Aging and Mental Health, 25(10), 2021, pp.1869-1876.
Publisher:
Taylor and Francis
Background: Health policy in many countries is underpinned by a commitment to support dependent older people to remain in their own home for as long as possible and practicable. This study explores factors affecting both admission to long-stay residential care (LSRC) and mortality among people with and without dementia who are currently living at home with intensive formal care support. Methods...
(Edited publisher abstract)
Background: Health policy in many countries is underpinned by a commitment to support dependent older people to remain in their own home for as long as possible and practicable. This study explores factors affecting both admission to long-stay residential care (LSRC) and mortality among people with and without dementia who are currently living at home with intensive formal care support. Methods: This is a cross-sectional study based on administrative data collected on 429 dependent older people in Ireland, 269 of whom were people with dementia. A cause-specific hazard model was used to investigate the hazard of admission to LSRC, while accounting for mortality as a competing risk and vice versa. Results: Admission to LSRC was higher for people with dementia relative to people without and for those receiving lower amounts of informal care. The hazard of mortality was significantly higher for older people aged 85+, whereas it was lower for individuals with a medium level of dependency relative to those with high levels of dependency. The hazard of mortality was also influenced by the amount of informal care provision. Conclusion: People with dementia are more likely to be admitted to LSRC than people without. Care for people with dementia needs to be more specialised and personal, and intensity of provision should not be equated to the number of care hours on offer. Informal care provision may help to prevent admission to LSRC. Advanced age, physical dependency and informal care provision affect mortality, raising interesting issues in relation to resource allocation.
(Edited publisher abstract)
Subject terms:
admission to care, residential care, dementia, older people;
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
(Edited publisher abstract)
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)
Subject terms:
dementia, residential care, care homes, person-centred care;
ERICSSON Iréne, HELLSTRÖM Ingrid, KJELLSTRÖM Sofia
Journal article citation:
Dementia: the International Journal of Social Research and Practice, 10(4), November 2011, pp.523-538.
Publisher:
Sage
The aim of this study was to improve understanding of how persons with dementia interact with cognitively well-functioning people, co-residents and caregivers, in housing with care for the elderly in Sweden. The results, which draw on 31 observation sessions and nine interviews, are described under the following themes, which were interpreted from the standpoint of social interaction theory...
The aim of this study was to improve understanding of how persons with dementia interact with cognitively well-functioning people, co-residents and caregivers, in housing with care for the elderly in Sweden. The results, which draw on 31 observation sessions and nine interviews, are described under the following themes, which were interpreted from the standpoint of social interaction theory: interaction with expression of satisfaction, disorientation, and dissociation. Interaction provided satisfaction, but did not always reflect a positive experience. Awareness in persons with dementia seemed to be greater than others perceived and, as a result, interaction was adversely affected by frequent well-intentioned corrections and comments. The authors suggest that participation in interaction can be encouraged and feelings of indignation avoided by assuming that persons with dementia are aware of their situation and how others behave toward them. Sensitivity is required to interpret individuals' expressions of desire not to participate but, at the same time, it is important to try to interpret why they want to refrain.
Subject terms:
interpersonal relationships, residential care, communication, dementia;
The number of people with Down's syndrome developing dementia is rising as life expectancy increases. In response to this growing need, this article reports on the development of Highcroft House, one of the first Down's and dementia-specific facilities which is due to open shortly. The service will be operated by Dignus, which specialises in services for people with learning disabilities
The number of people with Down's syndrome developing dementia is rising as life expectancy increases. In response to this growing need, this article reports on the development of Highcroft House, one of the first Down's and dementia-specific facilities which is due to open shortly. The service will be operated by Dignus, which specialises in services for people with learning disabilities and additional needs.
CARE COMMISSION, MENTAL WELFARE COMMISSION FOR SCOTLAND
Publisher:
Scottish Commission for the Regulation of Care
Publication year:
2009
Pagination:
74p.
Place of publication:
Dundee
This report details what the Care Commission and the Mental Welfare Commission for Scotland found during joint visits to care homes caring for people with dementia. Care homes should make sure they give people with dementia the good quality care they need to live as independently as they can and lead as meaningful a life as possible. The report details what was found on visits to 30 care homes...
This report details what the Care Commission and the Mental Welfare Commission for Scotland found during joint visits to care homes caring for people with dementia. Care homes should make sure they give people with dementia the good quality care they need to live as independently as they can and lead as meaningful a life as possible. The report details what was found on visits to 30 care homes and to individual people with dementia who lived in them. It also outlines what the authors think should happen next, with recommendations for care home providers and managers and health and social care staff to improve dementia care in care homes for older people. The report finds that some care homes had fallen seriously short of best practice and people with dementia were not always getting the best possible care to meet their needs. Ten key message are aimed at: care that respects the individual, activities and being part of the community, environment in which people live, managing money, health assessment, managing medication, managing challenging behaviour and the use of medication, legal matters and safeguards, consent to treatment, and staff knowledge and training.
Journal of Dementia Care, 2(6), November 1994, pp.15-17.
Publisher:
Hawker
The ADARDS nursing home in Tasmania provides domestic scale care for the most disturbed people with dementia at two-thirds of the cost of a psychiatric hospital bed. Explains the thinking behind the project's success.
The ADARDS nursing home in Tasmania provides domestic scale care for the most disturbed people with dementia at two-thirds of the cost of a psychiatric hospital bed. Explains the thinking behind the project's success.
Journal of Dementia Care, 2(5), July 1994, pp.14-15.
Publisher:
Hawker
Challenges common misconceptions about people with dementia, which block our vision of their potential, and the social and intellectual function they could achieve.
Challenges common misconceptions about people with dementia, which block our vision of their potential, and the social and intellectual function they could achieve.
Ashgate/University of Kent. Personal Social Services Research Unit
Publication year:
1993
Pagination:
134p.,tables,bibliog.
Place of publication:
Aldershot
Describes an investigation into the relationship between the residential care environment and the welfare of residents with senile dementia. Includes aspects of both the physical and social environment. Sets the results in the context of current policy issues and provides pointers for specifying standards for the care of residents with senile dementia.
Describes an investigation into the relationship between the residential care environment and the welfare of residents with senile dementia. Includes aspects of both the physical and social environment. Sets the results in the context of current policy issues and provides pointers for specifying standards for the care of residents with senile dementia.