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Care-giving in dementia: contours of a curriculum
- Author:
- MIESEN Bere
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 9(4), November 2010, pp.473-489.
- Publisher:
- Sage
The problems confronting people with dementia and their families are discussed, elaborating various factors that determine how they cope with the trauma of the disease. Against this background, the tasks for professional care-givers are then identified. The authors suggest that care-giving in dementia is a speciality that should be based on a high level of expertise and a professional approach. Core topics are then set out, forming the building blocks for a curriculum, with areas based on the relational perspective of caring for people with dementia. The authors conclude that to ensure a high standard of professional care-giving in dementia, such training is necessary as a life-long attachment alone is not enough.
Effects of an intervention promoting proactive coping competencies in middle and late adulthood
- Authors:
- BODE Christina, et al
- Journal article citation:
- Gerontologist, 47(1), February 2007, pp.42-51.
- Publisher:
- Oxford University Press
The authors tested the effectiveness of a brief educational program that is based on proactive coping theory. The program entails a four-session group intervention for people aged between 50 and 75 years and was intended to improve proactive coping competencies. The positive as well as negative side effects and differential effectiveness of the program were also investigated. A total of 158 middle aged and older men and women participated in the study. In a prospective randomized control trial with an experimental group and a waiting control group, questionnaire data at three points (baseline, after completion of the program, and 3 months post intervention) were collected. The sessions involved: identifying the advantages of preparing oneself for the future; the recognition and handling of early warning signals in the process of ageing and proactive ways of handling these signals; helping participants specify strategies for reaching their personal goal; in the last session participants evaluated the attempts to reach the individual goal. The program improved proactive coping competencies significantly. Three months after completion of the intervention, these results remained stable. Nearly all effect sizes in the experimental group were medium or higher. The program did not have negative side effects in terms of worrying or negative mood, and it did not change levels of self-efficacy. Demographic characteristics of participants did not predict changes in proactive competencies. Differential effectiveness could only be shown for a few psychological characteristics: Lower levels of well-being, higher levels of proactive orientation, and lower levels in the consideration of future consequences of one's own behaviour predicted an increase in proactive coping competencies. Participants who formulated personal goals in concrete terms also profited more from the intervention. Conceptualizing proactive coping as a set of competencies allows the translation of this approach into interventions. Competencies that facilitate future-oriented self-regulation can be improved by a brief educational program in middle and late adulthood.
The implementation of integrated emotion-oriented care: did it actually change the attitude, skills and time spent of trained caregivers?
- Author:
- KOOIJ CH van der
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 12(5), 2013, pp.536-550.
- Publisher:
- Sage
This study evaluates the implementation of integrated emotion-oriented care (IEOC) in psychogeriatric nursing home wards to find out whether trained the caregivers actually applied the knowledge and techniques of IEOC during their daily work. The study was conducted within the framework of a randomized clinical trial into the effectiveness of IEOC in 16 wards. Preceding the experimental period, staff from 16 wards were educated and trained to work with a standardized care plan, resulting in a similar level of quality of care at the start of the trial. On the experimental wards IEOC was then implemented by training on the job in addition to training courses for personnel. To examine the implementation effectiveness, a self-report questionnaire, ‘Emotion-oriented Skills in the Interaction with Elderly People with Dementia’, was administered at baseline and after 7 months to a sample of caregivers from the experimental and the control wards. In addition, participant observation was conducted on four experimental and four control wards, and time spent by care personnel on different type of care tasks was registered. The implementation of IEOC resulted in increased emotion-oriented skills and more knowledge of the residents among the caregivers. Providing IEOC was not more time consuming for the caregivers than providing usual care. (Edited publisher abstract)
Growing old differently
- Editors:
- BOGARD Gerald, TYLER William
- Publisher:
- Council of Europe
- Publication year:
- 1994
- Pagination:
- 278p.,bibliogs.
- Place of publication:
- London
Europe wide collection of papers looking at what part education has to play in combating isolation and exclusion from mainstream life of the growing population of older people. Suggests new approaches to education for older people and ageing polices that focus on this issue and on the construction of an active and responsible citizenship for all.
Self-management-support in dementia care: a mixed methods study among nursing staff
- Authors:
- VERKAIK Renate, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(8), 2017, pp.1032-1044.
- Publisher:
- Sage
Background: Self-management in patients and family caregivers confronted with dementia is not self-evident. Self-management skills may be limited because of the progressive cognitive decline of the patient and because family caregivers are often also very aged. Self-management support by nursing staff is therefore of paramount importance. Objectives: To gain insight into how nursing staff perceive their self-management support tasks, and how they put them into practice. Research questions are: ‘What are the opinions and experiences of Dutch nursing staff working in home care or residential elderly care regarding self-management support for people with dementia and their family caregivers?' and ‘Do nursing staff feel sufficiently trained and skilled for self-management support?’. Methods: A mixed methods approach was used, combining cross-sectional quantitative survey data from 206 Dutch nursing professionals with qualitative interviews among 12 nursing staff working in home care or residential elderly care in The Netherlands. Results: Nursing staff working in home care experienced self-management support of people with dementia as a part of their job and as an attractive task. They consider ‘helping people with dementia to maintain control over their lives by involving them in decisions in daily care’ the essence of self-management support. Nursing staff saw family caregivers as their main partners in providing self-management support to the patient. They were less aware that family caregivers themselves might also need self-management support. Nursing staff often felt insufficiently trained to give adequate self-management support. RN’s and CNA’s did not differ in their opinions, experiences and training needs. Conclusions: Nursing staff in home care do consider self-management support an important and attractive task in dementia care. Their skills for providing self-management support to patients with dementia and family caregivers need improvement. Recommendations: Nursing staff need sufficient training to enable the proper provision of self-management support for people with dementia. More attention should also be given to the support of self-management for family caregivers. (Publisher abstract)
Elderly care: a world perspective
- Editor:
- TOUT Ken
- Publisher:
- Chapman and Hall
- Publication year:
- 1993
- Pagination:
- 240p.,bibliog.
- Place of publication:
- London
Contains examples of successful service provision for older people from 40 countries. The case studies are organised into the following sections: care at home; community support; empowerment; participation; fitness and well-being; income generation; environment; integrated services; mental health; training for elder care; organisation of services; and older women.