scholarly journals How Can Urban Design and Architecture Support Spatial Inclusion for Nursing Home Residents?

2021 ◽  
pp. 397-408
Author(s):  
John Andersen ◽  
Annette Bilfeldt ◽  
Marianne Mahler ◽  
Lone Sigbrand
Keyword(s):  
Nursing Home ◽  
Social Exclusion ◽  
Urban Design ◽  
Old Age ◽  
Urban Space ◽  
Nursing Home Residents ◽  
Policy And Practice ◽  
Or Groups ◽  
P 16 ◽  
Community Component

AbstractSocial exclusion refers to a process by which “individuals or groups...are denied the opportunity of participation, whether they actually desire to participate or not” (MacLeod et al. 2017; Barry 2002,p.16). In relation to old-age social exclusion, Tournier and Vidovicova (2019) have defined spatial and community exclusion as “the unintended reduction of mobility outside the personal home (spatial component) and of participation in local life (community component)”. Against this background, nursing home residents may be regarded as experiencing a heightened risk of spatial and community social exclusion because their need to be spatially included has not been prioritised in traditional nursing home architecture and urban planning. More recently, alternative concepts of integrating nursing home residents within the local communities have received increasing attention within policy and practice initiatives. The overall aim of this chapter is to present knowledge about innovative approaches to prevent social exclusion of nursing home residents from urban space and local life. Three cases are chosen from Denmark and one from The Netherlands. The four cases share the aim of reducing old-age social exclusion of nursing home residents. Based on the four cases, we discuss the different ways in which urban design and architecture can contribute to combatting social exclusion.

“Medication Is Just One Piece of the Whole Puzzle”: How Nursing Homes Change Their Use of Antipsychotic Medications

2020 ◽  
pp. 073346482095891
Author(s):  
Marsha Rosenthal ◽  
Jessica Poling ◽  
Aleksandra Wec ◽  
Elizabeth Connolly ◽  
Beth Angell ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Research Policy ◽  
Nursing Home Residents ◽  
Dementia Care ◽  
Policy And Practice ◽  
Antipsychotic Medications ◽  
Positive Attitudes ◽  
National Partnership ◽  
Person Centered Approach

Antipsychotic medication use for nursing home residents with dementia poses major patient safety challenges. This article investigates health professionals’ experiences with decision-making during changes under the National Partnership to Improve Dementia Care in Nursing Homes (National Partnership) and its companion state coalitions. These programs were introduced in 2012 to encourage reductions in antipsychotic use and increased use of nonpharmacological treatments for dementia. Interviews with 40 nursing home physicians and staff in seven states found that reducing antipsychotics is more time and resource-intensive than relying on medication, because it requires a person-centered approach. However, respondents supported reductions in antipsychotic use, and indicated that with sufficient staffing, effective communications, and training, they could create or implement individualized treatments. Their positive attitudes suggest that the National Partnership has been a catalyst in reducing antipsychotic medications, and their perspectives can inform further research, policy and practice in nursing homes toward achieving quality dementia care.

Advance care planning for nursing home residents with dementia: Influence of ‘we DECide’ on policy and practice

2017 ◽  
Vol 100 (1) ◽  
pp. 139-146 ◽  
Author(s):  
Sophie Ampe ◽  
Aline Sevenants ◽  
Tinne Smets ◽  
Anja Declercq ◽  
Chantal Van Audenhove
Keyword(s):  
Nursing Home ◽  
Advance Care Planning ◽  
Nursing Home Residents ◽  
Care Planning ◽  
Policy And Practice ◽  
Advance Care

scholarly journals Forståelse av åndelighet og åndelig omsorg for gamle mennesker – en hermeneutisk studie

2016 ◽  
Vol 12 (1) ◽  
pp. 49
Author(s):  
Linda Rykkje
Keyword(s):  
Nursing Home ◽  
Old Age ◽  
Spiritual Care ◽  
Nursing Home Residents ◽  
Human Beings ◽  
Compassionate Care ◽  
Whole Person ◽  
Existential Issues ◽  
Present Understanding ◽  
Care For Older People

Understanding spirituality and spiritual care for older people – a hermeneutical studyIn old age, spirituality and existential issues may become salient. The study aim is an understanding of older peoples’ perception of spirituality and spiritual care in a Norwegian context. Gadamer hermeneutics is the guiding methodology. 30 interviews were conducted with 17 participants between 74-96 years, six self-reliant, five with homecare, and six nursing home residents. The findings present understanding of spirituality, soul and spirit, the meaningful in life, inner peace, care from family in old age, and spiritual care. The study discusses spirituality as a force that contributes to wholeness and health, especially by the experience of “inner calm and peace”. That which may contribute to inner peace is love for fellow human beings and being with others, religion and nature, together with meaningful activities and feeling “alive”. Spiritual care involves “to care about” the whole person through compassionate care, presence, listening, touch and facilitating socializing and activities. 

