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Optimisation of dementia care in care homes: Dementia care framework (innovative practice)
- Authors:
- ROYSTON Claire, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 19(4), 2020, pp.1316-1324.
- Publisher:
- Sage
There are an increasing number of people living with dementia in care home settings. Recent reports suggest that people who deliver care to residents living with dementia in care homes require specialist support to provide optimum care. To address this need Four Seasons Health Care, the largest provider of care homes within the UK today, sought to design a dementia care framework that enhanced the quality of life for people living with dementia in their care homes. The framework was designed using a robust evidence base, engagement with people living with dementia, their care partners, policy-writers, multidisciplinary professionals and people within the organisation. This paper describes the methodology behind the dementia care framework and outcomes data from the first phase (of 20 care homes that included the care of 451 people living with dementia). The main outcome was a significant improvement in the quality of the lives of residents across biological, psychological, social and spiritual needs. (Publisher abstract)
Hogewey: a 'home from home' in the Netherlands
- Author:
- GODWIN Beatrice
- Journal article citation:
- Journal of Dementia Care, 23(3), 2015, pp.28-31.
- Publisher:
- Hawker
Hogewey is an award winning development with an innovative approach to residential and nursing care for people with advanced dementia. Each of their 23 homes accommodates six or seven residents, providing care for 152 residents in total. The approach to care is based on two principles: to relieve anxiety by providing an environment that is safe and familiar and to keep everyone active. This article describes the service. (Edited publisher abstract)
Ensuring quality of life for people with severe dementia
- Author:
- BATE Helen
- Journal article citation:
- Nursing and Residential Care, 15(3), 2013, pp.157-160.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
An ever-increasing number of people with severe dementia are living in care homes. The opportunities and challenges in providing good person-centred care for people with dementia change as the condition becomes more severe, but the aim of providing a good quality of life should remain the same. The purpose of this article is to encourage care home staff to deliver quality care for people with severe dementia. It emphasises not only the importance of addressing basic needs of comfort and freedom from pain, but also the higher needs of warm human relationships, respect, and opportunities for meaningful occupation. The article argues that these are not difficult or costly to provide. Support from families, effective management, the right resources, and staff who have understanding, a little imagination, empathy and compassion, can meet these essential needs and are achievable by all care homes.
Talking the talk but not walking the walk: barriers to person centred care in dementia
- Author:
- HILL Heather
- Publisher:
- La Trobe University. School of Public Health
- Publication year:
- 2004
- Pagination:
- 362p., bibliog.
- Place of publication:
- Bundoora, VIC
PHD thesis studying a Jewish care home in suburban Melbourne, Australia
Talk but no walk: barriers to person-centred care
- Author:
- HILL Heather
- Journal article citation:
- Journal of Dementia Care, 16(4), July 2008, pp.21-24.
- Publisher:
- Hawker
A Jewish aged care facility had committed itself to introducing person-centred care for its residents with dementia. Difficulties the home was having in implementing person-centred care prompted the author to identify and track various barriers inhibiting the implementation of person-centred care. A matrix of person-centred and non-person centred practices is presented.
A room of one's own: 'room-centred care'
- Author:
- STOKES Graham
- Journal article citation:
- Journal of Dementia Care, 16(2), March 2008, pp.24-26.
- Publisher:
- Hawker
The author uses the story of one individual to show how living in a care home can be made compatible with having personal and familiar space. It shows how one resident's behaviour and level of happiness improved when she was allowed to spend more time in her room.
Personalisation briefing: implications for residential care homes
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL CARE FORUM
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Pagination:
- 5p.
- Place of publication:
- London
This briefing summarises the implications of the personalisation agenda for residential care homes. The briefing covers the importance of person-centred and relationship-centred care, the consequences of transformation and change for care homes, ensuring positive transitions into residential care and of quality of life for residents. An update to this briefing is provided by 'Person-centred care for older people in care homes’, published by SCIE in 2017.
An exploration of the challenges of providing person-centred care for older care home residents with obesity
- Authors:
- PARKINSON Mark, THOMPSON Juliana
- Journal article citation:
- Health and Social Care in the Community, 30(4), 2022, pp.e1112-e1122.
- Publisher:
- Wiley
The aim of this study was to explore care home staff's views on the prevalence of obesity in older people and how well prepared they were for any rise in applications for placements. Thematic analysis was used to analyse focus group interview data collected from seven care homes/33 participants in N.E. England. Findings revealed rises in demand by older people with obesity for care home admittance, consistent with rising prevalence of obesity in this demographic nationally. Findings also highlight implications of rising prevalence of obesity in older people, particularly care home staff's ability to deliver person-centred care (PCC) and the importance of appropriate support/recognition of this as an emergent issue to be addressed at a higher executive level and by health/social care authorities. Ways of ensuring PCC are discussed. Given continuing trends towards rising prevalence of obesity in this population, the findings possess broader translational potential. (Edited publisher abstract)
Exploring food choice and flexibility practices among staff and residents at care homes in Denmark
- Authors:
- NYBERG Maria, SYLOW Mine
- Journal article citation:
- Ageing and Society, 41(4), 2021, pp.854-874.
- Publisher:
- Cambridge University Press
With a growing number of people reaching older age, the need for care provided in long-term care institutions is increasing. Although the goal is to deliver person-centred care that includes choice and flexibility opportunities, pre-scheduled mealtimes and set menus are still used. The aim was to explore how food choice and flexibility practices were perceived and performed by residents and staff at three care homes in Denmark. Three food journey interviews with eight residents (aged 83–96) and three focus groups with 12 people from the care and kitchen staff were conducted. Food choice and flexibility practices were mainly performed informally and selectively by the staff, and through personal practices by the residents, implying that many residents were excluded from food choice and flexibility opportunities. However, food choice and flexibility practices were also inhibited by the staff's time pressure and unfamiliarity with choice possibilities, and by the politeness of the residents. Our findings suggest that food choice and flexibility practices must be understood and performed broadly, and include various ways of listening and responding to the residents’ needs and preferences. The study highlighted the importance of incorporating the essential embodied knowledge and emotional know-how, inherent in food choice and flexibility practices, into formal and inclusive strategies concerning how to think and act in relation to the food and meal situation. (Edited publisher abstract)
Focusing on personal outcomes in care homes
- Authors:
- BARRY K., et al
- Publisher:
- My Home Life
- Publication year:
- 2016
- Pagination:
- 2
- Place of publication:
- Hamilton
This briefing describes steps taken by the My Home Life project to explore the opportunities and challenges of implementing a focus on personal outcomes in care homes. It summarises key elements of a personal outcomes approach, highlights some unique features of outcomes focused practice in the care home sector, and considers the ways in which My Home Life principles might support this. (Edited publisher abstract)