Search results for ‘Subject term:"residential care"’ Sort:
Results 1 - 10 of 180
Surveillance technologies in care homes: seven principles for their use
- Author:
- FISK Malcolm John
- Journal article citation:
- Working with Older People, 19(2), 2015, pp.51-59.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider the use of surveillance technologies in care homes and the way in which they can help protect older people. It signals an ethical way forward for their use that de-fuses the heightened rhetoric associated with concerns about the abuse. Totally, seven principles are put forward by which the use of surveillance technologies can be supported. Design/methodology/approach: The paper recognises the significance of technological developments and the key part that they now play in helping people live more independently. Surveillance technologies have a part in this within care homes, but there are important ethical considerations – notably around the way in which concerns for privacy are balanced with those about people’s safety and autonomy. Findings: The paper points to an approach that can guide the use of surveillance technologies within care homes. The seven principles put forward will be built on through further work in 2015 including care home residents, family carers, formal care providers and others. In setting out these principles the paper mediates between the positions of those who argue the merits of such technologies and those who point to some of them, notably cameras, as undermining people’s privacy and the nature of the “care relationship”. Originality/value: The subject matter of the paper is important because of the attention being given to problems of abuse in care settings; and the freedom by which anyone can access technologies that can be used for surveillance. The paper is timely and carries substantial originality. (Publisher abstract)
The future of mental handicap hospital services in Scotland
- Authors:
- LOUDON J.B., chair
- Publisher:
- HMSO/Great Britain. Scottish Office. Home and Health Department
- Publication year:
- 1992
- Pagination:
- 122p.,bibliog.
- Place of publication:
- Edinburgh
Report of a working group which includes recommendations for the provision of community care services.
COVID-19 recommendations for assisted living: implications for the future
- Authors:
- VIPPERMAN Andrew, ZIMMERMAN Sheryl, SLOANE Philip D.
- Journal article citation:
- Journal of the American Medical Directors Association, 22(5), 2021, pp.933-938.e5.
- Publisher:
- Elsevier (for the American Medical Directors Association)
Objectives: Assisted living (AL) emerged over 2 decades ago as a preferred residential care option for older adults who require supportive care; however, as resident acuity increased, concern has been expressed whether AL sufficiently addresses health care needs. COVID-19 amplified those concerns, and an examination of recommendations to manage COVID-19 may shed light on the future of AL. This review summarizes recommendations from 6 key organizations related to preparation for and response to COVID-19 in AL in relation to resident health and quality of life; compares recommendations for AL with those for nursing homes (NHs); and assesses implications for the future of AL. Design: Nonsystematic review involving search of gray literature. Setting and Participants: Recommendations from key governmental bodies and professional societies regarding COVID-19 in AL, long-term care facilities (LTCFs) in general, and NHs. Measures: The researchers collected, categorized, and summarized these recommendations as they pertained to quality of life and health care. Results: Many recommendations for AL and NHs were similar, but differences provided insight into ways the pandemic was recognized and challenged AL communities in particular: recommending more flexible visitation and group activities for AL, providing screening by AL staff or an outside provider, and suggesting that AL staff access resources to facilitate advance care planning discussions. Recommendations were that AL integrate health care into offered services, including working with consulting clinicians who know both the residents and the LTC community. Conclusions and Implications: Long-term care providers and policy makers have recognized the need to modify current long-term care options. Because COVID-19 recommendations suggest AL communities would benefit from the services and expertise of social workers, licensed nurses, and physicians, it may accelerate the integration and closer coordination of psychosocial and medical care into AL. Future research should investigate different models of integrated, interdisciplinary health care in AL. (Edited publisher abstract)
Health care professionals’ perspectives of advance care planning for people with dementia living in long-term care settings: a narrative review of the literature
- Authors:
- BECK Esther-Ruth, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 16(4), 2017, pp.486-512.
- Publisher:
- Sage
This paper provides an overview of the evidence on the perspective of health care professionals (HCPs) in relation to advance care planning (ACP) for people with dementia, residing in long-term care settings. A narrative approach was adopted to provide a comprehensive synthesis of previously published literature in the area. A systematic literature search identified 14 papers for inclusion. Following review of the studies four themes were identified for discussion; Early integration and planning for palliative care in dementia; HCPs ethical and moral concerns regarding ACP; Communication challenges when interacting with the person with dementia and their families and HCPs need for education and training. Despite evidence, that HCPs recognise the potential benefits of ACP, they struggle with its implementation in this setting. Greater understanding of dementia and the concept of ACP is required to improve consistency in practice. Synthesising the existing evidence will allow for further understanding of the key issues, potentially resulting in improved implementation in practice. (Publisher abstract)
A qualitative study of nursing assistants' awareness of person-centred approaches to dementia care
- Authors:
- HUNTER Paulette V., HADJISTAVROPOULOS Thomas, KAASALAINEN Sharon
- Journal article citation:
- Ageing and Society, 36(6), 2016, pp.1211-1237.
- Publisher:
- Cambridge University Press
Recently, the number of education programmes addressing person-centred approaches to long-term residential dementia care has increased, and nursing assistants (NAs) are often the target audience. The effectiveness of employee education programmes is actively debated, and the author's objective is to contribute to this discussion by exploring the knowledge NAs acquire through practice. The authors examined approaches to person-centred care generated during a series of interviews with NAs, and compared these to the content of five frameworks for person-centred dementia care. Results suggest that although NAs acquire significant knowledge about person-centred dementia care during the course of their work, application of person-centred care strategies varies across NAs. The authors propose ways of enhancing NA education in order to address gaps in knowledge. They also recommend sustained attention to organisational factors that contribute to variability in practice. (Edited publisher abstract)
Improving oral health of institutionalized older people with diagnosed dementia
- Authors:
- ZENTHOFERA Andreas, et al
- Journal article citation:
- Aging and Mental Health, 20(3), 2016, pp.303-308.
