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From despair to care: a journal of the old and the young at hope meadows
- Authors:
- EHEART Brenda Krause, POWER Martha Bauman
- Journal article citation:
- Children and Youth Services Review, 23(9/10), September 2001, pp.691-718.
- Publisher:
- Elsevier
Using interpretive ethnographic methods, this article examines how living at Hope Meadows benefits both foster children and senior citizens. Tells the stories of some of the residents focusing on the everyday and special signs of care that were given and received. It is these signs of care that serve as the foundation for meaningful relationships between the seniors and the children. Identifies social capital and story telling as key elements that contribute to mutual caring relationships, the old and the young help each other journey from despair to care.
Development of a test of physical performance for the nursing home setting
- Authors:
- BINDER Ellen F., MILLER J. Philip, BALL Linda J.
- Journal article citation:
- Gerontologist, 41(5), October 2001, pp.671-79.
- Publisher:
- Oxford University Press
This study was undertaken to develop a performance-based instrument to measure a range of functions present among nursing home (NH) residents and to establish the reliability and validity of the measures. Fourteen items integral to daily life in a NH setting were administered to 95 NH residents with sufficient cognitive ability to follow a one-step command at baseline, 1 week later, and 6 months later. Intraclass correlation co-efficients and Cronbach's coefficient alpha were calculated for reliability estimates. The Minimum Data Set (MDS), Katz, and Multidimensional Observational Scale for Elderly Subjects (MOSES) were used to establish concurrent validity. Factor analysis correlation matrices, and other objective criteria were used for item reduction. Concludes that the NHPPT is a reliable performance-based instrument that discriminates among frail NH residents. Further studies are necessary to assess the value of this instrument for prediction and monitoring of functional status in the NH.
Establishing the extra in extra care: perspectives from three extra care housing providers: summary
- Author:
- KNEALE Dylan
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2001
- Pagination:
- 9p.
- Place of publication:
- London
Extra care housing combines purpose-built and ergonomically designed housing for older people with onsite flexible care that adapts to residents’ changing needs. This study used longitudinal data in order to examine a number of outcomes relating to health status, usage of health services, and usage of institutional accommodation for extra care residents. The study used data on almost 4,000 residents of extra care housing supplied by 3 extra care providers (Audley Retirement, Extra Care Charitable Trust, and Retirement Security Limited). The outcomes that were examined include: the length of stay; whether extra care housing can be considered a ‘home for life’; the changing health characteristics of residents; the number of falls; and patterns of inpatient hospital stays. Data from the British Household Panel Survey (BHPS) and the English Longitudinal Study of Ageing (ELSA) were used to compare the outcomes with similarly matched residents living in the community. This executive summary includes the key findings and policy recommendations from this research. It finds that, compared to those living in the community, those in extra care housing have improved health outcomes and are about half as likely to enter institutional accommodation. It argues that extra care accommodation can be a ‘home for life’, which can successfully adapt to residents’ changing health and social care needs.
Religiosity as a factor affecting adjustment of minority elderly to a nursing home
- Author:
- SASSON Sassy
- Journal article citation:
- Social Thought: Journal of Religion in the Social Services, 20(3/4), 2001, pp.79-96.
- Publisher:
- Haworth Press
- Place of publication:
- Binghamton, New York
This study examines the association between religiosity, adjustment and satisfaction of nursing home residents in one long term care facility in the USA. A sample of convenience was used to conduct face-to-face interviews of Jewish and African American alert residents age 65 and older. Various scales were utilised to measure resident adjustment and satisfaction, religious identity and level of involvement in religious activities. Additional information was complied that provided a profile of the physical, mental and social functions of each resident. The findings revealed that residents who exhibit higher levels of religiosity were likely to show higher levels of adjustment and satisfaction with nursing home living. However, the results lost their significance after controlling for a variety of other characteristics. The results suggests that the continuation of previous religious roles, activities and behaviour of nursing home residents may prompt increased satisfaction and a more successful adjustment to the long term care setting. The implications of these findings for practice, programme development and future research will be discussed.
Bending the rules to provide care
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 6.12.01, 2001, pp.40-41.
- Publisher:
- Reed Business Information
A joint inspection unit had to decide whether to seek an urgent cancellation order for a residential and nursing care home in order to safeguard the health of residents, even though it meant the home would be running unlawfully. Describes the dilemma and assesses the risk to residents.
