Search results for ‘Subject term:"older people"’ Sort:
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Investigating perceptions of disgust in older adult residential home residents
- Authors:
- LAFFAN A.J., et al
- Journal article citation:
- Aging and Mental Health, 21(2), 2017, pp.206-215.
- Publisher:
- Taylor and Francis
Objectives: As people become increasingly physically dependent as they make the transition into older age, they may lose the ability to control bodily functions. Problems with eating, voiding and washing can be linked with feelings of disgust and, given the necessity for some of being assisted with intimate care activities, it has been suggested that self-focused disgust and concerns over the disgust of others may become important preoccupations in older people, with the potential to further impair their quality of life. Method: In a mixed-methods study, feelings of disgust in 54 physically dependent older adults living in residential homes were investigated. Participants completed measures of disgust sensitivity, mood, and two new scales assessing feelings of self-disgust and perceived other-disgust related to intimate care activities. Six of the residents who reported high levels of self-disgust also participated in semi-structured interviews. Results: Results indicated that disgust was uncommon. Where present, self-disgust was related to perceptions of others’ feelings of disgust and general disgust sensitivity. These results were benchmarked against 21 community-dwelling older adults, who reported believing they would feel significantly more disgusting if they were to start receiving assistance. A thematic analysis identified the importance of underlying protective factors, the use of strategies and carer characteristics in ameliorating feelings of disgust. Conclusion: The results are discussed with reference to the disgust literature, with recommendations being made for ways in which self-disgust can be minimised in those making the transition to residential homes. (Publisher abstract)
Perspectives of elderly blacks on institutional care
- Authors:
- NGIBA Ryke, STRYDOM T and H
- Journal article citation:
- Social Work Maatskaplike Werk, 39(2), June 2003, pp.139-148.
This South African article reports on the perspectives of black older people regarding where they believe persons such as themselves should stay, where they themselves would like to stay, and where their families and children would like them to stay. Sixty older people were interviewed for the survey. It was found that the indigenous support system for caring for elderly people in their communities by their children is still practised and preferred by the elderly, but not significantly so by the younger generation. It became clear from the study that old-age homes were still a rather new and largely unacceptable concept to elderly black people.
Institutional care demeans the individual
- Author:
- HINCHCLIFFE David
- Journal article citation:
- Care Plan, 7(1), September 2000, pp.23-25.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
The author, chair of the influential Commons Health Select Committee, argues that residential care homes are an anachronism.
Staff attitudes and caring practices in home for the elderly
- Authors:
- BOOTH T., BILSON A., FOWELL I.
- Journal article citation:
- British Journal of Social Work, 20(2), 1990, pp.117-131.
- Publisher:
- Oxford University Press
A survey carried out in Fife to examine the diffusion of good practice ideas and how far they were reflected in caring routines.
The older person as a client, customer or service user?
- Authors:
- CORLIN Tinna Elfstrand, KAZEMI Ali
- Journal article citation:
- Working with Older People, 24(1), 2020, pp.19-26.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to describe three different approaches to work in elderly care (i.e. professional, market-oriented and person-centred) and examine whether these theoretically derived approaches can be confirmed empirically. Additional aims were to examine the endorsement of these approaches and whether there were differences in the endorsement of these approaches in nursing home vs home care and municipality vs privately run care units. Design/methodology/approach: Data were collected using a cross-sectional survey study of frontline care staff (n=1,342). Exploratory factor analysis was used to investigate the empirical validity of the proposed approaches to work in elderly care. A series of paired and independent samples t-tests were conducted to analyse mean differences between the proposed approaches to work. Findings: A principal axis factoring analysis yielded three theoretically meaningful factors as proposed. These results indicated that the respondents were able to differentiate between three distinct but related approaches to work with older persons. The results also showed that the professional care approach was the highest endorsed and the market-oriented the lowest endorsed approach. No notable differences in approaches to work were observed in nursing home vs home care and municipality vs privately run care units. Originality/value: This is the first study to examine multiple approaches to work in elderly care as previous research studies mainly have investigated the person-centred care approach. Current findings indicate that these approaches to work often coexist in various combinations and that the care staff adopts all these approaches but to varying degrees. The approaches differ in several important respects (e.g. legitimacy and view of the older person) and most likely affect the way care staff treats the older person and how the older person perceives their relationship with the care staff. Knowledge about these differences facilitates management of the care staff’s work situation and helps to improve the quality of care. (Publisher abstract)
How do residents of aged care homes perceive physical activity and functional independence? A qualitative study
- Authors:
- JEON Yun‐Hee, TUDBALL Jacqueline, NELSON Karn
- Journal article citation:
- Health and Social Care in the Community, 27(5), 2019, pp.1321-1332.
