Person-centered care and quality of life of patients with dementia in long-term care facilities

Healthcare professionals working with people with dementia (PwD) have increasingly been moving away from task-oriented models of healthcare towards person-centered care (PCC). Several studies have showed positive results of PCC on quality of life of PwD. Also, it shows positive effects on self-esteem and work satisfaction of healthcare professionals (HCP).We developed an successful practice-oriented intervention to implement PCC in long-term care facilities (LTCFs), based on the theory of Kitwood. The intervention consists of different components and learning methods: 1)Management of the facility is trained. They have an important role in motivating HCPs and safeguarding PCC-policy in the future.2)Dementia Care Mapping (DCM)-observations are carried out to gain understanding of the LTCF. DCM is an evidence-based observational method and aims to give a good understanding of the quality of life of PwD.3)The training of staff starts with a Kick-off-meeting. During a ‘Mirror theater’ with professional actors, an act representing a familiar care situation is performed. Staff participates in the act to become aware of PCC. The kick-off also serves as a warming-up on PCC knowledge.4)After this, staff complete an interactive e-learning on the basic theory of PCC. The e-learning contains practical videos and exercises.5)Finally, staff follow two consecutive, practical-oriented team-trainings. They will learn what PCC means for their daily practice and how to reflect on it. The most effective part is the reflection on examples of their own clients, and get more aware of their own behavior. In between trainings, HCP will carry out a practice exercise and provide feedback in session two.In an early stage of the intervention we discuss the possibilities and adjust the approach to the needs and situation (culture, level of knowledge etc.) of the LTCF. Involvement of all the staff in the intervention is essential, so everyone speaks the same ‘language’ and staff can rely on each other. Based on experience, these factors contributes to a sustainable way to implement PCC in LTCFs.

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Person-Centered Care for Older Adults living in Long-term care facilities: A Systematic Literature Review

Journal of Public Health Issues and Practices ◽

10.33790/jphip1100184 ◽

2021 ◽

Vol 5 (2) ◽

Author(s):

Jasmine Yee ◽

Marina Celly Martins Ribeiro Souza ◽

Natália de Cássia Horta ◽

Constance Kartoz

Keyword(s):

Older Adults ◽

Literature Review ◽

Systematic Literature Review ◽

Long Term Care ◽

Term Care ◽

Person Centered Care ◽

Care Facilities ◽

Centered Care

Person-centered care (PCC) is the empowering approach of ho-listic care that shifts from a traditional biomedical framework to one that emphasizes older adults’ personalized preferences, abilities, and strengths. This systematic literature review aimed to describe the current status of research on PCC for older adults living in long-term care facilities (LTCFs). The method that conducted the search involved using 5 consistent keywords along with adding various descriptor terms to help narrow the search. A total of 18 articles were discussed in the final review after meeting all of the inclusion criteria. The results showed overall beneficial outcomes of PCC for institutionalized older adults, the importance of prioritizing residents’ preferences when implementing PCC, and perspectives of residents and staff workers on the state of PCC in their respective LTCFs, as well as what they think are barriers and facilitators. Identifying what the top shared preferences are is the first step to providing individualized PCC delivery that will improve the quality of care and quality of life for older adults living in LTCFs. Furthermore, taking into account both staff and residents’ perspectives will lead to an improved PCC climate in LTCFs that will enable better care outcomes.

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TIMELY LESSONS FROM A PANDEMIC ON THE BENEFITS OF PERSON CENTRIC CARE IN LONG TERM CARE FACILITIES

Journal of Frailty & Aging ◽

10.14283/jfa.2020.28 ◽

2020 ◽

pp. 1-2

Author(s):

S.-L. Wee ◽

P.L.K. Yap

Keyword(s):

Quality Of Care ◽

Nursing Homes ◽

Infection Control ◽

Long Term Care ◽

Term Care ◽

Person Centered Care ◽

Care Facilities ◽

Centered Care

Since the outbreak of Coronavirus Disease 2019 (COVID-19), there have been few deadlier places than in nursing homes. As such, several useful guidelines on coping with COVID-19 in nursing homes have emerged. The critical immediate term measures mentioned in the guidelines have longer term implications especially on quality of care. We discuss how these measures instituted for infection control can be synergistic with person-centered care which has been synonymous with quality of care in nursing homes.

