scholarly journals Feeling in control: comparing older people's experiences in different care settings

2013 ◽  
Vol 34 (8) ◽  
pp. 1427-1451 ◽  
Author(s):  
LISA CALLAGHAN ◽  
ANN-MARIE TOWERS
Keyword(s):  
Older People ◽  
Social Care ◽  
Daily Life ◽  
Care Homes ◽  
Policy And Practice ◽  
Community Based ◽  
Ordinal Logistic Regression Analysis ◽  
Care At Home ◽  
Extra Care Housing ◽  
At Home

ABSTRACTThe promotion of choice and control for older people is a policy priority for social care services in the United Kingdom and is at the heart of recent drives to personalise services. Increasingly, we are seeing a move away from institutionalised care (e.g. in care homes) towards enablement, with more services being delivered in community-based settings. Extra care housing has been promoted as a purpose-built, community-based alternative to residential care for older people. However, whilst accounts of users' experiences in particular service types are plentiful, the use of different instrumentation and measures makes comparison between settings difficult. We combined data from four studies where participants were older people either living in care homes or extra care housing or receiving care at home. All of these studies asked participants to rate their control over daily life, using the Adult Social Care Outcomes Toolkit (ASCOT). This paper presents the results of an ordinal logistic regression analysis indicating that, after controlling for differences in age, ability to perform activities of daily living and self-rated health, setting had a significant effect on older people's sense of control. Residents in care homes and extra care housing report similar levels of control over daily life but consistently report feeling more in control than older people receiving care at home. Implications for policy and practice are discussed.

scholarly journals Research with older people in a world with COVID-19: identification of current and future priorities, challenges and opportunities

2020 ◽  
Vol 49 (6) ◽  
pp. 901-906 ◽  
Author(s):  
Sarah J Richardson ◽  
Camille B Carroll ◽  
Jacqueline Close ◽  
Adam L Gordon ◽  
John O’Brien ◽  
...  
Keyword(s):  
Older People ◽  
Psychological Health ◽  
Social Care ◽  
Care Homes ◽  
Face To Face ◽  
System Reconfiguration ◽  
Health And Social Care ◽  
Challenges And Opportunities ◽  
Academic Authors ◽  
The Impact

Abstract Older people are disproportionately affected by the COVID-19 pandemic, which has had a profound impact on research as well as clinical service delivery. This commentary identifies key challenges and opportunities in continuing to conduct research with and for older people, both during and after the current pandemic. It shares opinions from responders to an international survey, a range of academic authors and opinions from specialist societies. Priorities in COVID-19 research include its specific presentation in older people, consequences for physical, cognitive and psychological health, treatments and vaccines, rehabilitation, supporting care homes more effectively, the impact of social distancing, lockdown policies and system reconfiguration to provide best health and social care for older people. COVID-19 research needs to be inclusive, particularly involving older people living with frailty, cognitive impairment or multimorbidity, and those living in care homes. Non-COVID-19 related research for older people remains of critical importance and must not be neglected in the rush to study the pandemic. Profound changes are required in the way that we design and deliver research for older people in a world where movement and face-to-face contact are restricted, but we also highlight new opportunities such as the ability to collaborate more widely and to design and deliver research efficiently at scale and speed.

scholarly journals Meeting the needs of older people living at home with dementia who have problems with continence

2017 ◽  
Vol 18 (4) ◽  
pp. 246-253 ◽  
Author(s):  
Vari M. Drennan ◽  
Jill Manthorpe ◽  
Steve Ilifffe
Keyword(s):  
Older People ◽  
Social Care ◽  
Clinical Care ◽  
Care Practice ◽  
Service Improvement ◽  
Content Type ◽  
People With Dementia ◽  
Care Relationships ◽  
The Impact ◽  
At Home

