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Need fulfillment in caring relationships: its relation with well-being of residents in somatic nursing homes
- Authors:
- CUSTERS Annette F. J., et al
- Journal article citation:
- Aging and Mental Health, 14(6), August 2010, pp.731-739.
- Publisher:
- Taylor and Francis
Based on self-determination theory, this he study investigated the contribution of need fulfilment in the caring relationship to residents' subjective well-being. A total of 88 residents aged 50 years and over in Dutch nursing homes for physical illness participated in the study. Data was collected using questionnaires completed in interviews with research assistants. The results indicated that need fulfilment in the caring relationship was related to lower levels of depressive feelings and more life satisfaction. The results suggest that high quality caring relationships contribute to the need fulfilment of residents and their well-being, and that the quality of caring relationships is therefore an important topic for further research.
The association between changes in health status and nursing home resident quality of life
- Authors:
- DEGENHOLTZ Howard B., et al
- Journal article citation:
- Gerontologist, 48(5), October 2008, pp.584-592.
- Publisher:
- Oxford University Press
Previous research on nursing home resident quality of life (QOL) has mainly been cross-sectional. This study examined the association between changes in QOL and changes in resident clinical factors. A longitudinal study of resident QOL was conducted in two nursing homes in the US. Self-report interviews using a multidimensional measure of QOL were linked with clinical data from the Minimum Data Set. Five waves of interviews were conducted at 6-month intervals. Residents with one or more Stage II or higher pressure ulcers for two consecutive 6-month periods reported declines in autonomy, security, and spiritual well-being QOL domains; those with declines in physical disability reported declines in the dignity domain. Increases in depressive symptoms were associated with decreases in comfort, meaningful activities, and food enjoyment domains, and increases in pain were associated with decreases in functional competence and dignity domains. There is evidence of an association between physical health and self-reported QOL. However, not every dimension of QOL exhibited the same pattern. Further research is needed on the link between specific clinical factors and aspects of QOL.
The effect of long-term care environments on health outcomes
- Author:
- PRUCHNO Rachel A.
- Journal article citation:
- Gerontologist, 40(4), August 2000, pp.422-428.
- Publisher:
- Oxford University Press
This study contrasts rates of mortality and relocation to higher levels of care as well trajectories of cognitive status, functional ability, depression, and subjective health of residents of an assisted living facility with those of a nursing home. A repeated measures analysis of variance found that outcomes for people living in the two facilities did not change at different rates. These consistent findings suggest that although the assisted living and nursing home environments claim to have different philosophies of care, health outcome patterns for people living in the two environments were similar.
Reducing turnover and improving health care in nursing homes: the potential effects of self-managed work teams
- Author:
- McCONNELL Eleanor S.
- Journal article citation:
- Gerontologist, 40(3), June 2000, pp.358-363.
- Publisher:
- Oxford University Press
This article describes the use of self-managed work teams (SMWTs) in a nursing home in the U.S.A., their potential impacts on the provision of health care and employee satisfaction and turnover, and the factors reported to be important to SMWT effectiveness. Three SMWTs in a midsized nursing home in Wisconsin provide examples. Steps for implementing SMWTs are described.
Dementia in United States nursing homes: descriptive epidemiology and implications for long-term residential care
- Authors:
- MAGAZINER J., et al
- Journal article citation:
- Aging and Mental Health, 2(1), February 1998, pp.28-35.
- Publisher:
- Taylor and Francis
Using data from the 1985 National Nursing Homes Survey in the USA, the health and functioning of demented and non-demented nursing home residents are compared, and alternate forms of long-term residential care are identified. Analyses indicate that there is considerable overlap in the health and functional status of nursing home residents with and without dementia. Concludes the traditional nursing home is one option for providing long-term residential care for these persons. Alternate residential care facilities such as board and care homes, sheltered housing and adult foster care are other options whose use is growing, especially for those not requiring continuous supervision and medical care.
Recent changes in stroke history, mobility status and life expectancy at admission among nursing home residents in Japan
- Authors:
- SOKEJIMA Shigeru, et al
- Journal article citation:
- Health and Social Care in the Community, 4(2), March 1996, pp.96-102.
- Publisher:
- Wiley
The article investigates changes in the condition of elderly people at admission to nursing homes in Japan, their prognosis after admission and recent changes of mortality risk factors among the residents. It examines the possible relationship between the changes identified and discusses the possible effects of changes in social policy.
A scoping review: characteristics and outcomes of residents who experience involuntary relocation
- Authors:
- WEAVER Raven H., ROBERTO Karen A., BROSSOIE Nancy
- Journal article citation:
- Gerontologist, 60(1), 2020, pp.e20-e37.
