Why does institutionalised care not appeal to Indian families? Legislative and social answers from urban India

2011 ◽  
Vol 32 (4) ◽  
pp. 697-717 ◽  
Author(s):  
BIANCA BRIJNATH
Keyword(s):  
Cultural Practices ◽  
Service Providers ◽  
Aged Care ◽  
Specific Reference ◽  
Policy And Practice ◽  
Home Based ◽  
Urban India ◽  
Aged Care Facilities ◽  
Care Of Elderly ◽  
Home Based Care

ABSTRACTIn India, although notions of ageing and care are changing, there is a continued preference among families for home-based care of elderly relatives. The legislative policies and cultural practices that shape this preference will be examined in this paper with specific reference to aged-care facilities and the 2007 Maintenance and Welfare of Parents and Senior Citizens Act. Using qualitative data from a study on dementia care in urban India it will be shown how the Act and old-age homes are understood and experienced by Indian families and key service providers. In juxtaposing policy and practice it will be argued that while notions of care are being redefined by processes like migration and urbanisation, the preference for home care remains, indicating that existing services need to be re-oriented and expanded to support families in providing this care.

Growing Older with an Intellectual Disability

2000 ◽  
Vol 6 (2) ◽  
pp. 57-66
Author(s):  
Lindsay Gething
Keyword(s):  
Quality Of Life ◽  
Intellectual Disability ◽  
Service Provision ◽  
Service Providers ◽  
Family Care ◽  
Well Being ◽  
The United States ◽  
Aged Care ◽  
Policy And Practice

Both the life expectancy and numbers of older people with intellectual disabilities are growing. Until recently, ageing with a disability had not been a major consideration for Australian policy makers and service providers. The situation was similar in countries such as the United States of America and United Kingdom where, unlike aged care, disability policy and practice had not evolved to meet needs. Ageing with long standing disability has now been specified by the Australian government as a priority area. This paper reports results of consultations held with consumers, their organisations, service providers and government in order to explore quality of life and service provision issues for people with long standing disabilities. It reports these issues and uses themes emerging from consultations to structure previously published information specifically related to ageing with an intellectual disability. Seven broad themes are discussed which relate to: life experiences; attitudes, skills and knowledge of consumers; attitudes skills and knowledge of community and service providers, the nature of service provision; the ageing of family care givers; financial security; and ageing in place. It is concluded that disadvantages and barriers experienced throughout life influence well being and quality of life in old age.

Health and wellness monitoring through wearable and ambient sensors: exemplars from home-based care of elderly with mild dementia

2010 ◽  
Vol 65 (9-10) ◽  
pp. 505-521 ◽  
Author(s):  
Jit Biswas ◽  
Andrei Tolstikov ◽  
Maniyeri Jayachandran ◽  
Victor Foo ◽  
Aung Aung Phyo Wai ◽  
...  
Keyword(s):  
Health And Wellness ◽  
Mild Dementia ◽  
Home Based ◽  
Care Of Elderly ◽  
Home Based Care

Engaging food service providers to change food service practices in aged care facilities

2018 ◽  
Vol 75 (4) ◽  
pp. 381-389 ◽  
Author(s):  
Louisa Matwiejczyk ◽  
Rachel Roberts ◽  
Olivia Farrer ◽  
Gabrielle O'Dea ◽  
Georgia Bevan ◽  
...  
Keyword(s):  
Service Providers ◽  
Food Service ◽  
Aged Care ◽  
Care Facilities ◽  
Aged Care Facilities

scholarly journals The future nursing voice

2003 ◽  
Vol 11 (4) ◽  
pp. 413-419 ◽  
Author(s):  
Verena Tschudin
Keyword(s):  
International Research ◽  
Code Of Ethics ◽  
Nursing Ethics ◽  
Political Work ◽  
Home Based ◽  
The Future ◽  
Political Voice ◽  
Care Of Elderly ◽  
Home Based Care

Based on some articles in the journal Nursing Ethics, the author outlines some of the areas of major importance for nursing in the future. These areas - the care of elderly people, long-term home-based care, genetics, international research and conflict and war - demand a new voice of nursing, which is a political voice. The rationale for a political voice is the ICN Code of ethics for nurses and the fourfold responsibilities laid on nurses: to promote health, to prevent illness, to restore health, and to alleviate suffering. Some indications are given on how nurses can engage in political work.

