Search results for ‘Subject term:"older people"’ Sort:
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Bodywork in dementia care: recognising the commonalities of selfhood to facilitate respectful care in institutional settings
- Author:
- KELLY Fiona
- Journal article citation:
- Ageing and Society, 34(6), 2014, pp.1073-1090.
- Publisher:
- Cambridge University Press
This paper draws on two data sources (Kelly's ethnographic study and a British Broadcasting Corporation television programme) to explore the practice of bodywork in the care of frail people with dementia in institutional settings. It explores the complexity of engaging in bodywork, particularly work that is distasteful to the care-worker, and shows how non-recognition of the selfhood of the person with dementia can result in practices that are demeaning and potentially abusive to those in receipt of such work. In contrast to a person-centred approach that urges practitioners to acknowledge people with dementia as unique individuals, with unique needs, wishes, abilities and desires, this paper argues for the use of Sabat's Selfs 1–3 construct to look for commonalities of selfhood, enabling care workers to recognise aspects of themselves in their patients as they carry out care, thereby facilitating care that empathically respects their patients' dignity and potential for vulnerability. Thus, it aims to advance theory and improve practice by arguing for the necessity of putting selfhood at the forefront of bodywork in order to facilitate respectful care that dignifies rather than objectifies the person. (Publisher abstract)
What’s in a word? The importance of the concept of “values” in the prevention of abuse of older people in care homes
- Author:
- MOORE Steve
- Journal article citation:
- Journal of Adult Protection, 19(3), 2017, pp.130-145.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present some of the findings from an empirical, mixed methods research project that reveal the importance of the personal value frameworks held by individual staff in the prevention of abuse of older people in private sector care homes. Design/methodology/approach: Semi-structured interviews were undertaken with a sample of 36 care home personnel, including proprietors, care managers and care staff. Findings: A significant number of respondents identified the importance of personal value frameworks among staff providing care as a potential contributory factor in the prevention of abuse of older people. Research limitations/implications: Though the research draws upon the experiences of only 36 care home personnel through interviews, data suggest that the personal evaluations of staff towards those in their care is a significant contributory factor to the occurrence of abuse. Originality/value: The research has identified individual staff value frameworks as a causal factor in the occurrence of abuse. The research also confirms that the perceptions of “values” among respondents directly involved in the provision of care are at odds with common understanding of “values” often cited elsewhere in connection with staff recruitment and training as a means of preventing the occurrence of abuse. (Publisher abstract)
Only available to a selected few? Is it feasible to rely on a volunteer workforce for complex intervention delivery?
- Authors:
- MOUNTAIN Gail, et al
- Journal article citation:
- Health and Social Care in the Community, 25(1), 2017, pp.177-184.
- Publisher:
- Wiley
This paper recounts the process of undertaking a randomised controlled trial which was designed to examine the effectiveness of an intervention for socially isolated older people aged 75 years and over. It describes the reasons for early cessation of the study and raises the implications of this outcome for policy, practice and research. The intervention under investigation was designed to alleviate loneliness and foster companionship. It involves participants being linked with a small group of others through a teleconferencing system with each group being facilitated by trained volunteers. There was a requirement to recruit and train a minimum of 30 and a maximum of 60 volunteers over 1 year to facilitate 20 friendship groups to meet the number of older people required to be recruited to the study. Problems with recruiting and retaining the volunteer workforce by the voluntary sector organisation, who were commissioned to do so, led to the study closing even though older people were recruited in sufficient numbers. The paper draws upon analysis of various data sources from the study to identify the potential reasons. The discussion raises considerations regarding the extent of infrastructure required to deliver community services to vulnerable user groups at scale, identifies some of the issues that need to be addressed if such volunteer-initiated services are to be successful and informs future research programmes in this area. (Publisher abstract)
Fit for frailty: consensus best practice guidance for the care of older people living with frailty in community and outpatient settings
- Author:
- TURNER Gillian
- Publisher:
- British Geriatrics Society
- Publication year:
- 2014
- Pagination:
- 27
- Place of publication:
- London
The first of a two-part guidance on the recognition and management of older patients with frailty in community and outpatient settings. This guide has been produced in association with the Royal College of General Practitioners (RCGP) and Age UK and aims to be an invaluable tool for social workers, ambulance crews, carers, GPs, nurses and others working with older people in the community. The guidance will help them to recognise the condition of frailty and to increase understanding of the strategies available for managing it. In the guidelines, the British Geriatrics Society (BGS) calls for all those working with older people to be aware of, and assess for frailty. It dispels the myth that all older people are frail and that frailty is an inevitable part of age. It also highlights the fact that frailty is not static. Like other long term conditions it can fluctuate in severity. (Edited publisher abstract)
Commissioning social care for older people: influencing the quality of direct care
- Authors:
- CHESTER Helen, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 34(6), 2014, pp.930-950.
