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Living well through activity in care homes: the guide for residents, their family and friends
- Author:
- COLLEGE OF OCCUPATIONAL THERAPISTS
- Editors:
- TANCOCK Karin, ROBERTS Julia
- Publishers:
- College of Occupational Therapists, British Association of Occupational Therapists
- Publication year:
- 2013
- Pagination:
- 33
- Place of publication:
- London
This is one of five separate sections of Living well through activity in care homes: the toolkit which has been developed by the College of Occupational Therapists (COT). The guide for residents, their family and friends offers advice on best practice in terms of residents’ rights to engage in daily activities that support their health and wellbeing. It comprises sections on making the most of living in a care home; why being active is important; the key elements to ensure a good home life; and making a life history. It also includes links to occupational therapy leaflets and to resources of other organisations. (Original abstract)
'It's time it ended and yet I hesitate, I hesitate to end it.' The emotional world of an old people's home
- Authors:
- JONES Charlie, WRIGHT John C
- Journal article citation:
- Journal of Social Work Practice, 22(3), November 2008, pp.329-343.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Institutionalized responses to human care have been prone to developing unhelpful practices. Inquiries into malpractice often generate recommendations focusing on improving protocols or procedures, while neglecting the emotional experiences of both clients and staff. This study aimed to address why and how complex and challenging emotions enter into care work. The authors explored the emotional world of a residential home for older people, using a psychosocial observational approach based on the Tavistock method. Four themes are presented: attacking-defending, living-dying, paralysis-movement and emptiness-fullness, which illustrate the complex existential challenges faced both by residents and staff in such a context. The observations revealed how a range of defensive processes operated to protect the observer from experiencing painful feelings and emotions. Throughout the observation period an increasingly complex understanding developed of the emotional life of the home. This process was made possible by reflective supervision sessions. The findings generate implications for the type of support that may be needed by care staff in such environments.
Navigating conflict: a model for nursing home social workers
- Authors:
- ALLEN Priscilla D., et al
- Journal article citation:
- Health and Social Work, 32(3), August 2007, pp.231-234.
- Publisher:
- Oxford University Press
Nursing home social workers require a variety of skills, including skills in managing interpersonal conflict. The authors illustrate why it is crucial to prepare nursing home social workers to handle conflict. They then present a resident-centred conflict resolution model to help guide nursing home social workers.
GP services for older people: a guide for care home managers
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2013
- Place of publication:
- London
The health and wellbeing of older people in care homes depends on them accessing GP services in a timely way. Effective joint working between GP and care home management, the involvement of residents and their relatives and the engagement of care staff are factors that can affect the outcome and lead to quality improvements. This guide sets out steps the care home manager should take, in areas such as record-keeping, medications management and monitoring resident feedback on their experience of medical care, to complement the work of GPs and nurses. The main sections cover: residents entitlements and requirements; managers' responsibilities; GPs' role in relation to the resident; workforce development, standards and regulation. Clear recommendations are made for each section. The guide is written primarily for managers and senior staff of care homes but will also be useful for GPs and members of clinical commissioning groups and joint health and wellbeing boards. (Edited publisher abstract)
Why are relatives of care home residents reluctant to “rock the boat”? Is there a culture of acceptance?
- Authors:
- WELCH Elizabeth, et al
- Journal article citation:
- Working with Older People, 21(2), 2017, pp.124-132.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore whether relatives of care home residents are best placed to act as 'champions' or advocates for their family members, as is often the expectation. Design/methodology/approach: Focus groups and interviews were conducted with 25 relatives of residents in four care homes for older people in the South East of England. Two rounds of focus groups were held in each participating care home: the first was to discuss any issues arising from the care received, or concerns about the home itself; the second was to enable a deeper exploration of the key themes that arose from the first round and explore why relatives, in this case, failed to complain. Findings: Thematic analysis revealed a complex range of emotions experienced by relatives that contributed to a conflict between what they believed to be the correct response and how they behaved in reality, which led to a culture of acceptance. Analysis revealed some relatives were reluctant to 'interfere' for fear of possible negative repercussions, thus they downplayed issues in an attempt not to “rock the boat”. Originality/value: This paper discusses the flaws in the policy emphasis on personalisation and the reliance on family members as advocates, and concludes with suggestions on how care homes may foster an environment where relatives, and indeed residents, feel comfortable to raise issues and concerns. (Publisher abstract)
Pain in care home residents with dementia: an exploration of frequency, prescribing and relatives' perspectives
- Authors:
- BARRY Heather E., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(1), 2015, pp.55-63.
