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Dignity in care: personal hygiene
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 14 minutes 56 seconds
- Place of publication:
- London
This film gives us an insight into people’s lives and the way they want to maintain their surroundings. It illustrates how good personal hygiene and helping people to look their best is an important part of maintaining dignity. It shows examples of the personal care provided to residents living at Wren Hall Care home which help to improve their wellbeing, such as: a manicure, having your hair styled, foot care, and using moisturiser to keep the skin hydrated. The film also highlights the importance of providing personal care in a way that people want. Howard, who also lives at Wren Hall, prefers to have a wet shave. Helping people look their best and take pride in their appearance, helps boost their confidence and makes them feel better about themselves. The film makes a case that getting your hair done or being complimented on the way you look, among other things, can play a central role in providing dignity. (Edited publisher abstract)
Aging in place vs. relocation for older adults with neurocognitive disorder: applications of Wiseman’s behavioral model
- Authors:
- KAPLAN Daniel B., et al
- Journal article citation:
- Journal of Gerontological Social Work, 58(5), 2015, pp.521-538.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Some older adults are more vulnerable to housing concerns due to physical and cognitive challenges, including those with a neurocognitive disorder who need extensive support. Environmental gerontology frameworks, including Wiseman’s 1980 Behavioral Model of Elderly Migration, have informed scholarship on ageing in place and relocation. Environmental gerontology looks at the relationship between older adults and their environments and the implications of this relationship for a variety of outcomes, including quality of life. This article proposes ways in which Wiseman’s model can inform interventions for older adults with a neurocognitive disorder, and suggests additional considerations of the needs of older adults with a neurocognitive disorder to inform further development and empirical testing of this model. The authors use three case vignettes to explore the conceptual relevance of Wiseman’s the framework. It concludes that understanding Wiseman’s model, including considerations for working with families confronting a neurocognitive disorder, can help practitioners ensure that older clients live in settings that best meet their wants and needs. (Edited publisher abstract)
The neighborhood environment: perceived fall risk, resources, and strategies for fall prevention
- Authors:
- CHIPPENDALE Tracy, BOLTZ Marie
- Journal article citation:
- Gerontologist, 55(4), 2015, pp.575-583.
- Publisher:
- Oxford University Press
Purpose of the Study: To explore the experience of older adults in their neighbourhood in relation to perceived fall risk, fear of falling (FOF), and resources/strategies for fall prevention. Design and Methods: Fourteen older adults, 65 years of age and older from 3 urban senior centres, participated in this qualitative study. The semi-structured interview guidelines and background questionnaire were developed by the researchers based on the literature and an existing measure of walkability. Both tools were refined based on pilot interviews with seniors. Collaizzi’s phenomenological method was used for data analysis. Results: Five themes emerged from the data: (a) The built environment contributes to perceived fall risk and FOF, (b) personal strategies used to adapt to perceived neighbourhood fall risks-behavioural approaches, (c) resources for physical activity and safety, (d) barriers to physical activity and exercise, and (e) neighbourhood features as a motivator. Implications: Urban-dwelling seniors perceive that neighbourhood features contribute to or mitigate fall risk and FOF. Behavioural strategies are used by older people to prevent outdoor falls. The findings can help clinicians develop targeted fall prevention interventions for well elders and help urban planners to design and retrofit urban environments to reduce fall risk. (Edited publisher abstract)
Home environments and adaptations in the context of ageing
- Authors:
- RENAUT Sylvie, et al
- Journal article citation:
- Ageing and Society, 35(6), 2015, pp.1278-1303.
- Publisher:
- Cambridge University Press
‘Ageing in place’ initiatives form an important part of broader ‘ageing well’ strategies that are being developed in response to demographic change. Increasingly, it is acknowledged that it is important to understand how individuals shape and modify the space within their own home and immediate environment to facilitate flexible solutions in the event of a loss of independence. This research, carried out in France, aims to understand how individuals construct the space both within their own home and their immediate surroundings and how this construction is linked to their own perception of ageing and growing old. A thematic analysis of 28 qualitative interviews resulted in two differentiated responses in relation to home adaptations: those respondents who had acted to modify their home and environment and those who instead sought to delay or ‘put off’ any modifications. The results demonstrate the multi-dimensional experience of ageing, the diversity of types of home environment, and the interplay between compensatory solutions and the social contexts within which they take place. The need for a more holistic approach that takes into account factors such as an individual's experience of ageing is suggested in order to understand the use of space in home environments and the adaptations that are made to them. Policy initiatives for ‘ageing in place’ can be reinforced by closer user involvement. (Edited publisher abstract)
The role of formal and informal networks in supporting older people's care during extreme weather events
- Authors:
- WISTOW Jonathan, et al
- Journal article citation:
- Policy and Politics, 43(1), 2015, pp.119-135.
- Publisher:
- Policy Press
Using theories of formal and informal networks of care within a local governance system, this article interprets networks supporting older people during extreme weather events. Drawing on international literatures about network governance and emergency management it outlines an approach which considers the views of older people and service providers to explore resilience of infrastructures and service agencies. During emergencies, links between different networks of care are important to avoid discontinuities that could endanger older people's health and well-being. This paper explores the scope to draw on local knowledge and local caring networks to inform preparedness for extreme weather. (Edited publisher abstract)
Older adults' perceptions of mobility: a metasynthesis of qualitative studies
- Authors:
- GOINS R. Turner, et al
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.929-942.