- Publisher:
- Cambridge University Press
The delivery of personalised support to vulnerable older people is largely contingent on those staff who provide direct care. These care workers play an invaluable role in supporting vulnerable older people that may have increasingly complex needs either at home or in care homes. Internationally, concern has been raised both about the recruitment and retention of care workers; and their skills and competencies because of their importance in the delivery of quality care services. Using both primary and secondary data, this paper explores commissioning and contracting arrangements for domiciliary care and care home provision in England and their influence on the recruitment and retention of staff in these services. The implications of the findings are discussed in the context of two factors which influence continuity of care, a proxy for quality services for older people: training opportunities for staff and factors affecting the supply of labour from which direct carers are traditionally recruited. It is suggested that some of the drivers of quality in the provision of care may not be susceptible to the influence of commissioners and providers. Nevertheless, training may aid the recruitment and retention of care workers and provide one way in which they can promote a higher standard of care for older people. (Publisher abstract)
Home for good?: preparing to support people with learning difficulties in residential settings when they develop dementia
- Authors:
- WILKINSON Heather, et al
- Publisher:
- Pavilion,|Joseph Rowntree Foundation
- Publication year:
- 2004
- Pagination:
- 53p.
- Place of publication:
- Brighton
This book explores the findings of a study which investigated the current models of practice for supporting people with learning difficulties and dementia. It looked at the key issues relating to people with learning difficulties with dementia living in care home settings and discovered some examples of best practice in care home provision. The contents include: experiences and issues for co-residents and relatives; experiences, knowledge and working practices of staff; hidden findings on environmental issues and issues in relation to pain; strategies for providing services when someone has to move. to providing personal details also improved relationships between the residential home and relatives.
Barred from entry?
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 22.7.04, 2004, pp.30-31.
- Publisher:
- Reed Business Information
Looks at the protection the Protection of Vulnerable Adults (POVA) register will provide, and how it will weed out unsuitable care workers.
Vulnerability to elder abuse and neglect in assisted living facilities
- Authors:
- WOOD Stacey, STEPHENS Mary
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.753-757.
- Publisher:
- Oxford University Press
The purpose of this study was to examine the decision-making abilities of residents in assisted living regarding abuse and neglect. Twenty-seven residents in assisted living facilities were recruited for this descriptive study. Participants were administered an interview to assess baseline knowledge of support services, including ombudsman programs. They were next asked to watch videotaped scenarios of common types of elder abuse (physical, verbal, fiduciary, neglect) and asked to identify abusive situations. Finally, the participants were asked to develop a plan of action if they were to experience similar situations. The results suggested poor awareness of available elder support services (M = 25%). Residents performed fairly well in the simple identification of the abusive situations (54%), but had difficulty generating acceptable strategies for handling abusive situations. Approximately 25% had no suggestion, 50% reported they would consult a family member, and 25% had nonspecific suggestions (e.g., talk to staff about problem). The results of this study suggest that residents of assisted living facilities are poorly informed about protective services and uncertain about options if care were not optimal. Further work with larger samples is needed to confirm these results.
Decision-making and adult protective services workers: identifying critical factors
- Author:
- BERGERON L. Rene
- Journal article citation:
- Journal of Elder Abuse and Neglect, 10(3/4), 1999, pp.87-113.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article identifies 10 major critical factors used by adult protection service workers in New Hampshire when intervening in substantiated cases of elder physical abuse. The qualitative methodological framework utilised a literature review, two focus groups, 15 individual face to face interviews, and a modified Delphi method of analysis. The findings identify the strengths and flaws in the decisional process and suggest considerations for further study.
Themes from a grounded theory analysis of elder neglect assessment by experts
- Authors:
- FULMER Terry, et al
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.745-752.
- Publisher:
- Oxford University Press
This paper describes one program that has developed a screening procedure for assessing elder mistreatment, with a special focus on elder neglect. The aim is to understand how expert neglect assessment teams process and diagnose complex geriatric cases referred for suspected elder neglect. The article asks what are the key themes that must be understood in order to determine if neglect should be suspected and confirmed? Transcripts of audiorecordings of neglect assessment team meetings were analyzed by using grounded theory analysis. Four major themes emerged from the analysis of the transcripts. These themes were understanding the underlying health status of the elder and caregiver, understanding the socioeconomic and life circumstances of the dyad, credibility of data collected by others, and the consequences of the assessment outcome. These findings offer insight into the development of future clinical screening and assessment procedures used to make diagnoses about elder neglect, as well as the guidelines that govern neglect assessment. Understanding not only the high-risk signs and symptoms but also the context and consequences of neglect is critical. Future screening and assessment procedures should be developed with these data in mind.