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‘It gives you more to life, it's something new every day’: an Interpretative Phenomenological Analysis of wellbeing in older care home residents who keep a personal pet
- Authors:
- FREEDMAN Shoshanna, PARAMOVA Petia, SENIOR Victoria
- Journal article citation:
- Ageing and Society, 41(9), 2021, pp.1961-1983.
- Publisher:
- Cambridge University Press
There is a substantial amount of literature that suggests that animals, and specifically animals kept as pets, can have a positive effect on wellbeing. Research exploring the impact of animals on wellbeing in care homes mainly concerns visiting animals as well as shared communal pets. In light of the lack of research regarding personal pets in care homes, the aim of this study was to explore what the experience of keeping a personal pet in a care home means for residents’ sense of wellbeing. Semi-structured interviews were conducted with seven care home residents who were currently living with their pet in a care home. Interviews were analysed using Interpretative Phenomenological Analysis (IPA). Analysis revealed four master themes deemed to be relevant to participants’ wellbeing. these were: ‘sense of self and identity’, ‘responsibility and ownership’, ‘motivation and desire to live’ and ‘feeling content in the care home’. The analysis indicated that living with a personal pet in a care home has the potential to enhance residents’ wellbeing. At the same time, it also found that the benefits of keeping a personal pet may be dependent on specific circumstances, such as the attitudes of staff and fellow residents at the care home. This study indicates that it may be advisable for more care homes to accept personal pets. (Edited publisher abstract)
Systematic review of the impact of arts for health activities on health, wellbeing and quality of life of older people living in care homes
- Authors:
- CURTIS Amy, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 17(6), 2018, pp.645-669.
- Publisher:
- Sage
Care home populations frequently feature older people who often experience poor physical health and cognitive difficulties, along with vulnerability to psychological and social stressors. To date there has been no systematic review which focuses on the impact of arts for health activities to the care home population. Evidence was sourced from several databases and 71 studies were deemed eligible for inclusion in this review. These studies underwent data extraction and quality appraisal and the findings associated with health, wellbeing and quality of life are presented within this paper.
Promoting positive mental wellbeing for older people
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publishers:
- Social Care Institute for Excellence, National Institute for Health and Care Excellence
- Publication year:
- 2020
- Pagination:
- 4
- Place of publication:
- London
A quick guide to help managers of care homes to identify older people’s individual needs and to improve their mental wellbeing by offering personalised support. The guide covers: valuing personal identity, providing a choice of meaningful activity, helping people to improve their health and mental wellbeing, and providing access to healthcare. The guide is based on NICE’s quality standard on mental wellbeing of older people in care homes. (Edited publisher abstract)
Dignity in care: personal hygiene
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 14 minutes 56 seconds
- Place of publication:
- London
This film gives us an insight into people’s lives and the way they want to maintain their surroundings. It illustrates how good personal hygiene and helping people to look their best is an important part of maintaining dignity. It shows examples of the personal care provided to residents living at Wren Hall Care home which help to improve their wellbeing, such as: a manicure, having your hair styled, foot care, and using moisturiser to keep the skin hydrated. The film also highlights the importance of providing personal care in a way that people want. Howard, who also lives at Wren Hall, prefers to have a wet shave. Helping people look their best and take pride in their appearance, helps boost their confidence and makes them feel better about themselves. The film makes a case that getting your hair done or being complimented on the way you look, among other things, can play a central role in providing dignity. (Edited publisher abstract)
Care homes action plan: final update: how we have supported care homes during the winter
- Author:
- WALES. Welsh Government
- Publisher:
- Wales. Welsh Government
- Publication year:
- 2021
- Pagination:
- 26
- Place of publication:
- Cardiff
This report provides a final update on progress in relation to the actions set out in the Care homes action plan, reflecting on lessons learnt during the pandemic and next steps. It focuses on six specific areas: infection prevention and control; personal protective equipment (PPE); general and clinical support for care homes; residents’ well-being; social care workers’ well-being; and financial sustainability. Effective use of testing, PPE and infection prevention and control practices have seen a noticeable drop in the number of positive test results within care homes. The vaccination programme, whilst not removing the need to ensure these practices remain in place and are adhered to, has also been seen as providing a glimmer of light at what has been a very long tunnel. Financial sustainability of the sector remains a significant challenge. COVID-19 has had an impact on the financial position of many care providers due to the additional cost pressures surrounding additional infection prevention and control activity and staffing constraints, alongside a reduction in income. (Edited publisher abstract)
Sources of well-being for older adults with and without dementia in residential care: relations to presence of meaning and life satisfaction
- Authors:
- DEWITTE Laura, et al
- Journal article citation:
- Aging and Mental Health, 25(1), 2021, pp.170-178.
