In home or at home? How collective decision making in a new care facility enhances social interaction and wellbeing amongst older adults

2010 ◽  
Vol 30 (8) ◽  
pp. 1393-1418 ◽  
Author(s):  
CRAIG KNIGHT ◽  
S. ALEXANDER HASLAM ◽  
CATHERINE HASLAM

ABSTRACTBenevolent, long-term care can threaten older adults' sense of autonomy in a residential home environment. Increasing reliance on a hotel style of living has been seen to erode social identity, life satisfaction and even survival or lifespan. Drawing on evidence from both gerontological and social psychological literature, this paper examines the links between the empowerment of residents and their subsequent quality of life in the context of a move into a new care facility in a medium-sized town in South-West England. A longitudinal experiment was conducted during which 27 residents on one floor of a new facility were involved in decisions surrounding its décor, while those on another floor were not. The residents' attitudes and behaviour were monitored at three points over five months (four weeks pre-move, four weeks post-move, and four months post-move). Consistent with the social identity literature, members of the empowered group reported increased identification with staff and fellow residents in the new home, displayed enhanced citizenship, reported improved wellbeing, and made more use of the communal space. Moreover the staff found the empowered residents to be more engaged with their environment and the people around them, to be generally happier and to have better health. These patterns were observed one month after the move and remained four months later. Some implications for theory and practice are discussed.

2021 ◽  
pp. 084456212110637
Author(s):  
Jessica Smith ◽  
Monakshi Sawhney ◽  
Lenora Duhn ◽  
Kevin Woo

Background The older adult population in Canada is increasing, and many will require care within an acute geriatric unit (AGU) or long-term care facility (LTCF). However, the nursing workforce is not growing at the same pace as the population is aging. New graduate nurses may be able to fill this gap; therefore, it is important to understand their intentions of working in gerontological care settings (i.e., AGU or LTCF). Aim To examine if nursing education and personal attitudes toward older adults influence newly registered nurses’(RNs) intentions to work in a gerontological care setting. Method Nurses (n= 1,103) who registered with the College of Nurses of Ontario for the first time in 2018 were invited to complete a questionnaire. Results The majority of participants (n = 181) reported a positive attitude toward older adults. However, only 14% reported an intention to work in a gerontological care setting. Participants who completed multiple geriatric focused clinical placements were more likely to report an intention to work in these settings. Conclusion This study provides some information regarding the attitudes and intentions of newly RNs toward a career in gerontological care settings. Further research is needed to understand nurses’ intentions regarding working in AGUs or LTCFs.


Author(s):  
Iulian Apostu ◽  

The book “Asistenţa socială şi religiozitatea la persoanele cu handicap” [Social work and religiosity for people with disabilities], authored by Carman Gabriela Mândrilă Lăzăreanu, published by Lumen Publishing House from Iasi, Romania, in 2020, aims from the beginning to be an important guide for young generations, developing both the secular dimension of social work and the religious dimension, specific to theological environments. We welcome the publishing of the book, especially since social discourses and, unfortunately, those of some Romanian public personalities blame the vulnerable condition of the people who depend on financial benefits and other types of intervention and support services. In this sense, the book clarifies from the beginning the importance of changing mentalities, norms, and how these people are perceived, for a solution to the problems they face. Approached in terms of cause and effect, the volume focuses on the social, psychological, medical, and legal dimensions that define the situation of disability in order to build an objective framework for assessing and supporting the condition of disability.


2019 ◽  
Vol 1 (2) ◽  
pp. 156-168
Author(s):  
Trisna Malinda

This study exposes about society changes when the formation and development of Trans Village program from isolation to acculturation. Its purpose is to identify how the community change from isolated to acculturated and changes then forms a social identity in Trans Village. The Theory used in this field is Henri Taifel’s social identity theory that stated the individual concept forms by their experience in the group by acknowledging and applied the social values, participate, and develops their sense of care and pride of their group. This research uses descriptive qualitative research. Data collection techniques through observation, interviews, and documentation. This study also uses data analysis techniques by reducing data, displaying data and drawing conclusions. The number of informants used is 9 people filtered through purposive sampling. The results of this study indicate that the process from isolation to community acculturation occurred at the time of the formation and development of the Trans Village in Kurau Village. At first, the transmigrant communities are isolated from the local community so there are no interactions. Then by the time being, Trans Village leads to the transformation of social identity. Social identity is formed starting from the awareness, relationships, collaboration and harmonization among the people. People who were initially isolated have now become acculturated in Kampung Trans. This condition can be seen from the merging of the community, namely the local community and transmigrants in Trans Village which caused mixing between cultures so that new cultures are formed while still preserving old cultures. People live mingled by promoting the values ​​and rules that exist in Kampung Trans.


2012 ◽  
Vol 37 (1) ◽  
pp. 100-105 ◽  
Author(s):  
Navita Viveky ◽  
Lynda Toffelmire ◽  
Lilian Thorpe ◽  
Jennifer Billinsky ◽  
Jane Alcorn ◽  
...  

