scholarly journals Development and evaluation of an educational intervention for general practitioners and staff caring for people with dementia living in residential facilities

2010 ◽  
Vol 23 (2) ◽  
pp. 221-229 ◽  
Author(s):  
Christopher Beer ◽  
Rachel Lowry ◽  
Barbara Horner ◽  
Osvaldo P. Almeida ◽  
Samuel Scherer ◽  
...  
Keyword(s):  
General Practitioners ◽  
Care Facility ◽  
Educational Interventions ◽  
Learning Needs ◽  
Education Programs ◽  
Residential Care Facility ◽  
People With Dementia ◽  
Delivery Options ◽  
Dementia Education ◽  
Feedback Responses

ABSTRACTBackground: Despite high levels of participation in dementia education, general practitioners (GPs) and residential care facility (RCF) staff report perceived learning needs. Small group education, which is flexible, individualized, practical and case-based, is sought. We aimed to develop educational interventions for GPs and RCF staff tailored to meet their perceived educational needs.Methods: We used a consultative process to develop education programs. A flexible program for RCF staff was developed in 30-minute blocks, which could be combined in sessions of different lengths. The RCF program aimed to facilitate sustainable change by engaging local “Dementia Champions”. For GPs, face-to-face and self-directed packages were developed. We collected participant feedback to evaluate the program.Results: GPs and RCF staff were recruited as part of a larger intervention study. Sixteen of the 27 GPs who were offered the dementia education participated. Two of the 16 GPs participated in both learning packages. A total of 45 GP feedback responses were received from 16 GPs: 28 out of 45 GPs (62%) reported that the participants' learning needs were entirely met. Eighteen of 19 facilities offered the intervention participated and 326 RCF staff attended one or more of the 94 RCF education sessions. Feedback was collected from 93 sessions: 1013 out of 1067 RCF staff feedback responses (95%) reported that the session met the participants' learning needs. Qualitative feedback was also strongly positive.Conclusion: Participants perceived the education programs as meeting their needs. Despite explicit attempts to provide flexible delivery options, overall participation rates remained low.

scholarly journals Involving Family Members of People with Dementia in  the Music Therapy Process at a Residential Care Facility

2021 ◽  
Author(s):  
◽  
Patrice Dennis
Keyword(s):  
Music Therapy ◽  
Residential Care ◽  
Family Involvement ◽  
Theoretical Perspective ◽  
Family Members ◽  
Care Facility ◽  
Therapy Process ◽  
Residential Care Facility ◽  
Music Therapist ◽  
People With Dementia

<p>The therapeutic use of music with older adults with dementia is widely documented, and family involvement is encouraged in both music therapy practice and dementia care services. This qualitative study explores and describes the experience of a student music therapist involving the family members of people with dementia in the music therapy process in a residential care facility. Grounded theory methodology informed analysis of the data sources. Secondary data was analysed and a theoretical perspective regarding family involvement in the music therapy process in this setting was developed. The findings are presented in main categories consisting of: building relationships, sharing information, unplanned family involvement in music therapy sessions, flexibility, spontaneity, joy and humour, and negotiation of the music therapist role in the community of the facility. The emergent theoretical perspective suggests that involving family members in the music therapy process in residential care facility is valuable in fostering and strengthening a sense of community between residents, family members and care staff.</p>

scholarly journals Involving Family Members of People with Dementia in  the Music Therapy Process at a Residential Care Facility

2021 ◽  
Author(s):  
◽  
Patrice Dennis
Keyword(s):  
Music Therapy ◽  
Residential Care ◽  
Family Involvement ◽  
Theoretical Perspective ◽  
Family Members ◽  
Care Facility ◽  
Therapy Process ◽  
Residential Care Facility ◽  
Music Therapist ◽  
People With Dementia

