Search results for ‘Subject term:"older people"’ Sort:
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Hospital2future caring options
- Authors:
- HENDERSON Mary, comp.
- Publisher:
- Dargan Publications; Care2Share NI
- Publication year:
- 2012
- Place of publication:
- Newtownabbey
This booklet provides information for carers on the hospital discharge process and what this might mean for their caring role and future options for care. The first section looks at key issues to consider leading up to hospital discharge. The second section looks at the caring role, including the pressure carers can face and the support strategies they can use. The third section looks at choosing a care home, including emotional and practical considerations. The final section looks at consulting on financial and legal affairs. It is one of a series of three booklets developed specifically for carers of friends or relatives and those working in the caring profession. The series aims to help meet the challenges of caring, whilst also balancing these responsibilities with a carers own wellbeing.
‘I shall miss the company’: participants’ reflections on time-limited day centre programming
- Authors:
- HAGAN Robert J, MANKTELOW Roger
- Journal article citation:
- Ageing and Society, 41(12), 2021, pp.2933-2952.
- Publisher:
- Cambridge University Press
The social needs of frail or isolated older people are sometimes aided by referrals to day centres in the United Kingdom. Since the late 1940s, day centres have had a role to play promoting socialisation in later life. Additionally, attendance at day centres is often open ended, with participants only leaving due to moving to a nursing home or dying. In this study, the views of those attending time-limited day centre programmes in seven day centres in Northern Ireland have been sought in relation to their thoughts about the service as well as how they feel when it ends. Seventeen participants completed diaries for the programme duration and/or engaged in an interview process. Participants reflected on the social and educational benefits of attending but also recognised impositions in the centres that impinged upon individual choices and also the length of time they could remain. This study reveals that, in order to maintain socialisation, time-limited programmes must have clear follow-on strategies for participants. Additionally, respondents’ experiences reflect that a paternalistic model of care delivery remains in place that, whilst restrictive, reveals that access to the service is more specialised and not universal. Nevertheless, should day centres wish to remain relevant, it is important that service users are fully consulted about their desires and choices within the setting. (Edited publisher abstract)
"You're at their mercy": older peoples' experiences of moving from home to a care home: a grounded theory study
- Authors:
- O'NEILL Marie, et al
- Journal article citation:
- International Journal of Older People Nursing, 15(2), 2020, p.e12305.
- Publisher:
- John Wiley & Sons, Ltd
- Place of publication:
- West Sussex
Background: Internationally, it is recognised that the transition to a care home environment can be an emotional and stressful occasion for older people and their families. Aim: This study explores individuals' experiences of moving into a care home. The paper has a specific focus on the preplacement (7 days) and immediate postplacement (within 3 days) period of the move to the care home. Design: A grounded theory method was used to conduct semi‐structured interviews with 23 participants. Results: Data analysis revealed five distinct categories that captured the experience of the preplacement and immediate postplacement period. These were as follows: (a) inevitability of the move: “I had to come here,” (b) making the move: “Abrupt Departures,” (c) decision‐making and exercising choice: “What can I do, I have no choice,” (d) maintaining identity: “Holding on to self” and (e) maintaining connections: “I like my family to be near.” Together, these five categories formed the basis of the concept “You're at their Mercy” which encapsulates the perceived transition experience of the older people within the study. Participants felt that the move was out of their control and that they were “at the mercy” of others who made decisions about their long‐term care. Conclusions: Moving to a care home represents a uniquely significant relocation experience for the individual. Key factors influencing the move were the individuals' perceived lack of autonomy in the pre‐ and postrelocating period of moving to a care home. Nurses have a key role to play in working with older people to influence policy and practice around decision‐making, planning and moving to a care home with greater emphasis on autonomy and choice so that older people do not feel “at the mercy” of others as they navigate such a major transition. Implications for practice: There is a need to standardise approaches and develop person‐centred interventions to support older people considering relocation to a care home and nurses have a key role to play in making this happen. (Edited publisher abstract)