Purpose The purpose of this paper is to discuss the question of how to meet the needs of older people living at home with dementia who have problems with continence. The paper is focused on social care practice in community settings. Design/methodology/approach This paper is practice focused and draws on the authors’ research and experiences in clinical care, workforce development and service improvement. Findings This paper summarises research on incontinence and its negative effects on quality of life and care relationships. It describes the impact of incontinence in terms of social embarrassment, restricted social activity, extra work (such as laundry) and costs, but also distress. It links research with care practice, with a focus on people with dementia who may be at particular risk of both continence problems and of assumptions that nothing can be done to assist them. Social implications This paper provides questions that could be addressed in commissioning and provision of services and argues that they need to be informed by care practitioners’ experiences. It provides details of sources of support that are available at national and local levels. Originality/value This paper draws together research on continence and social care practice to provide a series of self-assessment questions for local services. It focuses on social care workers who are at the frontline of practice including personal assistants and carers.

scholarly journals 085Southern Trust Acute Care at Home Service for Older People

2017 ◽  
Vol 46 (Suppl_3) ◽  
pp. iii1-iii12
Author(s):  
Ann McCann ◽  
Patricia McCaffrey ◽  
Gail Nicholson ◽  
Eamon Farrell
Keyword(s):  
Older People ◽  
Acute Care ◽  
Home Service ◽  
Care At Home ◽  
At Home

scholarly journals Assistive Robotic Technology: A Review

2017 ◽  
Vol 6 (2) ◽  
pp. 71-78
Author(s):  
Anton Satria Prabuwono ◽  
Khalid Hammed S. Allehaibi ◽  
Kurnianingsih Kurnianingsih
Keyword(s):  
Older People ◽  
Chronic Conditions ◽  
Daily Life ◽  
Disabled People ◽  
Robotic Technology ◽  
Assistive Robots ◽  
Assistive Robot ◽  
Assistive Robotic ◽  
At Home

Older people with chronic conditions even lead to some disabilities face many challenges in performing daily life. Assistive robot is considered as a tool to provide companionship and assist daily life of older people and disabled people. This paper presents a review of assistive robotic technology, particularly for older people and disabled people. The result of this review constitutes a step towards the development of assistive robots capable of helping some problems of older people and disabled people. Hence, they may remain in at home and live independently.

scholarly journals Story, dialogue and caring about what matters to people: progress towards evidence-enriched policy and practice

2020 ◽  
Vol 16 (4) ◽  
pp. 597-618 ◽  
Author(s):  
Nick Andrews ◽  
John Gabbay ◽  
Andreé Le-May ◽  
Emma Miller ◽  
Alison Petch ◽  
...  
Keyword(s):  
Older People ◽  
Lived Experience ◽  
Social Care ◽  
Approaches To Learning ◽  
Participatory Action ◽  
Learning And Development ◽  
Policy And Practice ◽  
Care Services ◽  
Five Elements ◽  
What Matters

Background: Evidence-based practice in social care and health is widely promoted. Making it a reality remains challenging, partly because practitioners generally see practice-based knowledge as more relevant than empirical research. A further challenge regarding the creative, contextual use of research and other evidence including lived experience and practice-based knowledge is that practitioners, especially in frontline care services, are often seen not as innovators, but recipients of rules and guidelines or followers of pre-determined plans. Likewise, older people are not generally recognised as co-creators of knowledge, learning and development but as passive recipients of care, or objects of research.Aims: This study aimed to address the above issues, through a collaborative and appreciative endeavour involving researchers; social care and health practitioners; managers; older people and carers in 6 sites across Wales and Scotland.Methods: We used participatory action research methodology, applying a dialogic storytelling approach, which enabled participants to explore and address 7 already published research-based ‘Challenges’ regarding what matters most to older people with high-support needs.Findings: Participants discovered and addressed five elements required in developing evidence-enriched practice; the creation of supportive and relationship-centred research and practice environments; the valuing of diverse types of evidence; the use of engaging narratives to capture and share evidence; the use of dialogue-based approaches to learning and development; and the recognition and resolution of systemic barriers to development.Discussion and conclusion: Although existing literature covers each element, this project was novel in collectively exploring and addressing all five elements together, and in its use of multiple forms of story, which engaged hearts and minds, positive outcomes were achieved.

