Network Variables as Determinants of the Elderly Entering Adult Residential Care Facilities

1989 ◽  
Vol 9 (2) ◽  
pp. 149-163 ◽  
Author(s):  
Mary Bear
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
The Elderly ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Differential Involvement ◽  
Labelling Theory ◽  
Using Data

ABSTRACTThis research extends the study of social network analysis and labelling theory into the context of adult residential care facilities (ARCFs). Network density, reciprocity, and intensity are hypothesized to explain who labels the frail elderly ‘out of place’ in their homes and refers them to an adult residential care facility. Using data from interviews with 81 new, elderly ARCF residents and 75 of their closest others, logistic regression analyses indicate that network intensity is related to the differential involvement of professionals and informal network members in the ARCF entry process. Findings suggest further research on the networks of the elderly's relatives may explain the role of density in ARCF labelling and referral. Practice implications incorporating a network strategy are addressed.

Abstract WP424: Challenges of Participation in Life Activities Post-Stroke: A Qualitative Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Janita P Chau ◽  
Suzanne Hoi Shan Lo
Keyword(s):  
Qualitative Study ◽  
Residential Care ◽  
Real Life ◽  
Care Facility ◽  
Stroke Survivors ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Services ◽  
Cognitive Limitations ◽  
Care Facilities

Background and Purpose: Our previous study of 265 stroke survivors recruited immediately before discharge from two regional rehabilitation hospitals found state self-esteem, social support satisfaction, discharge location (home, residential care facility), and gender significantly accounted for 49% of the variance in depressive symptoms. The purpose of this study is to explore the challenges of promoting participation in life activities for stroke survivors. Methods: A qualitative study with individual face-to-face semi-structured interviews were conducted. Adult managerial persons who were responsible for the development of community, rehabilitation or residential care services for stroke survivors were recruited. All participants were asked to share the mission of their institutions, types of care services for stroke survivors, perceived importance of, barriers to and facilitators of promoting participation in life activities, and opportunities for enhancing stroke care services. All interviews were audio recorded and transcribed verbatim for thematic analysis. Results: A total of 11 participants were interviewed. Five were in-charge persons of stroke support groups, two were legislators, two from residential care facilities, and two from community-based organisations. Four key themes were generated: (1) Being institutionalized was found associated with lower levels of psychosocial health, (2) Stroke survivors’ physical and cognitive limitations were perceived as key challenges in promoting participation in life activities, (3) Healthcare providers placed more emphasis on promoting physical rehabilitation than social participation, and (4) Physical environment particularly in residential care facilities posed greater challenges to promoting participation in real life activities. Conclusions: This highlights major challenges for healthcare professionals who care for stroke survivors in residential care facilities. Further studies that investigate the associations between environmental barriers, psychological morbidity and participation restriction is needed.

Retirement and the Lifestyles of Older Women

1988 ◽  
Vol 8 (1) ◽  
pp. 63-83 ◽  
Author(s):  
Wolfgang Voges ◽  
Hannelore Pongratz
Keyword(s):  
Older Women ◽  
Residential Care ◽  
Care Facility ◽  
Close Relative ◽  
Continuity Hypothesis ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Women's Lives ◽  
Household Activities

ABSTRACTChange of residence from a private household to a residential care facility, implying the relinquishing of household activities, is as critical a life event for older women as retirement from employment outside the home is for older men. This transition terminates many of the activities that had structured the older women's lives for decades, and implies modification of patterns of lifestyle. Based on interviews with female residents of residential care facilities in the Munich area, a close relative who had observed the transition and an employee at the facility, the impacts of the move on dimensions/aspects of lifestyle were analysed, as well as the success with which adaptation to the new setting was made. The positive relationship posited by the continuity hypothesis between continuity in lifestyle and contentment with life situation were generally upheld, although the compensation for a dimension of lifestyle disrupted by the transition by another dimension often occurred.

scholarly journals Aging and Masculinity in Bibliotherapy and Poetry Groups for Men in Late Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 568-568
Author(s):  
Dovrat Harel
Keyword(s):  
Qualitative Research ◽  
Older People ◽  
Residential Care ◽  
Care Facility ◽  
Late Life ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Reading And Writing ◽  
Care Facilities ◽  
The Way

Abstract The transition to residential care facility may symbolize the joining into the 'community of older people'. This may influence the ways men in late life construct their identities and the intersection of aging and masculinity. Due to some barriers, this experience may be difficult to express explicitly. Bibliotherapy aims to bridge this gap by using literature to address diverse issues in the form of reading and writing activities. In this presentation we will present "The Literary Parliament" project, in which bibliotherapy and poetry groups of men in late life were conducted in residential care facilities in Israel. We will present findings of a qualitative research which explored poems written by group participants, and the way these helped participants to express their perceptions and feelings of ageing and masculinity in the context of residential care. The use of bibliotherapy to encourage psychological discourse among men in late life will be discussed.

