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The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings
- Author:
- BOYLE Geraldine
- Journal article citation:
- Ageing and Society, 25(5), September 2005, pp.731-748.
- Publisher:
- Cambridge University Press
This paper examines the extent of mental ill-health and probable depression among older people in long-term care. It presents selected findings from a study in Greater Belfast, Northern Ireland, that compared the quality of life, autonomy and mental health of older people living in nursing and residential homes with those of older people living in private households who were receiving domiciliary care. Structured interviews were conducted with 214 residents in institutions and 44 older people receiving domiciliary care. The study found that those in private households were more severely physically-impaired and had a higher level of mental ill-health than the residents of institutional homes. It is suggested, however, that the mental ill-health effects were associated less with physical impairments than with the restrictions placed on the older person's decisional autonomy, and that long-term care environments that constrain the older person's autonomy contribute to the development of depression. Although the UK National Service Framework for Older People specified that those with depression should be given treatment and support, priority should also be given to preventing the depression associated with living in long-term care settings.
Cleaning and caring: contributions in long-term residential care
- Authors:
- MULLER Beatrice, ARMSTRONG Pat, LOWNDES Ruth
- Journal article citation:
- Ageing International, 43(1), 2018, pp.53-73.
- Publisher:
- Springer
- Place of publication:
- New York
Cleaning and cleaners make three main contributions to long-term residential care. While cleaning in hospitals has received considerable research attention, much less attention has been paid to connecting cleaning and cleaners with the specific nature of long-term care and resident needs. In this article three critical contributions cleaning and cleaners make to the quality of care in nursing homes is explored. This work is central to infection control. It is also important in maintaining the appearance of the home; in making it home-like, welcoming, and safe. Much less visible is the significant part cleaners play in supporting relational care. Based on ethnographic studies in six countries, the authors argue that the extent to which cleaners and cleaning promote quality care and worker health is related to the division of labour, team work, training, equipment, and some autonomy. (Edited publisher abstract)
Transitions in living arrangements of Canadian seniors: findings from the NPHS longitudinal data
- Authors:
- SARMA Sisira, HAWLEY Gordon, BASU Kisalaya
- Journal article citation:
- Social Science and Medicine, 68(6), March 2009, pp.1106-1113.
- Publisher:
- Elsevier
This paper examines transitions in living arrangement decisions of the seniors using the first six cycles of the Canadian longitudinal National Population Health Survey microdata. Transitions from independent to intergenerational and institutional living arrangements are uniquely analyzed using a discrete-time hazard rate multinomial logit modelling framework and accounted for unobserved individual heterogeneity in the data. Results show: a) provision of publicly-provided homecare reduces the likelihood of institutionalization, but it has no effect on intergenerational living arrangements; b) access to social support services reduces the probability of both institutional and intergenerational living arrangements; c) higher levels of functional health status, measured by Health Utility Index, reduce the probability of transitions from independent to intergenerational and institutional living arrangements; d) a decline in self-reported health status increases the probability of institutionalization, but its effect on intergenerational living arrangements is statistically insignificant; e) higher levels of household income tend to decrease the probability of institutionalization; and f) the likelihood of transitioning to both intergenerational and institutional living arrangements increases with the duration of survival. Our findings suggest that access to and availability of publicly-provided homecare, social support services and other programs designed to foster better functional health status would contribute positively towards independent or intergenerational living arrangements and reduce the probability of institutionalization.
Fit for the future: a new vision for older people’s care and support
- Author:
- ASATO Jessica
- Publisher:
- Counsel and Care
- Publication year:
- 2006
- Pagination:
- 59p.
- Place of publication:
- London
The Fit for the Future report sets out a range of practical measures that Government can implement in its 2007 spending review and calls for a national debate on a long-term strategy for better care and support for older people and how it is fairly funded. The debate should shape a public consensus about how the cost of care for older people is fairly shared between the state and individuals. The forthcoming spending review provides a once in a lifetime opportunity to tackle underfunding and create quality care and support that is comprehensive, fair and affordable and offers better value for money. The first report in a series from Counsel and Care focussing on current policy issues, Fit for the Future sets out a bold vision for how older people's care and support should look in 10 to 20 years time. It examines the barriers which exist which could disrupt progress, and suggests new and innovative policy solutions which will allow those people in old age to experience independence, wellbeing and choice.
Scoping extra care housing for older people
- Authors:
- NETEN Ann, DAWSON Laura, HOLDER Jaquetta
- Publisher:
- Personal Social Services Research Unit
- Publication year:
- 2006
- Pagination:
- 2p.
- Place of publication:
- Canterbury
Evaluating the Extra Care Housing Initiative is an opportunity to collect research evidence about the process and impact of new approaches to providing accommodation and care for older people. The aims are to evaluate and learn from the extra care schemes from their initial implementation to following older people’s experiences and health in the longer term.
Self care for people with long term conditions
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 5p.
- Place of publication:
- London
This leaflet provides information about self-care for people with long-term conditions. It gives case-study examples and explains how self-care can maintain people's independence and help them to lead lives that are as fulfilling as possible, while also freeing up staff time and resources to improve care in other areas.
Supporting people with long term conditions to self care: a guide to developing local strategies and good practice
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2006
- Pagination:
- 50p.
- Place of publication:
- London
This guide explains how health and social care services can support people with long term conditions to self care through an integrated package which includes information, self monitoring devices, self care skills education and training and self care support networks. Improving care for people with a long term condition is one of the biggest challenges facing health and social care organisations and demands wholesale change in the way they think, train and deliver/design services. The role of self care is crucial in people maintaining good health and taking care of their condition. Supporting self care provides benefits all round.
Getting a life
- Author:
- ROSS Sue
- Journal article citation:
- Community Care, 14.10.99, 1999, p.23.
- Publisher:
- Reed Business Information
Ten years ago long-term care residents were promised that community care would change their lives. Provides an example of one success story.
The relocation and transfer of old persons: when decision-making combines with ethics
- Authors:
- SCHNEIDER Robert L., SAR Bibhuti K.
- Journal article citation:
- Journal of Gerontological Social Work, 30(3/4), 1998, pp.101-115.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
With an ever increasing number of older persons projected in the next 30 years, there will be countless relocation and transfer decisions required in order to provide proper housing and health care. This article identifies various instances when relocation and transfers occur and introduces a practice model to assist service providers in considering the ethical decision-making process.
Living in the community after leaving long-stay hospital: findings
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 1994
- Pagination:
- 4p.
- Place of publication:
- York
Long-term hospital and institutional care for people with learning difficulties are rapidly being phased out in favour of living in the community. A study of people with learning difficulties who had left long-stay hospital residence five years earlier found that significantly better outcomes and opportunities had been achieved in the community at the expense of a modest increase in costs.