Vitamin–mineral supplementation may offer older adults health and cognition-related benefits but overuse may contribute to polypharmacy. We examined the prevalence of supplement usage in long-term care facility (LTC) residents (≥65 years of age). As cognition may be affected by nutrition, we also examined use in those with diagnosis of dementia and those with no dementia diagnosis. The prevalence of supplement usage and overall “pill count” from pharmaceutical use was assessed in 189 LTC residents and a subsample of 56 older adults with dementia diagnosis, respectively. Participants were residing in an LTC facility of a mid-size metropolitan area during 2009. The average use of supplements was 1.0 per day for all residents, with 35% taking vitamin D supplements, 20% multivitamins, and 26% calcium. Supplement use was similar (p ≥ 0.05) for those with dementia diagnosis (53%, average 2.0 per day) and for those without such diagnosis (45%, average 2.2 per day). Usage ranged between 1–6 supplements per day. In both of these groups, ∼73% of users were taking vitamin D. The number of prescribed medications ranged from 4 to 24 (average 10.2) in a subsample of residents whose supplement intake was 0 to 6 (average 2). These findings suggest an overall low rate of supplement use, with no significant differences (p ≥ 0.05) in use between residents with and without dementia diagnosis. However, some residents were at risk for supplement overuse.


2021 ◽  
pp. 0142064X2110647
Author(s):  
Katja Kujanpää

When Paul and the author of 1 Clement write letters to Corinth to address crises of leadership, both discuss Moses’ παρρησία (frankness and openness), yet they evaluate it rather differently. In this article, I view both authors as entrepreneurs of identity and explore the ways in which they try to shape their audience’s social identity and influence their behaviour in the crisis by selectively retelling scriptural narratives related to Moses. The article shows that social psychological theories under the umbrella term of the social identity approach help to illuminate the active role of leaders in identity construction as well as the processes of retelling the past in order to mobilize one’s audience.


Author(s):  
Ben Yuk Fai Fong ◽  
Vincent T. Law

Aging is a function of time and is a natural and integral part of the life cycle. Aging process differs among individuals and brings all kinds of changes, affecting not just the physical body and its functions, but also to the social, psychological and financial situations to individuals. Aging in place (AIP) is a common preference among older people for remaining in their local community and maintaining their social networks throughout the aging process. Issues about appropriateness of aging in place, long-term care, and residential homes are discussed. Some models and recommendations are discussed, completed with thoughts on future studies.


Author(s):  
Nancy P. Kropf ◽  
Sherry M. Cummings

Chapter 3, “Cognitive Behavioral Therapy: Theory and Practice,” presents the history, examines the theoretical underpinnings, and explains the essential skills and techniques of cognitive behavioral therapy (CBT). Theoretical principles, such as cognitive distortions, underlying assumptions and schema, and their presentation in older adults, are discussed. The treatment approach of CBT is outlined, including the nature of the therapeutic relationship, changing cognitions, behavioral strategies, the use of homework in treatment, and special considerations and adaptations for practice with older clients. Various contexts and settings where CBT is implemented are summarized, such as individual and group settings within community-based, acute-care, and long-term-care facilities. The chapter ends with the case example of cognitive behavioral treatment with an older female caregiver, which highlights and illustrates CBT practice with older adults.


Author(s):  
Isabele de Matos Pereira de Mello

In early modern societies, the duty of enforcing justice was one of the principal tasks of the monarch. Judicial power could be exercised both directly by the monarch—the supreme magistrate—or by those he delegated it to—judges or his courts. In the vast territory of Portuguese America, different institutions were created to ensure access to justice, to help govern the people, to assist in long-distance administration, and to maintain control over the crown’s dominions. Ouvidorias-gerais, judges, and courts were established with their own institutional officials, intermixing lower- and higher-level jurisdictions and exercising justice over distinct territorial spaces. To understand the functioning of judicial institutions in colonial society, it is important to analyze the universe of magistrates, their careers, judicial practices, and complex relations in the social environment. Magistrates, as an important professional group recruited by the Portuguese monarchy, had multiple overseas possibilities. They could serve at the same time as representatives of royal power and allies of local groups. These men faced a colonial reality that allowed them a wide sphere of action, the exercise of a differentiated authority, and a privileged position as intermediaries between local elites and the king. Even though all magistrates were subject to the same rules of selection, recruitment, appointment, and promotion, the exercise of justice in the slaveholding society of Portuguese America demanded a great capacity for adaptation and negotiation, for the application of law in the mosaic of local judicial situations. Magistrates circulated in different spaces, creating and working in different judicial institutions in the difficult balance between theory and practice, between written law and customary law.


2019 ◽  
Vol 27 (1) ◽  
pp. 61-73 ◽  
Author(s):  
Megan E Graham

As the global population ages, residential care facilities are challenged to create positive living environments for people in later life. Health care acoustics are increasingly recognized as a key design factor in the experience of well-being for long-term care residents; however, acoustics are being conceptualized predominantly within the medical model. Just as the modern hospital battles disease with technology, sterility and efficiency, health care acoustics are receiving similar treatment. Materialist efforts towards acoustical separation evoke images of containment, quarantine and control, as if sound was something to be isolated. Sound becomes part of the contested space of long-term care that exists in tension between hospital and home. The move towards acoustical separation denies the social significance of sound in residents’ lives. Sound does not displace care; it emplaces care and the social relationships therein. Drawing upon ethnographic fieldwork in a Canadian long-term care facility, this article will use a phenomenological lens to explore how relationships are shaped in sound among residents living in long-term care. Ethnographic vignettes illustrate how the free flow of music through the care unit incited collective engagement among residents, reduced barriers to sharing social space and constructed new social identity. The article concludes that residents’ relationships are shaped within the acoustical milieu of the care unit and that to impose acoustical separation between residents’ living spaces may further isolate residents who are already at risk of loneliness.


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