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Do physical environmental changes make a difference? Supporting person-centered care at mealtimes in nursing homes
- Authors:
- CHAUDHURY Habib, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(7), 2017, pp.878-896.
- Publisher:
- Sage
Purpose: Drawing on therapeutic physical environmental design principles and Kitwood’s theoretical view of person-centered care, this study examined the impact of environmental renovations in dining spaces of a long-term care facility on residents’ mealtime experience and staff practice in two care units. Method: The research design involved pre- and post-renovation ethnographic observations in the dining spaces of the care units and a post-renovation staff survey. The objective physical environmental features pre- and post-renovations were assessed with a newly developed tool titled Dining Environment Audit Protocol. We collected observational data from 10 residents and survey responses from 17 care aides and nurses. Findings: Based on a systematic analysis of observational data and staff survey responses, five themes were identified: (a) autonomy and personal control, (b) comfort of homelike environment, (c) conducive to social interaction, (d) increased personal support, and (e) effective teamwork. Implications: Although the physical environment can play an influential role in enhancing the dining experience of residents, the variability in staff practices reveals the complexity of mealtime environment and points to the necessity of a systemic approach to foster meaningful culture change. (Edited publisher abstract)
Staff views on how to improve mealtimes for elderly people with dementia living at home
- Authors:
- JOHANSSON Linda, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(7), 2017, p.835–852.
- Publisher:
- Sage
Dementia commonly leads to difficulties in performing daily activities, which can also often affect the ability to prepare and eat meals. As a result, formal support to maintain good nutritional intake might be needed, but there is a lack of knowledge concerning how to support older persons with dementia living at home. The aim of this study was to explore and describe staff views on how to improve mealtimes for persons with dementia who are still living at home. A qualitative descriptive study was performed and data were collected during 2011–2012 through four focus group interviews with staff working in the homes of persons with dementia. Data were analyzed using inductive content analysis. The participants described several ways to improve mealtimes for persons with dementia and advocated adjustments facilitating the preservation of the persons’ independence. Finding suitable actions calls for knowledge about the person and his/her individual situation. Proposed actions were enabling meals at home, taking over, and moving meals outside of the home. In addition, it was found that, the types of meals served to these persons should be as familiar to the individual as possible. The results of this study indicate the importance of using a person-centered approach and meeting the individual needs when supporting people with dementia in regards to their meals when living at home. Individualized care in the home may be expensive, however, it is fair to say that people who become malnourished and admitted to hospitals is even more costly. Furthermore, sharing and reflecting experiences and knowledge can assist staff to identify ways to manage complex situations. Therefore, the use of refection should be a part of staff members’ everyday work. (Publisher abstract)
Statistics on Community Care for Adults in Northern Ireland 2016 - 2017
- Author:
- NORTHERN IRELAND. Department of Health. Community Information Branch
- Publisher:
- Northern Ireland. Department of Health. Community Information Branch
- Publication year:
- 2017
- Pagination:
- 92
- Place of publication:
- Belfast
Statistical information on community care services gathered from health and social care (HSC) trusts. It includes details of contacts with HSC trusts, care packages in effect, meals on wheels services, residential and nursing accommodation and day care registrations. It reports that between 1 April 2016 and 31 March 2017, 28,653 people in the Elderly Care, Learning Disability and Physical and Sensory Disability POC’s were in contact with HSC Trusts. As at 30 June 2017, there were 5,238 residential places available, a 1 per cent increase from the previous year. Of these 59 per cent were in independent residential homes, while 21 per cent were in statutory residential homes and 20 per cent in dual registered nursing homes. (Edited publisher abstract)