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Providing free personal care for older people: research commissioned to inform the work of the Care Development Group
- Authors:
- MACHIN Diane, MCSHANE Danny
- Publisher:
- Scotland. Scottish Executive Central Research Unit
- Publication year:
- 2002
- Pagination:
- 257p.
- Place of publication:
- Edinburgh
This volume of research is comprised of six studies that were commissioned by the Central Research Unit of the Scottish Executive to inform the deliberations of Care Development Group (CDG) which was set up to develop proposals for the implementation of free personal care for older people in Scotland.
Managing the transition to long-term care
- Authors:
- THOMPSON Juliana, COOK Glenda
- Journal article citation:
- Nursing and Residential Care, 14(3), March 2012, pp.146-148.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Moving from active rehabilitation to a care or nursing home can be demoralising for older people. Many may few it as ‘coming to the end of the line’. Shortfalls in the accessibility of physiotherapy, speech and language therapy and occupational therapy for care home residents intensifies the perception that hopes for recovery have been given up. Yet there are many situations where an older person’s condition improves following admission to a home. This article argues that the nursing approach in long-term care can aid the transition process and provide informal rehabilitation. By focusing on psychosocial, rather than medical, information, care staff can evaluate goals of ‘questing’ rather than restitution processes. Questing promotes acceptance of impairment and focuses on changing social and attitudinal environments. Activities focus on what individuals can do and ensure that skills are recognised and regularly employed to maximise improvement potential. Individuals should be encouraged to explore new interests and pursue their ideas. Staff can provide resources, referrals and opportunities to bring residents ideas to fruition.
Helping older adults and their families develop and implement care plans
- Authors:
- PINQUART Martin, SORENSEN Silvia, PEAK Terry
- Journal article citation:
- Journal of Gerontological Social Work, 43(4), 2005, pp.3-23.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
As people age, they are at increased risk of needing assistance with household tasks and personal care. After summarizing research on older adults' preparation for future health care needs, the authors introduce a process model for promoting preparation processes. The focus is on how social workers may best help individuals cope with these risks, that is, how to overcome barriers that inhibit preparation, find an option that fits the older adult's needs, and help the older adult implement care plans. Finally, the authors provide a case example for the application of the suggested model. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Involving institutionalized people with dementia in their care-planning meetings: Impact on their quality of life measured by a proxy method: innovative practice
- Authors:
- VILLAR Feliciano, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 18(5), 2019, pp.1936-1941.
- Publisher:
- Sage
The objective of the study was to assess the impact of an intervention in which people with dementia attended meetings to discuss their individual care plans on their quality of life. Fifty-two older people (M = 86.7 years, SD = 7.3) diagnosed with moderate-to-severe dementia living in four nursing homes in Spain participated in the study. The intervention was implemented with 27 residents at two of the nursing homes; the other 25 cases at the other two homes acted as controls. A proxy measure of quality of life was used. Improvements were found in quality of life as assessed by staff members, in both within and between-group comparisons, which suggests that including older people with dementia in care-planning meetings may improve their quality of life. However, further controlled studies are needed to confirm these preliminary results. (Edited publisher abstract)
An uncertain age: reimagining long term care in the 21st century
- Author:
- KPMG INTERNATIONAL
- Publisher:
- KPMG International
- Publication year:
- 2013
- Pagination:
- 56
- Place of publication:
- London
The Lien Foundation, a philanothropic organisation in Singapore, commissioned KPMG International to produce this report, to inform and stimulate global debate on the long term care of older people. Experts from the aged care sector worldwide were interviewed for their views. While no single breakthrough idea emerged, there were some highly innovative and interesting approaches, and three findings stand out as being critical and relevant: Firstly, the debate on funding and finance threatens to obscure the scale and gravity of the overall challenge. Secondly, care should be redesigned to break down organisational boundaries through greater integration: the medical model must change to accommodate practical methods that pay more attention to people’s needs, rather than to the treatment of disease. Lastly, discussion of this subject must involve government, private and non-governmental bodies and providers, as well as the wider public. Person-centred care; investing in human and technological resources; change attitudes and policies towards ageing. The report is arranged in two main sections, the first on the current state of long term care. It quantifies "the narrowing longevity gap", pressure on traditional family-based care. resource challenges and workforce shortages Section 2, on shaping tomorrow’s long term care systems, considers: delivery of person-centred care; integrating care; rethinking medical care; looking beyond institutional boundaries toward the community; investing in the formal and informal workforce; using technology; focusing on outcomes; developing better funding models; and changing attitudes to ageing. The conclusion notes that governments need to emulate countries such as Australia, where a 10-year plan for a seamless system of care is being implemented. (Edited publisher abstract)
Case management: effects of improved risk and value information
- Authors:
- WEISSER William G., et al
- Journal article citation:
- Gerontologist, 43(6), December 2003, pp.797-805.
