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Supporting people at the start of their care home journey: a warm welcome
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- Cardiff
This document provides suggestions on how people who work in a care home can provide a welcome pack for their residents. It aims to help care home staff provide clear information for people covering the issues that matter to them most, and explaining what they can expect from life in a care home. Suggestions for areas to cover include: respecting cultural identity and diversity, communication, social interaction, hobbies and interests; involving family and the local community; practical arrangements for day-to-day living; health care; costs; and making a complaint. (Edited publisher abstract)
Creating a positive dining experience for care home residents
- Author:
- WALES. Welsh Government
- Publisher:
- Welsh Government
- Publication year:
- 2017
- Pagination:
- 6
- Place of publication:
- Cardiff
This document provides advice to help care homes make the most of meal times for their residence. It looks at ways of ensuring that mealtimes are an enjoyable experience for older people living in a care home, that offer more choice and an opportunity for involvement and social interaction. (Edited publisher abstract)
A federal survey deficiency citation is needed for resident-to-resident aggression in U.S. nursing homes
- Author:
- CASPI Eilon
- Journal article citation:
- Journal of Elder Abuse and Neglect, 29(4), 2017, pp.193-212.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Resident-to-resident aggression (RRA) in nursing homes is a prevalent and concerning public health problem. A rapid growth in the number of research studies has led to advancements in understanding and awareness of these incidents. However, no state survey deficiency citation (F-Tag) currently exists to capture RRA in a structured way in the Centers for Medicare & Medicaid Services’ (CMS) nursing homes F-Tags Coding System. This omission represents a major barrier to State Survey Agencies, CMS, consumers, and care advocacy organisations’ efforts to keep vulnerable and frail residents safe and free from psychological harm. The commentary makes the case for development and implementation of a new RRA-specific F-Tag by identifying 20 problem areas and the ways in which this F-Tag could address them. The new F-Tags Coding System (part of the new Federal Nursing Home regulations) represents a rare and time-sensitive opportunity to bridge this major gap in practice, research, and policy (Publisher abstract)
Behind the headlines: the 'top up' stealth tax on older people in state-funded residential care
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2017
- Pagination:
- 12
- Place of publication:
- London
Drawing on a sample of cases dealt with by Age UK’s national information line, this report looks at some of the problems that currently exist with care home top up fees. Top up fees enable older people who qualify for council funding to choose a more expensive care home than their local authority could pay for, providing someone is able to pay the additional amount. Case examples are used illustrate the different problems that exist across the following themes: inadequate choice of care homes at the council rate resulting in families feeling they have no option but to pay a top up fee; care homes improperly demanding top ups directly from families; hospital discharges held up by requirements for top ups that families cannot fund; increases in care home fees, which forces residents to pay unless they move out of the care home; care homes demanding top ups when self-funders run out of money. The report highlights the need for better access to independent information to make care home residents and their families more aware of situations when top ups can be used, and when they cannot. (Edited publisher abstract)
"Come on in": staying connected
- Authors:
- CARE INSPECTORATE, SCOTTISH CARE, ABBEYFIELD SOCIETY
- Publishers:
- Care Inspectorate, Scottish Care, Abbeyfield Society
- Publication year:
- 2017
- Pagination:
- 20
- Place of publication:
- Edinburgh
This short guide aims to help family and friends who are visiting people living with dementia in care homes to make the most of the time they spend together. It includes practical tips to help prepare for a visit, giving a visit focus, looking after yourself, and also looks at what residents themselves say makes a good visit. The guide has been developed by the staff, residents and the families of one care home and includes quotations to highlight their experiences. (Edited publisher abstract)
Engaging nursing home residents in formal volunteer activities: a focus on strengths
- Authors:
- SELLON Alicia M., CHAPIN Rosemary K., LEEDAHL Skye N.
- Journal article citation:
- Ageing International, 42(1), 2017, pp.93-114.
- Publisher:
- Springer
- Place of publication:
- New York
Nursing homes around the world are seeking new strategies to improve the quality of life for older adults living in their facilities. Involvement of older adults in formal volunteer opportunities is a strategy that can provide social interaction and meaningful experiences and has been associated with physical and emotional health benefits. Although engaging older adults in volunteering has shown promise as a method for improving quality of life, community volunteer opportunities have often been made available only to non-institutionalized older adults. This may be due to negative views of both nursing homes and their residents. In addition, nursing home residents are often isolated both physically and socially from their surrounding community. However, using the strengths perspective as a framework, human service professionals in the United States and around the world can help to address these barriers. Specifically, human service professionals can help reframe negative views of nursing homes, identify strengths of nursing homes and their residents, and create and implement a strengths-based agenda for extending formal volunteer opportunities into nursing homes. (Publisher abstract)
Shaping nursing home mealtimes
- Authors:
- HARNETT Tove, JONSON Hakan
- Journal article citation:
- Ageing and Society, 37(4), 2017, pp.823-844.
