Search results for ‘Subject term:"older people"’ Sort:
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Focusing on personal outcomes in care homes
- Authors:
- BARRY K., et al
- Publisher:
- My Home Life
- Publication year:
- 2016
- Pagination:
- 2
- Place of publication:
- Hamilton
This briefing describes steps taken by the My Home Life project to explore the opportunities and challenges of implementing a focus on personal outcomes in care homes. It summarises key elements of a personal outcomes approach, highlights some unique features of outcomes focused practice in the care home sector, and considers the ways in which My Home Life principles might support this. (Edited publisher abstract)
The lived experience of older people using assistive technology
- Authors:
- MCCAIG Marie, et al
- Journal article citation:
- Working with Older People, 16(4), 2012, pp.170-174.
- Publisher:
- Emerald
The aim of this small-scale investigation was to gain an appreciation of the conceptions, feelings and beliefs about the use of assistive technology (AT) in older people. A Husserlian phenomenological approach was adopted because of its descriptive rather than interpretive philosophy. Six individuals, aged over 65 years living in the same supported housing accommodation in Scotland were interviewed. Six key themes emerged: being unsure; being old; being a bother; being on my own; being neighbourly and being independent. Reactions to assistive technology were highly individualised and salient. The authors believe that AT has the potential to significantly impact on care delivery but suggest that in order to humanise the technology it is necessary to understand the person who is using it. They stress the importance of making sure that users are sufficiently well informed to enable them to make informed joint decisions. Whenever possible carers and family members should be involved. It is suggested that the question is not about whether to install AT but how to do so in a manner that optimises the experience for all concerned. Clarity is needed in relation to resources, governance, roles and responsibilities to support an effective implementation process.
Eating and drinking well in care: good practice guidance for older people
- Author:
- CARE INSPECTORATE
- Publisher:
- Care Inspectorate
- Publication year:
- 2018
- Pagination:
- 64
- Place of publication:
- Dundee
Good practice guidance to support the provision of a balanced diet for people living in and experiencing care. The guidance provides information about menu planning; looks at conditions that can affect food and fluid intake; and highlights the importance of identifying and addressing malnutrition. It also covers the importance of creating the right environment to eat and drink and considering older people’s lifestyle choices, cultural and religious requirements. The guidance has been primarily written for use in caring for an older person, but the principles could be applied to a wider adult age group. It supports the implementation of the eating and drinking section of the Scottish Government’s Health and Social Care Standards (2017). (Edited publisher abstract)
‘They're just who they've always been’: the intersections of dementia, community and selfhood in Scottish care homes
- Authors:
- MULLAY Steve, et al
- Journal article citation:
- Ageing and Society, 38(5), 2018, pp.1063-1082.
- Publisher:
- Cambridge University Press
Issues stemming from differences and similarities in cultural identities affect residents and workforces in care homes in Scotland, as they do across the United Kingdom. Theoretical guidance and policy drivers emphasise the importance of considering cultural diversity when planning or enacting person-centred care processes, regardless of where health or social care takes place. Nevertheless, there is a recognised worldwide dearth of research concerning the intersections of culture, dementia and long-term care. This being so, a recent research study found that inadequate understandings of issues stemming from cultural diversity could be seen to constrain person-centred care in some Scottish care homes. In addition, the study uncovered little-recognised socio-cultural phenomena which were observed to positively enhance person-centre care. This article will focus on that, and will lay out findings from the study which lead to the following broad assertion: there is a broad lack of understanding of the power, and potential utility, of shared identity and community as a bulwark against the erosion of personhood which is often associated with dementia. This article describes these findings in some detail, thereby providing fresh insights into how shared cultural identity, and the sense of community it may bring, bears upon the interactions between workers and residents with dementia in Scottish care homes. It then suggests how the school of ‘person-centred care’ may be developed through further research into these phenomena. (Edited publisher abstract)
A human rights based approach to self-directed support for older people
- Author:
- MILLER Carlyn
- Publisher:
- Scottish Care
- Publication year:
- 2017
- Pagination:
- 32
- Place of publication:
- Ayr
This report explores how using a human rights-based approach can help to implement self-directed support for older people in Scotland, using the experience of the Getting it Right for Older People Project. It explores how outcomes were met using a human rights based approach of participation, accountability, non-discrimination and equality, empowerment and legality alongside the Self-directed Support principles achieved. It shows how the PANEL and FAIR models can be used to address barriers to self-directed support implementation and ensure human rights are promoted. Case studies show how key challenges were addressed: the knowledge, awareness and understanding of self-directed support; availability of services, ownership and collaboration, and processes and timescales. The report concludes by reviewing the current barriers facing stakeholders in the implementation of self-directed support and human rights for older people and puts forward three calls to action if the Social Care (Self-directed Support) Scotland Act (2014) is to be fully realised. (Edited publisher abstract)
Helping them home: supporting hospital discharge in Scotland
- Author:
- ROYAL VOLUNTARY SERVICE
- Publisher:
- Royal Voluntary Service
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- Cardiff
Examines how practical and person centred support, focused on social interaction and provided by volunteers, can help people feel better about their discharge from hospital, improving wellbeing and recovery. In particular, the document looks at the Royal Voluntary Service Home from Hospital service, which places a caring volunteer at the centre of an older person’s recovery plan, with the aim to: support and engage with patients on ward during the recovery phase to identify personalised outcomes for discharge; provide practical help and support following a discharge from hospital; help users regain confidence and reduce anxiety; reduce social isolation; promote independent living and choice; help users maintain day to day activities; provide information/signpost to other organisations; and help prevent readmissions to hospital. The document explains how the service works in hospital, at home and in the community, and the steps to set up a Home from Hospital service. It includes case studies and examples of services. (Edited publisher abstract)
Spirituality and ageing: implications for the care and support of older people
- Authors:
- MOWAT Harriet, O'NEILL Maureen
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2013
- Pagination:
- 16p.
