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Person-centred thinking with older people: 6 essential practices
- Authors:
- SANDERSON Helen, BOWN Helen, BAILEY Gill
- Publisher:
- Jessica Kingsley
- Publication year:
- 2015
- Pagination:
- 96
- Place of publication:
- London
Drawing on a wealth of experience of working with older people, this book presents six essential person-centred practices. Person-centred practices are a key way to provide the best possible care and support for older people and help them to be active and valued members of the community. Each of the practices is designed to support the individual and put what is important to and for the person at the forefront of their care. Each practice has been tailored so that older people can express more easily what does and does not work for them. By actively listening and making each person feel appreciated, the practices represent practical tools for frontline practitioners to form good relationships with people in their care. With supporting stories and full colour photographs to illustrate how person-centred thinking and practice is used in real-life settings, the book contains many examples to help practitioners to overcome challenges and to implement positive, effective changes to care. (Edited publisher abstract)
Live-in versus live-out home care in Israel: satisfaction with services and caregivers’ outcomes
- Authors:
- AYALON Liat, GREEN Ohad
- Journal article citation:
- Gerontologist, 55(4), 2015, pp.628-642.
- Publisher:
- Oxford University Press
Purpose: This study provides a preliminary examination of the relationship between the type of home care services (live-in vs. live-out; i.e., round the clock vs. several hours per week), the caregiver’s satisfaction with services, and the caregiver’s burden, distress, well-being, and subjective health status within a conceptual framework of caregiving outcomes. Design and Methods: A random stratified sample of family caregivers of older adults more than the age of 70 who receive live-in (442) or live-out (244) home care services through the financial assistance of the National Insurance institute of Israel was selected. A path analysis was conducted. Results: Satisfaction with services was higher among caregivers under the live-in home care arrangement and positively related to well-being. Among caregivers, live-in home care was directly associated with higher levels of subjective health and indirectly associated with better well-being via satisfaction with services. Implications: The study emphasises the potential benefits of live-in home care services for caregivers of older adults who suffer from high levels of impairment and the importance of assessing satisfaction with services as a predictor of caregivers’ outcomes. (Edited publisher abstract)
Access to long-term care: perceptions and experiences of older Dutch people
- Authors:
- SCHIPPER Lisette, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 16(2), 2015, pp.83-93.
- Publisher:
- Emerald
Purpose: Despite the current focus on demand-based care, little is known about what clients consider important when they have a request for formal long-term care services. The paper aims to discuss this issue. Design/methodology/approach: Questions about the access process to care services were added to the “Senior Barometer”, a Dutch web-based questionnaire that assesses the opinion of older people about different aspects in life. The questionnaire surveyed both people who already requested care services (“users”), and people that did not (“future clients”). Findings: The results show a significant difference in what people expect to be the first step from what users actually did, when requesting formal care services. In addition, there was a significant difference on how “users” and “future clients” rated several access service aspects. Research limitations/implications:The results give valuable information on how both “users” and “future clients” value the access process. The findings also provide valuable input for organisations providing long-term care for older clients about the important issues that have to be considered when organising the access process. Originality/value: This study shows what older people in the Netherlands find important during the access process to care and this has not been explored before. The difference between what “users” and “future clients” find of importance in the care access process suggests that it is difficult for people to foresee what will be important once the need for care arrives, or where they will turn to with a request for care services. (Edited publisher abstract)
"You don't stop the worrying": the difficulties of caring in later life
- Author:
- INDEPENDENT AGE
- Publisher:
- Independent Age
- Publication year:
- 2015
- Pagination:
- 40
- Place of publication:
- London
Drawing on findings from focus groups and interviews with older carers, this report explores their experience of caring, what issues most concern them, where they find support in their caring, and what more support is needed. Older carers agreed that caring took a heavy toll on them, and had multiple impacts on their quality of life. It was clear that carers perceived that some of the impacts of caring were exacerbated by their age. Particular impacts affecting older carers included: difficulties keeping up with family and friends; financial constraints; poor health; and stress. They identified a range of gaps in support available to them, problems accessing services and a lack of support from the wider community in their role as carers. ‘Former carers’ made clear that there were important differences between the experiences of those whose loved ones moved into residential care or supported / independent living, and those who were bereaved. The report sets out older carers’ priorities, which include: improving carers’ access to support, in particular by ensuring GPs play a part in identifying carers and signposting to support; addressing inadequacies in care and support services available to carers’ loved ones; developing a ‘carers’ friend’ service to provide one-to-one practical and emotional support for carers; and improving support for bereaved carers, offering them opportunities to find mutual support among those with similar experiences. (Edited publisher abstract)
How older people cope with frailty within the context of transition care in Australia: implications for improving service delivery
- Authors:
- WALKER Ruth, JOHNS Julie, HALLIDAY Dianne
- Journal article citation:
- Health and Social Care in the Community, 23(2), 2015, pp.216-224.
