Search results for ‘Subject term:"older people"’ Sort:
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Intermediate care: older people's involvement and experiences
- Authors:
- MANTHORPE Jill, CORNES Michelle
- Journal article citation:
- Journal of Integrated Care, 12(6), December 2004, pp.43-48.
- Publisher:
- Emerald
New service models such as intermediate care may find it difficult to involve older people in services that are time-limited and unfamiliar. Their staff may perceive themselves as having little time to sustain or build relationships with voluntary and community-based organisations engaged in intermediate care. This article shows how such challenges can be met by drawing on the experiences of voluntary sector projects involved in intermediate care services. The article focuses on practitioners' experiences of involving older people in intermediate care assessment and treatment and, secondly on the views of older people about the information they received.
'Not everything that can be counted counts and not everything that counts can be counted': towards a critical exploration of modes of satisfaction measurement in sheltered housing
- Authors:
- FOORD Mark, SAVORY Julie, SODHI Dianne
- Journal article citation:
- Health and Social Care in the Community, 12(2), March 2004, pp.126-133.
- Publisher:
- Wiley
Reflects on a research project funded by a consortium of leading sheltered housing (SH) providers and their regulatory body, the Housing Corporation, aiming to ascertain which aspects of SH older people perceived to be central to their satisfaction and the methods they judged most appropriate to measuring this. Outlines key policy developments of importance to SH (specifically development of performance measurement regimes), and changes in the nature of SH, which are driving providers to re-evaluate how they measure user satisfaction. Discusses aims, methodology and findings, concluding by raising critical questions about the process of measuring satisfaction within an increasingly managerialised housing system, arguing that this favours standardised methods of information gathering (such as questionnaires) rather than engaging with clients to develop methods and systems capable of eliciting qualitative issues of concern. The conclusions are believed applicable to health and social care provision, where similar tensions exist around performance measurement and user satisfaction.
Building on the benefits: assessing satisfaction and well-being in elder care
- Authors:
- JENSEN Christine J., FERRARI Michael, CAVANAUGH John C.
- Journal article citation:
- Ageing International, 29(1), Winter 2004, pp.88-110.
- Publisher:
- Springer
- Place of publication:
- New York
One hundred interviews were conducted with primary caregivers who completed the Caregiver Well-Being Scale (CWB), the Caregiving Uplifts Scale (CUPL), the Caregiving Satisfaction Scale (CSS), and the Center for Epidemiologic Studies Depression Scale. CWB, CUPL and CSS scores were significantly higher for caregivers for elders with a primarily physical (e.g. heart disease) rather than a primarily cognitive impairment (e.g. dementia), indicating greater perceived caregiver benefits based on type of care recipient impairment. Little evidence of depressive symptoms was found in either group. These findings advance previous research by indicating that caregivers experience satisfaction in their role and potential for personal fulfillment even when faced with challenging circumstances. Discusses validation of positive experiences and the impact of positive appraisals on depression levels.
Older and colder: the views of older people experiencing difficulties keeping warm in winter
- Author:
- WRIGHT Fay
- Publisher:
- Help the Aged
- Publication year:
- 2004
- Pagination:
- 60p.
- Place of publication:
- London
The report seeks to examine the views, attitudes, perceptions and behaviour of older people who are in fuel poverty or who are concerned about heating their homes. The study offers an important new perspective on what should be done to ensure that older people in the UK live in warm homes during the winter months.
What makes older people choose residential care, and are there alternatives?
- Authors:
- STILWELL Pippa, KERSLAKE Andrew
- Journal article citation:
- Housing Care and Support, 7(4), December 2004, pp.4-8.
- Publisher:
- Emerald
Summarises some results of a survey of 36 older people recently admitted to care homes aiming to estimate how many might have been able to take advantage of Extra Care housing provision as an alternative. Information was collected via interview and semi-structured questionnaire on circumstances prior to admission and decisive factors in directing them towards residential care. It was estimated that two-thirds of those included could have benefited actively from Extra Care provision, either currently or at the time of an earlier move.
Using resident reports of quality of life to distinguish among nursing homes
- Authors:
- KANE Robert L., et al
- Journal article citation:
- Gerontologist, 44(5), October 2004, pp.624-632.
