Search results for ‘Subject term:"older people"’ Sort:
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An information design audit of information about residential care
- Author:
- LEWIS David
- Publisher:
- Policy Studies Institute
- Publication year:
- 1991
- Pagination:
- 42p.,tables,bibliog.
- Place of publication:
- London
Reports the results of an information design audit. The report forms part of a wider project exploring the nature of the information which is needed when people make the transition to residential care.
Personalisation: promoting independence in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2014
- Pagination:
- 9 minutes 2 seconds
- Place of publication:
- London
Actors have been used in this short film. Emily is 94 and a resident of a care home, The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. This film was previously available under the title 'Emily's safety'. (Edited publisher abstract)
Emily’s safety
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2009
- Place of publication:
- London
Actors have been used in this short film. The film portrays Emily, who at 94 is a new resident of a care home, and the staff who care for her. The context of the drama is the balancing of risks and freedoms for Emily. She wants to continue making tea for herself each morning, despite the risks of falls or scalds, and the staff team are anxious to ensure that arrangements are made which keep Emily safe. Scene by scene, the film introduces some of the key principles of the Mental Capacity Act. During the decision-making process, consideration is given to the risk of harm to Emily, balanced against her right to freedom of action. Tensions are explored around whether or not Emily lacks capacity to make a decision. In the final scenes a best interests decision is made on Emily’s behalf. This film has now been reviewed and is available under the new title 'Personalisation: promoting independence in care homes'.
The use of restraint in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Journal article citation:
- Community Care, 3.12.09, 2009, p.30, 32.
- Publisher:
- Reed Business Information
This article explains outlines the different forms of restraint used in care homes - chemical, technological, and passive restraint; when restraint is acceptable and unacceptable; and how what should be considered when deciding if to use restraint.
Nursing homes and assisted living facilities: planning and decision making for sheltering in place or evacuation
- Authors:
- HYER Kathryn, POLIVKA-WEST LuMarie
- Journal article citation:
- Generations, 31(4), Winter 2007, pp.29-33.
- Publisher:
- American Society on Aging
This article addresses the challenges facing those in charge of long-term care facilities as they decide whether "to stay or go" - evaluating risk to residents from potential evacuation, weighing storm path and intensity projections, and reviewing their emergency preparedness plans. It draws on experiences in the United States.
Making a move: care-home residents' experiences of relocation
- Authors:
- REED Jan, et al
- Journal article citation:
- Ageing and Society, 23(2), March 2003, pp.225-241.
- Publisher:
- Cambridge University Press
Reports on a research study to identify patterns of relocation across care-homes, describe the strategies used by care-home staff to manage moves, and to explore older peoples experiences of relocations. A questionnaire was distributed to care homes in two English local authorities to determine the incidence of relocation. 10 homes were also approached to take party in further studies which included case-not audits and interviews with staff and 12 older people who had relocated. This article focuses on the experiences and narratives of older people involved in relocation. The study found that the pattern of moves was complex and that some residents were active in deciding to relocate and in the selection of the relocation home. However, for residents to have an active role, they must be given support to access the information required for decision-making and to implement their decisions.
Finding out about residential care: results of a survey of users
- Authors:
- ROBERTS Sean, STEELE Jane, MOORE Nick
- Publisher:
- Policy Studies Institute
- Publication year:
- 1991
- Pagination:
- 125p.
- Place of publication:
- London
A survey of the information needs of residents and potential residents of residential care homes. Looks at the subjects on which information is needed and the constraints which inhibit people's use of information.
Minimising the use of restraint in care homes for older people: making decisions
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
In this film, three experts – an occupational therapist, a care home adviser who is a co-author of a report on restraint and a geriatrician discuss the complex issue of restraint in care homes. Each expert discusses a different aspect of restraint, considering how care home staff can balance the duty to care with the need to protect residents. To minimise the use of restraint and to help residents live the life they want to achieve, care home staff need to find out about the individuals in their care. Through dialogue and negotiation, they can help residents to exercise choice. The Mental Capacity Act provides a useful framework for decision making and this is explained in full. Note: This film is no longer available to view.
Applying dignity of risk principles to improve quality of life for vulnerable persons
- Authors:
- WOOLFORD Marta H., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 35(1), 2020, pp.122-130.
- Publisher:
- Wiley
Objectives: Freedom of choice impacts quality of life. Expressed through dignity of risk (DoR), nursing home (NH) residents should be afforded the dignity to take risks to enhance well‐being. How DoR is understood and implemented in the context of aged care remains largely unknown. This study explored the meaning and the barriers and facilitators to applying DoR to NH residents. Methods: Qualitative study, comprising semistructured interviews. Senior policy makers and advocate guardians working in the aged care or disability sector were invited to participate. Recruitment continued until data saturation was reached. Two researchers coded interviews, applying inductive and thematic analysis. Results: Fourteen participants took part during 2016‐2017. Analysis demonstrated uniformity in participants' description of DoR, comprising four elements: (a) individuals are at the centre of decision making; (b) life involves risk; (c) individuals must have choice; and (d) DoR is a continuum of experiences. Three main barriers for implementing DoR into practice were identified: (a) balancing autonomy with risks; (b) situational nature of DoR; and (c) taking responsibility for risk. Conclusion: The novel findings provide an explicit understanding of DoR and the facilitators and barriers to applying the principle in the NH setting. These findings inform those who engage in making and implementing choices in the presence of risk for vulnerable clients. To translate the multifaceted elements of DoR into practice requires the development of unambiguous policies/guidelines about who will be responsibility for potential risks that may arise from residents' choices. Further, education programmes supporting care staff/management to enact resident choices in the presence of real or perceived risk are required. (Publisher abstract)
Re-conceptualising the status of residents in a care home: older people wanting to ‘live with care’
- Authors:
- COOK Glenda, THOMPSON Juliana, REED Jan
- Journal article citation:
- Ageing and Society, 35(8), 2015, pp.1587-1613.
- Publisher:
- Cambridge University Press
The construction of a meaningful life depends upon satisfying ‘fundamental human needs’. These are broadly categorised as: physical, social and self-actualisation needs that every human experiences. Some fundamental human needs satisfiers, such as ‘home’, are synergic, addressing more than one need. For an older person, the move to a care home compromises their ontological security (through disruption of identification with place and control over environment) that one's own ‘home’ provides. This paper explores the complex issues surrounding the residential status of care home residents in terms of fundamental human needs. The methodology utilised was hermeneutic phenomenology. Eight older residents participated in the study, and each resident was interviewed up to eight times over a period of six months. Narrative analysis was used to interpret how participants viewed their experiences and environment. Five themes emerged from the narratives that collectively demonstrate that residents wanted their residential status to involve ‘living with care’ rather than ‘existing in care’. The five themes were: ‘caring for oneself/being cared for’; ‘being in control/losing control’; ‘relating to others/putting up with others’; ‘active choosers and users of space/occupying space’ and ‘engaging in meaningful activity/lacking meaningful activity’. This study indicates that if care homes are to achieve synergic qualities so residents are able to regard care homes as ‘home’, then care home staff may need to be more focused on recognising, acknowledging and supporting residents' aspirations regarding their future lives, and their status as residents. (Publisher abstract)