- Publisher:
- Wiley
Transition care is increasingly common for older people, yet little is known about the subjective experience of the transition care ‘journey’ from the perspective of clients themselves. This study examines how older people cope with frailty within the context of a dedicated transition care programme and discusses implications for improving service delivery. Qualitative in-depth interviews were carried out during 2011 in the homes of 20 older people who had recently been discharged from a transition care programme operating in Adelaide, South Australia (average age 80 years, 65% female). Thematic analysis identified three key themes: ‘a new definition of recovery’, ‘complexities of control’ and ‘the disempowering system’. Despite describing many positive aspects of the programme, including meeting personal milestones and a renewed sense of independence, participants recognised that they were unlikely to regain their previous level of functioning. For some, this was exacerbated by lacking control over the transition care process while adapting to their new level of frailty. Overall, this research highlighted that benefits associated with transition care can be undermined by fragmentation in service delivery, loss of control and uncertainties around future support. (Publisher abstract)
Nottingham City care homes: consultation report
- Author:
- AGE UK NOTTINGHAM & NOTTINGHAMSHIRE
- Publisher:
- Age UK Nottingham & Nottinghamshire
- Publication year:
- 2015
- Pagination:
- 56
- Place of publication:
- Nottingham
Presents the findings of a consultation and engagement of older people, their families and those working within Nottingham City care homes, to gain an understanding of how they view the services they currently receive, how they can be improved, and what services they would like to receive in the future. Overall, the most frequently used services tended to be rated as good by the majority of respondents, with the exception of physiotherapy which had a higher proportion of responses rated as poor. There was a general desire for greater choice in terms of the way individuals lived their lives in the care home setting. Residents wanted to feel at home in their care home and to be supported to live their lives as independently as possible. Three quarters of relatives felt that there were not enough activities within city care homes and wanted to see more activities and stimulation e.g. a variety of daily activities and/or entertainment in the home, trips out to places of interest and music therapy, such as singing. A need for better partnership working was a recurring theme for care home staff, who also highlighted the need for visiting teams to respect the knowledge and experience of the care home staff. The main themes to emerge from future users’ responses were a positive, caring environment; appropriate activities for residents; high quality care staff; and treating residents as individuals. (Edited publisher abstract)
Health survey for England 2014: chapter 6 social care provision
- Authors:
- ROONEY Keeva, DARTON Robin, WITTENBERG Raphael
- Publisher:
- Health and Social Care Information Centre
- Publication year:
- 2015
- Pagination:
- 11
- Place of publication:
- Leeds
This chapter presents results from the Health Survey for England 2014 about the provision of unpaid social care by adults aged 16 and over. This is defined as help or support provided to someone because of long-term physical or mental ill-health, a disability or problems relating to old age and excludes any help given in a professional capacity or as part of a job. The findings show that 17 per cent of adults provided unpaid help or support to other people, with women more likely than men to do so (20 per cent and 14 per cent respectively). Prevalence of providing unpaid care was lowest among those in higher income households and increased with decreasing income. Care was most commonly provided to a parent and men were more likely than women to provide help or support for a spouse or partner, with just under a fifth doing so. Most commonly, those who provided help and support said that they did so for between 1-9 hours in the last week. However, a substantial proportion of men and women provided more care, with 27 per cent providing 10 or more hours in the last week. (Edited publisher abstract)
Breaking down the barriers: older people and complaints about health care
- Author:
- PARLIAMENTARY AND HEALTH SERVICE OMBUDSMAN
- Publisher:
- Parliamentary and Health Service Ombudsman
- Publication year:
- 2015
