Search results for ‘Subject term:"older people"’ Sort:
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Tucks, cuts and joins
- Author:
- KELLY Des
- Journal article citation:
- Community Care, 6.8.92, 1992, pp.26-27.
- Publisher:
- Reed Business Information
Looks at the extent to which a seamless service for residential and nursing care to the elderly has been achieved.
Speech is silver...but silence gets the wooden spoon
- Author:
- PAYNE C.
- Journal article citation:
- Social Work Today, 29.6.87, 1987, p.23.
- Publisher:
- British Association of Social Workers
Stresses the danger of overlooking the needs of the quiet resident.
Facing the dilemma of the decade
- Author:
- MARSHALL Mary
- Journal article citation:
- Community Care, 29.10.92, 1992, pp.vi-vii.
- Publisher:
- Reed Business Information
Looks at the problems surrounding residential care for people with dementia and outlines latest thinking.
The problems with assessing the need for residential care
- Authors:
- BRADSHAW J., GIBBS I.
- Journal article citation:
- Social Work Today, 10.8.87, 1987, pp.12-13.
- Publisher:
- British Association of Social Workers
Discusses the recommendations of the Firth Committee.
Fulfilled preferences, perceived control, life satisfaction, and loneliness in elderly long-term care residents
- Authors:
- ANDREW Nathaniel, MEEKS Suzanne
- Journal article citation:
- Aging and Mental Health, 22(2), 2018, pp.183-189.
- Publisher:
- Taylor and Francis
Objectives: Person-centred care constructs such as fulfilled preferences, sense of control, and life satisfaction might contribute to loneliness among nursing home residents, but these relationships have not been thoroughly explored. The aim of this study was to examine the relationship between fulfilled preferences and loneliness in nursing home residents with perceived control and life satisfaction as potential mediators. Methods: The study utilised a cross-sectional design, examining the targeted variables with a questionnaire administered by trained research staff. A convenience sample of 65 residents (median age = 71) of eight nursing homes were interviewed. Linear regression analysis was utilised to examine the mediation hypotheses. Results: The relationships between fulfilled preferences and loneliness (β = −.377, p = .002), fulfilled preferences and perceived control (β = −.577, p < .001), and perceived control and loneliness (β = .606, p < .001) were significant, and the relationship between fulfilled preferences and loneliness (β = −.040, p = .744) became non-significant when perceived control was included in the model. The relationships between fulfilled preferences and life satisfaction (β = .420, p < .001) and life satisfaction and loneliness (β = −.598, p < .001) were significant, and the relationship between fulfilled preferences and loneliness (β = −.152, p = .174) became non-significant when life satisfaction was included in the model. Conclusion: The findings suggest an important association between person-centred care, particularly fulfilling personal care and recreation preferences, and social-affective needs of long-term care residents. Fulfilling preferences may be an appropriate intervention target for loneliness. (Edited publisher abstract)
We need to talk about caring: dealing with difficult conversations
- Author:
- INDEPENDENT AGE
- Publisher:
- Independent Age
- Publication year:
- 2016
- Pagination:
- 41
- Place of publication:
- London
Drawing on the findings from an online poll of 2,066 people and a series of focus groups and interviews, this report looks at how and why families avoid talking about challenges they may face in older age. The findings cover the types of conversations taking place, the family members that are hardest to talk to, the topics that are the most difficult to talk about, and the barriers to talking about ageing. Respondents identified future care and housing needs such as end of life care preferences, who will care for them when they were older, and where they would live if they could no longer live at home as the most difficult topics to talk about. The research found that over 60% of people aged 65 and over had never had a conversation with their family about these three issues. Key barriers to conversations identified included lack of knowledge and confidence to begin a conversation, avoiding facing undesirable possibilities, such as residential care, and lack of time for discussion. The report makes recommendations to help remove these barriers, including for agencies make their care information more accessible, for care homes need to increase their outreach to show more people what living in a care home is like; and for conversations about care in later life to become more natural, with health and care professionals encouraging families they work with to think about key conversations relating to ageing and care. (Edited publisher abstract)
Bathing in residential care: understanding the experiences of residents and their care providers
- Authors:
- HOLROYD Ann, HOLROYD Heather
- Journal article citation:
- Quality in Ageing and Older Adults, 16(2), 2015, pp.106-117.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to understand how changes in an older adult’s physical capacity alter their bathing preferences, how the care environment incorporates residents’ values and beliefs around bathing to fulfil these changing care needs, and how institutional factors, such as staff scheduling and communication processes, influence Resident Care Aides’ (RCAs) bathing practices. Design/methodology/approach: A multiple methods approach involving surveys and interviews with residents and RCAs in a Canadian residential care facility. This paper draws mostly from the semi-structured, qualitative interviews with older adult residents (n=9; Mini Mental Status Exam (MMSE) scores > 15) and RCAs (n=10) on two nursing units offering different bathing options. Findings: Decreasing energy levels and physical decline were commonly cited reasons for residents’ changing bathing preferences. Residents were overall very appreciative of the bathing care they received in residential care, and identified the weekly tub bath as an anticipated encounter where they experienced a valued social interaction with their assigned RCA. While identifying bathing as an occasionally stressful aspect of their work, RCAs also described the bathing experience as an intimate bonding activity. The study identified bathing as an important activity in residential care. Originality/value: Previous studies have focused on moderate to severely cognitively impaired older adults’ and their demonstration of agitated behaviours during bathing. Most participants in this study had only minor cognitive impairment, as measured by MMSE scores (average score=20.6); therefore, this study provides insight into the experiences and needs of older adults whose perspective is not generally reflected in the literature. (Publisher abstract)
Extracare: does it promote resident satisfaction compared to residential and home care?