VALIDA: A Validation Therapy-Training Program for Staff of a Residential Care Facility

2020 ◽  
pp. 009141502092000 ◽  
Author(s):  
Mónica P. Oliveira ◽  
Liliana X. Sousa
Keyword(s):  
Training Program ◽  
Residential Care ◽  
Psychological Symptoms ◽  
Care Facility ◽  
Direct Care ◽  
Pilot Training ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Validation Therapy

Behavioral and psychological symptoms of dementia are a major reason for institutionalization, and high demanding for staff in Residential Care Facilities. This article reports the design, implementation, and evaluation of a Validation Therapy pilot-training program (VALIDA) for staff members of a residential care facility in Aveiro, Portugal. This pilot study involved 22 members of the staff, including qualified professionals and nonqualified direct care workers, who were involved in the design. The pilot-training program comprises two components: training sessions in group and individual monitoring between those sessions. The evaluation indicates that the structure of the pilot-program was well accepted, and participants reported positive impacts in professional (better skilled to deal with residents with dementia) and personal (better trained to deal with elderly relatives) lives. This pilot-training program shows potential to be used in residential care facilities and needs to be replicated.

scholarly journals Designing virtual natural environments for older adults in residential care facilities

2021 ◽  
pp. 1-14
Author(s):  
Rikard Lundstedt ◽  
Carita Håkansson ◽  
Mare Lõhmus ◽  
Mattias Wallergård
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Qualitative Content Analysis ◽  
Care Facility ◽  
Emotional Reactions ◽  
Natural Environments ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Beneficial Effects ◽  
Care Facilities

BACKGROUND: Spending time in natural environments is beneficial for mental health and cognitive function. Unfortunately, many elderly citizens, who would potentially gain from these beneficial effects, have limited or no access to natural environments. Virtual reality may provide the experience of being present in a natural environment without the need of transportation. OBJECTIVE: The purpose of the present study was to acquire an understanding of how residents and staff at a residential care facility may use and experience different virtual natural environments, and thus aid the design of virtual natural environments. METHODS: We used qualitative method, collecting data through interviews and observations. The data was analyzed using qualitative content analysis. RESULTS: Exposure to virtual natural environments provoked various emotional reactions, and promoted skill development and social interaction among participants. The staff perceived virtual natural environments as potentially useful for, for example, improving residents’ anxiety. We identified several user interface improvements. CONCLUSIONS: The present study discusses how various aspects of virtual natural environments work in relation to the experience of a user and how this might affect wellbeing in older adults. These aspects may be valuable to consider in the design of virtual natural environments for use at residential care facilities.

scholarly journals Spatial Optimization of Residential Care Facility Configuration Based on the Integration of Modified Immune Algorithm and GIS: A Case Study of Jing’an District in Shanghai, China

2020 ◽  
Vol 17 (21) ◽  
pp. 8090 ◽  
Author(s):  
Min Cheng ◽  
Xiao Cui
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
Reference Value ◽  
Integrated Approach ◽  
The Elderly ◽  
Spatial Optimization ◽  
Immune Algorithm ◽  
Residential Care Facility ◽  
The Government

As the population is aging rapidly, the irrationality of residential care facility (RCF) configuration has impacted the efficiency and quality of the aged care services so significantly that the optimization of RCF configuration is urgently required. A multi-objective spatial optimization model for the RCF configuration is developed by considering the demands of three stakeholders, including the government, the elderly, and the investor. A modified immune algorithm (MIA) is implemented to find the optimal solutions, and the geographic information system (GIS) is used to extract information on spatial relationships and visually display optimization results. Jing’an District, part of Shanghai, China, is analyzed as a case study to demonstrate the advantages of this integrated approach. The configuration rationality of existing residential care facilities (RCFs) is analyzed, and a detailed recommendation for optimization is proposed. The results indicate that the number of existing RCFs is deficient; the locations of some RCFs are unreasonable, and there is a large gap between the service supply of existing RCFs and the demands of the elderly. To fully meet the care demands of the elderly, 6 new facilities containing 1193 beds are needed to be added. In comparison with the optimization results of other algorithms, MIA is superior in terms of the calculation accuracy and convergence rate. Based on the integration of MIA and GIS, the quantity, locations, and scale of RCFs can be optimized simultaneously, effectively, and comprehensively. The optimization scheme has improved the equity and efficiency of RCF configuration, increased the profits of investors, and reduced the travel costs of the elderly. The proposed method and optimization results have reference value for policy-making and planning of RCFs as well as other public service facilities.

Family Satisfaction: Differences Between Nursing Homes and Residential Care Facilities

2020 ◽  
pp. 073346482097152
Author(s):  
Katherine Wood ◽  
Nader Mehri ◽  
Nytasia Hicks ◽  
Jonathon M. Vivoda
Keyword(s):  
Nursing Homes ◽  
Residential Care ◽  
Family Satisfaction ◽  
Term Care ◽  
Residential Care Facilities ◽  
Visitation Frequency ◽  
Care Facilities ◽  
Environment Domain ◽  
Care Family ◽  
Using Data

This study compared differences in overall family satisfaction, specific satisfaction domains, and correlates of satisfaction between nursing homes (NHs) and residential care facilities (RCFs), using data from the 2016 Ohio Long-Term Care Family Satisfaction Survey. Satisfaction was higher for RCFs overall and within nearly every domain, with the largest difference observed in the environment domain. In both facility types, higher satisfaction was associated with male respondents, older respondent age, White race, less-frequent visitation, longer anticipated length of stay, less help provided during visits, smaller facilities, lower Medicaid-reliant resident percentage, and nonprofit status. Resident age, visitation frequency, perceived assistance required, and kinship tie were differentially related to satisfaction between facility types. NH administrators should focus on the environment and the moving in process. All administrators should address how residents spend time and should be aware that residents’ and their family members’ characteristics may affect satisfaction levels.

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