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Enabling meaningful activities and quality of life in long-term care facilities: the stepwise development of a participatory client-centred approach in Flanders
- Authors:
- DE VRIENDT Patricia, et al
- Journal article citation:
- British Journal of Occupational Therapy, 82(1), 2019, pp.15-26.
- Publisher:
- Sage
Introduction: Meaningful activities of daily living promote the quality of life of residents of long-term care facilities. This project aimed to develop an approach to enable meaningful activities of daily living and to guide long-term care facilities in a creative and innovative attitude towards residents' meaningful activities of daily living. Method: The approach was developed in six steps: (1) in-depth-interviews with 14 residents; (2) a survey with 171 residents; (3) a systematic map and synthesis review on interventions enriching meaningful activities of daily living; (4) qualitative analysis of 24 ‘good examples’ and, to support future implementation, (5) focus groups with staff (n = 69). Results determined the components of the new approach which was (6) pilot-tested in one long-term care facility. Quantitative and qualitative data were gathered concerning benefits for the residents and feasibility for the staff. Results: A client- and activity-oriented approach was developed, characterised by an active participatory attitude of residents and staff and a systematic iterative process. Significant positive effects were found for the number of activities, the satisfaction with the leisure offered, the social network, medication use, but not for quality of life. The approach appeared to be feasible. Conclusion: This approach stimulates residents' meaningful activities of daily living and social life. Further investigation is needed to evaluate its outcome and implementation potentials.
Rights, risks and restraint-free care of older people: person-centred approaches in health and social care
- Editors:
- HUGHES Rhidian, (ed.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2010
- Pagination:
- 224p., bibliog.
- Place of publication:
- London
This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. It provides an overview of the different forms of restraint, the conditions under which they are used and their implications for the health and wellbeing of older people. Practical approaches to minimising restraint are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world.
Adaptation of Flemish services to accommodate and support the ageing of people with intellectual disabilities
- Authors:
- MAES Bea, VAN PUYENBROECK Joris
- Journal article citation:
- Journal of Policy and Practice in Intellectual Disabilities, 5(4), December 2008, pp.245-252.
- Publisher:
- Wiley
The authors attempted to find out to what extent and in which ways, in Belgium, have Flemish services for people with intellectual disability adapted to the specific needs of aging people. A study was undertaken and a questionnaire was developed to address the following research topics: (1) accommodations and personnel, (2) staff working methods, and (3) staff views and attitudes. The questionnaire was completed by 66 coordinating staff members in as many facilities. At the time of the study, these services supported 310 (27%) persons with Down syndrome age 40 years and older and 833 (73%) persons with intellectual disability (other than Down syndrome) age 55 years and older. Adaptations in accommodation and personnel management were obvious in the majority of the participating services. The working methods reflected a person-centred philosophy, regardless of the age-factor. An exploratory factor analysis revealed three different staff approaches: an activating/socializing, disengaging, and methodical. Participation in activities and involvement in social relations have a prominent place in the staff's views. In general, the authors found that about two-thirds of the services have started to modify their accommodation and personnel to the needs of aging people with intellectual disability. The authors note also that the results suggest there is still a lot of work to do in improving staff training, introducing specific working methods, and in altering stereotypical staff attitudes to assure a good "aging in place."
A retrospective study of a multicomponent rehabilitation programme for community-dwelling persons with dementia and their caregivers
- Authors:
- CORNELIS Elise, et al
- Journal article citation:
- British Journal of Occupational Therapy, 81(1), 2018, pp.5-14.
- Publisher:
- Sage
Introduction: This study determined whether the multicomponent rehabilitation programme of a memory clinic had positive outcomes on ameliorating everyday functioning, quality of life, mood and behavioural disturbances of persons with dementia and reducing distress and burden of caregivers. Method: A retrospective pre-test–post-test study without control group was conducted on the first cohort of persons with dementia (n = 30) and their caregivers (n = 30), who participated in a programme lasting for a maximum of 1 year with 25 1-hour counselling sessions. The assessment contained an evaluation of everyday functioning in basic, instrumental and advanced activities of daily living, cognition, mood, emotional and behavioural disturbances, quality of life and caregiver burden. Results: Eight participants dropped out prematurely. For persons with dementia (n = 22), participating in the programme did not improve everyday functioning and cognition but ameliorated quality of life significantly (Z = –2.7, p = 0.006, 95% CI (.003–.005)) and stabilised mood, emotional and behavioural disturbances for 60% or more of them. For caregivers (n = 22), the mild to moderate burden of care remained stable or got better for 63.6% of the caregivers. Conclusion: This programme appears to be promising and valuable, and might reduce institutionalisation rates. Future explorations are recommended to research how participants evolve and to investigate which participants responded in a positive way. (Edited publisher abstract)