Where Policy Meets Practice: Employer Perspectives on Scheduling and Hours for Home Care Aides

2017 ◽  
Vol 38 (11) ◽  
pp. 1615-1634 ◽  
Author(s):  
Elizabeth Nisbet ◽  
Jennifer Craft Morgan
Keyword(s):  
Home Care ◽  
State Level ◽  
Direct Care ◽  
Employment Policy ◽  
Policy And Practice ◽  
Care Services ◽  
Home Based ◽  
Fair Labor Standards Act ◽  
Care Aides ◽  
Home Based Care

In a context of growing demand for home-based direct care services, the need to retain direct care workers (DCWs) is clear. The Patient Protection and Affordable Care Act, changes to the Fair Labor Standards Act, and state-level changes in Medicaid support for home-based care together have affected agencies that hire DCWs, with implications for an issue that affects worker satisfaction: scheduling. Many home-based aides employed by agencies cannot count on consistent or sufficient hours. Hours shortfall and instability have been recognized as important issues for retail and restaurant workers, but focused on less for care aides. This study uses semistructured interviews with agency representatives to examine these issues from an employer perspective, with a focus on how the competing influences of health care, labor, and employment policy shape scheduling and a review of how recommendations for changes in policy and practice in other sectors might apply to home care.

scholarly journals Quality of advance care planning policy and practice in residential aged care facilities in Australia

2012 ◽  
Vol 3 (3) ◽  
pp. 349-357 ◽  
Author(s):  
William Silvester ◽  
Rachael S Fullam ◽  
Ruth A Parslow ◽  
Virginia J Lewis ◽  
Rebekah Sjanta ◽  
...  
Keyword(s):  
Aged Care ◽  
Residential Aged Care ◽  
Care Planning ◽  
Policy And Practice ◽  
Planning Policy ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Advance Care

scholarly journals CPR POLICY AND PRACTICE IN AUSTRALIAN RESIDENTIAL AGED CARE FACILITIES (RACFS)

2013 ◽  
Vol 3 (2) ◽  
pp. 268.3-269
Author(s):  
M Sellars ◽  
W Silvester ◽  
R Fullam ◽  
R Sjanta ◽  
L Jackson ◽  
...  
Keyword(s):  
Aged Care ◽  
Residential Aged Care ◽  
Policy And Practice ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities

scholarly journals Music playlists for people with dementia: Qualitative evaluation of a guide for caregivers

2021 ◽  
Vol 104 (2) ◽  
pp. 003685042110143
Author(s):  
Sandra Garrido ◽  
Laura Dunne ◽  
Catherine Stevens ◽  
Esther Chang
Keyword(s):  
Qualitative Evaluation ◽  
Aged Care ◽  
Appropriate Technology ◽  
Care Staff ◽  
Music Listening ◽  
Care Providers ◽  
Positive Effects ◽  
People With Dementia ◽  
Home Based ◽  
Aged Care Facilities

This study aimed to evaluate a set of guidelines for music use with people with dementia. A secondary aim was to identify challenges and barriers to implementation of music interventions by caregivers. Caregivers ( n = 16) were interviewed after implementing a music listening programme based on the guidelines with 29 people with dementia in home-care and aged care facilities. Caregivers found the guidelines informative, easy to understand and use. Positive effects on mood, reduced agitation and reduced challenges to care were reported. Difficulties with technology and finding time to implement the music programme were identified. Results highlight the need for more research around appropriate technology and the streamlining of processes and procedures for aged care staff. Further iterations of the guidelines will need to address these issues and consider the differing needs of home-based carers and aged care providers separately.

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