Search results for ‘Subject term:"older people"’ Sort:
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Eden: how to bring meaning and freedom back into life
- Authors:
- DOEG Rachel, BURGESS June
- Journal article citation:
- Journal of Dementia Care, 21(4), 2013, pp.29-31.
- Publisher:
- Hawker
The Eden Alternative is a humanistic approach to delivering care that was founded in America in 1991, and has now been adopted in the UK. The approach prioritises residents' wishes over routines, gives staff and residents the permission to take more decisions without the approval from managers, and generally de-institutionalising the care environment. In this article, care staff from homes using the Eden approach tell the author what it means to them and UK co-ordinator, June Burgess explains more about the approach. (Original abstract)
Flourishing lives
- Author:
- OLIVER Alex
- Publisher:
- Oliver Boo
- Publication year:
- 2013
- Pagination:
- 39
- Place of publication:
- London
Reports on research commissioned by the Claremont Project, a charity which aims to create opportunities for older people to live happier and socially connected lives, through creativity and community arts. The research aimed to inform their Flourishing Lives programme, support the day centre sector to review the role that social and creative activities play in improving the well-being and connectedness of people, and provide evidence around the needs and wants of older people in relation to day services. The study incorporated findings from a literature review, interviews with sector experts, and primary research with older people who were both using and not involved in services. The report presents the views of older people on the advantages and disadvantages of old age. It then discusses the findings under the five 'actions' from the New Economics Foundation’s well-being framework: ‘connect’, ‘be active’, ‘take notice’, ‘keep learning’, and ‘give’. Drawing on both the literature and interviews the report looks at what each of these five ‘actions’ means to older people and the implications for day centre services, and activities, including participatory arts. The research highlights the importance of treating older people as individuals and not defining them in terms of their age. Key findings also include that older people can still aspire to achieve and that achievement drives well-being; that providers involved in offering day services should aim to offer opportunities for older people to acquire new skills and develop these appropriately. Older people want to contribute and have a role in services, which services can facilitate this by encouraging volunteering and creating a culture of reciprocity. (Edited publisher abstract)
Towards whole person care
- Author:
- BICKERSTAFFE Sarah
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2013
- Pagination:
- 26
- Place of publication:
- London
This paper reviews the case for change in the English health and care system and considers how to move towards a ‘whole person care’ approach. It sets out broad themes on creating a health and care system that is fit for the future. It makes a case for a number of person-centred guarantees at the heart of the vision for whole person care, focused on people with long-term conditions and older people: a single point of contact for all care needs; access to other people with the same condition who can provide peer support; online access to personal health and care records and the ability to share these; a personalised care plan covering health and social care; and the option of a personal budget, where this is helpful. (Edited publisher abstract)
See the 'person' first then the dementia
- Author:
- MOHAMMED Imran
- Journal article citation:
- Social Work Matters (e-Magazine), September 2013, pp.20-21. Online only
- Publisher:
- The College of Social Work
The author explains how an understanding of the 'inner self' can result in more humane care and a better quality of life for people with dementia. (Publisher abstract)
A good life in old age? Monitoring and improving quality in long-term care
- Authors:
- ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT, EUROPEAN COMMISSION
- Publisher:
- Organisation for Economic Co-operation and Development
- Publication year:
- 2013
- Pagination:
- 270
- Place of publication:
- Paris
With the ageing populations and growing costs, ensuring and improving the quality of longterm care (LTC) services has become an important policy priority across OECD countries. The share of those aged 80 years and over is expected to increase from 4% in 2010 to nearly 10% in 2050, while in 2010 OECD countries allocated 1.6% of groos domestic product (GDP) to public spending on LTC, on average. The goal of good quality care is to maintain or, when feasible, to improve the functional and health outcomes of frail older people, the chronically ill and the physically disabled, whether they receive care in nursing homes, assisted living facilities, community-based or home care settings. This report is the outcome of a two-year collaboration between the OECD Health Division and the Directorate General for Employment, Social Affairs and Inclusion of the European Commission. The report discusses the importance of developing metrics for measuring safe, effective and responsive long-term care services, and looks at on-going country initiatives to improve the quality of life of frail older people, as well as the technical and broader challenges to measurement and improvement. The report focuses on three aspects generally accepted as critical to quality care: effectiveness and care safety; patient-centredness; and responsiveness and care co-ordination. The report is organised in three parts: measuring quality in long-term care; policies to drive the quality in long-term care; and case studies: Europe and the United States. (Edited publisher abstract)
Putting personalisation and integration into practice in primary care
- Authors:
- CLARK Michael, et al
- Journal article citation:
- Journal of Integrated Care, 21(2), 2013, pp.105-120.
