Death and Dying in Residential Homes for Older People

1998 ◽  
pp. 154-165
Author(s):  
Yvonne Shemmings
Keyword(s):  
Older People ◽  
Death And Dying ◽  
Residential Homes

Living in the end times: a short course addressing end of life issues for older people in an English parish church setting

2015 ◽  
Vol 19 (3) ◽  
pp. 140-149 ◽  
Author(s):  
Joanna Collicutt
Keyword(s):  
Older People ◽  
End Of Life ◽  
Group Dynamics ◽  
Death And Dying ◽  
Community Context ◽  
Content Type ◽  
End Of Life Issues ◽  
End Times ◽  
High Level ◽  
High Degree

Purpose – The purpose of this paper is to report a pilot study that evaluated an innovative practice in a faith community context designed to help older people live well at the end of life and prepare for death. Design/methodology/approach – A simple audit of the intervention using a contemporaneous journal kept by the author, and a follow up questionnaire completed by participants. Findings – Rich findings on the process are reported. These indicate a high degree of engagement by participants, the establishment of a high degree of group intimacy and trust, a high level of articulation of wisdom, the emergence of significant anxiety in some isolated cases, and the use made of tea and cake to manage the transition between the existentially demanding nature of the discussions and normal life. The outcome indicated very high levels of appreciation and increased confidence in relation to issues of death and dying. Practical implications – The findings of the pilot have been used to inform training of clergy in the principles of working in this area (e.g. in ways of managing group dynamics and anxiety, pacing, tuning in to archetypes and the natural symbols that people use to talk about death and dying, self-care and supervision of the programme leader/facilitator). Originality/value – The paper adds to knowledge in terms of an in depth description of processes at work in a group of older people working on spiritual and practical issues in relation to death, and offers ideas for supporting older people in this process, some of which are specific to the Christian tradition, and some of which are more widely applicable to people of all faiths and none. It gives a specific worked example of what “spiritual care” in this area might look like.

Relieving the pressure of venous leg ulcers

2021 ◽  
Vol 23 (3) ◽  
pp. 1-3
Author(s):  
Mark Greener
Keyword(s):  
Older People ◽  
Multidisciplinary Approach ◽  
Psychological Problems ◽  
Leg Ulcers ◽  
Residential Homes ◽  
Venous Leg Ulcers ◽  
Pain Distress

Venous leg ulcers are common among older people in nursing and residential homes and can cause considerable pain, distress and even psychological problems. Improved awareness of guidance, greater referral to specialist vascular services and a multidisciplinary approach to management are important to deal appropriately with this frequently underprioritised condition. Mark Greener reports.

Death and dying in older people

2011 ◽  
pp. 101-109 ◽  
Author(s):  
Caroline Nicholson ◽  
Jo Hockley
Keyword(s):  
Older People ◽  
Death And Dying

Constructing Familiarity and Managing the Self: Ways of Adapting to Life in Nursing and Residential Homes for Older People

1996 ◽  
Vol 16 (5) ◽  
pp. 543-560 ◽  
Author(s):  
Jan Reed ◽  
Valerie Roskell Payton
Keyword(s):  
Older People ◽  
Social Activity ◽  
The Self ◽  
Residential Homes ◽  
Social Conventions ◽  
The Social ◽  
Social Conversation ◽  
Before And After ◽  
Life History Methodology ◽  
The Way

AbstractThis paper reports on the analysis of data collected in a study looking at older people moving into nursing and residential homes. Using life history methodology, participants are interviewed before and after arrival at homes in order to determine the process of adapting to their new environment. Initial data analysis indicates that this process requires extensive social activity on the part of the new resident, involving negotiation of complex social conventions. The discussion focuses on two themes which have been identified from the data: constructing familiarity whereby participants use sometimes tenuous knowledge of people and places to make the home seem less strange, and managing the self, whereby familiarity is used as a means of permitting social conversation to take place without leaving residents open to the dangers of being intrusive. These two themes have relevance for the way in which new residents can be introduced to homes, and the way in which the social skills of older people are viewed.

Multi-Purpose Residential Homes: A Fair Deal for Residents?

