scholarly journals The Impact of COVID-19 in an Assisted Living Community

2021 ◽  
Author(s):  
Barbara Resnick ◽  
Elizabeth Galik ◽  
Sarah Holmes ◽  
Rachel McPherson
Keyword(s):  
Assisted Living ◽  
The Impact

scholarly journals Student-Led Fall Prevention Care Management Reduced Fall Risks at Assisted Living Facilities

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 238-238
Author(s):  
Hiroko Kiyoshi-Teo ◽  
Claire McKinley-Yoder ◽  
Erin Lemon ◽  
Olivia Ochoa
Keyword(s):  
Older Adults ◽  
Assisted Living ◽  
Fall Prevention ◽  
Fall Risk ◽  
Care Management ◽  
Assisted Living Facilities ◽  
Care Needs ◽  
Term Care ◽  
Fall Risks ◽  
The Impact

Abstract Older adults in residential care settings are four times more likely than those not living in care facilities to experience falls. Yet, fall prevention efforts at long-term care settings are under-resourced, under-regulated, and under-studied. To address this gap, we developed and studied the impact of a specialty clinical, Fall Prevention Care Management (FPCM), for nursing students to decrease older adults’ fall risks. We enrolled assisted living residents that facility liaison identified as being high fall risk (fall rates or fall risk were not tracked at the study sites) and MOCA ≥15, in 2 assisted living facilities in Northwest USA. Participants received weekly, 1-hour, individual, semi-structured, Motivational Interviewing-based care management visits by same students over 6 visits. Changes in fall risks were measured by the CDC STEADI assessment (unsteadiness & worry), Falls Self-Efficacy Scale International-Short (FESI-S), and Falls Behavioral Scale (FAB). Twenty-five residents completed the study. Students addressed the following (multiple responses possible): emotional needs (n=23), improved motivation to prevent falls (n=21), and individualized education/coaching (i.e., exercise, mobility aids) (n=10-17). FESI-S score improved from 16.0 to 14.4 (p=.001; decreased fear. FAB score improved from 2.94 to 3.10 (p=.05; more frequent fall prevention behaviors). Frequency of those who felt steady while standing or walking increased (24% to 40%, p=.07) and those who did not worry about falling increased (20% to 36%, p=.08). FPCM clinical offered valuable opportunity to address unmet care needs of older adults to reduce fall risks.

scholarly journals From Micro to Macro: Exploring Preference-Based Person Centered Care from Multiple Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 836-836
Author(s):  
Katherine Abbott ◽  
Kristine Williams
Keyword(s):  
Nursing Home ◽  
Assisted Living ◽  
Fixed Effects ◽  
Nursing Home Residents ◽  
Direct Care ◽  
Multiple Perspectives ◽  
Person Centered Care ◽  
Fixed Effects Panel Regression ◽  
Centered Care ◽  
The Impact

Abstract Advancing our knowledge related to honoring nursing home resident preferences is a cornerstone of person-centered care (PCC). While there are multiple approaches to providing PCC, we focus on resident preferences as assessed via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be used to enhance the delivery of PCC. In this symposium, we explore the perspectives of a variety of stakeholders including nursing home residents, staff, and the impact of preference-based care on provider level regulatory outcomes. First, we present a comparative study of preference importance among n=317 African America and White nursing home residents that found more similarities than differences between the two groups. Second, a content analysis of the responses from n=196 interviews with nursing home residents details the barriers and facilitators connected to their levels of satisfaction with their preferences being fulfilled. Third, perspectives from n=27 direct care workers explore the concept of pervasive risk avoidance to the delivery of PCC. Fourth, systems-level practices, such as shift assignments and provider schedules are identified as barriers to successfully fulfilling resident preferences from the perspectives of n=19 staff within assisted living. Our final presentation utilizes a fixed-effects panel regression analysis with n=551 Ohio nursing home providers to explore the impact of PELI use on regulatory outcomes such as substantiated complaints and deficiency scores reported in the CMS Nursing Home Compare data. Discussant Dr. Kristi Williams will integrate findings, highlighting implications for policy, practice, and future directions. Research in Quality of Care Interest Group Sponsored Symposium.

