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Quick guide: allied health professionals enhancing health for people in care homes
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 21
- Place of publication:
- Redditch
A guide to support local health and social care systems in improving the health of people living in care homes. It includes case studies of how allied health professions (AHP) can support implementation and roll-out of the framework for enhanced health in care homes. The case studies highlight how timely access to AHP services support personalised care, independence, and reduce avoidable admission to urgent care services. Areas covered include: enhancing primary care support for care homes; supporting hydration and nutrition; providing reablement and rehabilitation; improving end of life care and dementia care; and making better use of technology. The case studies also illustrate how AHPs can support further development of the skills and expertise held by care home staff. (Edited publisher abstract)
The association between changes in health status and nursing home resident quality of life
- Authors:
- DEGENHOLTZ Howard B., et al
- Journal article citation:
- Gerontologist, 48(5), October 2008, pp.584-592.
- Publisher:
- Oxford University Press
Previous research on nursing home resident quality of life (QOL) has mainly been cross-sectional. This study examined the association between changes in QOL and changes in resident clinical factors. A longitudinal study of resident QOL was conducted in two nursing homes in the US. Self-report interviews using a multidimensional measure of QOL were linked with clinical data from the Minimum Data Set. Five waves of interviews were conducted at 6-month intervals. Residents with one or more Stage II or higher pressure ulcers for two consecutive 6-month periods reported declines in autonomy, security, and spiritual well-being QOL domains; those with declines in physical disability reported declines in the dignity domain. Increases in depressive symptoms were associated with decreases in comfort, meaningful activities, and food enjoyment domains, and increases in pain were associated with decreases in functional competence and dignity domains. There is evidence of an association between physical health and self-reported QOL. However, not every dimension of QOL exhibited the same pattern. Further research is needed on the link between specific clinical factors and aspects of QOL.
Quality of life and life satisfaction: perspective of institutionalised elderly women and men in Turkey
- Authors:
- GONEN Emine, OZMETE Emine
- Journal article citation:
- Indian Journal of Social Work, 66(3), July 2005, pp.262-279.
- Publisher:
- Tata Institute of Social Sciences
This article evaluates the quality of life, life satisfaction, and the relationship between the quality of life and life satisfaction of institutionalised elderly women and men. The study covered a total of 132 older people, consisting of 64 women and 68 men between the ages of 60-98 years, with sound mental health staying at three care and rehabilitation centres. Their quality of life and life satisfaction were assessed with scales. Life quality perception of men in terms of physical health is more positive compared to women. Life quality perception of women in terms of physical and social environment is more positive compared to men. In general, women have better life satisfaction them men. It is concluded that comprehension of life quality and life satisfaction will contribute to the development of applicable long-term service programmes required for the improvement of the life conditions of older women and men.
A scoping review: characteristics and outcomes of residents who experience involuntary relocation
- Authors:
- WEAVER Raven H., ROBERTO Karen A., BROSSOIE Nancy
- Journal article citation:
- Gerontologist, 60(1), 2020, pp.e20-e37.
- Publisher:
- Oxford University Press
Background and Objectives: Relocation to a residential care facility has been described as the most significant relocation affecting older adults, yet subsequent relocations, like in the case of a facility closure, have received minimal attention in the scholarly research literature. This paper reviews the published literature on involuntary relocation, focusing on the experiences of residents, families, and staff and the effects of involuntary relocation on nursing home residents’ health. Research Design and Methods: A scoping review was conducted to identify peer-reviewed studies reporting on involuntary relocation of nursing home residents. A total of 28 quantitative, qualitative, and mixed-method articles met inclusion criteria. Results: Researchers mostly relied on longitudinal designs and quantitative indicators of functional health, cognitive status, psychological and emotional well-being, environment, and relocation context to examine residents’ mortality risk and health outcomes associated with involuntary relocation. Inclusion of qualitative and mixed-method approaches was infrequent, as were indicators of social engagement and perceptions of relocation. Residents’ awareness of and preparation for involuntary relocation positively influenced their health and well-being. Family involvement was frequently hindered by communication challenges with facilities. Staff expressed concern about residents, experienced increased workload demands, and acknowledged challenges with planning and communication. Discussion and Implications: Based on the collective findings, the authors propose a conceptual model of critical factors at play during relocation for consideration for guiding future research and developing provisions to current policies guiding relocation processes. Facilities and policymakers need to consider procedures that enhance planning efforts and decision-making among this vulnerable population and their families. (Edited publisher abstract)
Integrated homes, care and support: measuring outcomes for healthy ageing
- Authors:
- HOLLAND Carol, et al
- Publisher:
- Extra Care Charitable Trust
- Publication year:
- 2019
- Pagination:
- 36
- Place of publication:
- Coventry
This report looks at the benefits to residents of living in ExtraCare villages and schemes, highlighting improvements in both health and wellbeing. It summarises research findings from a collaborative project between Aston Research Centre for Healthy Ageing (ARCHA) and the ExtraCare Charitable Trust, covering the period from 2012 to 2018. The findings identify improvements in residents: physical health – with increased levels of exercise and reduced risk of falls; psychological wellbeing – with lower levels of depression and improvements in memory and cognitive skills; and social wellbeing, with lower levels of loneliness for residents in extra care than the national averages. The research also looks at potential cost savings due to reduction in healthcare use. It estimates that living in ExtraCare could save the NHS around £1,994 per person, on average, over 5 years. (Edited publisher abstract)
Closer working between care home staff and visiting healthcare professionals could improve residents' health