Enabling the person with moderate dementia to remain at home

2020 ◽  
Vol 14 (7) ◽  
pp. 324-329
Author(s):  
Linda Nazarko
Keyword(s):  
Public Health ◽  
Older People ◽  
End Of Life ◽  
People With Dementia ◽  
Moderate Dementia ◽  
Care At Home ◽  
The Uk ◽  
At Home

Most older people would prefer to remain at home and receive care at home until the end of life. In the UK, around 16% of older people die at home ( Hall et al, 2011:3 , Figure 1:1) and around 10% of people with dementia die at home ( Public Health England (PHE), 2019 ). In Europe, including the UK, the population is ageing and it is important that older people are enabled to remain at home whenever possible ( Hall et al, 2011 ). As dementia progresses, this can become more difficult, but can be managed if the appropriate support is provided. This article explores ways to support people with moderate dementia to remain at home.

The Netherlands—zorg in de gemeenschap

2019 ◽  
pp. 61-66
Author(s):  
Mark Britnell
Keyword(s):  
Primary Care ◽  
Older People ◽  
Healthcare System ◽  
Long Term Care ◽  
Term Care ◽  
The World ◽  
Care At Home ◽  
General Care ◽  
At Home

The Dutch healthcare system is considered by many to be one of the finest in the world because of its pioneering provision and decent level of funding. ‘Zorg in de gemeenschap’ or ‘care in the community’ is a both a distinguishing and defining feature of the Dutch cure and care system. The Dutch spend around 3.7% of their GDP on long-term care, the highest in the OECD, and offer many examples of innovation in caring for older people in the community and at home. Nearly 13% of the population aged over 65 receive care at home, compared with just 4.9% across the OECD. In this chapter, Mark Britnell looks at the Dutch healthcare system; its structure, funding, future, and much else. He points out that a strength of the Dutch healthcare system is the emphasis placed on well-resourced primary care, and looks at how it affects general care.

Evaluating automated goals for home care support

2016 ◽  
Vol 10 (2) ◽  
pp. 79-91 ◽  
Author(s):  
Julia S Clark ◽  
Kenneth J. Turner
Keyword(s):  
Home Care ◽  
Social Care ◽  
Research Question ◽  
End Users ◽  
Informal Carer ◽  
Care Needs ◽  
Content Type ◽  
Care At Home ◽  
Care System ◽  
At Home

Purpose – The purpose of this paper is to evaluate an approach to automating goals for supporting home care, with a view to understanding user experience when defining such goals and hence identifying improvements that could be made to the approach. Design/methodology/approach – The study was designed to answer the key research question of whether users can understand, formulate and relate to automated goals for home care. In order to do this, a fictional text-based scenario was used about a couple with care needs. This helped to explore the feasibility, acceptability and usability of goals to manage care at home. Face-to-face qualitative interviews were undertaken with ten participants with a background in social care: four social care professionals; one health care professional; one formal carer; one informal carer; and three end users. Findings – Overall, participants were positive about being able to control the MATCH (Mobilising Advanced Technologies for Care at Home) system through the use of goals. The results from the participant interviews will be used to help guide potential improvements to the home care system. The main issue that emerged from the study is that it would be valuable to think in terms of outcomes as a higher level than goals. A second consideration is that it would be desirable to adopt terminology that can be understood by all stakeholders. Research limitations/implications – The study has demonstrated that automated goals for home care have a useful role to play and can be successfully used by end users and carers. Although the range of participants in the study was limited, it has allowed confidence to be built in the approach and has identified useful pointers for future development. Practical implications – With the evaluation and validation of the goal-based approach, it has encouraged the developers to make automated goals more widely available in future deployment of the home care system. Social implications – The use of automated goals to support home care has been shown to be acceptable to end users and carers. This will allow future home care systems to offer more personal and better customised services to those receiving telecare. Originality/value – The study provides a unique evaluation of the use of automated goals to support home care. Previous use of goals in the literature has been for highly technical applications, so their application to home care is novel and speculative. The study has demonstrated that the approach is viable, useful, and usable by end users and carers.

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