Search results for ‘Subject term:"older people"’ Sort:
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Poetry can help : the work of Kenneth Koch
- Author:
- VALK Margaret
- Journal article citation:
- British Journal of Social Work, 9(4), 1979, pp.501-507.
- Publisher:
- Oxford University Press
Describes a project which taught elderly people in residential care poetry-writing. The residents found this particularly therapeutic and gave them a sense of achievement which they had previously not had in the institution.
A sensory garden created by, with and for residents
- Author:
- MELLING Jill
- Journal article citation:
- Journal of Dementia Care, 11(5), September 2003, pp.24-26.
- Publisher:
- Hawker
Describes the Elder Flowers project, which aimed to develop a sensory garden for a care home, reflecting the expressed needs, wishes and opinions of residents and including their own work.
Older adults’ views and experiences of doll therapy in residential care homes
- Authors:
- ALANDER Heidi, PRESCOTT Tim, JAMES Ian A.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 14(5), 2015, pp.574-588.
- Publisher:
- Sage
Background and purpose The mechanisms underlying the success of doll therapy are poorly understood. The aims of this study were to explore how people in care, doll users and non-users, make sense of doll use in their settings. Methodology A grounded theory approach was used, recruiting participants from three residential care homes involving four male and 12 female residents. Data collection occurred in two phases; five participants took part in a focus group and later 11 participants were interviewed individually. Eight of the 11 participants had dementia, and four participants were actively using dolls. Results and conclusion The results are presented as themes, and sub-themes, consisting of four main categories (intrapersonal features, interpersonal features, behavioural benefits, ethical and moderating factors). This thematic analysis shows that residents generally support the use of dolls, believing that dolls can have a positive impact on some users. The mechanisms by which this impact is achieved are discussed together with the ethical concerns. (Edited publisher abstract)
Prognosis is important in decisionmaking in Dutch nursing home patients with dementia and pneumonia
- Authors:
- van der STEEN Jenny, HELTON Margaret R., RIBBLE Miel W.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(9), September 2009, pp.933-936.
- Publisher:
- Wiley
This study explored how physicians treating nursing home residents with dementia and pneumonia in the Netherlands consider prognosis in their treatment decision. Survey study with data collected between July 2006 and March 2008. Physicians (n = 69) from 54 nursing homes in the Netherlands completed a questionnaire on symptoms, treatment, and prognosis for their next dementia patient newly diagnosed with pneumonia. They were also asked a general question regarding withholding antibiotic treatment and prognosis. Outcome was assessed at least two months afterwards. Two-week mortality risk if treated with antibiotics was calculated with a validated prognostic score. The patients not treated with antibiotics had high (92%) actual 2-week mortality while only 12% of patients treated with antibiotics died. Physicians believed that mortality risk was high in the untreated group and would have been only slightly lower if treated with antibiotics (mean estimated risk 73%), which was higher than predicted from the risk score (42%). In general, three-quarters of physicians considered withholding antibiotics appropriate for mortality risks between 75% and 90%. Prognosis is an important consideration when Dutch nursing home physicians make antibiotic treatment decisions for patients with dementia and pneumonia. This suggests they prefer not to treat with antibiotics when to do so is probably futile. Physicians in other countries may hold different views on futility, which should be addressed in larger, cross-national comparative studies.
Dependency, quality and staffing of institutions for elderly people
- Authors:
- WOOD Philip, CASTLEDEN Mark
- Journal article citation:
- Health Trends, 25(3), 1993, pp.97-101.
- Publisher:
- Office for National Statistics
Reports on a study undertaken with the aim of comparing the public and private sectors providing care to elderly people. A random selection of institutions was invited to participate, including private residential and nursing homes, social services homes and NHS long-term care wards. The findings show that the dependency of residents in the public sector was greater than in the private sector, but that staff to resident ratios in public institutions did not differ significantly from the private sector. Overall scores of quality were similar. Nevertheless, these scores masked important differences between the sectors, e.g. poorer buildings and facilities characterised the NHS units. Fewer activities and therapies, but a better ambience, was noted in the private nursing homes.
Depression among elderly residents of local-authority residential homes: its nature and the efficacy of intervention
- Author:
- AMES D.
- Journal article citation:
- British Journal of Psychiatry, 156, May 1990, pp.667-675.
- Publisher:
- Cambridge University Press
Reports on a research project which showed that depressed residents had a high rate of physical illness and disability and little social interactions.
The effectiveness of a solution-focused approach for problem behaviors among nursing home residents
- Author:
- INGERSOLL-DAYTON Berit
- Journal article citation:
- Journal of Gerontological Social Work, 32(3), 1999, pp.49-64.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This clinical research project tests the efficacy of a solution-focused approach for addressing the problem behaviours of nursing home residents with dementia. Family members and nurses aides participated in a controlled study of 21 residents who were aggressive and/or wandered. Analysis revealed that family members perceived behaviours are less problematic than did nurse aides; and family members and nurses aides perceived diminished problems in behaviours over time. Offers suggestions for practice and future research based on these findings.