When I am old I shall wear purple: a qualitative study of the effect of group poetry sessions on the well-being of older adults

2016 ◽  
Vol 20 (4) ◽  
pp. 195-198 ◽  
Author(s):  
Richard Seymour ◽  
Michael Murray
Keyword(s):  
Older People ◽  
Assisted Living ◽  
Well Being ◽  
Content Type ◽  
Short Period ◽  
Different Types ◽  
Poetry Reading ◽  
The Impact ◽  
Health And Well Being ◽  
Practical Implications

Purpose There is increasing evidence that participation in various art forms can be beneficial for health and well-being. The purpose of this paper is to examine the impact of participating in a poetry reading group on a group of older residents of an assisted living facility. Design/methodology/approach Six poetry sessions, each on a different theme, were conducted with a group of volunteer participants. These sessions, those of pre- and post-study focus groups and interviews with the group facilitator and staff contact were audio-recorded. The transcripts of the recordings were then subjected to a thematic analysis. Findings Overall the participants were enthused by the opportunity to participate in the project and the benefits were confirmed by the support staff. In addition, reading poetry on particular themes promoted different types of discussion. Research limitations/implications The number of participants in this study was small and the study was conducted over a short period of time. Practical implications This paper confirms the impact of poetry reading for older people. The challenge is to explore this impact in more detail and over community as well as residential settings. Originality/value This paper is the first empirical report on the value of poetry reading for older people.

scholarly journals DEVELOPING AND TESTING AN ASSISTED LIVING ENVIRONMENT MODEL

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S638
Author(s):  
Sarah D Holmes ◽  
Elizabeth Galik ◽  
Barbara Resnick
Keyword(s):  
Built Environment ◽  
Assisted Living ◽  
Well Being ◽  
Measurement Model ◽  
Living Environment ◽  
Equation Modeling ◽  
Dissemination And Implementation ◽  
Age In Place ◽  
The Impact ◽  
Environment Measurement

Abstract The assisted living (AL) environment plays an important role in supporting residents’ life satisfaction and helping them to age in place. Guided by ecological theory, the AL environment is multidimensional and has many interrelated components including staffing (e.g. direct care workers, nursing, activity staff), services provided (e.g. medical, mental health, pharmacy), amenities offered at the setting (e.g. beauty salon, computer room, exercise facilities), and built environment features (e.g. walkability). Moreover, evidence suggests that aspects of the AL environment can enhance or detract from the physical function, well-being, social engagement, and behavioral outcomes among residents. The purpose of this study was to develop and test an integrative AL environment measurement model that includes indicators of staffing, services, amenities, and the built environment. Baseline data was used from a study testing the Dissemination and Implementation of Function Focused Care in AL. A total of 54 AL facilities across three states were included in the sample. Settings ranged in size from 31 to 164 beds with an average size of 82.2 (SD=26.2) beds and the majority were for profit facilities (n=41, 74.5%). Structural equation modeling was used to test the proposed model. Results showed that the model fit the data (chi-squared/df=1.86, p<.05; CFI=.858, RMSEA=.126). Having an integrative AL environment measurement model will advance future research that explores the impact of the environment on resident outcomes. In addition, findings from this study can inform interventions and programs designed to modify AL environments to optimize residents’ ability to age in place.

scholarly journals Care in a new age: the work of caregivers with psychiatric patients in houses

2011 ◽  
Vol 19 (5) ◽  
pp. 1155-1162
Author(s):  
Neila Sprioli ◽  
Maria Cristina Silva Costa
Keyword(s):  
Assisted Living ◽  
Participant Observation ◽  
Psychiatric Patients ◽  
New Age ◽  
Behavioral Changes ◽  
Assisted Living Facilities ◽  
Rehabilitation Process ◽  
Dwelling House ◽  
The Impact ◽  
Work Supports