- Publisher:
- Taylor and Francis
Objective: Previous research has revealed poor oral hygiene and health among older people suffering from dementia. To evaluate the oral health and denture hygiene of older people with and without dementia, six months after carer have followed a dental education programme. Method: Ninety-three older people living in four long-term care homes in south-western Germany were included in this longitudinal cohort study. All participants were allocated into two groups on basis of the medical dementia diagnosis extracted from the medical records in the care documentation: suffering from dementia (n = 33) or not (n = 60). For each participant plaque control record, gingival bleeding index (GBI), community periodontal index of treatment needs (CPITN), and denture hygiene index (DHI) were assessed at baseline and six months after carer have followed a dental education programme, and after use of ultrasonic devices for denture cleaning. Differences between all target variables from baseline to follow-up, and between participants with and without dementia, were evaluated by bivariate and multivariate testing. Results: In bivariate testing, participants with dementia had a significantly lower DHI (p < 0.001), a lower GBI (p < 0.05), and a lower CPITN (p < 0.01) at follow-up. In participants without dementia, only for DHI (p < 0.001) a significant improvement was observed. In multivariate analyses, the significant association could not be reproduced (p > 0.05). Conclusions: Use of ultrasonic baths can be a successful means for improving denture hygiene among older people in long-term care with and without dementia. Education for carer in order to improve oral hygiene, however, seems to be of minor significance and to be more effective for people with dementia. (Publisher abstract)
UK healthcare: development opportunities 2014
- Author:
- KNIGHT FRANK
- Publisher:
- Knight Frank
- Publication year:
- 2014
- Pagination:
- 6
- Place of publication:
- London
An analysis of current trends in the demand for new care home development in the UK. It shows that demand is expected to improve going forward, driven by strong growth prospects in the UK's population of over 65s and as current stock approaches obsolescence. The analysis reveals that more than half of the 12 counties in England and Wales with the highest prospects of development are located in the UK's southern regions, with Greater London climbing to the top spot. The Scotland Hotspots analysis reveals that Highlands and Islands has replaced Borders as the top ranked county for care home development. (Edited publisher abstract)
The first step?: a response to the Commission on Funding of Care and Support
- Author:
- LLOYD James
- Publisher:
- Strategic Society Centre
- Publication year:
- 2011
- Pagination:
- 83p.
- Place of publication:
- London
This report from the Commission on Funding of Care and Support asks: why is it necessary for the state to provide protection against the catastrophic costs of long-term care?; what will the 'capped cost' model mean for how local authorities assess need and allocate resources?; and how will the design of the 'capped cost' model determine the use of financial products in the social care system? The Commission’s proposals are built around the ‘limited liability principle’: individuals should not be exposed to the risk of ‘catastrophic’ accumulated care costs; given the insurance industry cannot offer protection; the state must step in and provide it instead. In the Commission’s ‘capped cost’ model, all individuals with eligible needs – proportional to receipt of informal care – would be allocated notional cash support, even if they are too wealthy to qualify for actual support. Once the accumulated notional support reaches £35,000, they would be reassessed on a ‘means-blind’ basis. Given most of the extra spending would go to wealthier households, stakeholders may insist it is wealthier older households who shoulder the extra costs. Older people’s property wealth remains the best potential source of untapped new finance to bring into the social care system.
There's no place like home: place and care in an ageing society
- Author:
- MILLIGAN Christine
- Publisher:
- Ashgate
- Publication year:
- 2009
- Pagination:
- 188p.
- Place of publication:
- Farnham
This book addresses key concerns about the nature and site of care and care-giving. Following a review of research into who cares, where and how, it uses geographical perspectives to present a comprehensive analysis of how the intersection of informal care-giving within domestic, community and residential care homes can create complex landscapes of care. Case studies are used to develop a theoretical basis for a geographical analysis of the issue of care. By relating these theoretical concepts to empirical data and case studies it describes how formal and informal care-giver responses can act to facilitate or constrain the development of inclusionary models of care. Although much of the focus of this book is on the care of older people within the UK, many of the core themes and concepts discussed are of wider relevance. Chapters include: conceptualising the complex landscapes of care; who cares? people, place and gender; mapping the contours of care: international and transnational perspectives; care and home; the impact of new care technologies on home and care; care and community?; care and transition: from community to residential care; emotion and the socio-spatial mediation of care; and reconfiguring the landscape of care: porosity, integration and extitution.
'Out of area, out of sight?': review of out of area placement arrangements made by social services and health for people with learning disabilities from the West Midlands
- Authors:
- RITCHIE Fiona, et al
- Publisher:
- Birmingham and the Black Country Strategic Health Authority; West Midlands South Strategic Health Authority
- Publication year:
- 2005
- Pagination:
- 84p.
- Place of publication:
- Birmingham
People with learning disabilities have a different pattern of disease from the general population and high health needs that are frequently unidentified and unmet. Many require responses from general and specialist health services. A picture is emerging of some people with learning disabilities, often with complex care needs, moving from their home area on what is being termed, out-of-area placements, to receive specialist care. However, within the learning disability population, the impact on health services is not fully known.