- Publisher:
- Oxford University Press
Background and Objectives: Relocation to a residential care facility has been described as the most significant relocation affecting older adults, yet subsequent relocations, like in the case of a facility closure, have received minimal attention in the scholarly research literature. This paper reviews the published literature on involuntary relocation, focusing on the experiences of residents, families, and staff and the effects of involuntary relocation on nursing home residents’ health. Research Design and Methods: A scoping review was conducted to identify peer-reviewed studies reporting on involuntary relocation of nursing home residents. A total of 28 quantitative, qualitative, and mixed-method articles met inclusion criteria. Results: Researchers mostly relied on longitudinal designs and quantitative indicators of functional health, cognitive status, psychological and emotional well-being, environment, and relocation context to examine residents’ mortality risk and health outcomes associated with involuntary relocation. Inclusion of qualitative and mixed-method approaches was infrequent, as were indicators of social engagement and perceptions of relocation. Residents’ awareness of and preparation for involuntary relocation positively influenced their health and well-being. Family involvement was frequently hindered by communication challenges with facilities. Staff expressed concern about residents, experienced increased workload demands, and acknowledged challenges with planning and communication. Discussion and Implications: Based on the collective findings, the authors propose a conceptual model of critical factors at play during relocation for consideration for guiding future research and developing provisions to current policies guiding relocation processes. Facilities and policymakers need to consider procedures that enhance planning efforts and decision-making among this vulnerable population and their families. (Edited publisher abstract)
Depression and frailty: concurrent risks for adverse health outcomes
- Authors:
- LOHMAN Matthew C., MEZUK Briana, DUMENCI Levent
- Journal article citation:
- Aging and Mental Health, 21(4), 2017, pp.399-408.
- Publisher:
- Taylor and Francis
Objectives: This study used latent growth curve modeling (LGCM) to estimate the independent and joint associations between frailty and depression trajectories and likelihood of nursing home admission and falls resulting in injury. Methods: Data come from five waves (2004–2012) of the Health and Retirement Study. Community-dwelling individuals aged 51 and older (N = 13,495) were analyzed using LGCM. Frailty was measured using a frailty index consisting of 30 deficits. Depressive symptoms were measured using the eight-item Centers for Epidemiologic Studies – Depression scale. Adverse health outcomes included nursing home admissions and falls resulting in injury. Results: Prevalence of frailty increased over the study period (24.1%–32.1%), while the prevalence of depression was relatively constant over time (approximately 13%). Parallel process LGCM showed that more rapid increases of frailty and depressive symptoms were associated with higher odds of both nursing home admission and serious falls over time (Frailty: ORNursing home = 1.33, 95% CI: 1.09–1.66; ORFall = 1.52, 95% CI: 1.12–2.08; Depression: ORNursing home = 3.63, 95% CI: 1.29–9.97; ORFall = 1.16, 95% CI: 1.01–1.34). Associations between frailty and adverse outcomes were attenuated, and in some cases were no longer statistically significant, after accounting for concurrent depression. Conclusion: Frailty trajectories may be important indicators of risk for nursing home admissions and falls, independent of baseline frailty status; however, concurrent depression trajectories are associated with adverse outcomes to a similar degree as frailty. Focus should be given to distilling elements of the frailty index which confer most risk for poor health outcomes. (Publisher abstract)
Health status of UK care home residents: a cohort study
- Authors:
- GORDON Adam Lee, et al
- Journal article citation:
- Age and Ageing, 43(1), 2014, pp.334-341.
- Publisher:
- Oxford University Press
Background: UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents’ health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than health, care records. Aim: To describe in detail the health status and healthcare resource use of UK care home residents Design and setting: A 180-day longitudinal cohort study of 227 residents across 11 UK care homes, 5 nursing and 6 residential, selected to be representative for nursing/residential status and dementia registration. Method: Barthel index (BI), Mini-mental state examination (MMSE), Neuropsychiatric index (NPI), Mini-nutritional index (MNA), EuroQoL-5D (EQ-5D), 12-item General Health Questionnaire (GHQ-12), diagnoses and medications were recorded at baseline and BI, NPI, GHQ-12 and EQ-5D at follow-up after 180 days. National Health Service (NHS) resource use data were collected from databases of local healthcare providers. Results: Out of a total of 323, 227 residents were recruited. The median BI was 9 (IQR: 2.5–15.5), MMSE 13 (4–22) and number of medications 8 (5.5–10.5). The mean number of diagnoses per resident was 6.2 (SD: 4). Thirty per cent were malnourished, 66% had evidence of behavioural disturbance. Residents had contact with the NHS on average once per month. Conclusion: Residents from both residential and nursing settings are dependent, cognitively impaired, have mild frequent behavioural symptoms, multimorbidity, polypharmacy and frequently use NHS resources. Effective care for such a cohort requires broad expertise from multiple disciplines delivered in a co-ordinated and managed way (Publisher abstract)
“Make Every Moment Count” in care for older people
- Author:
- MACINTOSH Edith A.
- Journal article citation:
- Working with Older People, 17(3), 2013, pp.125-129.
- Publisher:
- Emerald
Purpose – The purpose of this paper is to highlight the importance of Make Every Moment Count (MEMC) and explain the development of it. Design/methodology/approach – A working group of representatives from key organisations in Scotland developed the resource MEMC. It was tested out in a variety of care settings and issued to all care homes for older people and care at home services in Scotland. Findings – The paper highlights the importance of participating in day-to-day life on health and well-being and provides feedback from care staff on using the resource. Practical implications – The resource is for all those supporting someone to engage in day-to-day life. A lot of good care is given however sometimes the small, everyday interactions are taken for granted and people need reminded about the big difference this can make to someone's life. Social implications – MEMC has the potential to begin to change culture – to rethink “activity” which is often thought of as planned organised events to everyday activities and interactions. Originality/value – This paper describes an initiative which sets out to remind us all of the importance of basic human rights – dignity, respect and choice. (Publisher abstract)