- Publisher:
- Cambridge University Press
A number of studies stress the importance of positive mealtime experiences for nursing home residents. However, the components that comprise an ideal nursing home meal remain unclear, reflecting the ambiguity of whether nursing homes should be framed as institutions, domestic settings or a type of hotel. In this study, nursing home meals were viewed as situations that the involved parties could continuously modify and ‘work on’. The aim was to analyse how the staff and residents shaped mealtimes by initiating frames and acting according to established social scripts. The study was based on semi-structured interviews with staff and residents and on ethnographic data, consisting of 100 hours of observations at two nursing home settings in Sweden. The analysis revealed how staff and residents interactively shaped meals using institutional, private or restaurant frames. There were three important findings: (a) an institutional meal frame was dominant; (b) there were substantial difficulties in introducing private frames and established private scripts for meals, since such meal versions are personal and not easy to transport into collective settings; (c) successful creation of private or home-like meal situations illustrates an often overlooked skill in care work. Making meals as ‘care-free’ as possible can be viewed as a way to operationalise the goal of providing a non-institutional environment in nursing homes. (Publisher abstract)
cARTrefu: creating artists in residents. A national arts in care homes participatory and mentoring programme. Evaluation report 2015-2017
- Authors:
- ALGAR-SKAIFE K., CAULFIELD M., WOODS B.
- Publisher:
- Bangor University
- Publication year:
- 2017
- Pagination:
- 98
- Place of publication:
- Bangor
An evaluation of the cARTrefu project, which aimed to increase opportunities for care home residents and staff to participate in the arts and to develop mentor artists to deliver sessions for older people in care homes across Wales. The evaluation report provides information on the impact of cARTrefu, the mentoring process, provides tips for delivering an art residency, and identifies challenges and recommendations for future projects. The results of the evaluation found that involvement in a cARTrefu art residency had: significantly improved the well-being of care home residents; significantly improved the attitudes of care staff and artist practitioners towards residents, especially those with dementia; and significantly improved the confidence of care staff to lead sessions in the home. cARTrefu also influenced the likelihood of care staff to engage in creative and cultural activities both outside of work and with residents. (Edited publisher abstract)
Music therapy: a nonpharmacological approach to the care of agitation and depressive symptoms for nursing home residents with dementia
- Authors:
- RAY Kendra D., MITTELMAN Mary S.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(6), 2017, pp.689-710.
- Publisher:
- Sage
Depression, agitation, and wandering are common behaviours associated with dementia and frequently observed among nursing home residents. Even with pharmacological treatment, behaviours often persist, hindering quality of life for elders, their family, and paid caregivers. This study examined the use of music therapy for treatment of these symptoms among 132 people with moderate to severe dementia in nursing homes. Participants were evaluated for depressive symptoms, agitation, and wandering to determine their predominate behaviour. There were two assessments, two weeks apart, prior to intervention, followed by a two-week intervention, and two follow-up assessments, also two weeks apart. A repeated measures ANOVA determined that after two weeks of music therapy, symptoms of depression and agitation were significantly reduced; there was no change for wandering. Multivariate analyses confirmed a relationship between music therapy and change in neuropsychiatric symptoms associated with dementia. Results suggest widespread use of music therapy in long-term care settings may be effective in reducing symptoms of depression and agitation. (Edited publisher abstract)
Making a difference: building positive relationships between care staff and residents. A guide for care home managers
- Authors:
- ALIVE, BRISTOL CITY COUNCIL
- Publisher:
- Alive
- Publication year:
- 2017
- Pagination:
- 8
- Place of publication:
- Bristol
This booklet provides care managers with an introduction to relationship-centred care and includes ideas for putting this into practice in a care home. These include ideas for motivating staff to engage with residents, personalising the care home environment to reflect residents' lives and interests, positive risk taking and connecting with the wider community. It is designed to accompany the guide for care staff, which offers practical ideas for helping staff to get to know residents better. (Edited publisher abstract)