Search results for ‘Subject term:"older people"’ Sort:
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Leading for outcomes: dementia
- Author:
- INSTITUTE FOR RESEARCH AND INNOVATION IN SOCIAL SERVICES
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2011
- Pagination:
- 49p.
- Place of publication:
- Edinburgh
It has been estimated that there were around 71,000 people with dementia in Scotland in 2010 and the number is set to double in the next 25 years. More than half are female and the older a person is, the more likely they are to have dementia. About a quarter of those over 85 have dementia, whether they live at home or in a care home. People of working age can also have dementia, and a very small number of children are affected. Around 2,300 people with dementia in Scotland are under 65. This guide seeks to explore how staff can be supported to effectively practice an outcomes-focused approach within the context of dementia. It provides information about dementia including key policies and legislation as well as links to other relevant resources. The guide contains a number of exercises, each with supporting training materials for leaders to use and adapt as appropriate.
Supporting older people in care homes at night
- Authors:
- KERR Diana, WILKINSON Heather, CUNNINGHAM Colm
- Journal article citation:
- Journal of Dementia Care, 16(4), July 2008, pp.35-38.
- Publisher:
- Hawker
Reports on a research study which looked at night time care practices in care homes in Scotland. The first stage of the study explored the experiences, practices and perspectives of staff, residents, managers and relatives affected and/or involved in night time care. Stage two involved action research (implementation and evaluation) to determine if and how night time care could be improved through a small number of interventions. The article highlights some of the key recommendations from the study.
Supporting older people in care homes at night
- Author:
- PETCH Alison
- Journal article citation:
- Community Care, 29.5.08, 2008, pp.32-33.
- Publisher:
- Reed Business Information
This reports on a study funded by the Joseph Rowntree Foundation on the nature and quality of night-time support provided to care home residents. The study aimed to ascertain the perspectives of different stakeholders and to identify, implement and evaluate practical changes that might improve the night-time experience of residents. Three care homes in Scotland were used as case study sites and interviews were conducted with 22 direct care staff, six managers, eight residents and 10 relatives. The study found that night time care generally received less attention and staff were often less experienced and had received little training.
Alcohol in care homes: what rules to play by?
- Author:
- MCCABE Louise
- Journal article citation:
- Journal of Dementia Care, 15(1), January 2007, pp.34-36.
- Publisher:
- Hawker
The author reports on a study of four care homes in Scotland, and the management of alcohol within those homes. Care home residents included older people, people with dementia and people with alcohol related brain damage. The study revealed a variety of ways of managing alcohol consumption. It is argued that more training is needed if care homes are to respond consistently to this complex issue.
Implementing a step down intermediate care service
- Authors:
- LEVIN Kate A., et al
- Journal article citation:
- Journal of Integrated Care, 27(4), 2019, pp.276-284.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore implementation and development of step-down intermediate care (IC) in Glasgow City from the perspective of staff. Design/methodology/approach: The study used qualitative methods. Nine key members of staff were interviewed and three focus groups were run for social work, rehabilitation and care home staff. Framework analysis was used to identify common themes. Findings: The proposed benefits of IC were supported anecdotally by staff. Perceived enablers included: having a range of engaged stakeholders, strong leadership and a risk management system in place, good relationships, trust and communication between agencies, a discharge target, training of staff, changing perception of risk and risk aversion, the right infrastructure and staffing, an accommodation-based strategy for patients discharged from IC, the right context of political priorities, funding and ongoing adaptation of the model in discussion with frontline staff. Potential improvements included a common recording system shared across all agencies, improving transition of patients from hospital to IC, development of a tool for identifying suitable candidates for IC, overcoming placement issues on discharge from IC, ensuring appropriate rehabilitation facilities within IC units, attachment of social work staff to IC units and finding solutions to issues related to variation in health and social care systems between sectors and hospitals. Originality/value: The findings of this study help the ongoing refinement of the IC service. Some of the recommendations have already been implemented and will be of value to similar services being developed elsewhere. (Edited publisher abstract)
Bringing home care: a vision for reforming home care in Scotland
- Author:
- GATHERUM Becca
- Publisher:
- Scottish Care
- Publication year:
- 2017
- Pagination:
- 40
- Place of publication:
- Ayr
This report looks at the care at home sector’s role in delivering preventative care, drawing on the results of a survey of organisations delivering home care and housing support services in Scotland. A total of 82 care home organisations responded to the survey, which explored workforce challenges, financial and operational sustainability and wider stakeholder relationships. The report looks at the changing role of the home care sector, with the move away from relationship-based care and the provision of publicly funded care narrowing to those with high level support needs. It then considers the impact of these change on the home care workforce and on the commissioning and sustainability of services. The report highlights the value of preventative home care and suggests key principles that should be at the heart of a new model of home care. The final section makes suggestions for the future development of home care services in Scotland in the areas of workforce, commissioning, and prevention. (Edited publisher abstract)
Using carer biographical narratives to explore factors involved in proxy reporting of quality of life in people with dementia
- Author:
- ROBERTSON Jane M.
