Search results for ‘Subject term:"long term care"’ Sort:
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Carers
- Author:
- BECKER Saul
- Journal article citation:
- Research Matters, 2001, pp.28-33.
- Publisher:
- Community Care
A new initiative to support carers in the United States mirrors the national carers strategy in the UK. But there are important differences, such as the role of insurance in the provision of long term care. Looks at some recent research studies, in particular a study to understand how long-term care insurance for disabled older people can affect the lives of their working care givers.
Positive choices: services for children with disabilities living away from home; report of two seminars ... to identify key issues and positive choices in the development of short and long-term care
- Author:
- RUSSELL Philippa
- Publisher:
- National Children's Bureau
- Publication year:
- 1995
- Pagination:
- 142p.,bibliogs.
- Place of publication:
- London
Shaping quality of life with nursing assistance. a grounded theory approach to nursing care for people with physical disabilities and interactions with carers in long-term care
- Authors:
- HELBIG Roman, METZING Sabine, LATTECK Anne-Dorte
- Journal article citation:
- Journal of Long-Term Care, January 2022, pp.1-14. Online only
- Publisher:
- King's College London
- Place of publication:
- London
Context: Although the number of people with physical disabilities who need nursing support is increasing, there is a lack of empirical knowledge about how they experience necessary care support. This knowledge is a prerequisite for enabling self-determination in the provision of care and for providing care based on needs and requirements. People with physical disabilities live in residential institutions and their own homes with the support of care services, and they are dependent on permanent nursing assistance. Objective: This qualitative grounded theory study describes the importance that people with physical disabilities ascribe to the provision of care and how they organise their cooperation with caregivers. Methods: Twenty-seven problem-centred interviews with people who had a permanent physical disability and a need for care were analysed using the grounded theory approach. Findings: People with physical disabilities and a need for care want to enhance their quality of life with assistance. Quality of life is influenced by their wishes regarding assistance, acceptance of the physical disability, (previous) experience with assistance and the possibility of actively influencing the implementation of necessary assistance. The development and maintenance of a friendly relationship with professional carers represent a strategy for achieving quality of life. Limitations: This study focuses on people with physical disabilities who receive care from a professional service. Questions about the influence on family carers remain unanswered. Implications: For successful social participation, people with physical disabilities should be supported by nursing professionals to identify and express their priorities and needs. (Edited publisher abstract)
Factors associated with the amount of public home care received by elderly and intellectually disabled individuals in a large Norwegian municipality
- Authors:
- DOHL Oystein, et al
- Journal article citation:
- Health and Social Care in the Community, 24(3), 2016, pp.297-308.
- Publisher:
- Wiley
This study reports an analysis of factors associated with home care use in a setting in which long-term care services are provided within a publicly financed welfare system. The study considered two groups of home care recipients: elderly individuals and intellectually disabled individuals. Routinely collected data on users of public home care in the municipality of Trondheim in October 2012, including 2493 people aged 67 years or older and 270 intellectually disabled people, were used. Multivariate regression analysis was used to analyse the relationship between the time spent in direct contact with recipients by public healthcare personnel and perceived individual determinants of home care use (i.e. physical disability, cognitive impairment, diagnoses, age and gender, as well as socioeconomic characteristics). Physical disability and cognitive impairment are routinely registered for long-term care users through a standardised instrument that is used in all Norwegian municipalities. Factor analysis was used to aggregate the individual items into composite variables that were included as need variables. Both physical disability and cognitive impairment were strong predictors of the amount of received care for both elderly and intellectually disabled individuals. The study identified a negative interaction effect between physical disability and cognitive impairment for elderly home care users. For elderly individuals, results also found significant positive associations between weekly hours of home care and having comorbidity, living alone, living in a service flat and having a safety alarm. The reduction in the amount of care for elderly individuals living with a cohabitant was substantially greater for males than for females. For intellectually disabled individuals, receiving services involuntarily due to severe behavioural problems was a strong predictor of the amount of care received. The analysis showed that routinely collected data capture important predictors of home care use and thus facilitate both short-term budgeting and long-term planning of home care services. (Edited publisher abstract)
Diversity and different experiences in the UK: National Statistician's annual article on society
- Author:
- DUNNELL Karen
- Publisher:
- Office for National Statistics
- Publication year:
- 2008
- Pagination:
- 15p.