Making choices: meeting the current and future accommodation needs of older people. Good practice guide: reconfiguration of statutory residential homes
- Author:
- NORTHERN IRELAND. Health and Social Care Board
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2013
- Pagination:
- 24
- Place of publication:
- Belfast
The relocation of older people from one care setting to another can be particularly stressful, and there is a perception that the closure of residential homes can have an adverse effect on residents' health and wellbeing. However, research carried out by AGE NI has found that the effects a home closure has on resident’s health and psychological well-being is influenced by the way in which a home is closed and how the relocation is managed. This document outlines how best practice should be adopted pre- relocation, during relocation and post relocation. For the purpose of this document, pre-relocation refers to the time period from when the resident begins to consider moving to another residence until the actual move. Relocation refers to the actual day of transition from one residence to another; and post relocation refers to the time after the individual has moved from one residence to a new residence. This document draws on previously published papers which outline lessons learnt in the reconfiguration of care homes in the past, both within the Health and Social Care system in Northern Ireland and in the wider UK. It also draws on examples of best practice for planned, phased or emergency reconfiguration; and on the experience of the community and voluntary sector (AGE NI and the Alzheimer’s Society) who have acted as advocates in the closure of care homes in the past. (Edited publisher abstract)
Reform of adult social care Northern Ireland: consultation document
- Author:
- NORTHERN IRELAND. Department of Health
- Publisher:
- Northern Ireland. Department of Health
- Publication year:
- 2022
- Pagination:
- 108
- Place of publication:
- London
This consultation sets out 48 proposed actions to reform our adult social care system over the next ten years. The consultation will inform the development of a new strategy for adult social care. The adult social care system in Northern Ireland (NI) is under significant stress. Population demographics and projections are such that we are faced with rising demand for services as our older population increases and our working age population decreases. The proposals are arranged around six strategic priorities: 1. Sustainable System Building – to build a stable, sustainable adult social care system; 2. A Valued Workforce – staff who work in social care will be valued, competent and resilient; 3. Individual Choice and Control – to ensure the individual has control over the decisions affecting their social wellbeing and their care and support needs; 4. Prevention and Early Intervention – a renewed focus on prevention and early intervention to support people to achieve their own social wellbeing; 5. Supporting Carers – carers will be supported in their caring duties and entitled to support in their own right; 6. Primacy of Home – the purpose of adult social care, including group care services, is to support citizens to live well in their own home in connection to their families, social networks and communities, providing maximum choice and control of their daily living arrangements and their care and support provision. (Edited publisher abstract)
Low expectations: attitudes on choice, care and community for people with dementia in care homes
- Author:
- QUINCE Chris
- Publisher:
- Alzheimer's Society
- Publication year:
- 2013
- Pagination:
- 88p.
- Place of publication:
- London
This report looks at the key issues affecting people with dementia living in care homes. Evidence is drawn from surveys of family members of people with dementia, staff working in care homes, and people with dementia themselves. The surveys were distributed to Alzheimer’s Society members, care homes in England, Wales and Northern Ireland, and through some Alzheimer’s Society staff and online. The report also presents evidence from a YouGov poll carried out in December 2012, of 2,060 adults, into perceptions about care homes and draws on existing public policy evidence on care and performance of care homes. The report looks at four main areas of care: the context of the care home market; the availability of information and support to help families and individuals make choices about moving into care; the quality of care; and the access and quality of external services delivered from outside the home, as well as findings around how the home works with the wider community. The surveys found low expectations about the quality of life of people with dementia in care homes. Views on the quality of care for people living in care homes were more positive, but there were concerns about ongoing investment in training. People also found the process of finding information on care homes challenging. Experiences of support from health services and engagement with the community were mixed. The report makes six recommendations to raise awareness, inform policy and change practice. Tables presenting results from the surveys are included.