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Investigating perceptions of disgust in older adult residential home residents
- Authors:
- LAFFAN A.J., et al
- Journal article citation:
- Aging and Mental Health, 21(2), 2017, pp.206-215.
- Publisher:
- Taylor and Francis
Objectives: As people become increasingly physically dependent as they make the transition into older age, they may lose the ability to control bodily functions. Problems with eating, voiding and washing can be linked with feelings of disgust and, given the necessity for some of being assisted with intimate care activities, it has been suggested that self-focused disgust and concerns over the disgust of others may become important preoccupations in older people, with the potential to further impair their quality of life. Method: In a mixed-methods study, feelings of disgust in 54 physically dependent older adults living in residential homes were investigated. Participants completed measures of disgust sensitivity, mood, and two new scales assessing feelings of self-disgust and perceived other-disgust related to intimate care activities. Six of the residents who reported high levels of self-disgust also participated in semi-structured interviews. Results: Results indicated that disgust was uncommon. Where present, self-disgust was related to perceptions of others’ feelings of disgust and general disgust sensitivity. These results were benchmarked against 21 community-dwelling older adults, who reported believing they would feel significantly more disgusting if they were to start receiving assistance. A thematic analysis identified the importance of underlying protective factors, the use of strategies and carer characteristics in ameliorating feelings of disgust. Conclusion: The results are discussed with reference to the disgust literature, with recommendations being made for ways in which self-disgust can be minimised in those making the transition to residential homes. (Publisher abstract)
Changes in the older resident care home population between 2001 and 2011
- Author:
- GREAT BRITAIN. Office of National Statistics
- Publisher:
- Great Britain. Office for National Statistics
- Publication year:
- 2014
- Pagination:
- 10
- Place of publication:
- London
This analysis focuses on the changes in the over 65 resident care home population of England and Wales. This age group represents most of the care home population: 82.5 per cent in 2011. However, the care home resident population for those aged 65 and over has remained almost stable since 2001 with an increase of 0.3 per cent, despite growth of 11.0 per cent in the overall population at this age. Fewer women but more men aged 65 and over were living as residents of care homes in 2011 compared to 2001; the population of women fell by around 9,000 (-4.2 per cent) while the population of men increased by around 10,000 (15.2 per cent). The gender gap in the older resident care home population has, therefore, narrowed since 2001. In 2011 there were around 2.8 women for each man aged 65 and over compared to a ratio of 3.3 women for each man in 2001.The resident care home population is ageing: in 2011, people aged 85 and over represented 59.2 per cent of the older care home population compared to 56.5 per cent in 2001. (Edited publisher abstract)
Unpacking barriers to quality care for Deaf people in residential aged care facilities
- Author:
- WILLOUGHBY Louisa
- Journal article citation:
- Disability and Society, 29(2), 2014, pp.173-183.
- Publisher:
- Taylor and Francis
Residential aged care providers often face difficulties in meeting the needs of residents with a lifelong disability. In this article, the author explores these issues from the perspective of signing Deaf residents. While previous studies have documented a number of issues around staff training and communication for Deaf residents, there remains a dearth of literature considering the root causes of these problems. Drawing on interviews with a variety of service providers, this article suggests a number of ways current practices might be improved as well as discussing funding changes required to ensure Australian Deaf residents do not fall through the cracks. (Edited publisher abstract)
Institutionalisation and subjective wellbeing for old-age individuals: is life really miserable in care homes?
- Authors:
- BÖCKERMAN Petri, JOHANSSON Edvard, SAARNI Samuli I.
- Journal article citation:
- Ageing and Society, 32(7), October 2012, pp.1176-1192.
- Publisher:
- Cambridge University Press
As the Finish population ages at a greater rate than other European countries, the demand for long-term care will inevitably increase. This study examined whether there were systematic differences in the quality of life, depending on whether an individual is institutionalised or not, holding health status and income level constant. Data were drawn from a nationally representative data set, the Health 2000 in Finland, containing information on 8,028 people. When controlling for health and functional status, demographics and income level, it was found that individuals who were living in old-age homes reported significantly higher levels of subjective well-being than those who were living at home. The authors concluded that there were individuals living at home who are so frail that they should be living in an institution, but because of the queues for that particular mode of living, they were living at home with a decreased quality of life as a consequence.
Bridging the gap in care provision
- Author:
- DARWENT Jenny
- Journal article citation:
- Viewpoint, 118, September 2010, pp.22-23.