- Publisher:
- Oxford University Press
The purpose of this study was to determine the impact on resource use of providing case managers with information on the potential for patients to benefit from home care services. Twenty-four case managers working in the Arizona Long Term Care System (ALTCS) were randomized into treatment and control groups. Members of the treatment group were given patient assessments for 25 ALTCS clients, estimates of the patients' risks for various adverse outcomes, and estimates of the aggregate potential benefit for each patient. Members of the control group were given only patient assessments (as is usual practice) for the same sample of 25 clients. Both groups were asked to independently write nonbinding care plans for each patient. The cost of each case manager's care plans was computed by multiplying standard costs per service times the mix and volume of services prescribed for each patient. Treatment group care plan costs were, on average, lower than control group costs and closely tracked variation in estimated patient risks. Comparison group care plan costs were unrelated to risks. Information about risk and potential benefit can improve targeting of services to long-term-care clients. A prospective study using such an approach is warranted to see if provision of risk and potential benefit information would produce better clinical and economic outcomes.
Tele-medicine and the reduction of psychiatric admissions for dementia patients - social work as the core discipline
- Authors:
- ROQUES Carmel, HOVANEC Linda
- Journal article citation:
- Journal of Social Work in Long-Term Care, 1(1), 2002, pp.35-41.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Persons with dementia when transferred between care settings are at risk for their condition to deteriorate. Maintaining continuity across the continuum of care is essential for the well being of these individuals. To enhance the continuity of care for hospitalised for psychiatric symptoms, Copper Ridge and Johns Hopkins Hospital developed a Tele-medicine programme to link clinical teams at each facility. Positive findings after one year include a reduction in the number of hospital stays, a reduction in the length of hospital stays, and improved care planning. Tele-mdeicine programme was under the leadership of the social work staff.
Planning care for people with dementia
- Author:
- MORIARTY Jo
- Journal article citation:
- Working with Older People, 5(1), January 2001, pp.16-20.
- Publisher:
- Emerald
A study by the National Institute for Social Work suggests that estimates can be made about the length of time that a person with dementia will need community and long term care services. This can be done based on an assessment of the severity of dementia at the time of the community care assessment. The author highlights the need for an appraisal of local old age psychiatry services and eligibility criteria, and the importance of monitoring carers' ability and willingness to provide care.
Personal care planning in long term social care of older people: empowering service users
- Authors:
- MALLINSON Ian, McLEAN Susan
- Publisher:
- Social Care Association
- Publication year:
- 2000
- Pagination:
- 107p.,bibliog.
- Place of publication:
- Surbiton
This book has a practical focus which is providing a series of practical tools that can be used to put personal care plans into action. This will help all staff to achieve an informed vision of a new style of personal care planning which empowers service users. It will assist them in making their own needs known, and help staff and service users to make decisions about how those needs may be met. It will assist staff, together with service users, to achieve decisions. The book includes a number of checklists to enable these needs to be met. Care staff with their colleagues and managers can use these checklists to evaluate the ways that they work, and the way that systems for personal care planning operate.
Behind the steering wheel
- Authors:
- HIBBARD Joan, JANSEN Diane, McFARLING Lisa
- Journal article citation:
- Journal of Dementia Care, 11(2), March 2003, pp.12-13.
- Publisher:
- Hawker
Describes a pilot project in Canada which introduced person-centred care within three long-term care facilities. The project aimed to encourage a shift from institutional care to person-centred care; to increase the satisfaction of the residents and families with their involvement in care planning; and to identify educational methods and organisational strategies that facilitated the shift to person-centred care. Evaluation data was collected before the education sessions and at the end of the eight month project. Evaluation confirmed that the project did serve as a catalyst for enhancing person-centred care.