- Authors:
- PHILLIPS Judith E., et al
- Journal article citation:
- British Journal of Social Work, 45(3), 2015, pp.949-967.
- Publisher:
- Oxford University Press
Extracare housing is seen as an innovative solution to meet both accommodation and care needs of increasing numbers of older people. This paper is based on a mixed method study exploring whether extracare is for ‘fit’ and ‘frail’ older people. In particular, the authors compare the satisfaction (financial, personal, social, environmental and access to personal services) of older people in extracare with those in residential care and older people in the community. In relation to the domains of financial satisfaction, residential care respondents reported lower satisfaction, fewer friends and lower social support than those in extracare and in the community, but older people in extracare were less satisfied with their access to personal social services. Additionally, although the care environment did not predict social satisfaction, from our qualitative interviews, the authors found that, whereas more opportunities to socialise existed in extracare, there was little evidence of new developing friendships. These findings are important for social workers and social care professionals when assessing the needs of older people and exploring provision that can meet often complex needs in times of crisis and transition. (Edited publisher abstract)
Standardising assessment instruments and care planning in Ireland
- Authors:
- van LENTE Eric, POWER Martin
- Journal article citation:
- Quality in Ageing and Older Adults, 15(1), 2014, pp.46-60.
- Publisher:
- Emerald
Purpose: Scoping of instruments in use for assessment of needs and the practices that surround care planning in residential care for older people in Ireland, in the wake of the introduction of national standards. The paper discusses these issues. Design/methodology/approach: Survey of care providers using an online/postal questionnaire, developed from the domains of need outlined in the standards. Findings: There is wide variation in the use of standardised instruments for assessment. Within some domains, standardised instruments enjoy near universal usage. However, within other domains, standardised instruments are often absent, external professional input and/or guidelines dominate and/or instruments have been adapted in-house. Practices surrounding care planning are largely homogeneous and the preserve of medical professionals. Research limitations/implications: This research was confined to the Republic of Ireland, limiting generalisation. The self-selecting nature of participants must also be considered. Further research could include, examining how, over time, the standards are shaping care practice, particularly in relation to interdisciplinary working and person-centred care. Practical implications: The non-prescriptive nature of the standards presents a challenge to care providers in selecting appropriate standardised instruments for assessment. In addition, medical dominance of care planning limits the extent to which care plans can enhance the provision of interdisciplinary and person-centred care. Originality/value: This paper contributes to a growing literature on standardisation of assessment and care planning, provides a reference point for comparison with other nations and, in an Irish context, addresses an area that has received little attention to-date. As such, it is of interest to practitioners, care providers and regulators. (Publisher abstract)
Making choices: meeting the current and future accommodation needs of older people: proposed criteria for change: consultation document
- Author:
- NORTHERN IRELAND. Health and Social Care Board
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2013
- Pagination:
- 72
- Place of publication:
- Belfast
The review of health and social care, ‘Transforming your care’ (2011) consulted on health and social care in Northern Ireland. One aim was to make home the hub of care for older people, with a recommendation to reduce the number of statutory residential care homes. This consultation document is the first in a two-stage consultation process, and outlines four criteria to be used as the basis for assessing the future role and function of statutory residential care for older people. The criteria are designed to be used by Trusts to assist decision making about the role of statutory provision in the context of planning suitable services for older people in the future. The proposed criteria are: availability and accessibility of alternative services; quality of care; care trends; and best use of public money. The consultation period runs from 29 November 2013 to 7 March 2014; but no final decisions on any individual home have been made and will not be made until both stages of consultation have been completed. (Edited publisher abstract)