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. Dissemination Centre
- Publisher:
- National Institute for Health Research
- Publication year:
- 2016
- Place of publication:
- London
This NIHR Signal looks at the findings of NIHR-funded research to understand how different service delivery models for care home residents support or improve wellbeing and health-related outcomes in older people living and dying in care homes. The realist review involved a review of literature and interviews with care home staff and service organisers to understand how some models worked better than others. It found that promoting integration between care home staff and visiting healthcare professionals was the common success ingredient behind efforts to improve residents’ health. This involved things like staff jointly identifying, planning and implementing care procedures. Other approaches, like paying doctors to do more in care homes, and or investing in training of care home staff, were not linked to better outcomes on their own. NIHR Signals highlight examples of important research and explain why the study was needed, what the study found and the implications of the findings. They include commentary from experts, researchers and those working in practice. (Edited publisher abstract)
Correlates of attitudes toward personal aging in older assisted living residents
- Authors:
- PARK Nan Sook, et al
- Journal article citation:
- Journal of Gerontological Social Work, 58(3), 2015, pp.232-252.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study explored factors contributing to older adults’ self-perceptions about their own ageing in assisted living (AL) communities. Data analysis was completed based on interviews with 150 older residents from 17 AL communities in the United States. The study examined the effect of objective factors (health-related variables/negative life events) and subjective factors (satisfaction with facility/social support) on residents’ attitudes toward personal ageing and assessed whether health perception mediated the relationship between health-related variables/negative life events and residents’ attitudes toward personal ageing. Multiple regression analyses found that functional disability and hearing impairment negatively affected attitudes toward personal ageing among AL residents, and satisfaction with social support positively influenced attitudes. Health perception mediated attitudes toward personal ageing. Findings suggest the importance of social workers helping older AL residents recognize social support as a means of promoting their positive self-regard. (Edited publisher abstract)
Health status of UK care home residents: a cohort study
- Authors:
- GORDON Adam Lee, et al
- Journal article citation:
- Age and Ageing, 43(1), 2014, pp.334-341.
- Publisher:
- Oxford University Press
Background: UK care home residents are often poorly served by existing healthcare arrangements. Published descriptions of residents’ health status have been limited by lack of detail and use of data derived from surveys drawn from social, rather than health, care records. Aim: To describe in detail the health status and healthcare resource use of UK care home residents Design and setting: A 180-day longitudinal cohort study of 227 residents across 11 UK care homes, 5 nursing and 6 residential, selected to be representative for nursing/residential status and dementia registration. Method: Barthel index (BI), Mini-mental state examination (MMSE), Neuropsychiatric index (NPI), Mini-nutritional index (MNA), EuroQoL-5D (EQ-5D), 12-item General Health Questionnaire (GHQ-12), diagnoses and medications were recorded at baseline and BI, NPI, GHQ-12 and EQ-5D at follow-up after 180 days. National Health Service (NHS) resource use data were collected from databases of local healthcare providers. Results: Out of a total of 323, 227 residents were recruited. The median BI was 9 (IQR: 2.5–15.5), MMSE 13 (4–22) and number of medications 8 (5.5–10.5). The mean number of diagnoses per resident was 6.2 (SD: 4). Thirty per cent were malnourished, 66% had evidence of behavioural disturbance. Residents had contact with the NHS on average once per month. Conclusion: Residents from both residential and nursing settings are dependent, cognitively impaired, have mild frequent behavioural symptoms, multimorbidity, polypharmacy and frequently use NHS resources. Effective care for such a cohort requires broad expertise from multiple disciplines delivered in a co-ordinated and managed way (Publisher abstract)
The assessment of older people's needs in care homes
- Authors:
- WORDEN A., CHALLIS D.J., PEDERSEN I.
- Journal article citation:
- Aging and Mental Health, 10(5), September 2006, pp.549-557.
- Publisher:
- Taylor and Francis
In many countries there is a concern to improve assessment procedures for older people to avoid misplacement in nursing homes and ensure that rehabilitation takes place where possible. The study examined assessment documentation in 126 care homes in North West England. On a set of core domains for assessing need, the level of coverage varied considerably. The use of standardised scales was infrequent apart from those that measured risk of developing pressure sores. Some important key domains were infrequently mentioned on the assessment forms including mental health, pain, oral health and foot care. The most frequently covered items were the activities of daily living. There were clear differences in the assessment approaches employed in different types of home. The lack of inclusion of certain key health areas on some assessment forms suggests that the well-being and quality of life of some residents may be poorly addressed, and that further work is required for the standard of assessment in care homes to match that in community-based care.
Better lives, health, future: key findings of a three-year study by Aston Univerisity into The ExtraCare CharitableTrust's unique model of housing, health and social care
- Author:
- EXTRA CARE CHARITABLE TRUST
- Publisher:
- Extra Care Charitable Trust
- Publication year:
- 2015
- Pagination:
- 5
- Place of publication:
- Coventry
Summary report presenting the top 10 findings from an evaluation of extra care villages and housing schemes run by the ExtraCare Charitable Trust in England. The three-year longitudinal study carried out by Aston University sought to compare changes over time in care needs and care costs for new residents with a control sample living in the community. It also sought to examine the effects of the integrated approach to housing, care and support deployed by the ExtraCare Charitable Trust on health and well-being, cognition, social functioning and independence over time. In the study 162 new residents were compared against 33 control participants. Quantitative measures of health, well-being, cognitive ability and mobility were taken at entry, three, 12 and 18 months and health and social care usage and costs were monitored. Findings reported include: reduced costs to the NHS; reduction in the duration of unplanned hospital stays; reduction in GP visits; significant cost savings to social care; and reduction in depressive symptoms. (Edited publisher abstract)