1994 ◽  
Vol 14 (3) ◽  
pp. 383-404
Author(s):  
Fay Wright
Keyword(s):  
Older People ◽  
Elderly People ◽  
Support Services ◽  
Local Authority ◽  
Community Support ◽  
Residential Home ◽  
Model Case ◽  
Residential Homes ◽  
Department Of Health ◽  
Community Support Services

ABSTRACTThe paper reports on a study carried out in 1990 for the Department of Health looking at the development of local authority multi-purpose residential homes for elderly people in England and Wales. A national survey showed that one in five public sector residential homes for elderly people would soon be multi-purpose. This proportion could be expected to increase in the 1990S. Many of these homes had become the centre for virtually all the community support services for elderly people in the neighbourhood. Despite some obvious management advantages in making use of residential home facilities for older people in the community, there have to be serious reservations about a multi-purpose model. Case studies in six multi-purpose homes suggest that residents themselves may gain little or nothing from this arrangement. Few interact with elderly people from the neighbourhood in the day centre. So much activity on the premises meant that invasions of residents' privacy and space were common.

scholarly journals Comparison of end-of-life care for older people living at home and in residential homes: a mortality follow-back study among GPs in the Netherlands

2015 ◽  
Vol 65 (640) ◽  
pp. e724-e730 ◽  
Author(s):  
Yolanda WH Penders ◽  
Lieve Van den Block ◽  
Gé A Donker ◽  
Luc Deliens ◽  
Bregje Onwuteaka-Philipsen
Keyword(s):  
The Netherlands ◽  
Older People ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Residential Homes ◽  
Care For Older People ◽  
At Home

scholarly journals Inequality in access to hearing care for older adults in residential homes

2019 ◽  
Author(s):  
J D White ◽  
C Johnson ◽  
C G Deplacido ◽  
B Matthews ◽  
E H Steenkamp
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Older People ◽  
Care Homes ◽  
Disruptive Behaviour ◽  
Health Board ◽  
Care Providers ◽  
Residential Homes ◽  
Care Plans ◽  
Hearing Assessment

Abstract Background The population of older people in residential homes is projected to rise. There are unrecognized hearing difficulties among residents and prevalence of hearing loss in this population is underreported. This can result in an overestimation of levels of cognitive impairment. Untreated hearing loss is associated with social isolation, depression, disruptive behaviour and cognitive decline. This study aimed to explore the provision of hearing care (hearing assessment, rehabilitation and staff training) in Scottish care homes for older people. Methods A survey comprising 18 questions was distributed to the managers (or designated staff members) of 659 care homes across Scotland. Results Responses were obtained from 154 care homes. The results support existing evidence that hearing is not assessed in the majority of homes, resulting in under detection of hearing loss. Staff lack training in supporting residents’ hearing needs. Access to hearing care in residential homes differs across health board areas. Conclusions There is an urgent requirement for hearing assessment of older adults on admission to residential care. Care providers require this information to construct effective care plans and mitigate the effects of hearing loss. Those responsible for providing hearing rehabilitation services require information about service users to address any unmet need.

A Portrait of Death and Dying in the Aging Society of 2030 to 2050: Where Will Older People Die and Who Will Be There?

1991 ◽  
Vol 1 (4) ◽  
pp. 8-16
Author(s):  
Leopold G. Selker ◽  
David C. Broski ◽  
Leslie M. Thompson
Keyword(s):  
Older People ◽  
Death And Dying ◽  
Aging Society

scholarly journals Religious Experiences of Older People Receiving Palliative Care at Home

Religions ◽  
2020 ◽  
Vol 11 (7) ◽  
pp. 336
Author(s):  
Suvi-Maria Saarelainen ◽  
Auli Vähäkangas ◽  
Mirja Sisko Anttonen
Keyword(s):  
Older People ◽  
End Of Life ◽  
End Of Life Care ◽  
Interpretative Phenomenological Analysis ◽  
Death And Dying ◽  
Continuing Bonds ◽  
Life Care ◽  
Religious Experiences ◽  
Depth Analysis ◽  
At Home

Increasingly more older people are now being cared for in their own homes. Furthermore, it has become more common that people stay at home to receive end-of-life care. Using interpretative phenomenological analysis (IPA), we analyzed the religious experiences of older people (aged 65+). We answered these questions: What kind of religious experiences do older people have when death is approaching? What does this tell us about their religious coping? As IPA is based on the in-depth analysis of small amounts of homogenous data, we analyzed five interviews with older people who were dying. We identified three main themes. First, religious experiences are relational, that is, deeply rooted in personal relationships. Second, religious experiences are real and can provide both struggles and comfort in the last stage of life. Third, the experience of encountering one’s mortality and planning for one’s death was calming; while many had unclear views on the afterlife, the idea of continuing bonds after death was comforting. More open discussion on religious matters, death, and dying would be welcomed as part of home-based end-of-life care.

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