Dignity and Dementia: An Analysis of Dignity of Identity and Dignity Work in a Small Residential Home

2009 ◽  
pp. 77-98 ◽  
Author(s):  
Magnus hlander
Keyword(s):  
2021 ◽  
Vol 10 (2) ◽  
pp. e001380
Author(s):  
John Percival ◽  
Katharine Abbott ◽  
Theresa Allain ◽  
Rachel Bradley ◽  
Fiona Cramp ◽  
...  

BackgroundBladder and bowel control difficulties affect 20% and 10% of the UK population, respectively, touch all age groups and are particularly prevalent in the older (65+ years) population. However, the quality of continence care is often poor, compromising patient health and well-being, increasing the risk of infection, and is a predisposing factor to nursing and residential home placement.ObjectiveTo identify factors that help or hinder good continence care for patients aged 65 years and over in hospital medical ward settings. Medical care, not surgical, was our exclusive focus.MethodsWe conducted 27 qualitative interviews with nursing, medical and allied health practitioners in three hospitals. We used a purposive sample and analysed data thematically, both manually and with the aid of NVivo software.ResultsInterviews revealed perspectives on practice promoting or inhibiting good quality continence care, as well as suggestions for improvements. Good continence care was said to be advanced through person-centred care, robust assessment and monitoring, and a proactive approach to encouraging patient independence. Barriers to quality care centred on lack of oversight, automatic use of incontinence products and staffing pressures. Suggested improvements centred on participatory care, open communication and care planning with a higher bladder and bowel health profile. In order to drive such improvements, hospital-based practitioners indicate a need and desire for regular continence care training.ConclusionsFindings help explain the persistence of barriers to providing good quality care for patients aged 65 years and over with incontinence. Resolute continence promotion, in hospitals and throughout the National Health Service, would reduce reliance on products and the accompanying risks of patient dependency and catheter-associated gram-negative bacteraemia. Robust assessment and care planning, open communication and regular continence care training would assist such promotion and also help mitigate resource limitations by developing safer, time-efficient continence care.


2002 ◽  
Vol 16 (2) ◽  
pp. 129-136 ◽  
Author(s):  
Lucas J. Tiesinga ◽  
Ate Dijkstra ◽  
Theo W.N. Dassen ◽  
Ruud J.G. Halfens ◽  
Wim J.A. van den Heuvel
Keyword(s):  

2014 ◽  
Vol 45 (8) ◽  
pp. 2423-2440 ◽  
Author(s):  
Maria Söderberg ◽  
Agneta Ståhl ◽  
Ulla Melin Emilsson

Author(s):  
Lucia Kantorova ◽  
Jiří Kantor ◽  
Barbora Hořejší ◽  
Avi Gilboa ◽  
Zuzana Svobodova ◽  
...  

Background: In the midst of a worldwide COVID-19 pandemic, music therapists previously not involved in telehealth had to develop effective remote forms of music therapy. The objective of this review was to systematically explore how music therapists previously working in-person adapted to the transfer to remote forms of therapy in the context of the coronavirus outbreak. Methods: We searched Scopus, Web of Science Core Collection, CINAHL, Medline, ProQuest Central, PubMed, EMBASE, PsycINFO and PsyARTICLES, grey literature (to October 2020), and websites of professional organizations. We followed the JBI methodology for scoping reviews. Results: Out of the 194 screened texts, we included ten very heterogeneous articles with an overall very low quality. Most texts described remote therapy in the form of synchronous video calls using the Internet, one paper described a concert in a patio of a residential home. We report the authors’ experience with the adaptation and activities, challenges and benefits of remote forms of therapy, recommendations of organizations, and examples and tips for online therapies. Conclusions: Music therapists have adapted the musical instruments, the hours, the technology used, the therapeutic goals, the way they prepared their clients for sessions, and other aspects. They needed to be more flexible, consult with colleagues more often, and mind the client-therapist relationship’s boundaries. It seems, when taken as a necessary short-term measure, online music therapy works sufficiently well. The majority of papers stated that benefits outweighed the challenges, although many benefits were directly linked with the pandemic context.


1977 ◽  
Vol 15 (21) ◽  
pp. 84-84

This recent Consumer Publication stresses that the decision where to retire needs to be thought about carefully and in good time. It discusses whether to move, or to stay put and adapt an existing house to be easier and safer to live in, for advancing years may make some activities more difficult - climbing stairs, carrying coal, driving, shopping. The book advises on grants and other help to make any necessary adaptations, deals with the position of private and council tenants, describes sheltered housing schemes, granny flats, mobile homes and discusses the choice of a residential home for elderly people. Some sources of help or information are listed.


Sign in / Sign up

Export Citation Format

Share Document