Search results for ‘Subject term:"older people"’ Sort:
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Maximising the potential of reablement
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2013
- Pagination:
- 46
- Place of publication:
- London
This guide is based on research and practice evidence about the effectiveness and cost-effectiveness of reablement. Reablement is meant to help people accommodate illness or disability by learning or re-learning the skills necessary for daily living. The guide looks at: physical, psychological and social needs; commissioning and joint working; staff development; outcomes; support services; people with dementia and reablement; and support for people once their programme of reablement is over in order to maintain progress. (Edited publisher abstract)
Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Journal article citation:
- Ageing and Society, 40(1), 2020, pp.73-104.
- Publisher:
- Cambridge University Press
With a policy shift towards personalisation of adult social care in England, much attention has focused on individualised support for older people with care needs. This article reports the findings of a scoping review of United Kingdom (UK) and non-UK literature, published in English from 2005 to 2017, about day centres for older people without dementia and highlights the gaps in evidence. This review, undertaken to inform new empirical research, covered the perceptions, benefits and purposes of day centres. Searches, undertaken in October/November 2014 and updated in August 2017, of electronic databases, libraries, websites, research repositories and journals, identified 77 relevant papers, mostly non-UK. Day centres were found to play a variety of roles for individuals and in care systems. The largest body of evidence concerned social and preventive outcomes. Centre attendance and participation in interventions within them impacted positively on older people's mental health, social contacts, physical function and quality of life. Evidence about outcomes is mainly non-UK. Day centres for older people without dementia are under-researched generally, particularly in the UK. In addition to not being studied as whole services, there are considerable evidence gaps about how day centres are perceived, their outcomes, what they offer, to whom and their wider stakeholders, including family carers, volunteers, staff and professionals who are funding, recommending or referring older people to them. (Publisher abstract)
But does it do any good? measuring the impact of music therapy on people with advanced dementia: (Innovative practice)
- Author:
- GOLD Karen
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 13(2), 2014, pp.258-264.
- Publisher:
- Sage
This article describes the impact of music therapy upon a group of nine people with advanced dementia in a hospital setting. It demonstrates how the impact of music therapy was measured using the case notes completed by nursing and care staff and how these notes suggested that music therapy had a positive effect on the mood and behaviour on eight of the nine people receiving music therapy. (Publisher abstract)
Have you been down to the woods today?
- Author:
- MAPES Neil
- Journal article citation:
- Working with Older People, 16(1), 2012, pp.7-16.
- Publisher:
- Emerald
To date, research exploring the benefits of “green” exercise and experiences of people living with dementia in care taking activity out in nature is very limited. This paper reports on findings from the Wandering in the Woods action research project conducted by Dementia Adventure, based in Essex, England. The project is designed to help people living with dementia connect with nature. Qualitative and quantitative data were gathered using the participatory appraisal method in small groups both before and after woodland adventure days out. The research was conducted with three relatively small groups, which varied in composition across the study, for practical reasons associated with care and capability of participants. Findings revealed a 41% increase in participants rating exercise as a factor which was very important to them. A number of potential physical, emotional, and social benefits of activity out in woodlands were identified. Practical implications for changing practices in the dementia care and health and well-being sectors are discussed.
Meeting through music
- Author:
- DOWSON Becky
- Journal article citation:
- Journal of Dementia Care, 20(2), March 2012, pp.26-28.
- Publisher:
- Hawker
The Guideposts Trust’s Music Therapy service, in Oxfordshire, England, has been supporting people with dementia by helping them maintain their sense of identity and express themselves through music. This article, based on client feedback, describes the positive difference the service has made to many people. The service, staffed by three part-time music therapists, services 15 people in individual weekly sessions, and a further 35 who attend in group sessions. The therapy allows for non-verbal communication, and facilitates social interaction at a time when attendees are at risk from social isolation. Clients enjoyed playing together as a group, listening to others, singing, and playing instruments. The therapy simultaneously fulfilled a range of different needs.
Counselling older people: a systematic review
- Authors:
- HILL Andrew, BRETTLE Alison
- Publisher:
- British Association for Counselling and Psychotherapy
- Publication year:
- 2004
- Pagination:
- 92p.
- Place of publication:
- Rugby
The Government’s National Service Framework for older people has been developed in response to the ageing UK population with a consequential need to expand health and social care services for older people. The importance of mental health care for older people as an area of public policy has also been recognised, the under-detection of mental illness in older people having been identified as a key issue. Counselling can play a key role in this area of service provision but the evidence base to demonstrate its effectiveness with this client group has not been established. The Centre for Social Work and Social Care and the Health Care Practice Unit undertook this systematic review of the literature relating to counselling and older people funded by The British Association of Counselling and Psychotherapy.
Psychogeriatric day care outcome: a five-year follow-up
- Author:
- DIESFELDT Han
- Journal article citation:
- International Journal of Geriatric Psychiatry, 7(9), 1992, pp.673-679.
