scholarly journals Finding the Right Balance: An Evidence-Informed Guidance Document to Support the Re-Opening of Canadian Nursing Homes to Family Caregivers and Visitors during the Coronavirus Disease 2019 Pandemic

2020 ◽  
Vol 21 (10) ◽  
pp. 1365-1370.e7 ◽  
Author(s):  
Nathan M. Stall ◽  
Jennie Johnstone ◽  
Allison J. McGeer ◽  
Misha Dhuper ◽  
Julie Dunning ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Family Caregivers ◽  
Guidance Document ◽  
The Right

scholarly journals Mealtime Care for People With Dementia: What Do Nursing Home Staff Think?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 182-183
Author(s):  
James Faraday ◽  
Clare Abley ◽  
Catherine Exley ◽  
Joanne Patterson
Keyword(s):  
Nursing Homes ◽  
Ethnographic Study ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Structured Interviews ◽  
Staff Members ◽  
People With Dementia ◽  
Comparison Approach ◽  
The Right

Abstract More and more people with dementia are living in nursing homes (NH). Often, they depend on NH staff for help with eating and drinking. It is important that staff have the skills and support they need to provide good care at mealtimes. This qualitative study explores mealtime care for people with dementia, from the perspective of NH staff. Semi-structured interviews with NH staff (n=16) were carried out in two nursing homes. The homes were chosen to have diverse characteristics: one home had a large number of beds and was part of a small local organization; the other had a small number of beds and was part of a large national organization. Various staff members were interviewed, including direct care staff, senior carers, nurses, managers, and kitchen staff. Interviews were audio-recorded and transcribed verbatim. A constant comparison approach was taken, so that data from early interviews were explored in more depth subsequently. From the analysis, five themes emerged as important in mealtime care for people with dementia living in nursing homes: Setting the right tone; Working well as a team; Knowing the residents; Promoting autonomy and independence; Gently persevering. This work forms part of a larger ethnographic study on the topic, which includes data from residents with dementia, and family carers. Results will inform the development of a staff training intervention to optimize mealtime care for this population.

scholarly journals Sustainable Food Consumption in Nursing Homes: Less Food Waste with the Right Plate Color?

2020 ◽  
Vol 12 (16) ◽  
pp. 6525
Author(s):  
Kai Victor Hansen ◽  
Lukasz Andrzej Derdowski
Keyword(s):  
Nursing Homes ◽  
Food Consumption ◽  
Food Waste ◽  
National Level ◽  
Health Issues ◽  
Sustainable Food ◽  
People With Dementia ◽  
Quasi Experimental ◽  
Color Combinations ◽  
The Right

The problem of unsustainable food consumption among vulnerable residents of nursing homes who suffer from dementia is often multifaceted. From an individual perspective, people with dementia who do not finish their meals are likely to encounter serious health issues associated with malnutrition. Moreover, at the institutional level, nursing homes generate tons of nonrecoverable food waste each year, impairing not only their economic position but also the natural and social environment at large. The purpose of this study is to explore the possibility of reducing food waste in Norwegian nursing homes by appraising how large this reduction could be as one replaces traditional dining white porcelain with plates with diverse color combinations. A quasi-experimental method was adopted. The results of the pilot study were extrapolated to the annual amount of food wasted at the national level. The findings indicate that, on average, 26% of food was thrown away when served on white plates compared to only 9% when served on one of the colored plate options tested. Nationally, approximately 992.6 tons of food per year could potentially be saved with only a single change, ultimately ameliorating the unsustainable food consumption problem among residents of nursing homes.

scholarly journals THE EFFECTS OF THE NAMASTE CARE FAMILY PROGRAM ON QUALITY OF LIFE OF PEOPLE WITH ADVANCED DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S824-S824
Author(s):  
Jenny T van der Steen ◽  
Karlijn J Joling ◽  
Anneke L Francke ◽  
Wilco P Achterberg ◽  
Hanneke J A Smaling
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Intervention Group ◽  
Secondary Outcome ◽  
Advanced Dementia ◽  
Family Program ◽  
Care Family

Abstract People with advanced dementia often die in nursing homes. Family caregivers frequently feel that their loved one’s quality of life and dying is suboptimal. The daily Namaste Care Family program -derived from the US Namaste Care program- involves family caregivers and integrates personalized care with meaningful activities for people with advanced dementia. A cluster-randomized controlled trial (December 2016 - December 2018) examined effects of the Namaste Care Family program on resident and family caregiver outcomes. Ten Dutch nursing homes implemented Namaste Care Family for 117 residents, while nine nursing homes provided usual care for 114 residents in the study. Nursing staff assessed quality of life over the last week with the Quality of Life in Late-Stage Dementia (QUALID, the primary resident outcome measure). Research assistants observed discomfort during the sessions with the Discomfort Scale-Dementia of Alzheimer Type (DS-DAT). Assessments were at baseline and after 1, 3, 6, and 12 months. We found a significant difference in QUALID score at 12 months favoring quality of life in the intervention group. Further, the intervention group showed less signs of discomfort at 3, 6, and 12 months compared with the control group. The Namaste Care Family program can improve quality of life of people with advanced dementia in the long run. These study findings support sustained implementation of the daily program in nursing homes. Further analyses of effects on the other outcomes will include blinded DS-DAT assessments, more secondary outcome measures and family caregiver outcomes.

Psychometric properties of the Caregiving Burden Scale for Family Caregivers with Relatives in Nursing Homes: Scale development

2010 ◽  
Vol 7 (2) ◽  
pp. 136-147 ◽  
Author(s):  
Hiroki FUKAHORI ◽  
Noriko YAMAMOTO-MITANI ◽  
Tomoko SUGIYAMA ◽  
Yuichi SUGAI ◽  
Ichiro KAI
Keyword(s):  
Nursing Homes ◽  
Scale Development ◽  
Psychometric Properties ◽  
Family Caregivers ◽  
Caregiving Burden ◽  
Burden Scale

scholarly journals The Rights of Elders in Ireland during COVID-19

2021 ◽  
pp. 1-21
Author(s):  
Katharina Ó Cathaoir ◽  
Ida Gundersby Rognlien
Keyword(s):  
Nursing Homes ◽  
Healthcare System ◽  
Family Life ◽  
Social Contact ◽  
Death Toll ◽  
Home Help ◽  
High Death ◽  
Areas Of Concern ◽  
The Law ◽  
The Right

Abstract This article reflects on COVID-19 restrictions imposed on elders in Ireland through the lens of the right to private and family life (Article 8 ECHR), focusing on stay at home orders and recommendations advising elders to avoid social contact. Furthermore, we examine restrictions on visiting nursing homes given the high death toll in that setting. In our analysis, we zero in on the principles of foreseeability and proportionality, highlighting areas of concern and aspects that we submit should be considered in a proportionality assessment. Ultimately, we argue that it is a mistake to view the COVID-19 pandemic solely as an emergency. In this manner, the solutions suggested through the law – restrictions on movement and visitation bans – are too narrow and fail to address the underlying structures, such as, issues in the healthcare system, the limited home help for elderly and poor conditions in nursing homes.

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