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Guidelines for nursing homes delivering end-of-life care to residents with dementia across the island of Ireland
- Authors:
- CAHILL Suzanne, DORAN Daphne, WATSON Max
- Journal article citation:
- Quality in Ageing and Older Adults, 13(1), 2012, pp.60-70.
- Publisher:
- Emerald
This study investigated the experiences of elderly spouses whose relatives died with end-stage dementia in nursing homes in both Northern Ireland (NI) and the Republic of Ireland (RoI), with a view to improving quality of life for people with end stage dementia living in residential care settings. The study aimed to draft guidelines to a multi-disciplinary group of health service professionals for their critical appraisal and ratification. Results indicated that the care delivered was deemed by most elderly spouses to be of high quality, with person centred, individual, kind, professional care highly valued. Areas of dissatisfaction included poor communication, lack of involvement in key decision making, and poor symptoms control. Based on the study's findings, guidelines for the delivery of quality care in long stay residential institutions were developed in consultation with eight health service professionals.
Social care in Northern Ireland: a better future for us all
- Author:
- PRICEWATERHOUSECOOPERS
- Publisher:
- PricewaterhouseCoopers
- Publication year:
- 2011
- Pagination:
- 53p.
- Place of publication:
- London
This report presents the findings from research into social care with respect to ageing in Northern Ireland (NI). The research included reviews of: recent literature including research conducted by the Joseph Rowntree Foundation and research undertaken as part of the Dilnot Commission on social care in England and Wales; demographic data to inform current and future need; and a review of good practice in other countries. The report considers the structure of the social care system in NI, the principles which should underlie the system, and the pressures it currently faces. In addition, it considers good practice models from elsewhere, and how to balance value for money with financial sustainability. The findings show that older people in Northern Ireland may face substantial costs for their care in the future that they may not be able to meet. Many people assume residential and nursing home accommodation is provided free but this is not the case. The report concludes that the current system is not sustainable given the situation of rising demands alongside ongoing funding pressures and calls for changes to the current system.
Specialised grouped housing for older people: introductory briefing
- Author:
- THOMPSON Janice
- Publisher:
- Northern Ireland Assembly. Research and Information Service
- Publication year:
- 2014
- Pagination:
- 15
- Place of publication:
- Belfast
This briefing paper provides an introduction to specialist grouped housing for older people, also called sheltered housing. It covers the following sub-categories: sheltered and retirement housing; very sheltered/assisted living; extra care housing; close care housing (independent living with on-site care and support, linked to a care home); and retirement villages. The briefing provides information on the policy around sheltered housing in Northern Ireland, including connections with the 'Transforming your Care' and 'Supporting people programme'. It also includes good practice examples of sheltered housing for older people from England. (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)
How we become who we are: the teaching and learning of human growth and development, mental health and disability on qualifying social work programmes: draft report
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Pagination:
- 81p., bibliog.
- Place of publication:
- London
This study of human growth and development, mental health and disability in qualifying social work education, by researchers from Sussex University, comprised a research review updating earlier studies and a practice survey of teaching and learning about mental health and disability on qualifying social work programmes in England, Wales and Northern Ireland. The objectives were: to examine what is meant by human growth and development (HGD) in relation to mental health, disability and dementia as evidenced by participating qualifying social work education programmes; examine the extent and manner in which the study of personalisation is included in relation to HGD; examine contexts in which the teaching and learning takes place and the approaches and methods used; examine the theoretical frameworks underpinning this teaching and learning; explore the measures used to evaluate the effectiveness of the approaches used; examine the effectiveness of qualifying education about human growth and development, mental health and disability as perceived by social work educator and carer educator, services users and student participants; highlight examples of perceived good practice in England, Wales and Northern Ireland. Interviews were conducted with 24 educators from 15 higher education institutions, including 21 social work educators, 2 service user educators and 1 carer educator. Key messages and recommendations are given in this draft report. It is concluded that it is time that the social work education community took up the challenge of developing a whole programme underpinned by planned, sustained, and inclusive attention to HGD as it relates to mental health, disability and dementia.