- Publisher:
- Oxford University Press
Purpose of the Study: Optimal mobility is an important element of healthy ageing. Yet, older adults’ perceptions of mobility and mobility preservation are not well understood. The purposes of this study were to (a) identify studies that report older adults’ perceptions of mobility, (b) conduct a standardised methodological quality assessment, and (c) conduct a metasynthesis of the identified studies. Design and Methods: Studies with community-dwelling adults aged ≥65 years, focused on perceptions of mobility pertaining to everyday functioning, used qualitative methods, and were cited in PubMed, Embase, CINAHLPlus, or Geobase databases were included. Study quality was appraised using the McMaster University Tool. Results: Out of 748 studies identified, 12 met inclusion criteria. Overall quality of the studies was variable. Metasynthesis produced 3 overarching themes: (a) mobility is part of sense of self and feeling whole, (b) assisted mobility is fundamental to living, and (c) adaptability is key to moving forward. Implications: Older adults’ perceptions of mobility can inform interventions that would involve actively planning for future mobility needs and enhance the acceptance of the changes, both to the older adult and the perceived response to changes by those around them. (Edited publisher abstract)
The ideal neighbourhood for ageing in place as perceived by frail and non-frail community-dwelling older people
- Authors:
- DIJK Hanna M. van, et al
- Journal article citation:
- Ageing and Society, 35(8), 2015, pp.1771-1795.
- Publisher:
- Cambridge University Press
Due to demographic changes and a widely supported policy of ageing in place, the number of community-dwelling older people will increase immensely. Thus, supportive neighbourhoods enabling older people to age in place successfully are required. Using Q-methodology, this study examined older people's perceptions of the comparative importance of neighbourhood characteristics for ageing in place. Based on the World Health Organization's Global Age-friendly Cities guide and the eight domains identified (outdoor spaces and buildings, transportation, housing, social participation, respect and social approval, civic participation, communication and information, and community support and health services), the authors developed 26 statements about physical and social neighbourhood characteristics. Thirty-two older people in Rotterdam, half of whom were frail, rank-ordered these statements. Q-factor analysis revealed three distinct viewpoints each among frail and non-frail older people. Comparisons within and between groups are discussed. Although both frail and non-frail older people strongly desired a neighbourhood enabling them to age in place, they have divergent views on such a neighbourhood. Older people's dependence on the neighbourhood seems to be dynamic, affected by changing social and physical conditions and levels of frailty. (Edited 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)
To what extent is the work environment of staff related to person-centred care? a cross-sectional study of residential aged care
- Authors:
- SJOGREN Karin, et al
- Journal article citation:
- Journal of Clinical Nursing, 24(9-10), 2015, pp.1310-1319.
- Publisher:
- John Wiley and Sons
Aims and objectives: To explore the relationship between staff characteristics, perceived work environment and person-centred care in residential aged care units. Background: Person-centred care is often described as the model of choice in residential aged care and in the care of persons with dementia. Few empirical studies have reported on the relationship between how staff experience different aspects of their work and person-centred care. Design: The study had a cross-sectional quantitative design. Methods: Staff in 151 residential aged care units in Sweden (n = 1169) completed surveys which included questions about staff characteristics, valid and reliable measures of person-centred care, satisfaction with work and care, job strain, stress of conscience and psychosocial unit climate. Statistical analyses of correlations, group differences and multiple linear regression analysis estimated with generalised estimating equation were conducted. Results: Higher levels of staff satisfaction, lower levels of job strain, lower levels of stress of conscience, higher levels of a supportive psychosocial unit climate and a higher proportion of staff with continuing education in dementia care were associated with higher levels of person-centred care. Job strain and a supportive psychosocial climate, explained most of the variation in person-centred care. Conclusions: This study shows that the work environment as perceived by staff is associated with the extent to which staff perceive the care as being person-centred in residential aged care. These empirical findings support the theoretical postulation that the work environment is an important aspect of person-centred care. Relevance to clinical practice: Promoting a positive and supportive psychosocial climate and a work environment where staff experience balance between demands and control in their work, to enable person-centred care practice, seems to be important implications for managers and leaders in residential aged care. (Publisher abstract)
Researching age-friendly communities: stories from older people as co-investigators
- Author:
- BUFFEL Tine
- Publisher:
- University of Manchester Library
- Publication year:
- 2015
- Pagination:
- 144
- Place of publication:
- Manchester
This guide evaluates the experience of involving older people in a research study that explored the age-friendliness of three areas of Manchester. It offers practical tips and critical reflections to help rethink how older people can be involved in research and social action to improve the physical and social environment of their neighbourhood. For the project a group 18 older residents were recruited and trained in designing interview questions, interviewing, data collection, and sharing the findings. The guide outlines the aims of the study, the methodology of the research and a summary of research activities undertaken. It then covers: what 'age-friendly means'; the co-researchers' motivations to participate in the study; the advantages and challenges of involving older residents; skills and knowledge acquired through the project; key findings; and suggested improvements to the age-friendliness of neighbourhoods. The guide includes contributions from older co-interviewers and representatives of community organisations who were involved in the project. The guide concludes by suggesting three principles for developing age-friendly neighbourhoods: that they should empower older people and enable social participation; they are a reminder about the rights of all citizens to full use of resources in their neighbourhood; and the importance of recognising both the social and physical dimensions which make up age-friendly communities. (Edited publisher abstract)