scholarly journals Facility Characteristics and Quality Deficiencies of Florida Nursing Homes With COVID-19 Cases and Deaths

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 945-945
Author(s):  
Xiaochuan Wang ◽  
Courtney Wilson
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Infection Control ◽  
Nursing Home Residents ◽  
The United States ◽  
Future Research ◽  
Staffing Level ◽  
Policy And Practice ◽  
Staff Shortage ◽  
Facility Size

Abstract The Coronavirus disease 2019 (COVID-19) has been disproportionately affecting nursing homes throughout the United States, resulting elevated risk for COVID-19 morbidity and mortality to nursing home residents. Given the high percentage of aging population, large number of nursing homes, and staggering surge of COVID-19 cases in Florida, it’s critical to understand factors that may affect Florida nursing homes’ vulnerability to the COVID-19 pandemic. Using Nursing Home COVID-19 Dataset as of July 26, 2020 obtained through Centers for Medicare and Medicaid Services (CMS), and Provider Info Dataset and Health Deficiencies Dataset available through CMS Nursing Home Compare data, we constructed a database of Florida nursing facilities with confirmed COVID-19 cases and deaths, with corresponding facility characteristics and quality deficiencies. We examined the facility characteristics (e.g. facility size, ownership state, chain affiliation, staffing level) and quality deficiencies (e.g. infection control deficiencies) of Florida nursing homes with and without publicly reported COVID-19 cases and deaths. Results indicated that, as of July 26, 2020, 73.3% and 40.8% of Florida nursing homes had resident COVID-19 cases and death, respectively (N=701). Findings also suggested that Florida nursing homes of large facility size, chain affiliated, and for profit, were significantly more likely to have documented resident COVID-19 cases (p<.05). Larger facility size (120 beds or more), staff shortage, and having prior infection control deficiency citation, were significantly related to the odds of having resident COVID-19 deaths (p<.05). Policy and practice implications and future research directions will be addressed to better protect the at-risk nursing home residents.

The social lives of rural Australian nursing home residents

2011 ◽  
Vol 32 (2) ◽  
pp. 329-353 ◽  
Author(s):  
GLENDA PARMENTER ◽  
MARY CRUICKSHANK ◽  
RAFAT HUSSAIN
Keyword(s):  
Social Networks ◽  
Nursing Home ◽  
New England ◽  
Social Isolation ◽  
Nursing Home Residents ◽  
Policy And Practice ◽  
Close Family Member ◽  
Social Lives ◽  
Rural Nursing ◽  
Wide Range

ABSTRACTContact with family and friends, in the form of visiting, is very important to the quality of the lives of rural nursing home residents. However, there has been little recent research that examines the frequency and determinants of visits to rural nursing homes and none in the rural Australian context. This study aimed to address this gap in the literature. A telephone survey with a close family member (N=257) of each participating resident in the rural New England area of New South Wales, Australia gathered data about 3,738 people who formed the potential social networks of these residents. This study found that the wider, potential, social networks of rural nursing home residents comprised approximately 17 people and involved a wide range of family and friends. However, their actual social networks consisted of approximately two females, daughters and friends, who had high-quality relationships with the resident and who visited at least once per month. In contrast to previous assertions that nursing home residents have robust support from their family and friends, the actual social networks of these residents have dwindled considerably over recent years, which may place them at risk of social isolation. This study has implications for nursing home policy and practice and recommendations for addressing the risk of social isolation that rural nursing home residents face are made.

Erratum: Hearing Levels among Elderly Nursing Home Residents

1980 ◽  
Vol 45 (2) ◽  
Author(s):  
Ronald L. Schow ◽  
Michael A. Nerbonne
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Male And Female

In the February 1980 issue of this journal, the report by Ronald L. Schow and Michael A. Nerbonne ("Hearing Levels Among Elderly Nursing Home Residents") contains an error. On page 128, the labels "Male" and "Female" in Table 2 should be reversed.

Deficits in Selective Attention Alter Gait in Frail Older Adults

GeroPsych ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Véronique Cornu ◽  
Jean-Paul Steinmetz ◽  
Carine Federspiel
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Selective Attention ◽  
Dual Task ◽  
Nursing Home Residents ◽  
Gait Rehabilitation ◽  
Rehabilitation Programs ◽  
Gait Parameters ◽  
Growing Body ◽  
Task Conditions

Abstract. A growing body of research demonstrates an association between gait disorders, falls, and attentional capacities in older adults. The present work empirically analyzes differences in gait parameters in frail institutionalized older adults as a function of selective attention. Gait analysis under single- and dual-task conditions as well as selective attention measures were collected from a total of 33 nursing-home residents. We found that differences in selective attention performances were related to the investigated gait parameters. Poorer selective attention performances were associated with higher stride-to-stride variabilities and a slowing of gait speed under dual-task conditions. The present findings suggest a contribution of selective attention to a safe gait. Implications for gait rehabilitation programs are discussed.

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