia?; Improving communication; Helping people with dementia with everyday tasks; Responding to challenging behaviour; Using activities and exercise as part of a care plan; and Support in the later stages of the condition. The online materials include quizzes and activities to reinforce learning. A workbook accompanies each study unit, which includes questions relating to the course and your work experience. This can be completed online or printed out and filled in manually.
Activities of daily living planner
- Author:
- NAPA
- Publisher:
- NAPA
- Publication year:
- 2010
- Pagination:
- 11p.
- Place of publication:
- London
This publication is one of a series of guides called the Activity Toolkit which are aimed at increasing understanding of the activity needs for older people and equipping staff with the skills to enable older people to enjoy a range of activity whilst living in care settings. This booklet is intended to assist activity workers record information about the preferences that older people they work with have for activities of daily living. The aim is that the completed information will help staff to use activities of daily living therapeutically by giving them information on how a person likes their day to be ordered. The booklet contains the following sections: entertainment and interests; spirituality; food; drinks; clothes; bed; bath; skin, teeth and nails; and hair. Activities that the person is happy to be involved in can also be recorded. Extra pages should be added to include any additional information not covered by the booklet.
A guide to develop links with the community
- Author:
- KNOCKER Sally
- Publisher:
- NAPA
- Publication year:
- 2010
- Pagination:
- 19p.
- Place of publication:
- London
This publication is one of a series of guides called the Activity Toolkit which are aimed at increasing understanding of the activity needs for older people and equipping staff with the skills to enable older people to enjoy a range of activity whilst living in care settings. This guide promotes the benefits of increased community links. It explores some of the barriers to making and maintaining community links and helps with suggestions for overcoming these. It argues that the role of Activity Providers should include co-ordination of a range of activities and providers. This will take an initial investment of time researching individual resident interests, finding out more about the local area, and making phone calls and visits to establish contacts. This guide includes a list of ideas for places to go out to and a list of individuals or organisations which might be invited to come into a care setting. It also offers guidance on how to find out about the local area and initiate new relationships.