- Publisher:
- Wiley
Objectives: This study aims to determine pain frequency amongst care home residents with dementia, to investigate variables associated with pain, to explore analgesic use among residents and to seek residents' relatives' views on provision of care and management of pain by the care home. Methods: Structured face-to-face interviews were conducted with residents, nursing staff and relatives from nine dementia care homes in Northern Ireland, between May 2010 and March 2012. Demographic information was collected from participants, neuropsychiatric tests were used to assess residents' cognitive functioning, medication use was determined from care home records and residents' pain was assessed using a verbal descriptor scale. Relatives' views were sought on care provision and management of pain. Results: Forty-two residents, 16 nurses/care assistants and 35 relatives participated; the participation rate of residents was low (27.6%). Most residents were suffering moderate–severe dementia, and some residents (26.2%) were unable to provide a self-report of pain. A significantly higher proportion of relatives (57.1%) deemed residents to be experiencing pain at the time of the interview, compared with residents (23.8%, p = 0.005) and nurses/care assistants (42.9%, p = 0.035). Most residents (88.1%) were prescribed with analgesia; non-opioid analgesics were most commonly prescribed. High proportions of residents were prescribed with psychoactive medications. Antipsychotic drug use was associated with presence of pain (p = 0.046). Conclusions: This study has reinforced the challenge of assessing and managing pain in this resident population and highlighted issues to be addressed by long-term care providers and clinicians. Participation of people with dementia, and their families, in healthcare research needs to be improved. (Publisher abstract)
The Support 67 Action Group: easing the path into care
- Authors:
- AVEYARD Barry, DAVIES Sue
- Journal article citation:
- Journal of Dementia Care, 14(6), November 2006, pp.19-21.
- Publisher:
- Hawker
The authors describe how the combined efforts of staff, relatives and researchers created a 'welcome' booklet about dementia and nursing care for newcomers to a dementia care home in Sheffield. The booklet aimed to provide information and support for people with dementia and their relatives faced with having to make decisions about moving to a care home.
Developing partnerships at 67 Birch Avenue Nursing Home: the Support 67 Action Group
- Authors:
- DAVIES Sue, et al
- Journal article citation:
- Quality in Ageing, 4(4), December 2003, pp.32-37.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Describes a partnership project between staff, residents and relatives at a nursing home for older people with dementia, and researchers at the University of Sheffield. The aim of the partnership was to develop care within the home and to create a positive environment for living, working and learning. The main principle was the need to ensure that all participants: residents, relatives and staff, feel that they are valued members of the community. The project is using an action research approach and a range of methods, including: observation; interviews; questionnaires; process recording of meetings; and focus groups, to gather evidence about the research process and impact of the project. The article includes a summary of achievements to date and suggestions for future activity.
A fair price
- Author:
- SCHWEHR Belinda
- Journal article citation:
- Care and Health Magazine, 16, July 2002, pp.29-30.
- Publisher:
- Care and Health
Presents a legal case where a care home owner has established a right to payment of a fair price in the absence of a finalised contract for the future. Looks at the implications for disputes between owners of residential care homes, relatives of residents asked to pay top-ups, and local authorities responsible for purchasing care.
The role of family care-givers for an older person resident in a care home
- Author:
- WRIGHT Fay
- Journal article citation:
- British Journal of Social Work, 30(5), October 2000, pp.649-661.
- Publisher:
- Oxford University Press
A sample of 61 residents admitted during the preceding three years to 35 independent sector nursing or residential care homes in four local authority areas was interviewed. Five discrete roles for family care-givers in the care homes were described: checking the quality of care, companionship, handling the cared-for person's finances, giving the cared-for person practical help, and assisting the cared-for person with personal care. Although family care-givers described themselves as very satisfied with the care homes as a whole, as many as half were worried about some aspect of care. The research has implications for social workers, care home proprietors and registration and inspection units in encouraging care homes to adopt more 'relative friendly' policies.