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The taboo of senior sexuality: enhancing staff confidence
- Authors:
- HEATH Hazel, RIDDETT Jackie
- Journal article citation:
- Nursing and Residential Care, 14(10), October 2012, pp.530-533.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Residents and staff can experience barriers in dealing with sexuality and intimate relationships. This article offers some frameworks for reflection and suggestions on how problems can be overcome. Based on the Royal College of Nursing guidance, the article offers ideas for staff to assess their confidence when broaching issues of sexuality with residents, and dealing with issues of sexuality and relationships. In conclusion, managers should work proactively in developing environments, policies and care practice that support the workforce to promote the sexual rights and choices of residents.
Sensory stimulation and seated physical activity
- Author:
- DUKE Tony
- Journal article citation:
- Nursing and Residential Care, 14(5), May 2012, pp.246-249.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
For the first time, physical activity guidelines specifically for adults aged 65 years and over have been published. The suggested amount of exercise should add up to at least 150 minutes a week and be of moderate intensity. People working in nursing and residential care are required to provide appropriate physical and mental stimulation for their residents. This article aims to advice service providers on promoting healthy living in line with these guidelines. Specifically, it describes 2 types of activities. Sensory activities involve the stimulation of the senses, and include various activities from opening a window and smelling fresh cut grass to spending time in a sensory room. Seated physical activities involve regular, therapeutic movement and often entail touching equipment or hearing instructions or music. Sensory stimulation and seated physical activity can be provided together to give mental and physical benefits to patients. The article describes simple and cost-effective ways of providing this service in homes.
Nutritional monitoring of residents
- Author:
- GRANTHAM Christine
- Journal article citation:
- Nursing and Residential Care, 14(2), February 2012, pp.80-81.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
A good nutritional care plan is key to the effective management of residents at risk of malnutrition. This article explores the role of nutritional monitoring and considers the appropriate use of prescribed oral nutritional supplements within the care pathway.
Dehydration: best practice in the care home
- Author:
- CAMPBELL Naomi
- Journal article citation:
- Nursing and Residential Care, 14(1), January 2012, pp.21-25.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Dehydration of older people in care homes leads to both patient suffering and increased health care costs. This review article looks at the risk factors of dehydration in older people, provides an overview of current best practice guidelines for hydration and discusses strategies to encourage patients to drink more. Two UK initiatives which helped to increase patient and staff awareness of the importance of drinking more fluids, The East Anglia Water company campaign 'Healthy on Tap' and the project 'Thirst 4 Life' in Buckinghamshire, are also briefly mentioned.
Avoiding unnecessary hospital admissions among older people: residential care
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2012
- Place of publication:
- London
As care homes now support some of the most frail and ill older people in this country, they need to plan and deliver care carefully if they are to avoid adding to the numbers needing hospital admissions. This film presents the approach of Lime Court Care Home, who have introduced a number of new policies and practices with the specific aim of reducing hospital admissions amongst their residents. Lead by manager Mike Richardson, Lime Court have focussed on infection control, mental health support, reducing falls, better medication management, nutrition and planning for end of life care. The attention placed on each of these areas, combined with increased community health input and a stable team able to provide continuity and consistency of care, has enabled Lime Court to significantly reduce hospital admissions whilst improving outcomes for residents. The film will be useful for care home managers; care home staff; health and social care commissioners; GPs and community health professionals; people using services and carers.
Achieving success in end of life care: a guide to delivering quality standards across Yorkshire and Humber care homes
- Author:
- SKILLS FOR CARE
- Publisher:
- Skills for Care
- Publication year:
- 2012
- Pagination:
- 44
- Place of publication:
- Leeds
This guide has been developed following consultation with a number of key stakeholders including care homes, end of life care specialists and the Yorkshire Ambulance Service. The guide is designed to support care homes in the delivery of high quality person-centred care which is well planned, co-ordinated and monitored while being responsive to the individual's needs and wishes. It aims to increase the number of people: who have care plans in place, dying in their place of preference, and who have an allocated key workers. It follows the six steps of the end of life care pathway. The six steps are: discussions as the end of life approaches; assessment, care planning and review; co-ordination of care; delivery of high quality of end of life care; care in the last days of life; and care after death. (Publisher abstract)
Better communication within
- Authors:
- COWLEY Sophie, WARD Liz
- Journal article citation:
- Nursing Times, 30.10.12, 2012, p.16.
- Publisher:
- Nursing Times
Care home residents require support from a range of staff and organisations, however communication between these organisations is often poor. The Care Home Connect programme, an initiative of the NHS Institute for Innovation and Improvement which is working to improve communications across all parts of the system is briefly described. One aspect of the programme involves bringing together residents, relatives and staff from across the system to understand different experiences of communication and interaction.
The social lives of rural Australian nursing home residents
- Authors:
- PARMENTER Glenda, CRUICKSHANK Mary, HUSSAIN Rafat
- Journal article citation:
- Ageing and Society, 32(2), February 2012, pp.329-353.
- Publisher:
- Cambridge University Press
Visits from family and friends are very important to the quality of the lives of rural nursing home residents. The aim of this study was to focus on the relationships of nursing home residents with people external to the nursing home, and to examine the factors that predict more frequent visiting. Telephone surveys were conducted with the designated next-of-kin of 257 residents in 13 residential care facilities in the rural New England area of New South Wales. The findings showed that the wider, potential, social networks of rural nursing home residents comprised approximately 17 people and involved a wide range of family and friends. However, their actual social networks consisted of approximately 2 females, daughters and friends, who had high-quality relationships with the resident and who visited at least once per month. The findings show that, in contrast to previous assertions that nursing home residents have robust support from their family and friends, the actual social networks of these residents have dwindled considerably over recent years, which may place them at risk of social isolation. Recommendations are made for rural nursing homes to help address the risk of social isolation faced by their residents.
Intergenerational working: creating opportunities for young people through links with local providers of care for the elderly: YMCA Derbyshire
- Author:
- OFSTED
- Publisher:
- OFSTED
- Publication year:
- 2012
- Pagination:
- 3p.
- Place of publication:
- Manchester
A description of a good practice example from YMCA Derbyshire, which works with local providers of care for the elderly to provide training opportunities for young people studying courses in hospitality and health and social care. Residents and the young people have valued the opportunity to learn from, and respect, each other.
Psychosocial care in nursing homes in the era of the MDS 3.0: perspectives of the experts
- Authors:
- ZIMMERMAN Sheryl, et al
- Journal article citation:
- Journal of Gerontological Social Work, 55(5), July 2012, pp.444-461.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Meeting the psychosocial needs of nursing home residents is increasingly regarded as a critical component of care. Medicare- and Medicaid-certified nursing homes are now mandated to use an updated version of the Resident Assessment Instrument Minimum Data Set (otherwise known as the MDS 3.0) which was modified and implemented in 2010 to promote better assessment of psychosocial needs and health. To underscore and better understand the perceived importance of psychosocial well-being among nursing home residents and the promise of MDS 3.0 for improving psychosocial care, a conference of expert stakeholders from diverse organisations was convened in spring 2011. This article draws upon literature and speaker presentations to establish the rationale for the conference, summarise select resources to guide care in 7 psychosocial areas (delirium, cognitive loss/dementia, psychosocial well-being, mood state, behavioural symptoms, pain, and return to the community), provide recommendations from conference attendees to promote psychosocial care, and identify next steps.