scholarly journals Evaluating the quality of care received in long-term care facilities from a consumer perspective: development and construct validity of the Consumer Choice Index – Six Dimension instrument

2017 ◽  
Vol 39 (1) ◽  
pp. 138-160 ◽  
Author(s):  
RACHEL MILTE ◽  
JULIE RATCLIFFE ◽  
CLARE BRADLEY ◽  
WENDY SHULVER ◽  
MARIA CROTTY
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Construct Validity ◽  
Consumer Choice ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities ◽  
Consumer Perspective

ABSTRACTThe Consumer Choice Index – Six Dimension (CCI-6D) is a new instrument designed specifically to evaluate the quality of care received in long-term care from a consumer perspective. This study aims to demonstrate the construct validity of the CCI-6D. Older residents living in long-term care facilities and proxy family carers (where severely impaired cognition precluded resident consent) participated as consumers of long-term care. Data collected included the CCI-6D instrument, quality of life, physical function and characteristics of the care facility. Relationships between these variables and the CCI-6D dimensions were assessed and analysed through chi-squared and Kruskal–Wallis tests to assess the construct validity of each dimension. Of 430 eligible consumers, a total of 253 completed the questionnaire, of whom 68 (27%) were residents and 185 (73%) were informal carer proxy participants. There was strong evidence of construct validity of the dimensions relating to adequacy of individual care time, access to outside and gardens, access to meaningful activities and flexibility of care. There was more moderate evidence of validity of the home-like own room and shared spaces items, which may be in part due to difficulty in identifying strong discriminatory variables for comparison with these items. The results also indicate a strong association between ‘processes’ of care delivery (as measured by the CCI-6D) and quality of life of care recipients.

Guidelines for podiatric services in long-term care facilities

1990 ◽  
Vol 80 (8) ◽  
pp. 448-450 ◽  
Author(s):  
AE Helfand
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Long Term Care ◽  
Life Support ◽  
Maximum Level ◽  
Term Care ◽  
The Social ◽  
Care Facilities

The inclusion of appropriate podiatric services in long-term care programs often will produce dramatic effects. Immobility can be replaced by activity. Quality of care translates into quality of life. Support and encouragement can be directed to independence and a strong sense of personal identity and worth. Isolation can be replaced by interaction. When the quality of life decreases as a result of disease, disability, or age, those precious aspects of dignity must be restored to a maximum level by caring staff and people. Because walking is a catalyst for life, podiatric care can help restore some of the lost dignity by keeping patients walking and moving about, so that they can accept and participate in the social activities provided by the facility.

scholarly journals Quality of Care and Mortality among Long-term Care Residents with Dementia

2008 ◽  
Vol 35 (1) ◽  
pp. 49 ◽  
Author(s):  
R. Colin Reid
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
Mortality Data ◽  
Social Selection ◽  
Term Care ◽  
Causative Factors ◽  
Care Facilities ◽  
Selection Factors

Seniors with dementia who enter long-term care facilities are at greater risk of death than are similar individuals that remain in the community. Previous research has focused primarily on social selection factors such as health status to explain mortality in this population. This study seeks to determine whether resident mortality within 12 months of admission to a facility can be explained by post-admission social causative factors, that is, by institutional quality of care. Logistic regression results are based on the study of 402 residents in 73 long-term care facilities throughout British Columbia, Canada. Mortality data were obtained from Vital Statistics. Although social selection factors (e.g., physical dependency) emerge as the strongest predictors, one social causative factor – facility level restraint use – also predicts mortality. This study provides some evidence that social causative factors play a role in determining mortality among long-term care residents with dementia. Further research on the social causative factors is needed to understand the degree to which they affect mortality, and the way in which they do so.

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

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.

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

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.

scholarly journals Colonization With Multiresistant Bacteria and Quality of Life in Residents of Long-Term–Care Facilities

2001 ◽  
Vol 22 (02) ◽  
pp. 67-68 ◽  
Author(s):  
Mark Loeb ◽  
Lorraine Moss ◽  
Angela Stiller ◽  
Stephanie Smith ◽  
Rosalie Russo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Term Care ◽  
Multiresistant Bacteria ◽  
Care Facilities

scholarly journals OLDER RESIDENTS’ QUALITY OF LIFE IN LONG-TERM CARE FACILITIES IN SHANGHAI, CHINA

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1355-1355
Author(s):  
J. Wang ◽  
J. Wang ◽  
Y. Cao ◽  
S. Jia ◽  
B. Wu
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities
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