- Publisher:
- Wiley
Limited evidence exists concerning knowledge and understanding of how to optimally support residents’ physical activity, mobility and functional independence in residential aged care homes. An interpretive qualitative study was conducted to explore residents’ perceptions and experiences of opportunities for physical activity and functional independence, and how physical activity and functional independence are challenged in their care home environment. Purposefully sampled 24 participants (male = 13) from five not‐for‐profit residential aged care homes in the outskirts of a metropolitan area in Australia, were interviewed between August and September 2017. Maintaining independence was found to be the utmost priority for nearly all participants in this study. Yet, many did not make the connection between physical activity and independence, and regarded ‘exercise’ as an inappropriate activity for them, perceiving it as high‐impact, high‐intensity activity in commercial gyms that was only appropriate for the young. Walking and gardening were found to be most popular. Walking could be a physical activity, social activity, solo recreational activity and a means of maintaining mobility and functional independence - all of which residents considered to be appropriate to them and achievable. The study identified key factors influencing physical activity and functional independence of residents: levels of activity prior to living in residential aged care, ageism, social capital and loss of a loved one, pain and staff support. Findings highlight the need for a ‘flexible and inclusive’ approach in facilitating the resident's physical activity, and a greater role for staff in encouraging residents’ engagement in, and communicating the benefits and requirements of, physical activity, through, for example, motivational interviewing. (Publisher abstract)
How do community-dwelling LGBT people perceive sexuality in residential aged care? A systematic literature review
- Authors:
- MAHIEU Lieslot, CAVOLO Alice, GASTMANS Chris
- Journal article citation:
- Aging and Mental Health, 23(5), 2019, pp.529-540.
- Publisher:
- Taylor and Francis
Objectives: To investigate what empirical studies report on the perceptions of community-dwelling LGBT adults regarding sexuality and sexual expression in residential aged care (RAC), and how their sexuality should be addressed in RAC. Methods: Relevant papers were identified through electronic searches in databases; and by reference tracking and citation tracking. Data were extracted using a standardised data extraction form and were compared, related, and synthesised using thematic analyses. The methodological quality of the studies were evaluated. Results: Eighteen articles were identified. Three major topics emerged regarding sexuality in RAC: (1) factors affecting LGBT people's perceptions, subdivided into (a) discrimination, (b) loss of sexual identity, (c) failure to acknowledge the same-sex partner, and (d) lack of privacy; (2) LGBT-specific RAC facilities; and (3) characteristics of LGBT friendly RAC facilities and caregivers. Conclusions: LGBT people have clear perceptions about how sexuality and sexual expression is or should be managed in RAC. Despite the general increase in acceptance of sexual minorities, many community-dwelling LGBT people believe older LGBT residents are discriminated against because of their sexual orientation or gender identity. Taking into account these opinions is crucial for increasing accessibility of RAC to LGBT people and to ensure the quality of the provided care. (Edited publisher abstract)
Volunteering with older people in a care home
- Authors:
- TINKER Anthea, et al
- Journal article citation:
- Working with Older People, 21(4), 2017, pp.229-235.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to investigate the influence that volunteering before medical school with older people in a care home has on the perceptions of older people. Design/methodology/approach: Eight medical students answered an anonymous questionnaire relating to their experiences of volunteering in a care home before medical school. This was combined with an analysis of the relevant literature. Findings: All the students had initially volunteered to enhance their CV for medical school. After volunteering, they had a greater realisation of the variety of older people. They also gained a number of transferable skills related to communicating with older people, especially those with cognitive impairment. The greatest learning experience was around the issues to do with dementia. Research limitations/implications: The research is based on eight students although they were from different areas. Practical implications: It would be beneficial if care homes could be more proactive in encouraging prospective medical students to volunteer. Medical schools could also provide clearer advice or take a more active stance such as encouraging prospective students to volunteer with older people. Further research should be with a larger sample to gain insight into varying perspectives. It would also be useful to conduct research into older adults’ attitudes towards the contribution of potential medical students to their own lives and to the home. Social implications: Volunteering before medical school should be encouraged as it will enhance the chances of getting a place as well as being an eye opening experience and equip them with lifelong skills. (Publisher abstract)
As long as they keep away from me: attitudes toward non-heterosexual sexual orientation among residents living in Spanish residential aged care facilities
- Authors:
- VILLAR Feliciano, et al
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.1006-1014.
- Publisher:
- Oxford University Press
Purpose: The purpose of this article is to shed light on the attitudes of older people living in residential aged care facilities (RACFs) toward non-heterosexual sexual orientation. Design and Methods: Forty-seven residents living in five RACFs located in Catalonia (Spain) were interviewed in relation to the way they would think and react if another resident told them he/she felt sexually attracted to people of the same gender and that he/she had maintained sexual relationships with another man/woman in the home, and whether they would have any problem in sharing common spaces or a room with this resident. Results: Most residents expressed some kind of negative reaction ranging from staying away from the resident in question to extreme rejection, although positive and neutral reactions also emerged. Participants were far more reluctant to share a room with that resident than to share common spaces. Implications: The prevalence of homophobic attitudes among older people living in RACFs seems to be high. This may be a barrier for LGB residents, making the expression of their sexual identity more difficult and leading to discriminatory practices. (Publisher abstract)
The undercurrent of grief and loss in care homes
- Author:
- BRADLEY Andy
- Journal article citation:
- Working with Older People, 17(3), 2013, pp.130-132.
- Publisher:
- Emerald
Purpose – The paper was written to highlight the common experience of older people in care homes who are often left to deal with loss and grief without the explicit emotional validation and support needed. Design/methodology/approach – Beginning with a real world example of an older person who felt suicidal at the prospect of moving into a care home the paper analyses the common culture in care homes and goes onto describe a new paradigm of care giving (“the compassionate community”). Findings – The paper highlights the need for a shift of culture and leadership thinking in the care homes. Practical implications – Older people need more opportunities to share their losses and grief and staff teams must develop their role so that it moves beyond physical caring to embrace the emotional and spiritual aspects of the lives of the people they care for. Originality/value – This paper issues a radical call for an shift in thinking and values and suggests a route map which will enable full expression of the emotional lives of the people being cared for. (Publisher abstract)