- Publisher:
- Oxford University Press
The authors used measures created to assess the quality of life (QOL) of nursing home residents to distinguish among nursing facilities. They statistically adjusted scores for 10 QOL domains derived from standardized interviews with nursing home residents for age, gender, activities of daily living functioning, cognitive functioning, and length of stay, and then we aggregated them to the facility level. The authors then compared the patterns across a sample of 40 facilities. They correlated facility characteristics with QOL scores. The pattern of QOL scores for each of the 10 domains was generally consistent within a given facility. Although resident characteristics played a major role in explaining variance, there were significant effects of facilities as well. Some modest relationships were found between facility characteristics such as ownership, percentage of private rooms, and rural–urban location and facility QOL scores. No effect of facility size was detected. This article shows that it is possible to differentiate among facilities on the basis of resident self-reported QOL.
Quality of life and older people
- Authors:
- BOND John, CORNER Lynne
- Publisher:
- Open University Press
- Publication year:
- 2004
- Pagination:
- 131p.bibliog.
- Place of publication:
- Maidenhead
Provides a critical approach to the conceptualization and measurement of quality of life in social gerontology and health and social care research. The book re-examines what we mean by 'quality of life' in a post-modern world, and examines the impact of continuous personal and social changes on the lives of older people. The book explores ideas about quality of life in social gerontological literature, and describes the experiences of older people through both their own personal accounts and representations in everyday life, popular culture and scientific research. The book reviews the way that older people talk about their quality of life and how this differs from the ways that younger people, researchers and scientists, policy makers and professionals discuss it. The book draws on a range of behavioural and social science knowledge to present a new way of thinking about and understanding quality of life and older people. While the book provides a critique of existing social science theories underpinning conceptions of quality of life it also address operational issues for the use of quality of life in social gerontological research.
From the woman's viewpoint: ethical dilemmas confronted by women as informal caregivers of frail elders
- Author:
- KOENIG Terry L.
- Journal article citation:
- Families in Society, 85(2), April 2004, pp.236-242.
- Publisher:
- The Alliance for Children and Families
Women as informal caregivers face complex ethical dilemmas in caring for a frail elder. Through in depth interviews with 13 ethnically diverse caregivers, this qualitative study explored women’s ethical decision-making. Focus group interviews of home health staff, key informant caregivers, and interviewees provided guidance for research design, reflection on findings and development of implications. Findings are integrated into an ethical decision-making model that includes types of ethical dilemmas (e.g. protection of life vs. autonomy); feelings that permeate decision making (e.g. fear); processes for addressing ethical dilemmas (e.g. family collaboration); and supportive services. Implications include expansion of services to meet caregivers’ ongoing needs, research that acknowledges multiple decision-making components, and the use of caregiving vignettes in the classroom.
Fall detectors: do they work or reduce the fear of falling?
- Authors:
- BROWNSELL S, HAWLEY M.
- Journal article citation:
- Housing Care and Support, 7(1), February 2004, pp.18-24.
- Publisher:
- Emerald
This study sought to discover the views of users and providers on fall detectors and to quantify the impact fall detectors have on the fear of falling. Five focus groups comprising of a total of 34 older people from Age Concern day centres, residents from a sheltered housing scheme and representatives form older people's forums in South Yorkshire were conducted. Six groups were also held with service providers, where 25 people were consulted. The study also included a trial of an automatic fall detector, conducted with 55 users aged 60 or over how had fallen in the previous six months or users over the age of 75. The results of the study suggest that fall-monitoring equipment is not considered routinely as part of a care package, and knowledge of devices is poor. A trial of automatic fall detectors provided indicated that they may reduce fear of falling for certain users and so should be considered in falls management, but more evidence and understanding are required to appreciate both the benefits and shortfalls of providing equipment of this sort.
AWARE: exploring awareness in early stage dementia
- Authors:
- CLARE Linda, et al
- Journal article citation:
- Journal of Dementia Care, 12(2), March 2004, p.35.
- Publisher:
- Hawker
The authors explore the concept of 'awareness' in dementia. Also outlines the AWARE project, funded by the European Commission, which aims to share ideas about awareness in dementia and develop a plan for future research that includes the perspectives of people who are living with dementia.