The research aims to analyze the caregivers' work developed with psychiatric patients in assisted living facilities. The research used the ethnographic method and is theoretically based on Interpretative Anthropology for the analysis of the meanings of practices related to the caregiver's work in these residential devices. The techniques used in the research were participant observation and interviews. The main subjects of the search were the eleven caregivers and the secondary subjects were four supervisors. The results show the bond established between caregivers and residents, the possibility of a regular discussion under supervision, the impact of different equipments at the dwelling house on the daily reality of professionals and patients. The main conclusions permit recognizing the relevance of caregivers' work. Despite its deficient education, training and legal definition, this work supports behavioral changes observed in dwellers, which reveal the ongoing rehabilitation process.

scholarly journals Yoga to Reduce Leisure Constraints for Residents of Assisted Living Facilities

2020 ◽  
Vol 4 (4) ◽  
Author(s):  
Em V. Adams ◽  
Marieke Van Puymbroeck ◽  
Brandi M. Crowe ◽  
Cynthia L. S. Pury ◽  
Arlene A. Schmid ◽  
...  
Keyword(s):  
Assisted Living ◽  
Past Research ◽  
Community Dwelling ◽  
Pain Interference ◽  
Upper Body ◽  
Assisted Living Facilities ◽  
Functional Fitness ◽  
Leisure Constraints ◽  
Yoga Intervention ◽  
The Impact

Residents of assisted living facilities face leisure constraints (barriers to leisure activities) at higher rates than their community-dwelling peers. Past research suggests yoga may be an effective intervention to decrease leisure constraints to physical activity. Therefore, the purpose of this study was to evaluate the impact of an eight-week yoga intervention on the leisure constraints of residents of assisted living facilities. The study employed a convergent mixed methods design to assess the impact of a 50-minute group yoga intervention, offered twice a week for eight weeks by a Certified Yoga Therapist. The intervention was implemented at four different assisted living facilities in the Southeastern United States. Pre- and post-quantitative measures were collected to assess overall leisure constraints, limitations in functional fitness, and pain interference. Qualitative data were collected via focus groups post-yoga intervention to determine participants’ perspectives on changes in leisure constraints. A total of 15 participants completed the study. Data analysis revealed significant improvements in two of the four functional fitness measures: upper body endurance (measured by the Arm Curl Test), and trunk stability (measured by the Function in Sitting Test). No significant improvements were observed in pain interference, or overall leisure constraints. Qualitative results indicated participants used yoga to help engage in daily activities such as housework, sleeping, and walking. Additionally, participants reported using yoga to help manage pain. In this sample, yoga appears to be a promising intervention to help reduce specific leisure constraints such as a reduction in functional fitness. Additionally, yoga shows some promise as a pain management strategy, warranting further research.

scholarly journals The Impact of COVID Restrictions Among Rates of Falling in Assisted Living Residents

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 141-141
Author(s):  
Kamil Hester ◽  
Melanie Fong ◽  
Margaret Danilovich
Keyword(s):  
Assisted Living ◽  
Activity Levels ◽  
Period Range ◽  
Group Activities ◽  
Fall Incident ◽  
Long Period ◽  
Loss Of Balance ◽  
Incident Reports ◽  
The Impact ◽  
Living Group

Abstract As a result of the COVID-19 pandemic, assisted living group activities and congregate dining stopped and residents were confined to their rooms. While this may have kept residents safer from contracting the virus, it also reduced their physical activity levels. The aim of this study was to investigate if rates of falls in one assisted living community varied as a result of COVID-19 restrictions. We analyzed fall incident reports from n=155 residents from October 2019 to October 2020. Results showed a total of n=802 falls in the year-long period (range of 1-30 falls per resident; mean = 5.17; SD=5.6 in the 12 month period). The majority (65%) of falls occurred in resident rooms. 55% of falls occurred between 6am and 6pm. The primary cause of these falls was loss of balance (30%). Comparing falls that occurred 5 months pre-restriction (Oct 2019-Feb 2020) with 5 months post-restriction (April 2020-August 2021) showed non-significant differences between time periods (p=.59). However, analyzing rates of falls by month showed a range of 46 - 88 falls by month with the lowest number occurring in winter months and the peak number of falls occurring in both Oct 2019 and 2020. Despite the majority of falls occurring in resident rooms, Covid restrictions of room confinement did not appear to impact the prevalence of falls in this sample. However, the seasonal variation warrants further research and those in assisted living should consider seasonal variations and proactively implement policies to prevent falls during these times.

