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)
Taking control: putting older people at the centre of elder abuse response strategies
- Author:
- CHESTERMAN John
- Journal article citation:
- Australian Social Work, 69(1), 2016, pp.115-124.
- Publisher:
- Taylor and Francis
Elder abuse is acknowledged to be a significant social problem in Australia, but Australia's elder abuse responses have significant limitations. These responses, as evidenced by state and territory elder abuse strategies, voice important principles and typically seek to improve the knowledge of service providers, potential victims, and the general public about elder abuse. But they tend only to identify and draw upon existing service and community care responses in their attempts to address elder abuse. This article provides a policy analysis of existing elder abuse response strategies and argues that reforms are needed to ensure that the strategies: prioritise the wishes and wellbeing of the person in question; identify and empower lead agencies; and drive collaborative responses. (Publisher abstract)
Magic moments in care homes
- Author:
- SWANSEA UNIVERSITY. College of Human and Health Sciences
- Publisher:
- Swansea University. College of Human and Health Sciences
- Publication year:
- 2016
- Pagination:
- 27
- Place of publication:
- Swansea
This booklet provides real life examples of how small things, such as letting residents help in the kitchen, can give individuals a sense of value and purpose, as well as providing reassurance that they matter and still have something to share. Care staff who share 'magic moments' with residents can respond more effectively to their emotional needs. These 'magic moments' can also help to address key challenges of positive images of old age, seeing the person, providing support based on meaningful relationships, focusing on people's strengths, treating people equally and listening to what older people say. The examples come from real people visiting and working in care homes in Wales. The booklet also includes exercises to help staff reflect on the 'magic moments' and explore the values, ideas and issues that they raise. (Edited publisher abstract)
“Make me feel at ease and at home”: differential care preferences of nursing home residents
- Authors:
- BANGERTER Lauren R., et al
- Journal article citation:
- Gerontologist, 56(4), 2016, pp.702-713.
- Publisher:
- Oxford University Press
Purpose of the study: Assessing and honouring older adults’ preferences is a fundamental step in providing person-centred care in long-term care facilities. Researchers and practitioners have begun to develop measures to assess nursing home (NH) residents’ everyday preferences. However, little is known about how residents interpret and conceptualise their preferences and what specific clinical response may be needed to balance health and safety concerns with preferences. Design and methods: We used content analysis to examine interview responses on a subset of eight open-ended items from the Preferences of Every-day Living Inventory for Nursing Home (PELI-NH) residents with 337 NH residents (mean age 81). We considered how residents self-define various preferences of care and the associated importance of these preferences. Results: Residents identified preferences for interpersonal interactions (greetings, staff showing care, and staff showing respect), coping strategies, personal care (bathroom needs, setting up bedding), and healthcare discussions. Respondents highlighted specific qualities and characteristics about care interactions that are necessary to fully meeting their everyday preferences. Implications: Results contribute to an emergent body of research that utilises patient preferences to achieve the goals of person-centred care. The complexity of these responses substantiates the use of qualitative inquiry to thoroughly assess and integrate NH resident preferences into the delivery of person-centred care.
Evaluation of subscription-based culture change models in care settings: findings from a systematic review
- Authors:
- PETRIWSKYJ Andrea, et al
- Journal article citation:
- Gerontologist, 56(4), 2016, pp.e46-e62.
- Publisher:
- Oxford University Press
Purpose of the study: Person-centred culture change models to which aged care service providers subscribe are gaining increasing traction. It has been suggested that culture change initiatives broadly are subject to a range of issues. It is difficult, however, to draw out from the existing literature specific information about the scope and quality of evidence regarding subscription-based approaches. The purpose of this study was to identify and review the peer-reviewed literature regarding these subscription-based models. Design and methods: The review used the Joanna Briggs Institute process and tools. Studies reporting on subscription-based person-centred culture change models in health and aged care, published in peer-reviewed literature in English up to and including 2015 were identified and assessed. In all, 28 articles reporting on 33 studies were included in the review. Results: There was no single model for which a significant body of evidence was identified, and approaches to outcomes were fragmented. Research approaches varied. Rigor and reporting were of concern; however, strengths of the evidence base included generally adequate sample sizes and the use of multiple methods including large data sets and standardised scales. Implications: Despite their structured approaches, research and evaluation for subscription-based models are limited, ad hoc, and fragmented. A more comprehensive programme of research that is embedded in the implementation process is needed. Recommendations include use of longitudinal study designs, attention to implementation and contextual factors, and measurement of both process and outcomes across the full range of culture change domains. (Edited publisher abstract)
Personalisation and growing old well with dementia
- Author:
- COLQUHOUN John
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2016
- Pagination:
- 15
- Place of publication:
- London
In this paper looks at the origins of personalisation, which evolved from the disability movement to secure support services to enable disabled people to live independently and the Department of Health White Paper, ‘Valuing People’, which set out to transform the way that people with learning disability were supported in England. It discusses what is meant by the concept and some of the tensions and shortcomings of personalisation, including the lack of funding to implement the policy, the availability of choice. It then discusses the personalisation in relation to carers, self-funders, and specific issues concerning personalisation and growing old with dementia. The author argue that for people growing old with dementia it is the person-centred approach, with a thorough Care Act assessment, rather than a personal budget that is key. The author concludes by suggesting a 10 point strategy for the implementation of personalisation for people with dementia. (Edited publisher abstract)
Person-centred dementia care: a reality check in two nursing homes in Ireland
- Authors:
- COLOMER Jordi, de VRIES Jan
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(5), 2016, pp.1158-1170.