- Place of publication:
- Glasgow
Scottish social and health care policy documents specify person-centred compassionate and dignified care. Focusing on the spiritual care of older people is one of the ways in which person-centred care can be achieved. This insight attempts to define spirituality which it describes as a problematic, disputed and evolving concept. There are two extremes to the definition of spirituality; both approaches acknowledge a search for meaning. For some people, divine presence is central; for others, spirituality is a secular concept involving inner life, personal belief and focusing on self. The paper concludes that the ageing population requires person-centred care and developmental support in order to maximize its chances of ageing well. Person-centred care involves spiritual care; the time, attention and listening to support individuals to find meaning and purpose in their lives. It has been established that there is a range of activities and practices which can support these dimensions of spiritual care. The paper looks at spiritual care in the context of different settings including, NHS, palliative care and dementia care. It considers the link between person-centred care and dignity and spiritual care. Linking spiritual care to practice the paper discusses: spiritual reminiscence; spiritual history; life review/life story work; music and song; worship; prayer and ritual; presence/being there; and finally listening.
How being appreciative creates change: theory in practice from health and social care in Scotland
- Authors:
- SHARP Cathy, et al
- Publication year:
- 2016
- Pagination:
- 45
This paper develops understanding of appreciative action research that generates curiosity and motivation as a better platform for collaborative change. Blending theory and practice it draws on the example of the My Home Life leadership programme in Scotland that explores the concepts and approaches of 'Caring Conversations' and 'playful provocation' in care homes for older people. The paper shows how they expand notions of appreciation and help people to deepen inquiry, explore values, acknowledge and express emotion without dispute or judgement, articulate tacit knowledge and give voice to things previously thought to be 'unsayable'. The authors explore how these generative approaches act as a powerful positive ‘disruption’ that brings existing relationships to life, supports a positive attitude to risk-taking and helps to devise new approaches to the local design and testing of approaches to problems. Ultimately these approaches play an important part in developing understanding of how to do appreciative action research to enhance relationships and more strengths or assets-based and collaborative ways of working and so, to develop new possibilities for changing social systems and a more future-making orientation to action research. The paper is the text of an article submitted to the Action Research Journal. (Edited publisher abstract)
Meaningful days: self-directed support for older people during the day
- Author:
- CLOSE Louise
- Publisher:
- Scottish Care
- Publication year:
- 2017
- Pagination:
- 20
- Place of publication:
- Ayr
This discussion paper considers the potential of self-directed support and personal budgets for changing the way in which older people receive day services and support. It looks at how a self-directed approach can reshape and personalise day service provision for older people through innovative approaches to commissioning, in collaboration and partnership with people and communities. It uses the concept of 'meaningful days' and highlights examples of initiatives in Scotland and the wider UK to show how existing ways of providing services can be redeveloped, how they can be financed, and working with communities and developing community capacity. The paper puts forward three calls to action to increase the pace of change and ensure that more older people are offered choice and control in home and day care services. These are an increased drive to implement the Scottish Self Directed Support Strategy; investing in co-production and innovative commissioning of home and day care. (Edited publisher abstract)
Living, not existing: putting prevention at the heart of care for older people in Scotland
- Author:
- ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- Royal College of Occupational Therapists
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- London
This report focuses on the important contribution that occupational therapists can make to support further integration of health and social care in Scotland. It looks at the role of occupational therapy in helping older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three key areas: prevention or delaying the need for care and support; helping older people to remain in their communities; and ensuring equality of access to occupational therapy. In each area, the report provides examples of best practice to how occupational therapists can contribution to preventative, person-centred services and provides recommendations to improve the design and delivery of services. Service examples include community initiatives to prevent and reduce the risk of falls in Aberdeen and a telecare services to support people with dementia to remain at home. The recommendations include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services. (Edited publisher abstract)