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Do Ethnic-Specific Long Term Care Facilities Improve Resident Quality of Life? Findings from the Japanese American Community

Journal of Gerontological Social Work ◽

10.1300/j083v36n01_06 ◽

2002 ◽

Vol 36 (1-2) ◽

pp. 83-106 ◽

Cited By ~ 8

Author(s):

Nancy Hikoyeda ◽

Steven P. Wallace

Keyword(s):

Quality Of Life ◽

Long Term Care ◽

Japanese American ◽

Term Care ◽

Care Facilities

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Exploratory Study of Person Centered Care Practice in Korean Long-term Care Facilities using DCM(Dementia Care Mapping) as a tool

10.31888/jkgs.2021.41.2.197 ◽

2021 ◽

Vol 41 (2) ◽

pp. 197-215

Author(s):

Dongseon Kim

Keyword(s):

Exploratory Study ◽

Long Term Care ◽

Care Practice ◽

Term Care ◽

Person Centered Care ◽

Care Facilities ◽

Centered Care ◽

Care Mapping ◽

Dementia Care Mapping

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BETTER LIVING THROUGH TECH: TECHNOLOGY-MEDIATED RECREATION AND LONG-TERM CARE FACILITY RESIDENTS’ QUALITY OF LIFE

Innovation in Aging ◽

10.1093/geroni/igz038.1660 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S442-S442

Author(s):

Ethan A McMahan ◽

Marion Godoy ◽

Abiola Awosanya ◽

Robert Winningham ◽

Charles De Vilmorin ◽

...

Keyword(s):

Quality Of Life ◽

Long Term Care ◽

Care Facility ◽

Term Care ◽

Data Set ◽

Term Care Facility ◽

Long Term Care Facility ◽

Care Facilities

Abstract Empirical research on long-term care facility resident engagement has consistently indicated that increased engagement is associated with more positive clinical outcomes and increased quality of life. The current study adds to this existing literature by documenting the positive effects of technologically-mediated recreational programing on quality of life and medication usage in aged residents living in long-term care facilities. Technologically-mediated recreational programming was defined as recreational programming that was developed, implemented, and /or monitored using software platforms dedicated specifically for these types of activities. This study utilized a longitudinal design and was part of a larger project examining quality of life in older adults. A sample of 272 residents from three long-term care facilities in Toronto, Ontario participated in this project. Resident quality of life was assessed at multiple time points across a span of approximately 12 months, and resident engagement in recreational programming was monitored continuously during this twelve-month period. Quality of life was measured using the Resident Assessment Instrument Minimum Data Set Version 2.0. Number of pharmacological medication prescriptions received during the twelve-month study period was also assessed. Descriptive analyses indicated that, in general, resident functioning tended to decrease over time. However, when controlling for age, gender, and baseline measures of resident functioning, engagement in technologically-mediated recreational programming was positively associated with several indicators of quality of life. The current findings thus indicate that engagement in technology-mediated recreational programming is associated with increased quality of life of residents in long-term care facilities.

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THE IMPACT OF A PARO INTERVENTION ON DEPRESSION AND WELL-BEING IN OLDER ADULTS WITH DEPRESSION

Innovation in Aging ◽

10.1093/geroni/igz038.1236 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S341-S341

Author(s):

Shu-Chuan Chen ◽

Wendy Moyle ◽

Cindy Jones

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Older People ◽

Long Term Care ◽

Well Being ◽

World Health ◽

Term Care ◽

Care Facilities

Abstract Aim: This study aimed to explore the effect of a social robot Paro intervention on depression and well-being in older adults with depression living in long-term care facilities in Taiwan. Methods: This study was adopted a single group and quasi-experimental with repeated measures design. Each participant participated in two stages: observation and Paro intervention stages. Stage 1 was an 8-week observation stage in long-term care facilities where the purpose was to observe the normal mood, behaviour and activities of older adults with depression. In stage 2, each participant was given a Paro by the researcher to keep for 24 hours for 7 days in for 8 weeks. Outcome measurements were obtained 4 times: a week before the intervention (T1), immediately the end of 8-week observation (T2), mid-point of Paro intervention (T3), and immediately the end of 8-week Paro intervention (T4). Instruments included the Geriatric Depression Scale, the UCLA Loneliness Scale version 3, and the World Health Organization Quality of Life Questionnaire-OLD. Results: There were 20 participants completed the study. The mean age of participants was 81.1years (SD = 8.2). After 8-week Paro intervention, statistically significant differences in changes were found on depression, loneliness, and quality of life from pre-intervention to post-intervention. Conclusion: This study was found that Paro intervention has beneficial effects on depression and mental well-being for older people with depression in long-term care facilities. Paro Intervention might be a suitable psychosocial intervention for older people with depression and should be considered as a useful tool in clinical practice.

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