- Publisher:
- Sage
The introduction of a person-centred care (PCC) approach to dementia care has been a major paradigmatic shift in the care provision in residential settings for older adults in Ireland. However, policy implementation in nursing homes relies very much on the preparedness of nursing staff. This study explored this through semi-structured interviews with care assistants in two nursing homes which professed to support the PCC philosophy. The authors addressed their knowledge and perspectives of person-centred dementia care and views on various factors affecting its delivery. Findings showed considerable disparity between policy and practice, in particular because care assistants lacked clarity on what PCC is and reported that they were not educated in it. Notwithstanding this, carers’ perspectives on ‘good care’ for people with dementia included elements of PCC which suggested its ‘implicit’ use in practice. Besides the necessity of more (and more explicit) training on PCC, the findings also suggest concerns around communication between staff and management and the need for improvement of staffing resources and available time in residential settings in order to make the delivery of person-centred dementia care a reality. (Edited publisher abstract)
Stepping up to the place: the key to successful health and care integration. What we have learnt about successful integration: reports and case studies
- Author:
- NHS CONFEDERATION
- Publisher:
- NHS Confederation
- Publication year:
- 2016
- Pagination:
- 5
- Place of publication:
- London
Provides links to the reports and case studies referred to in the ‘Stepping up to the place: the key to successful health and care integration’ report, which sets out a vision for integrated care, the lessons learnt about successful integration and the big issues for local and national leaders. The literature and evidence listed in this document cover the following themes: shared commitments; shared leadership and accountability; and shared systems. (Edited publisher abstract)
A different ending: addressing inequalities in end of life care: older people
- Author:
- CARE QUALITY COMMISSION
- Publisher:
- Care Quality Commission
- Publication year:
- 2016
- Pagination:
- 3
- Place of publication:
- Newcastle upon Tyne
Provides detailed information on older people’s experiences of end of life care. This report is one of a suite of documents reporting on the Care Quality Commission end of life care thematic review, and is designed to be read in conjunction with the other documents. The review shows that older people’s experiences of end of life care are mixed, and the document focuses in particular on: staff attitudes; personalised care; and training and support for staff. The document sets out two key recommendations: commissioners and providers to develop systems to support care homes to care for people well at the end of life - to help reduce avoidable hospital admissions and to enable people to die where they choose; and commissioners and providers to make sure that staff who care for people who are likely to be approaching the end of life in any setting to have appropriate training and support to enable them to care for people approaching the end of life. (Edited publisher abstract)
Dementia care and LGBT communities: a good practice paper
- Authors:
- NATIONAL CARE FORUM, VOLUNTARY ORGANISATIONS DISABILITY GROUP
- Publisher:
- National Care Forum
- Publication year:
- 2016
- Pagination:
- 15
- Place of publication:
- Coventry
A case study-based report exploring specific support for LGBT people with dementia and offering a glimpse into the possibilities for good practice. While LGBT people with dementia share some of the same experiences as heterosexual people living with dementia, there will be many issues that are not the same. They may worry about being forced “back into the closet” in later life because of the attitudes of care staff; they may be more likely to be estranged from relatives and lacking family support; some people may lose their inhibitions due to dementia, while others who have previously come out feel unable to be open about their sexuality or transgender status; and the anguish and confusion caused by dementia may be exacerbated as LGBT people with the condition may struggle to deal with negative perceptions of their sexuality or gender in residential care. The three examples outlined in the report include the Anchor sheltered housing scheme, Gay Advice Darlington and the Over the Rainbow, Lesbian, Gay Bisexual and Trans People and Dementia project. Underpinned by a person-centred, rights-based approach, they show how to involve LGBT people in shaping policies and practices on dementia care; the importance of a partnership approach between health, social care and voluntary sector when supporting LGBT people with dementia; and the vital role of research in developing and refining methods of support; this can involve, for example, LGBT people’s hopes for their future care. (Edited publisher abstract)