- Publisher:
- Emerald
Purpose: The purpose of this article is to discuss the policy developments of integration and personalisation within the context of Primary Care, specifically an innovative Memory Service provided within a General Practice. It examines how these policies work together in this context to deliver a high quality service that is responsive to individual needs in an area of care: memory disorder or dementia, which has often relied heavily on secondary care services. Design/methodology/approach: The article is a case study analysis of integration and personalisation in Primary Care, allowing for examination and elaboration of both concepts as applied in this setting; and their contribution to a better quality care Memory Service. Findings: The innovative Memory Service operates as a person-centred facility, integrating into the surgery, expertise that would traditionally be locked into secondary care health services. It makes maximum use of locally available knowledge of the patient, their family and formal and informal sources of support and therapy through links which cross agency boundaries. These links are identified and utilised in tailored support for individuals by the practice-based Dementia Advisor. Outcomes include improved dynamics of identification, diagnosis and after care, high satisfaction amongst patients and families and reduced utilisation and expenditure of other healthcare facilities. Practical implications: Personalisation and integration can be united in the development of innovative and improved Memory Services centred in Primary Care. Social implications: Maintaining a focus on the needs of people within their social contexts (being person-centred) is a powerful means of driving better integrated care in Primary Care for people living with dementia and related disorders. Originality/value: This is the first examination of personalisation and integration as coupled concepts to lead the improvement of care, specifically a Memory Service, in Primary Care. (Edited publisher abstract)
Creating relationships with persons with moderate to severe dementia
- Authors:
- ERICSSON Iréne, KJELLSTRÖM Sofia, HELLSTRÖM Ingrid
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 12(1), 2013, pp.63-79.
- Publisher:
- Sage
The aim of this study was to increase understanding of how relationships can be created with persons with moderate to severe dementia. Nine persons with dementia (eight women, age range 75 to 97 years) from six residential units Sweden took part in the study. The units used a method called relational time (RT), defined here as, “a time of interaction with the person with dementia (one-to-one) and a way of activating/stimulating the person with dementia that begins with the unique person’s interests, wishes and capacity and where the focus is on the person. Overall 24 video sequences of Relational Time (RT) sessions, 24 interviews with persons with dementia and eight interviews with professional caregivers were analysed. The study was based on Constructivist Grounded Theory. ‘Assigning time’, ‘establishing security and trust’ and ‘communicating equality’ were the strategies for arriving at the core category, ‘opening up’, which was the process that led to creating relationships. Both parties had to contribute to create a relationship; the professional caregiver controlled the process, but the person with dementia permitted the caregiver's overtures and opened up, thus making the relationship possible. Interpersonal relationships are important to the well-being of persons with dementia. It is suggested that small measures like RT that require few resources can help to facilitate these.
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.
What makes a real difference to resident experience? Digging deep into care home culture: the CHOICE (Care Home Organisations Implementing Cultures of Excellence) research report
- Authors:
- KILLETT Anne, et al
- Publisher:
- Prevention of Abuse and Neglect in the Institutional Care of Older Adults
- Publication year:
- 2013
- Pagination:
- 174
- Place of publication:
- London
This is the report of the Care Homes Organisation Implementing Cultures of Excellence (CHOICE) project to examine the relationship between good and poor care experiences in care homes, particularly of residents with high levels of complex needs, and the organisational culture of the care homes. This report identifies key elements of care which are relevant for care home organisational culture in providing high quality care. The research used a comparative case study design combining structured observation using the PIECEdem tool and ethnographic case study research. A linked series of 11 case studies of care home settings were carried out across the United Kingdom. Data was collected from a purposive sample of homes varying in terms of their characteristics as types of provider, ‘locale’ and resident population’, which included 6 homes in England, 3 homes in Scotland and 2 in Wales. The findings highlight the key elements that are associated with positive care experience, including shared purpose in providing the best person-centred care; a sense of community between all involved in the care home; managers ensuring external pressures do not have a negative impact on care delivery; staff empowered to take responsibility for resident well-being by active management processes; openness to change for the benefit of residents; using the care home environment to the benefit of residents; person-centred activity and engagement as integral to care work. (Edited publisher abstract)
Improving the quality of life for people with learning disabilities as they grow older: a challenge for providers
- Author:
- WARD Cally
- Publisher:
- Association for Real Change
- Publication year:
- 2013
- Pagination:
- 24
- Place of publication:
- Chesterfield
This document is uses eight outcomes statements to identify what learning disability providers must do to meet the Real Change Challenge of improving the quality of life for people who have a learning disability as they grow older. It provides advice and sets out practical steps on how to ensure that people with learning difficulties continue to have lives that are healthy, happy and fulfilled. The eight outcomes aim to ensure that people are supported, involved, have good health, feel safe, are able to take part in activities, are in contact with people in their social networks, are supported when people close to them die, and that they can come to terms with their own end of life. Bullet points provide advice on how to deliver outcomes and implications for staff development. (Original abstract)