- Pagination:
- 28
- Place of publication:
- London
Drawing on information collected from a national online survey, focus groups with older people and their carers, and case studies, this report highlights the barriers that older people can face when looking to complain about the health care they receive. The report found that older people lack information about how to complain, and don't know where to go; don't want to make a fuss and worry about what will happen if they do; feel complaining would make little difference; and can lack support to complain. Additional factors such as living alone and the lack of emotional and practical support can make these barriers even harder for older people to overcome. The report makes a number broad recommendations to improve older people's experiences of the complaints system. It also recommends that organisations providing care use the framework 'My expectations for raising concerns and complaints', published by the Parliamentary and Health Service Ombudsman, Local Government Ombudsman and Healthwatch England, to measure how effectively they are handling their own complaints. (Edited publisher abstract)
How do people with learning disabilities experience and make sense of the ageing process?
- Authors:
- NEWBERRY Gayle, MARTIN Carol, ROBBINS Lorna
- Journal article citation:
- British Journal of Learning Disabilities, 43(4), 2015, pp.285-292.
- Publisher:
- Wiley
Background: This article draws on the first author's doctoral research study which explores how people with learning disabilities experience and make sense of the ageing process and old age. Materials and Methods: Seven people with learning disabilities aged 60 or more were interviewed, and their accounts were analysed using interpretative phenomenological analysis. This approach allows the participant's lived experience to be explored in detail. Participants' accounts were analysed individually, followed by a group analysis. This article presents the results of the group analysis, illustrated by quotes from individuals. Results: The master themes arising from the group analysis were as follows: quality of relationships is central to enjoyment of life, including subthemes on the importance of affection and companionship, distress at lack of closeness and anxiety about ability to satisfy others; powerlessness; needing a sense of purpose; and making sense of getting older, including subthemes on reactions to changes with age, life review and looking to the future. Conclusions: Clinical implications of the findings include the need for services to support older people with learning disabilities in maintaining friendships and meaningful activities. This study demonstrates that some older people with learning disabilities can engage in a process of life review and raises the possibility that learning disability services could play a useful role in facilitating this process. Understanding of the ageing process varied between participants and tended towards a negative, stereotypical view of ageing. The findings suggest that people with learning disabilities could benefit from psychoeducation on the ageing process to aid them in making sense of the changes they experience as they get older. (Edited publisher abstract)
Walking football: experiences of local Age UKs delivering it for the first time: a qualitative evaluation
- Author:
- KARANIA Vinal K.
- Publisher:
- Age UK
- Publication year:
- 2015
- Pagination:
- 36
- Place of publication:
- London
Reports on a qualitative evaluation of a project aimed at supporting seven local Age UK local partners to begin offering Walking Football in their local area. The evaluation looked at whether local Age UKs found the support they received from national Age UK helpful; if they were able to develop successful delivery models and key factors for successful delivery; and whether the models of delivery models were sustainable. It involved analysis of monitoring data; interviews with six local Age UKs delivering the project; and interviews with five older people participating in the activity. The results of the evaluation found that five of the local Age UKs successfully delivered Walking Football activities, with all seven aiming to continue activity beyond funding period. Key factors for successful delivery included: raising awareness amongst older people; complementing existing provision; prioritising the enjoyment of participants; working to become self-sustaining by keeping costs low and charging; and having high quality coaches and good facilities. (Edited publisher abstract)