- Publisher:
- Mencap/Gateway
There are an estimated 25,000 older people with a learning disability living in England, and this number is rising due to improved care and medical advancements. This article notes that the particular needs of older people with a learning disability are not usually met by standard homes for older people. It describes the work of the Fynvola Foundation and its Lady Dane Farmhouse, a residential home in Faversham dedicated to caring for older people with a learning disability.
Training of residential social care staff to meet the needs of older people with intellectual disabilities who develop age-related health problems: an exploratory study
- Authors:
- NORTHWAY Ruth, JENKINS Robert, HOLLAND-HART Daniella
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 30(5), 2017, pp.911-921.
- Publisher:
- Wiley
Background: Despite awareness of the age related health needs of people with intellectual disabilities little is known regarding how residential social care staff are prepared to meet such needs. Methods: Data were gathered via semi-structured interviews from 14 managers of supported living settings. Transcripts were thematically analysed. Findings: Staff may work in supported living settings with no prior experience of care work, and previous knowledge/experience of supporting people in relation to their health is not required. Whilst health related training is provided there is a lack of specific training regarding healthy ageing, and training seems to be reactive to changing needs of tenants meaning that proactive monitoring for changes in health status may not occur. Conclusions: Whilst some training is provided for residential social care staff in relation to health and ageing a more proactive approach is required which should include a focus on healthy ageing. (Edited publisher abstract)
How to enhance route learning and visuo-spatial working memory in aging: a training for residential care home residents
- Authors:
- MITOLO Micaela, et al
- Journal article citation:
- Aging and Mental Health, 21(5), 2017, pp.562-570.
- Publisher:
- Taylor and Francis
Objectives: This study aimed to assess the efficacy of a route-learning training in a group of older adults living in a residential care home. The authors verified the presence of training-specific effects in tasks similar to those trained – route-learning tasks – as well as transfer effects on related cognitive processes – visuo-spatial short-term memory (VSSTM; Corsi Blocks Test (CBT), forward version), visuo-spatial working memory (VSWM; CBT, backward version; Pathway Span Tasks; Jigsaw Puzzle Test) – and in self-report measures. The maintenance of training benefits was examined after 3 months. Method: Thirty 70–90-year-old residential care home residents were randomly assigned to the route-learning training group or to an active control group (involved in non-visuo-spatial activities). Results: The trained group performed better than the control group in the route-learning tasks, retaining this benefit 3 months later. Immediate transfer effects were also seen in visuo-spatial span tasks (i.e., CBT forward and backward version and Pathway Span Task); these benefits had been substantially maintained at the 3-month follow-up. Conclusion: These findings suggest that a training on route learning is a promising approach to sustain older adults’ environmental learning and some related abilities (e.g., VSSTM and VSWM), even in residential care home residents. (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)
Ageing in people with intellectual disability as it is understood by group home staff
- Authors:
- KAHLIN Ida, KJELLBERG Anette, HAGBERG Jan-Erik
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 41(1), 2016, pp.1-10.
- Publisher:
- Taylor and Francis
Background: The number of older residents in group homes for people with intellectual disability (ID) is increasing. This interview study was focused on how group home staff address issues of ageing and being old among people with ID. Method: Twelve members of staff at 4 different group homes in Sweden were interviewed. Results: Findings revealed old age as something unarticulated in the group home. Group home staff felt unprepared to meet age-related changes in residents. The study also revealed that group home staff had a one-tracked way of describing the process of ageing among people with ID, which was seemingly rooted in a medical paradigm of disability. Conclusion: Based on this study's findings, we suggest that there is a need to raise issues and give guidance related to ageing and ID in disability policy documents to support the development of a formal culture that addresses old age and ID in disability services. (Publisher abstract)
Analysis of the UK long term care market
- Author:
- FROST AND SULLIVAN
- Publisher:
- Technology Strategy Board
- Publication year:
- 2013
- Pagination:
- 38
- Place of publication:
- Swindon
Examines the economic research in the current care market and makes some analyses and extrapolations of future market potential. The report looks at the public and private long term care provision in the UK and makes some comparisons with global markets. It argues that the residential sector will continue to see higher growth compared to the non-residential sector. The total residential market will see a compound annual growth rate of 4.3 per cent between 2030 and 2040, with the private sector growing faster than the public sector. The report also examines how demand factors impact on the market, focusing in particular on changing demographics, the source of funding and expenditure, the consumer trends and the role of technology, and provides a brief outline of the current political and regulatory context. (Edited publisher abstract)