Search results for ‘Subject term:"older people"’ Sort:
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Dementia toolkit: information for staff
- Author:
- SOUTH WEST YORKSHIRE MENTAL HEALTH NHS TRUST
- Publisher:
- South West Yorkshire Mental Health NHS Trust
- Publication year:
- 2008
- Pagination:
- 38, 53p.
- Place of publication:
- Wakefield
This toolkit has been developed for staff working with people who have dementia and their carers within South West Yorkshire Mental Health NHS Trust (SWYMHT). It can be used to assist staff with planning care, reflecting on practice and decision making within clinical supervision or multidisciplinary team meetings. The dementia toolkit is designed to stimulate ideas about how to best care for people with dementia and their carers, identify skill or knowledge areas that need to be developed and find out what training is available, and become aware of what the research evidence suggests about a particular care approach. Sections cover challenging behaviour, communication, carer stress, the use of validation therapy, the use of structured exercise to improve mobility, cognitive stimulation and Reality Orientation Therapy and reminiscence therapy. Within the sections there are useful tools and case examples to show clearly how research has been used in practice. The section on training shows what is available for staff to improve their skills and is a useful tool in developing a personal development plan as part of the annual Knowledge and Skills Framework process.
Managing the financial assets of older people: balancing independence and protection
- Authors:
- TILSE Cheryl, et al
- Journal article citation:
- British Journal of Social Work, 37(3), April 2007, pp.565-572.
- Publisher:
- Oxford University Press
Family involvement in managing the financial assets of older people is an area of policy and practice importance. This importance relates to the complexity of older people’s assets, systems of paying for care and concerns around substitute decision-making and financial abuse. Although a common task of informal care, little is known about older people’s experiences and wishes in relation to asset management. This paper reports on an Australian qualitative study of the experiences and perspectives of thirty-four older people receiving such assistance. It identifies three scenarios that promote or inhibit independence in this context and draws out the challenges for this emerging area of practice with older adults and their families.
Caregivers' use of spirituality in ethical decision-making
- Author:
- KOEING Terry L.
- Journal article citation:
- Journal of Gerontological Social Work, 45(1/2), 2005, pp.155-172.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This qualitative study examined ethical dilemmas faced by female caregivers of frail elders as well as the dominant role of caregivers' spirituality in addressing these dilemmas. Dilemmas are difficult decisions that involve conflicting values, e.g., freedom versus safety. In-depth interviews were conducted with thirteen ethnically diverse caregivers recruited from a home health agency and its parent hospital. Purposive sampling was used to obtain variation among research participants. Focus group interviews of home health staff, key informant caregivers, and interviewees provided guidance for the research design, reflection on findings and development of implications. In order to deal with ethical dilemmas, all caregivers used spirituality as (1) a philosophy of life, e.g., “This is what you do when you're family,” (2) an aid to decision-making, e.g., through the use of prayer; and/or, (3) a way to transcend dilemmas, e.g., “no choice is hard.” Implications include the importance of caregiverdriven assessment, professional self-reflection, and sustained formal services for caregivers. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
From the woman's viewpoint: ethical dilemmas confronted by women as informal caregivers of frail elders
- Author:
- KOENIG Terry L.
- Journal article citation:
- Families in Society, 85(2), April 2004, pp.236-242.
- Publisher:
- The Alliance for Children and Families
Women as informal caregivers face complex ethical dilemmas in caring for a frail elder. Through in depth interviews with 13 ethnically diverse caregivers, this qualitative study explored women’s ethical decision-making. Focus group interviews of home health staff, key informant caregivers, and interviewees provided guidance for research design, reflection on findings and development of implications. Findings are integrated into an ethical decision-making model that includes types of ethical dilemmas (e.g. protection of life vs. autonomy); feelings that permeate decision making (e.g. fear); processes for addressing ethical dilemmas (e.g. family collaboration); and supportive services. Implications include expansion of services to meet caregivers’ ongoing needs, research that acknowledges multiple decision-making components, and the use of caregiving vignettes in the classroom.
Sheltered housing: the relative dimension
- Author:
- HEARNSHAW Steve
- Journal article citation:
- Housing Care and Support, 4(1), February 2001, pp.17-19.
- Publisher:
- Emerald
Until now the role played by the relatives of older people in sheltered housing has been largely neglected. Now their involvement in decision-making, care and support has been explored in a new report. This article looks at some of the findings, and examines how confusion can arise not only about their role, but also about the service provided by sheltered housing itself.
Caring for someone at a distance
- Author:
- SPENCER-CINGOZ Julie
- Publisher:
- Age Concern
- Publication year:
- 1998
- Pagination:
- 151p.,list of orgs.
