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Creative homes: how the arts can contribute to quality of life in residential care
- Authors:
- CUTLER David, KELLY Des, SILVER Sylvie
- Publisher:
- Baring Foundation
- Publication year:
- 2011
- Pagination:
- 40
- Place of publication:
- London
This good practice guide celebrates existing good practice in the use of the arts in residential care and demonstrates the value of art to improving the quality of life for people in care settings. The introduction to the report makes the case for the arts in care homes and how this is integral to the definition of excellence in social care. Next a chapter on the current place of arts in NCF homes describes a survey undertaken at the beginning of 2011. The heart of the report is a series of five good practice case studies from care homes providers and five examples from arts organisations. The report concludes with a series of observations, based on the survey, case studies and other material, on the ingredients for offering exciting art in any care home. The central message is that the arts are for everyone. They delight, inspire and have many health and community benefits for residents, families and friends, and care staff. The report ends with a series of appendices offering practical tips, a directory of resources and sources of further information. (Edited publisher abstract)
Prevalence and incidence of delirium in long-term care
- Authors:
- McCUSKER Jane, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(11), November 2011, pp.1152-1161.
- Publisher:
- Wiley
The identification of delirium is important as it is potentially reversible. Most studies of the epidemiology of delirium have taken place in acute settings; those in long term care facilities often have methodological limitations. This study examined the prevalence and 6-month incidence of delirium in seven long-term care facilities (LTCF) in the province of Quebec. It also describes differences in these measures by resident baseline characteristics. Participants aged 65 and over were recruited into two cohorts: A with a Mini-Mental State Examination (MMSE) score of 10 or more (n=209) and B with a score of less than 10 (n=75). Baseline measurements were gathered from research resident assessments, nurse interviews, and chart review. Weekly assessments for up to 24 weeks included the Confusion Assessment Method (CAM). The prevalence of delirium at baseline was 3.4% in Cohort A and 33.3% in Cohort B. The incidence of delirium among those without delirium at baseline (per 100 person-weeks of follow-up) was 1.6 in Cohort A and 6.9 in Cohort B. In multivariate analyses, a diagnosis of dementia, moderate to severe cognitive impairment, and depressive symptoms at baseline were associated with a greater prevalence and incidence of delirium. The authors conclude that delirium is a significant clinical problem in LTCF residents, particularly among those with moderate to severe cognitive impairment at baseline.
Buds and Blossoms
- Author:
- REYNOLDS Becky
- Journal article citation:
- Journal of Dementia Care, 19(5), September 2011, pp.14-15.
- Publisher:
- Hawker
This article highlights the benefits of an intergenerational project based at The Lodges, a care home with 60 older residents in Lancashire, England. Based on personal observations of the positive interaction between residents and visiting children, a play session project was initiated in collaboration with a local Sure Start centre offering services to parents of children under 5. The Thursday sessions last for two hours, attracting 15 to 20 parents and young children and many of the residents, and are very informal in structure. Some resident watch the children play, whilst others become very involved with the activities. The benefits are observed for many hours afterwards, with residents appearing calmer and happier. Other benefits are through education for the parents, who witness the challenging aspects of dementia first hand, and through staff being more likely to invite children to visit.
Dutch large-scale dementia-care environments: a village within the community
- Authors:
- EERDEN William J. van der, JONES Gemma M. M.
- Journal article citation:
- Journal of Care Services Management, 5(3), July 2011, pp.137-146.
- Publisher:
- Taylor and Francis
Traditional Dutch, large-scale residential/nursing homes are unique in the world. They combine residential and nursing home care, as well as other types of specialist care, making it possible for each health and social care profession to specialise in dementia care as well as making genuine use of the multi-disciplinary care model. This article starts by summarising the development and some characteristics of Dutch large-scale residential/nursing care homes, and dementia care. These are considered from the perspective of the changing landscape of policy on housing, home-care services, and financial priorities, and the vogue towards smaller-scale group-living settings. The article then provides a short description of the largest care home in the Netherlands, the award-winning ‘De Drie Hoven’, which was built 35 years ago. It has 520 beds, and pioneered the ‘village within the community’ concept of care. The features of this care home setting are described as they relate to current thinking about good dementia care, and against the backdrop of concerns coming out of the new small-scale group living unit pilot projects. The article argues that the traditional large-scale accommodation can offer a safe and valuable home-like environment, and that there will always be a need for them, despite the modernisations and adaptations required.
Environmental mastery and depression in older adults in residential care
- Authors:
- KNIGHT Tess, et al
- Journal article citation:
- Ageing and Society, 31(5), July 2011, pp.870-884.
- Publisher:
- Cambridge University Press
Environmental mastery, which reflects a sense of control, is thought to be an important predictor of psychological health in older people. This study examined this association in 96 older people, aged 64 to 98 years, in residential care homes in Melbourne, Australia. Participants completed an assessment to measure risk factors for depression. Analysis revealed that 49% of the variance in participants’ scores in depression could be attributed to their self-reported level of environmental mastery. It was concluded, therefore, that environmental mastery may be one of the more important factors affecting the mental health of older adults living in residential care and that strategies for increasing the residents' environmental mastery are important to their psychological well-being. The authors concluded that, to improve the well-being of residents, efforts need to be taken to increase their sense of environmental mastery. Future research should concentrate on finding practical ways to achieve this.
