Search results for ‘Subject term:"older people"’ Sort:
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Extra care housing
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 27p.
- Place of publication:
- London
Extra care housing is part of the provision of support which is available to more frail older people to enable them to continue living independently for as long as possible. Extra care housing may suit older people who need a high level of personal care, but who are otherwise able to live independently on their own. This factsheet gives information about extra care housing provision, how to access it, and how to fund a place in such a scheme.
Leicestershire County Council: external evaluation of the home care reablement pilot project
- Authors:
- KENT Julie, et al
- Publisher:
- De Montfort University. Centre for Group Care and Community Studies
- Publication year:
- 2000
- Pagination:
- 35p.
- Place of publication:
- Leicester
This research evaluated the extent to which the home care reablement team achieved its aims in terms of enabling people to achieve their maximum level of independence, thereby remaining in their homes. A qualitative analysis of the pilot project was undertaken, and comparisons were drawn with similar projects elsewhere in the UK. Fewer service users in this home care model were admitted to hospital during the period under examination. Larger packages of home care were commissioned for service user than their counterparts in the comparison groups. The report suggested that the pilot was distinctly different from other home care packages. The report recommended that the home care reablement team’s model of home care be delivered to other areas in Leicestershire. In particular, it was recommended that home care reablement teams act as intake teams for all home care referrals. Essential to successful replication of the pilot was the close involvement and support of multi-disciplinary colleagues with occupational therapy and physiotherapy backgrounds, in conjunction with training and development opportunities for hoe care staff.
Ethics of using assistive technology in the care for community-dwelling elderly people: an overview of the literature
- Authors:
- ZWIJSEN Sandra, NIEMEIJER Alistair, HERTOGH Cees
- Journal article citation:
- Aging and Mental Health, 15(4), May 2011, pp.419-427.
- Publisher:
- Taylor and Francis
This review examines existing literature on the ethical considerations in the field of assistive technology. It specifically focuses on community-dwelling older people with dementia. In the 46 papers meeting the inclusion criteria, three main themes were uncovered. The first theme, personal living environment, involves the subthemes privacy, autonomy and obtrusiveness. The second, the outside world, involves the subthemes stigma and human contact. The third, the design of assistive technology devices, involves the subthemes individual approach, affordability and safety. However, ethical debate does not appear to be a priority. The little discussion there is relies heavily on concepts such as autonomy and obtrusiveness. Most ethical objections discussed originate from the view that people should be independent and self-determinant. The authors conclude that other ethical approaches that view people as social and reciprocal might be more applicable in the debate on ethical aspects of assistive technology use.
Early intervention prevents crisis
- Author:
- DUNNING Jeremy
- Journal article citation:
- Community Care, 4.2.10, 2010, pp.26-27.
- Publisher:
- Reed Business Information
The NHS and local authorities' early intervention scheme can save money and improve the lives of older people under the Partnership for Older People's Project (POPP).
Difficulty and help with activities of daily living among older adults living alone during the COVID-19 pandemic: a multi-country population-based study
- Authors:
- CHEN Shanquan, et al
- Journal article citation:
- BMC Geriatrics, 22(181), 2022, Online only
- Publisher:
- BioMed Central Ltd
Background: Older adults who live alone and have difficulties in activities of daily living (ADLs) may have been more vulnerable during the COVID-19 pandemic. However, little is known about pandemic-related changes in ADL assistance (such as home care, domiciliary care) and its international variation. We examined international patterns and changes in provision of ADL assistance, and related these to country-level measures including national income and health service expenditure. Methods: We analysed data covering 29 countries from three longitudinal cohort studies (Health and Retirement Study, English Longitudinal Study of Aging, and Survey of Health, Ageing and Retirement in Europe). Eligible people were aged ≥50 years and living alone. Outcomes included ADL difficulty status (assessed via six basic ADLs and five instrumental ADLs) and receipt of ADL assistance. Wealth-related inequality and need-related inequity in ADL assistance were measured using Erreygers’ corrected concentration index (ECI). Correlations were estimated between prevalence/inequality/inequity in ADL assistance and national health-related indicators. We hypothesized these measures would be associated with health system factors such as affordability and availability of ADL assistance, as well as active ageing awareness. Results: During COVID-19, 18.4% of older adults living alone reported ADL difficulties (ranging from 8.8% in Switzerland to 29.2% in the USA) and 56.8% of those reporting difficulties received ADL assistance (ranging from 38.7% in the UK to 79.8% in Lithuania). Females were more likely to receive ADL assistance than males in 16/29 countries; the sex gap increased further during the pandemic. Wealth-related ECIs indicated socioeconomic equality in ADL assistance within 24/39 countries before the pandemic, and significant favouring of the less wealthy in 18/29 countries during the pandemic. Needs-related ECIs indicated less equity in assistance with ADLs during the pandemic than before. Our hypotheses on the association between ADL provision measures and health system factors were confirmed before COVID-19, but unexpectedly disconfirmed during COVID-19. Conclusion: This study revealed an unequal (and in some countries, partly needs-mismatched) response from countries to older adults living alone during the COVID-19 pandemic. The findings might inform future research about, and policies for, older adults living alone, particularly regarding social protection responses during crises. (Edited publisher abstract)
In-home medication management by older adults: a modified ethnography study using digital photography walkabouts
- Authors:
- FAISAL Sadaf, et al
- Journal article citation:
- Age and Ageing, 51(1), 2022, p.afab207.