- Place of publication:
- London
Aimed at people looking after a loved one or a friend at a distance. Designed to help carers identify the needs and priorities that have to be addressed. Also offers guidance on key decisions to be made; minimising risks; what to look for when you visit; how to get the most out of visits; dealing with relative's finances; and keeping in touch.
Involuntary aged clients: ethical & treatment issues
- Author:
- BURSTEIN Beth
- Journal article citation:
- Social Casework, 69(8), October 1988, pp.518-524.
- Publisher:
- Alliance for Children and Families
When elderly people reject help requested by family members, this raises practical and ethical issues.
What do we know about the application of the Mental Capacity Act (2005) in healthcare practice regarding decision-making for frail and older people? A systematic literature review
- Authors:
- HINSLIFF-SMITH Kathryn, et al
- Journal article citation:
- Health and Social Care in the Community, 25(2), 2017, pp.295-308.
- Publisher:
- Wiley
In England and Wales, decision-making in cases of uncertain mental capacity is regulated by the Mental Capacity Act 2005. The Act provides a legal framework for decision-making for adults (16 and over) who are shown to lack capacity and where best interest decisions need to be made on their behalf. Frail older people with cognitive impairments represent a growing demographic sector across England and Wales for whom the protective principles of the Act have great relevance, as they become increasingly dependent on the care of others. However, while the Act articulates core principles, applying the Act in everyday healthcare contexts raises challenges for care providers in terms of interpretation and application. This paper presents a review of the published evidence documenting the use of the Act in healthcare practice, with particular reference to frail older people. The aim was to identify, review and critically evaluate published empirical studies concerned with the implementation and application of the Act in healthcare settings. A systematic approach was undertaken with pre-determined exclusion and inclusion criteria applied across five electronic bibliographic databases combined with a manual search of specific journals. This review reports on 38 empirical sources which met the inclusion criteria published between 2005 and 2013. From the 38 sources, three descriptive themes were identified: knowledge and understanding, implementation and tensions in applying the Act, and alternative perspectives of the Act. There is a need for improved knowledge and conceptualisation to enable successful incorporation of the Act into everyday care provision. Inconsistencies in the application of the Act are apparent across a variety of care settings. This review suggest staff need more opportunities to engage, learn and implement the Act, in order for it to have greater resonance to their individual practice and ultimately benefit patient care. (Publisher abstract)
'Deferred or chickened out?’ decision making among male carers of people with dementia
- Authors:
- SAMPSON Michelle S., CLARK Andrew
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(6), 2016, pp.1605-1625.
- Publisher:
- Sage
In this paper, the authors present new insight into the ways in which carers of people with dementia make decisions in the context of seemingly declining autonomy and freedom associated with the condition. Their focus is on the ways in which carers reflect on decisions made in different temporal contexts (day-to-day, medium- and long term). Drawing on data and analysis from in-depth interviews with male informal carers of women with mild to moderate dementia living in the northwest of England, the authors outline how the decision-making process is dependent on the temporality of the decisions. Arguably unsurprisingly, the authors found that short-term or ‘day-to-day’ decisions were made with input from those cared for, while longer term decisions were deferred until a point when necessity meant carers had to make decisions themselves. However, and importantly, carers were aware of the implications of how they were making decision, including the potential impact in terms of partial withdrawal, or even full denial, of autonomy of those they care for. Consequently, the authors argue that carers adopt a form of practised autonomy to negotiate the complexity of everyday decision making while managing longer term uncertainty and anxiety. (Edited publisher abstract)
Older people's conceptualization of abuse: a systematic review
- Authors:
- KILLICK Campbell, et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 27(2), 2015, pp.100-120.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This systematic literature review aims to identify and synthesize empirical research findings relating to older people’s conceptualization of abuse. In so doing, it attempts to answer four key questions: does the term 'abuse' have meaning for older people?; how do older people understand the concept of abuse?; are such understandings similar across populations and locations?; and how do older people’s conceptualizations of abuse compare with those of other groups, including carers and professionals? A total of eight databases were searched using agreed-upon criteria, and the results were assessed for relevance. These were Ageinfo, Applied Social Sciences Index and Abstracts (ASSIA), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google Scholar, Medline, Psychinfo, Social Care Online, Social Services Abstracts (SSA), and Social Sciences Citation Index (SSCI). Fifteen studies were included, the majority of which were based in America (n = 7) or Canada (n = 4). The findings are discussed under the themes of caregiving, domestic violence, society, abusive acts, and thresholds. The impact of ageing and disempowerment was also a major theme in the studies, and highlights the importance of empowering the individual within any protection process. (Edited publisher abstract)