Resident-directed long-term care: staff provision of choice during morning care
- Authors:
- SIMMONS Sandra F., et al
- Journal article citation:
- Gerontologist, 51(6), December 2011, pp.867-875.
- Publisher:
- Oxford University Press
This study aimed to develop a protocol to assess the quality of staff-resident communication relevant to choice, and describe staff-resident interactions to assess current nursing home practices related to offering choice during morning care provision. The study included 73 long-stay residents in 2 facilities in the United States who were observed for four consecutive morning hours during targeted care activities, for twelve weeks. Interactions were observed of staff offers of choice and residents’ responses. Findings revealed that staff offered residents choice during only 18% of the morning care activities. The authors concluded that nursing home staff could use a simplified version of the tool to measure staff-resident interactions related to choice as a first step toward improving care practice.
Social care in Northern Ireland: a better future for us all
- Author:
- PRICEWATERHOUSECOOPERS
- Publisher:
- PricewaterhouseCoopers
- Publication year:
- 2011
- Pagination:
- 53p.
- Place of publication:
- London
This report presents the findings from research into social care with respect to ageing in Northern Ireland (NI). The research included reviews of: recent literature including research conducted by the Joseph Rowntree Foundation and research undertaken as part of the Dilnot Commission on social care in England and Wales; demographic data to inform current and future need; and a review of good practice in other countries. The report considers the structure of the social care system in NI, the principles which should underlie the system, and the pressures it currently faces. In addition, it considers good practice models from elsewhere, and how to balance value for money with financial sustainability. The findings show that older people in Northern Ireland may face substantial costs for their care in the future that they may not be able to meet. Many people assume residential and nursing home accommodation is provided free but this is not the case. The report concludes that the current system is not sustainable given the situation of rising demands alongside ongoing funding pressures and calls for changes to the current system.
Pathways in aged care: do people follow recommendations?
- Author:
- AUSTRALIAN INSTITUTE OF HEALTH AND WELFARE
- Publisher:
- Australian Institute of Health and Welfare
- Publication year:
- 2011
- Pagination:
- 26p., bibliog.
- Place of publication:
- Canberra, ACT
This report looks at the care pathways of older Australians through the aged care system for 2 years following their first assessment for aged care services. The report suggests that older people who used community care while they were in their own home were least likely to enter permanent care within 2 years of undergoing an Aged Care Assessment. For example, 54% of people who were recommended to live in low-level residential care, who hadn’t used either residential respite or community care, ended up accessing permanent residential aged care within 6 months. However, 26% of people who were recommended to live in low-level residential aged care, who used both residential respite and community care, accessed permanent residential aged care within 6 months. Overall people with different long-term care setting recommendations tended to have different patterns of program use. Recommendations by Aged Care Assessment Teams were not always followed, and there was considerable variation in the type of programs accessed and the timing of this use within recommendation group.
Factors influencing quality of life for people with dementia: a qualitative perspective
- Authors:
- MOYLE Wendy, et al
- Journal article citation:
- Aging and Mental Health, 15(8), November 2011, pp.970-977.
- Publisher:
- Taylor and Francis
This study sought to understand how quality of life could for people with dementia could assist in improving care and treatment of this population. Participants included 32 older people with dementia, from residential care settings in two Australian states. Participants were interviewed to determine the factors that influence the quality of life for people living with dementia in long-term care, including an understanding of how they perceived they were valued. Findings revealed that while residents were either satisfied or dissatisfied with elements of their life, the factors influencing a positive quality of life were related to their relationship with family and other people, control over their life, and needing to contribute to their community. Participants reported feeling of little use and therefore of limited value to society. The authors end with a proposal to further understand of how relationships could be maintained and strengthened following a move into long-term care. They highlighted the importance of control and its influence on feeling valued for people with dementia.
Telecare: a supportive tool
- Authors:
- LAW Derek, PADGHAM Mike
- Journal article citation:
- Journal of Dementia Care, 19(5), September 2011, p.12.
- Publisher:
- Hawker
St Cecilia’s, a privately run residential home, in Scarborough, England, provides support for 21 people with dementia. Staff conduct routine checks though the night to ensure guests are both safe and comfortable. However, the checking process can be time consuming for staff, and intrusive for residents. This study aimed to establish whether telecare equipment would prove to be beneficial in the care and management of residents, through the installation of telecare sensors such as enuresis, bed occupancy and door exits. The study was conducted from June 2009 to August 2010, in order to gain insight on the long term benefits of the technology. Findings indicated that all residents benefitted from the use of telecare. Staff noted that the sensors enabled them to respond directly to possible risk, and productivity increased as staff were able to continue with other tasks in the knowledge that the residents were safe.