- Publisher:
- Wiley
Describes research in to the effectiveness of day care for psychogeriatric patients and which factors were predictive of institutionalisation.
Association between social support and health of aging adults with dementia
- Authors:
- PAKSTIS Allyson, KIM Jinhee, BHARGAVA Vibha
- Journal article citation:
- Ageing International, 43(4), 2018, pp.477-495.
- Publisher:
- Springer
- Place of publication:
- New York
The purpose of this cross-sectional study was to explore the relationship between social support and the health outcomes of older adults, ages 50 and older, with dementia in the United States, using data from the 2012 wave of the Health and Retirement Study (N = 446). The dependent variables included depressive symptoms (CES-D), self-reported health, number of chronic conditions, and the sum of activities of daily living (ADL) limitations. The key independent variables were measures of social support including marital status, children living within ten miles, relatives near, good friends near or in congregation, how often they attend religious services, relatives in congregation, and number of times they get together with people. Guided by the convoy model, this study focused on the layers of social support that typically surround an aging adult and the types of support within those layers. Findings of the logistic regression suggest that attending religious services was significantly associated with the ADL (p = .004). Having friends near or in a congregation was negatively associated with number of ADL limitations (p < .001), and positively associated with the likelihood of fewer depressive symptoms (p < .001). Results suggest that social support may be playing an important role in the health of aging adults with dementia. It may be important to focus on how to better ensure reliable social networks for aging adults with dementia and how to help secure meaningful social connections. Future research should prioritize assessing the effects of the quality of social supports on different types of health outcomes, within varying social proximities. (Edited publisher abstract)
Development and validation of the Measure of Supporting Co-occupation for family caregivers
- Authors:
- ONO Kenichi, et al
- Journal article citation:
- British Journal of Occupational Therapy, 81(10), 2018, pp.571-581.
- Publisher:
- Sage
Introduction: It is important to understand the experiences of elderly people with dementia and their family caregivers. Moreover, the maintenance of family caregivers’ satisfaction with co-occupation is important to ensure that they intend to continue providing care. This study developed and validated the Measure of Supporting Co-occupation, which assesses co-occupation involving elderly people with dementia and their family caregivers. Method: This study used a cross-sectional design and questionnaire survey. Participants were recruited from 21 institutions. Descriptive statistics were calculated for the following domains: ‘evocation of the story of co-occupation’, ‘intention to continue co-occupation’ and ‘preferred co-occupation’. The construct validity and reliability of the ‘intention to continue co-occupation’ domain were examined using exploratory factor analysis, confirmatory factor analysis and Cronbach’s alpha. The criterion-related validity of the ‘intention to continue co-occupation’ was examined by means of correlations with other scales. Results: There were 115 pairs of participants. Good criterion-related validity and internal consistency were confirmed for the ‘intention to continue co-occupation’ domain. However, confirmatory factor analysis showed insufficient model fitness. Conclusion: The ‘intention to continue co-occupation’ domain is not ready for clinical application due to insufficient model fitness, it is necessary to revise the Measure of Supporting Co-occupation. (Edited publisher abstract)
The relationship between changes in quality of life outcomes and progression of Alzheimer's disease: results from the Dependence in AD in England 2 longitudinal study
- Authors:
- TRIGG Richard, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(4), 2015, pp.400-408.
- Publisher:
- Wiley
Objective: The relationship between conventional indicators of Alzheimer's disease (AD) progression and quality of life (QoL) outcomes is unclear. Dependence on others has been recommended as a unifying construct in defining AD severity. This study examined the relationship between indicators of disease severity (including dependence) and changes in QoL and utility over 18 months. Methods: A multi-centre, cohort study was conducted across 18 UK sites. One hundred and forty-five patients with possible/probable AD and their caregivers completed assessments of disease severity (Dependence Scale, Mini-mental state examination, Neuropsychiatric Inventory, Disability Assessment for Dementia), dementia-specific QoL (DEMQOL, DEMQOL-Proxy) and generic health-related utility (EQ-5D) at both time points. Results:There was evidence of individual change in QoL over 18 months, with over 50% of patients reporting either maintenance or improvement of life quality. The EQ-5D proxy suggested a mean decline in QoL, whereas the DEMQOL-Proxy indicated overall improvement. In the subsample of people who self-reported QoL and utility, no mean change was evident. Changes in dependence did not explain changes on any QoL or utility outcome. There was a weak association between the EQ-5D proxy and changes in cognition, whereas changes on the DEMQOL-Proxy were partly explained by changes in behavioural disturbance. Conclusions: The natural progression of AD over 18 months does not lead to inevitable decline in QoL or utility. There are no clear or consistent direct relationships between changes in disease severity and QoL outcomes. The impact of increasing dependence and worsening disease severity is likely buffered by a combination of psychological, social and environmental factors (Publisher abstract)