scholarly journals A Longitudinal Study of Older Adults’ Acceptance of Robot Companions and Their Effects on Well-Being

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 41-41
Author(s):  
Claudia Rebola ◽  
Bertram Malle
Keyword(s):  
Older Adults ◽  
Longitudinal Study ◽  
Assisted Living ◽  
Positive Emotions ◽  
Well Being ◽  
Small Sample ◽  
Assisted Living Facilities ◽  
Good Reliability ◽  
The Impact ◽  
Robot Companions

Abstract Robotic animal-like companions for older adults are promising technologies that have shown to have health benefits, especially for individuals with dementia, and good adoption rates in some previous studies. Our project, Affordable Robotic Intelligence for Elderly Support, aims to design new capabilities for companionship and smart care, but at high affordability. In a 6-month longitudinal study of baseline acceptance and well-being, we assessed the impact of an Ageless Innovation Joy for All™ robotic pet on user acceptance and emotional well-being (depression, loneliness, positive emotions). Nineteen participants from independent and assisted living facilities completed three standardized in-person surveys, each 3 months apart, including the CES-D, measures of Loneliness, Emotions, Attitude towards Technology (ATI), and various measures of evaluation of and engagement with robotic technology. The measures showed modest to very good reliability and meaningful construct validity. Participants in this sample showed little depression or loneliness, and these levels did not further decrease over the six months. People welcomed the pet and expressed positive evaluations of it, and these sentiments were stable over time. Attitudes toward technology varied but were unrelated to well-being measures and to robot evaluations. Our current conclusion, on the basis of a small sample, is that the selected robotic pet companion is appreciated and seen as beneficial, and for adults who are already low in depression and loneliness, the robot companion helps maintain the adult’s emotional well-being but does not further increase it.

scholarly journals Delivering Person-Centered Care During a Pandemic: Stakeholder Perspectives

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 269-270
Author(s):  
Katherine Abbott ◽  
Kirsten Corazzini
Keyword(s):  
Family Involvement ◽  
Health Care Providers ◽  
Assisted Living ◽  
Direct Care ◽  
Care Providers ◽  
Improvement Project ◽  
Stakeholder Perspectives ◽  
Person Centered Care ◽  
Centered Care ◽  
The Impact

Abstract Person-centered care (PCC) is an approach to care that both nursing homes (NH) and assisted living (AL) communities strive to provide. PCC is a philosophy that recognizes knowing the person and honoring individual preferences. However, when COVID-19 emerged, the NH and AL environments were ground zero for infection spread and disproportionate numbers of deaths among residents. As a result, many practices changed dramatically in efforts to reduce the transmission of COVID-19 in these communities. The purpose of this symposium is to discuss several projects that can speak to the impact of the pandemic on stakeholder efforts to provide PCC. First, Dr. Roberts presents feedback from residents and family members on the challenges COVID-19 created for family involvement in care conferences. In the second study, Dr. Behrens examines focus group data from direct-care nurses on their perceptions of delivering PCC related to risk of harm to staff and residents. The third study presents the voices of activities professionals who were implementing a PCC quality improvement project to communicate resident preferences, which illustrates both the importance of PCC during the pandemic, but also the challenges implementing during the pandemic. Fourth, the Kansas PEAK 2.0 program used provider feedback to direct and inform program responses through components such as consistent staffing. Finally, Dr. Zimmerman presents qualitative data from over 100 AL administrators, medical, and mental health care providers on their experiences pivoting during COVID-19. Our discussant will explore the implications of these studies in terms of the future of PCC in residential settings.

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