- Journal article citation:
- Aging and Mental Health, 21(4), 2017, pp.416-425.
- Publisher:
- Taylor and Francis
Objectives: Quality of life is an important focus of research on dementia, with interest in direct reports of people with dementia and proxy reports of their carers. By exploring the subjective perspectives of unpaid family carers and paid care workers, this study aims to understand how carers construct meaning in narratives about quality of life with dementia. Method: A case-centred approach involved biographical narrative interviews with 10 carers to explore what was important for people with dementia to have a good quality of life. Detailed narrative analysis attended to the linguistic and structural features of accounts to consider how dementia is conceptualised by carers in the framing of quality of life. Results: An individual's perception of how dementia impacts on awareness and behaviour was central to their understanding of quality of life. Carers who constructed dementia as a loss of skills and abilities were able to represent quality of life in positive terms despite the challenges of dementia. Carers who constructed dementia as eroding identity represented quality of life less positively and centred on their own means of coping with a challenging care situation. Conclusion: Findings highlight the importance of helping carers develop positive constructions of quality of life that are associated with understanding dementia as a loss of skills and abilities, rather than as a loss of self. Engaging with subjectivity in carers’ biographical narrative accounts is important in the development of quality of life assessment to understand the meanings and emotions that underlie proxy perspectives. (Publisher abstract)
The homecare deficit: a report on the funding of older people's homecare across the United Kingdom
- Author:
- UNITED KINGDOM HOMECARE ASSOCIATION
- Publisher:
- United Kingdom Homecare Association
- Publication year:
- 2015
- Pagination:
- 56
- Place of publication:
- Wallington
Using data obtained under freedom of information legislation, this report provides a snapshot of the prices paid for older people's homecare by councils in Great Britain and the Health and Social Care Trusts in Northern Ireland during a sample week in September 2014. Visual and numerical data are included to make comparisons at a national, regional and local authority level. The report provides information on the average price councils paid for homecare for older people; the numbers of councils paying their local providers sufficient to comply with the National Minimum wage (including careworkers' travel time); and those paying a UK or London Living Wage. It also highlights the risks associated with under-funded care such as poorer terms and conditions, insufficient training for the workforce, resulting in problems in retaining good quality care workers. (Edited publisher abstract)
Delivering integrated dementia care: the 8 Pillars Model of Community Support
- Author:
- KINNAIRD Lindsay
- Publisher:
- Alzheimer Scotland
- Publication year:
- 2014
- Pagination:
- 40
- Place of publication:
- Edinburgh
This report sets out an integrated and comprehensive, evidence-based approach to supporting people with dementia and their carers in the community. It provides an understanding of the nature and experience of dementia and identifies the factors that influence the progression of the illness. It looks at the current provision of support in the community, highlighting the disjoint and fragmented range of services that often fail to address the full picture. It then outlines the 8 Pillars Model of Community Support for people with dementia living at home, which address the full range of factors that influence the experience and impact of the illness. The pillars of community support are: the dementia practice coordinator; therapeutic interventions to tackle the symptoms of the illness; general health care and treatment; mental health care and treatment; personalised support; support for carers; environment; and community connections. This model provides local authorities and NHS boards with a blueprint for restructuring integrated dementia care so that resources are used to greatest effect and the report suggests that adopting the model must become a priority for the integration agenda. (Edited publisher abstract)
Good ideas: a practical handbook for supporting older people in their own homes
- Author:
- QUEEN MARGARET UNIVERSITY. Centre for the Older Person's Agenda
- Publisher:
- Queen Margaret University. Centre for the Older Person's Agenda
- Publication year:
- 2009
- Pagination:
- 67p.
- Place of publication:
- Edinburgh
The Royal Bank of Scotland Centre for the Older Person’s Agenda (COPA) at Queen Margaret University, Edinburgh City Council and NHS Scotland came together to work on this project. It aimed to review what was already known about the needs and wishes of older people who are housebound from the older people themselves, to explore and record what carers are currently doing when they visit older people at home, in particular to highlight examples of good practice, and to develop, evaluate and share good ideas to support carers in their work. The project focussed on three key areas: social relationships, nutrition, and physical activity. It includes very practical workable ideas, such as company at mealtimes, building physical activity into ordinary life, practical help, visitors, using the telephone, flowers and gardens, and library services. Conversational interviews were conducted with 15 older people who were housebound (10 living alone and 12 of whom were women) and by talking to 13 carers through focus groups and interviews. The project involved older people at every stage and a central theme was to discover what housebound older people are already doing to help themselves and what support would help them most.