- Publisher:
- Oxford University Press
Background: Medication mismanagement can lead to non-optimal management of chronic diseases and poor health outcomes. Objective: The purpose of this study was to better understand meanings associated with in-home medication management and storage practices of older adults with chronic diseases. Methods: A modified ethnographic approach using digital photography walkabouts, observation protocols and field notes were used to document in-home medication organisation and storage locations. Thematic analysis was used to generate themes and sub-themes. Results: Data from multiple home visits of 10 participants (mean age = 76 years; 80% females) including 30 photographs, 10 observation protocols and field notes were analysed. The average number of medications used was reported to be 11.1 (range: 5-20). Themes and sub-themes include choice of storage location (sub-themes: impact on medication behaviour, visibility of medications and storage with other items), knowledge regarding appropriate medication storage conditions (sub-themes: impact on safety of patient and impact on stability of medications) and systems to manage in-home medication intake. Discussion: In-home medication management reflects older adults perspectives regarding privacy, medication taking routine, knowledge about safe and effective storage and organisation systems. The lack of knowledge causing inappropriate medication storage not only impacts the stability of medications, but also increases risk of medication errors and safety, ultimately affecting medication intake behaviours. (Edited publisher abstract)
A qualitative study and preliminary model of living with dementia and incontinence at home: beyond containment
- Authors:
- MURPHY Catherine, et al
- Journal article citation:
- Age and Ageing, 51(1), 2022, p.afab221.
- Publisher:
- Oxford University Press
Background: most people living with dementia (PLWD) will develop incontinence problems with associated harmful consequences. Well-contained incontinence is often the main treatment goal. It would therefore be expected that poorly contained incontinence would have a negative impact. Aim: to investigate differences in how well-contained or poorly contained incontinence impacts on the experience of living with incontinence for PLWD at home and their carers. Design: secondary analysis of a qualitative study. Methods: semi-structured interviews were undertaken with PLWD, carers and healthcare professionals (continence or dementia nurses). PLWD and carers were recruited via www.joindementiaresearch.nihr.ac.uk and via dementia/carer groups. Nurses were recruited via their employers. Interviews were recorded and transcribed verbatim. Framework analysis was used. Results: forty-five people (twenty-six carers, two PLWD, nine continence nurses and eight dementia nurses) participated. Despite poorly contained incontinence, some PLWD/carer dyads appeared relatively unaffected by incontinence. Conversely, one or both members of some dyads who achieved good containment found incontinence care highly challenging. Four themes were identified, together forming a preliminary model of incontinence containment and impact, as follows: Well-contained incontinence, lower negative impact; Well-contained incontinence, higher negative impact; Poorly contained incontinence, higher negative impact; and Poorly contained incontinence, lower negative impact. Conclusion: reliable containment is an important goal for PLWD living at home and their carers, but it is not the only goal. Other factors, such as behaviours that challenge or carer coping strategies, can mean that even well-contained incontinence can have a negative impact. This paper proposes a preliminary model for evaluation. (Edited publisher abstract)
Bathroom modifications among community-dwelling older adults who experience falls in the United States: a cross-sectional study
- Authors:
- PENG Boon, et al
- Journal article citation:
- Health and Social Care in the Community, 30(1), 2022, pp.253-263.