- Place of publication:
- London
Illustrates clearly the increase in ethnic diversity in Britain. Many interesting findings, e.g. worrying rates of long‑term illness or disability (Fig. 2) and worse reported health (Fig. 5) in many ethnic groups. Table 20 shows 5 minority ethnic groups getting better school results than "White British" (in particular, Chinese and Indian).
It's in the definition
- Author:
- VALIOS Natalie
- Journal article citation:
- Community Care, 27.3.03, 2003, pp.32-34.
- Publisher:
- Reed Business Information
In 1999, an Appeal Court case ruling in the Coughlan suggested that continuing care for older and disabled people should in many cases, be paid for by the NHS. Looks at how, four years later, the confusion continues.
Improving the quality of long-term care
- Editors:
- WUNDERLICH Gooloo S., KOHLER Peter O.
- Publisher:
- National Academy Press
- Publication year:
- 2001
- Pagination:
- 343p.,bibliog.
- Place of publication:
- Washington, DC
Among the issues confronting America is long term care for older people and others with chronic conditions and disabilities that limit their ability to care for themselves. This book takes a comprehensive look at the quality of care and quality of life in long term care situations, including nursing homes, home health agencies, residential care facilities, and a range of other settings. It describes the current state of long term care, identifying problem areas and offering recommendations for federal and state policy makers. It also explores the strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long term care.
Carer break or carer-blind? Policies for informal carers in the UK
- Author:
- PICKARD Linda
- Journal article citation:
- Social Policy and Administration, 35(4), September 2001, pp.441-458.
- Publisher:
- Wiley
This article examines three policy statements on informal carers published in the UK in 1999: the National Strategy for Carers, the report of the Royal Commission on Long Term Care and the note of dissent by two members of the Royal Commission. These three documents contain two rather different approaches to policy for carers. On the one hand, the National Strategy and note of dissent emphasise respite care or short-term breaks for carers, and are concerned with sustaining the well-being of carers as well as ensuring the continuation of caring itself. The Royal Commission, on the other hand, emphasises support for the older or disabled person who is being cared for, as a means of supporting the carer, and advocates 'carer-blind' services. It is argued that this policy contains within it the potential to substitute for or replace the carer and that this represents a radical new departure for social policy for carers in the UK. The advantages and disadvantages of the two policy approaches are explored. It is argued that policies for carers should include both services specifically for carers, like breaks from caring, and services provided for the cared-for person, like domestic and personal care services. Wider issues about the proper boundary between family and state care are explored.
A place for support: new policies for informal carers in long-term programmes
- Author:
- SCHUNK Michaela
- Journal article citation:
- Benefits, 28, April 2000, pp.22-25.
- Publisher:
- Policy Press
Reviews policy trends for informal carers which have been implemented in various countries between 1996 - 1998. The article focuses on respite care and direct payments for carers of older ill and disabled adults.
Options for long-term care: economic, social and ethical choices
- Editors:
- HARDING Tessa, MEREDITH Barbara, WISTOW Gerald
- Publisher:
- HMSO/National Institute for Social Work
- Publication year:
- 1996
- Pagination:
- 152p.,bibliog.
- Place of publication:
- London
Examines the debate around long term care and proposes a different approach to planning for future long term care. Concludes that the increase in expenditure needed over the next 30 years is not so great as to be a cause for alarm, though some reinvestment may be needed in the short term. Suggests that affordability is a question of political choice, rather than economic imperatives. Reviews the values underpinning long term care and proposes a broad based strategic approach. Looks at the issues from the point of view of disabled people as well as older people. Concludes with 2 chapters comparing the situation in the United States and in Germany.