- Publisher:
- Taylor and Francis
Objectives: To explore what sources of well-being are rated meaningful by older adults in residential care and how they are related to two important well-being outcomes. Method: Two cross-sectional questionnaire studies were conducted in a sample of care residents without cognitive disability (n = 329) and with Alzheimer’s disease (n = 104). Structural equation modelling was used to test a hypothesized and exploratory model of different sources as predictors of presence of meaning in life (POM) and satisfaction with life (SWL). Results: Family and Health were rated most meaningful by residents with and without dementia. In both studies, the hypothesized model showed adequate fit with the data. For cognitively intact residents, Personal Growth, Spirituality/Religion, and Interpersonal Relationships predicted POM, while Family and Leisure predicted SWL. Exploratory testing identified Leisure as a possible additional predictor of POM. For residents with Alzheimer’s disease, Personal Growth and Society/Community predicted POM, while Family predicted SWL. Conclusion: For older adults in residential care, many sources of well-being remain highly meaningful and some are directly related to the experience of meaning and life satisfaction. Both for residents with and without dementia, continued or increased investment in moments that foster personal growth and family relationships might be especially valuable. (Edited publisher abstract)
Is greenery associated with mental health among residents of aged care facilities? A systematic search and narrative review
- Authors:
- CARVER Alison, et al
- Journal article citation:
- Aging and Mental Health, 24(1), 2020, pp.1-7.
- Publisher:
- Taylor and Francis
Objectives: Older adults living in residential aged care facilities (RACFs) may be vulnerable to mental health issues. Evidence suggests greenery is beneficial for adults’ mental health in community settings. This review aims to summarise evidence of associations between greenery in RACFs and residents’ mental health. Method: Six databases were searched with three sets of terms related to: (1) exposure (e.g. garden, green); (2) outcome (e.g. mental health, well-being); and (3) setting (e.g. aged care, nursing home). The inclusion criteria were peer-reviewed journal articles published in English up to 2017, reporting quantitative/qualitative associations between greenery and mental health in RACFs. Results: Of the nine articles identified, seven reported positive associations between greenery (in particular, garden use) at RACFs and some aspect of residents’ mental well-being (e.g. quality of life); however, four out of seven studies used observations and perceptions of staff and relatives. One study examined depression and reported reduction in depression following garden use, while one examined physiological indicators of stress (blood pressure, heart rate) and found no association with garden use. Seven studies examined garden use and four examined the presence of greenery (two examined both exposures). Conclusion: Exposure to greenery and use of greenspace in RACFs show promise for promoting mental health. However, the findings relied mainly on non-validated measures of mental health. More robust evidence based on valid and reliable mental health measures is needed. Future studies also need to examine the effect of visual exposure to greenery and the effect of greenery on stress reduction. (Publisher abstract)
Physical activity promotion in care homes
- Authors:
- TURPIE Lindsay, WHITELAW Sandy, TOPPING Christopher
- Journal article citation:
- Working with Older People, 21(4), 2017, pp.206-214.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report on the implementation of a physical activity (PA) scheme – Let’s Motivate (LM) – within private care homes (CHs) in Dumfries and Galloway (D&G), Scotland; aiming to provide an insight into the different factors which might contribute to its success and further sustainability. Design/methodology/approach: A qualitative study is described in which one-to-one semi-structured interviews were carried out with eight key staff involved in implementing the project within two purposively sampled CHs; in order to explore their views and experiences of implementation. Findings: The paper provides an insight into the different factors which stand to both promote and impede the successful implementation of LM, within the two CHs involved. Originality/value: This paper explores a new and innovative PA initiative in CHs in D&G, Scotland. Studies exploring the factors which can both promote and impede implementation are important as they can help to usefully inform the implementation and sustainability of initiatives. (Publisher abstract)
Carers' experiences when the person for whom they have been caring enters a residential aged care facility permanently: a systematic review
- Authors:
- JACOBSON Janelle, et al
- Journal article citation:
- JBI Database of Systematic Reviews and Implementation Reports, 13(7), 2015, Online only
- Publisher:
- Wolters Kulwer
Background: Research has identified the mixed feelings carers experience when the person they have been caring for is admitted into a residential aged care facility permanently and the importance of understanding these experiences as a means to implementing policies and programs that enhance carers' well-being. This systematic review was motivated by the need to use evidence to inform effective and feasible interventions to support carers. Objectives: The objective of this qualitative systematic review was to identify and synthesise the evidence on the experiences of carers of older people when the person they had been providing care for is admitted permanently into a residential aged care facility, and to draw recommendations from the synthesis of the evidence on these experiences to enhance policy and programming aimed at supporting affected caregivers. Types of participants: All carers of people who had experienced the person they had been caring for at home being moved into a residential aged care facility permanently. Phenomena of interest: Experiences of the caregiver of the older person when the person they have been caring for at home is admitted into a residential aged care facility permanently. Search Strategy: Comprehensive searches were conducted on leading databases. The search considered studies reported in English and published from the database inception to 10 November 2013. Types of studies: The review considered qualitative studies, including but not limited to designs such as phenomenology, grounded theory, ethnography and action research. Types of outcomes: The outcomes are in the form of synthesised findings pertaining to carers’ experiences when the person they have been caring for is admitted into a residential aged care facility permanently. (Edited publisher abstract)
Making music: promoting wellbeing for older people
- Author:
- VICKERMAN Julie
- Journal article citation:
- Nursing and Residential Care, 15(4), 2013, pp.210-213.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Musical activity is something that care home residents and staff can enjoy, which can impact on the ethos of the home. This article looks at the different ways music can be used in a care home and reviews projects in care homes across the UK. One case study features Out and About, a touring group who visit care homes. The group have piloted a new approach where volunteers, people with dementia and their carers take singing into the community. (Edited publisher abstract)