- Publisher:
- Wiley
Falls impose substantial health and economic burdens on older adults. Over half of falls in older adults occur at home, with many involving bathroom areas. Limited information is available on the presence of bathroom modifications for those who experience them. Therefore, this study examined factors associated with bathroom modifications among older adults with at least one fall in the United States. This study analysed the nationally representative 2016 Medicare Current Beneficiary Survey Public Use File of Medicare beneficiaries aged ≥65 years with ≥1 fall (n = 2,404). A survey-weighted logistic model was used to examine associations between bathroom modifications and factors including socio-demographic characteristics, health-related conditions, and fear of falling. Among Medicare beneficiaries with ≥1 fall, 55.5% had bathroom modifications and 50.1% had repeated falls (≥2 falls). Approximately 40.2% of those with repeated falls had no bathroom modifications. In the adjusted model, non-Hispanic Blacks (odds ratio [OR] = 0.38; p < 0.001) and Hispanics (OR = 0.64; p = 0.039) had lower odds of having bathroom modifications than non-Hispanic Whites. Fear of falling and activities of daily living limitations had incremental impacts on having bathroom modifications. This study highlights the need to improve disparities in bathroom modifications for non-Hispanic Black and Hispanic Medicare beneficiaries, including those with repeated falls. With the aging population and growing number of older minorities in the United States, reducing these disparities is vital for fall prevention efforts and aging-in-place. (Edited publisher abstract)
Factors affecting user participation for elderly people with dementia living at home: a critical interpretive synthesis of the literature
- Authors:
- HAUGEN Per Kristian, SLETTEBO Tor, YTREHUS Siri
- Journal article citation:
- European Journal of Social Work, 22(6), 2019, pp.974-986.
- Publisher:
- Taylor and Francis
Professional caregivers are expected to facilitate user participation for people with dementia. At the same time, an increasing number of elderly people with dementia are now being cared for at their homes. Research is scarce on user participation for people with dementia, especially for people with dementia who live at home. This article aims to systematically and critically review the factors affecting user participation for elderly people with dementia living at home from the viewpoint of the patients, family caregivers, professional caregivers and researchers. A systematic literature search and critical interpretive synthesis were conducted. The search yielded 1,957 articles. In total, 112 full-text articles were retrieved, of which 27 met the inclusion criteria. Five broad analytical themes were identified during the analysis: individual characteristics, professional caregiver characteristics, decision characteristics, relational characteristics and organisational characteristics. The results show that the value placed on user participation can differ between family caregivers and professional caregivers. People with dementia still experience stigmatisation, preventing user participation, and relations with both family and professional caregivers play a key role in enabling user participation for people with dementia. (Edited publisher abstract)
What constitutes ‘good care’ and ‘good carers’? The normative implications of introducing reablement in Danish home care
- Authors:
- BODKER Malene Norskov, LANGSTRUP Henriette, CHRISTENSEN Ulla
- Journal article citation:
- Health and Social Care in the Community, 27(5), 2019, pp.e871-e878.
- Publisher:
- Wiley
This paper explores how transitioning from compensatory care to reablement care is not merely a practical process, but also a deeply normative one. Drawing on Annemarie Mol's concept of ‘ontonorms’ the article analyses the normative dynamics involved in transitioning from one form of care to another as reflected in reablement professionals' practices and discourses. The paper draws on 10 months of multisited ethnographic fieldwork carried out from April 2015 to February 2016 in a Danish municipality, including participant observations of reablement practices as well as qualitative interviews with 13 professionals working with reablement. The authors demonstrate that professionals generally consider reablement to represent a desirable shift in home care from ‘bad care’ practices of making people passive through compensatory care, towards ‘good care’ practices of ‘keeping people going’ despite their limitations. Moreover, the article demonstrates that while therapists are valued as ‘good carers’ due to their ability to focus on development and training, nurses and in particular home helpers are devalued as ‘bad carers’ due to their ‘caring genes’ and lack of technical and theoretical skills necessary for documentation work. Finally, the authors discuss the implications of these normative dynamics, which may risk stigmatising compensating care practices, although this form of care to a large extent continues to coexist with reablement practices. They argue for a more nuanced approach to care, recognising compensatory care and reablement as complementary forms of care, each doing good under different circumstances. (Edited publisher abstract)