Adopting a Multilevel Approach to Protecting Residents’ Rights to Sexuality in the Long-Term Care Environment: Policies, Staff Training, and Response Strategies

2016 ◽  
Vol 14 (4) ◽  
pp. 359-369 ◽  
Author(s):  
Merea D. Bentrott ◽  
Jennifer A. Margrett
Keyword(s):  
Staff Training ◽  
Long Term Care ◽  
Term Care ◽  
Care Environment ◽  
Multilevel Approach ◽  
Response Strategies

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment

scholarly journals Online Opioid Stewardship Training for Long-Term Care Staff

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 533-533
Author(s):  
Linda Edelman ◽  
Troy Andersen ◽  
Cherie Brunker ◽  
Nicholas Cox ◽  
Jorie Butler ◽  
...  
Keyword(s):  
Staff Training ◽  
Long Term Care ◽  
Treatment Strategies ◽  
Care Staff ◽  
Video Content ◽  
Opioid Use ◽  
Term Care ◽  
Increased Risk ◽  
Pain Management Strategy

Abstract Opioids are often the first-line chronic pain management strategy for long-term care (LTC) residents who are also at increased risk for opioid-related adverse events. Therefore, there is a need to train LTC providers and staff about appropriate opioid use and alternative treatment strategies. Our interdisciplinary team worked with LTC partners to identify staff educational needs around opioid stewardship. Based on this need’s assessment, we developed eight modules about opioid use and risks for older adults, including those with dementia, recommendations for de-prescribing including other pharmacological and non-pharmacological alternatives, SBIRT, and motivational interviewing to determine “what matters”. Each 20-minute module contains didactic and video content that is appropriate for group staff training or individuals and provides rural LTC facilities access to needed training in their home communities. Within the first month of launching online, the program received over 1100 hits and LTC partners are incorporating modules into clinical staff training schedules.

scholarly journals Dignity in long-term care

2016 ◽  
Vol 24 (6) ◽  
pp. 744-751 ◽  
Author(s):  
Jennifer Kane ◽  
Kay de Vries
Keyword(s):  
Long Term Care ◽  
Aged Care ◽  
Research Literature ◽  
Ethical Considerations ◽  
Term Care ◽  
Care Environment ◽  
The United Kingdom ◽  
Care Facilities ◽  
Common Thread

Background: The concept of dignity is recognised as a fundamental right in many countries. It is embedded into law, human rights legislation and is often visible in organisations’ philosophy of care, particularly in aged care. Yet, many authors describe difficulties in defining dignity and how it can be preserved for people living in long term care. Objectives: In this article, Nordenfelt’s ‘four notions of dignity’ are considered, drawing on research literature addressing the different perspectives of those who receive, observe or deliver care in the context of the long-term care environment. Methods: A review of the literature was undertaken using the terms ‘nursing homes’, ‘residential care’ or ‘long-term care’. The terms were combined and the term ‘human dignity’ was added. A total of 29 articles met the inclusion criteria from the United Kingdom (14), United States (2), Australia (1), Sweden (3), Hong Kong (2), Norway (3), Nordic (1), Taiwan (1), Netherlands (1). Ethical Considerations: Every effort has been made to ensure an unbiased search of the literature with the intention of an accurate interpretation of findings. Discussion: The four notions of dignity outlined by Nordenfelt provide a comprehensive description of the concept of dignity which can be linked to the experiences of people living in long-term care today and provide a useful means of contextualising the experiences of older people, their families and significant others and also of staff in long-term care facilities. Of particular interest are the similarities of perspectives of dignity between these groups. The preservation of dignity implies that dignity is a quality inherent in us all. This links directly to the exploration and conclusions drawn from the literature review. Conversely, promoting dignity implies that dignity is something that can be influenced by others and external factors. Hence, there are a number of implications for practice. Conclusion: We suggest that two of Nordenfelt’s notions, ‘dignity of identity’ and ‘dignity of Menschenwüde’, are a common thread for residents, family members and staff when conceptualising dignity within long-term care environments.

scholarly journals Management challenges faced by managers of New Zealand long-term care facilities

2000 ◽  
Vol 23 (1) ◽  
pp. 100 ◽  
Author(s):  
Eshwar Madas ◽  
Nicola North
Keyword(s):  
Long Term Care ◽  
Postal Survey ◽  
Single Type ◽  
Continuing Care ◽  
Care Hospital ◽  
Health Care Environment ◽  
Term Care ◽  
Care Environment ◽  
Care Managers

This article reports on a postal survey of 78 long-term care managers in one region ofNew- Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) weremiddle-aged females holding nursing but not management qualifications. Most long-termcare facilities (69%) tended to be stand-alone facilities providing a single type of care (resthome or continuing care hospital). The most prominent issues facing managers wereconsidered to be inadequate funding to match the growing costs of providing long-term careand occupancy levels. Managers believed that political/regulatory, economic and social factorsinfluenced these issues. Despite a turbulent health care environment and the challenges facingmanagers, long-term care managers reported they were coping well and valued networking.

Improving Quality of Life in Long-Term Care

2009 ◽  
Vol 14 (2) ◽  
pp. 37-41 ◽  
Author(s):  
Margaret P. Calkins ◽  
Jennifer Brush
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Assisted Living ◽  
Staff Training ◽  
Long Term Care ◽  
Assisted Living Facilities ◽  
Term Care ◽  
Management Structure

Abstract The entire field of long-term care is under tremendous pressure to change. Traditional environmental approaches based on staff-centric or medical models are no longer considered appropriate in long-term care settings. The new emphasis is on person-centered or self-directed care. This is reflected in settings where people can live comfortably and feel at home, as opposed to feeling like they are in a hospital. Increasingly, nursing homes are working to be more like assisted living facilities, which emphasize privacy, dignity, and choice. These changes affect all aspects of care from structure of governance to staff training to management structure and facility design. This article will cover the issues and the possible solutions to ensuring that long-term care living is more like a home than a hospital.

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