Analysis of key decision-making incidents in the life of a nursing home resident
- Authors:
- SHAWLER Celeste, ROWLES Graham D., HIGH Dallas M.
- Journal article citation:
- Gerontologist, 41(5), October 2001, pp.612-622.
- Publisher:
- Oxford University Press
This American study examined change in the decision-making autonomy of a single nursing facility resident. This case analysis was part of a larger 3-year ethnographic investigation of decision-making events in four nursing facilities. In this case analysis, the resident, her daughter, and three staff members closely associated with the resident's care were each interviewed five times over a 15-month period. Analysis of interview transcripts revealed four themes in decision making. Temporal change was evident in a complex scenario regarding room changes. Spatial context reflected the need for predictability and adaptability in decisions using space. Interdependence of decisions and decision makers was most evident with medical treatment and health care decisions. Awareness, being informed, and knowing what was going on was the final theme. Despite having the best interests of the resident in mind, the process of decision making in nursing facilities may contribute to a pattern of gradual withdrawal of decisional autonomy form residents regardless of their ability to make decisions.
Measuring resident satisfaction in residential aged care
- Authors:
- CHOU Shu-Chiung, BOLDY Duncan P., LEE Andy H.
- Journal article citation:
- Gerontologist, 41(5), October 2001, pp.623-631.
- Publisher:
- Oxford University Press
Assess the factor structure, reliability, and validity of an existing Resident Satisfaction Questionnaire (RSQ) and develops a short-form RSQ for regular use in residential aged care settings. A cross-sectional survey design was adopted to collect the required information, with facilities being selected using stratified random sampling. Both exploratory and confirmatory factor analyses were conducted on a sample of 1,146 residents in 70 residential caged care facilities in Western Australia. The RSQ is confirmed to be reliable, valid context-relevant, and easy-to-use instrument for assessing residents' satisfaction with their residential aged care facilities. Residents satisfaction, as assessed via the RSQ, was found to be multi dimensional construct comprising six factors-room, home, social interaction, meals service, staff care, and involvement. A 24-item short version of the RSQ can constructed based on the six-factor resident satisfaction measurement model and used as a regular monitoring tool of resident satisfaction for quality improvement purposes.
Resident contact with family and friends following nursing home admission
- Authors:
- PORT Cynthia L., et al
- Journal article citation:
- Gerontologist, 41(5), October 2001, pp.589-596.
- Publisher:
- Oxford University Press
This American study explores factors that are related to the level of contact (number of visits and calls) between newly admitted nursing home residents and their family and friends. In addition to re-examining factors studied previously, several new factors are explored: contact level prior to nursing home placement, dementia status, and resident race. Interviews were conducted with the significant others of 1,441 residents from a representative sample of nursing homes in the USA. Contact decreased by approximately half following admission, compared to reported preadmission contact. Found that rates of contact are positively related to nonuse of medicaid, kinship closeness, support network proximity, nondemented status, and White race. After controlling for preadmission contact, postadmission contact is positively associated with kinship closeness, support network proximity, nondemented status, and White race. The study identifies factors that are useful to consider when designing interventions to increase family involvement with nursing home residents.
Action to avoid eviction
- Author:
- CLEMENTS Luke
- Journal article citation:
- Community Care, 8.2.01, 2001, p.26.
- Publisher:
- Reed Business Information
Reports of residents in care homes being threatened with eviction because a council will not pay their increased fees are common. The author outlines how the law may help residents in this situation.
Do ethnic-specific long term care facilities improve residents quality of life
- Authors:
- HIKOYEDA Nancy, WALLACE Steven P.
- Journal article citation:
- Journal of Gerontological Social Work, 36(1/2), 2001, pp.83-106.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This qualitative study compares interviews with Japanese American women in Japanese and non-Japanese residential homes for older people, family members, and administrators to examine how ethnic features (eg language, food, staff) meet resident needs and their influence on the residents' quality of life. Results found residents discussed factors such as boredom, socialisation, privacy, staff attentiveness and autonomy. Whilst family members emphasised structural aspects of the homes such as cleanliness, costs, food and Japanese care. Concludes that although ethnic-specific institutions were unique in meeting certain needs, cultural characteristics alone did not provide a desired quality of life for residents. All institutions, including those with ethnic-specific services, need to integrate the needs and wishes of residents.