<p>The therapeutic use of music with older adults with dementia is widely documented, and family involvement is encouraged in both music therapy practice and dementia care services. This qualitative study explores and describes the experience of a student music therapist involving the family members of people with dementia in the music therapy process in a residential care facility. Grounded theory methodology informed analysis of the data sources. Secondary data was analysed and a theoretical perspective regarding family involvement in the music therapy process in this setting was developed. The findings are presented in main categories consisting of: building relationships, sharing information, unplanned family involvement in music therapy sessions, flexibility, spontaneity, joy and humour, and negotiation of the music therapist role in the community of the facility. The emergent theoretical perspective suggests that involving family members in the music therapy process in residential care facility is valuable in fostering and strengthening a sense of community between residents, family members and care staff.</p>

scholarly journals Effect of a dementia education intervention on the confidence and attitudes of general practitioners in Australia: a pretest post-test study

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e033218 ◽  
Author(s):  
Ron Mason ◽  
Kathleen Doherty ◽  
Claire Eccleston ◽  
Margaret Winbolt ◽  
Marita Long ◽  
...  
Keyword(s):  
General Practitioners ◽  
Educational Interventions ◽  
Attitude Scale ◽  
T Test ◽  
Paired Samples ◽  
Post Test ◽  
Education Workshop ◽  
Group A ◽  
The Impact ◽  
Dementia Education

ObjectivesThis study assessed the impact of a Dementia Education Workshop on the confidence and attitudes of general practitioner (GP) registrars (GPR) and GP supervisors (GPS) in relation to the early diagnosis and management of dementia.DesignPretest post-test research design.SettingContinuing medical education in Australia.Participants332 GPR and 114 GPS.InterventionsRegistrars participated in a 3-hour face-to-face workshop while supervisors participated in a 2-hour-modified version designed to assist with the education and supervision of registrars.Main outcome measuresThe General Practitioners Confidence and Attitude Scale for Dementia was used to assess overall confidence, attitude to care and engagement. A t-test for paired samples was used to identify differences from preworkshop (T1) to postworkshop (T2) for each GP group. A t-test for independent samples was undertaken to ascertain differences between each workshop group. A Cohen’s d was calculated to measure the effect size of any difference between T1 and T2 scores.ResultsSignificant increases in scores were recorded forConfidence in Clinical Abilities,Attitude to CareandEngagementbetween pretest and post-test periods. GPR exhibited the greatest increase in scores forConfidence in Clinical AbilitiesandEngagement.ConclusionsTargeted educational interventions can improve attitude, increase confidence and reduce negative attitudes towards engagement of participating GPs.

scholarly journals Dropout from farm-based day care for people with dementia in Norway: a follow-up study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
T. L. Ibsen ◽  
Ø. Kirkevold ◽  
G. G. Patil ◽  
S. Eriksen
Keyword(s):  
Social Support ◽  
Residential Care ◽  
Day Care ◽  
Agricultural Landscape ◽  
Care Service ◽  
Care Facility ◽  
Individual Characteristics ◽  
Residential Care Facility ◽  
Care Services ◽  
People With Dementia

Abstract Background Farm-based day care services (FDCs) for people with dementia are intending to provide social relationships and meaningful activities in an agricultural landscape and offer respite for next of kin. As this requires a certain cognitive and physical functioning, it is of interest to investigate how this service contribute during the course of dementia. In this study we aim to explore the individual characteristics predicting dropout from FDC. Furthermore, we investigate whether the participants who drop out of the service continue to live at home with another day care service or if they move to a residential care facility. Methods The study includes 92 people with dementia attending FDCs in Norway, assessed with standardized instruments at baseline between January 2017 and January 2018. They were followed for 1 year, and dropouts from FDC during this period were mapped. The association between individual characteristics and dropout was assessed using a Cox proportional hazards regression analysis. Results Thirty-eight people stopped attending FDCs during the study. Twenty-six moved to residential care. Among the 12 who continued to live in their own homes, 9 people started in a regular day care service. Higher score on educational level and more severe dementia, as well as lower scores on social support, increased the probability of stopping FDC. Conclusion FDCs appeared as a service that is stable over time for most participants, as more than two-third could use the care facility until the need of residential care. The transfers within care services and levels of care seemed to be characterized by continuity. More research on the growing population of educated older adults with dementia are warranted, to facilitate for their course of care needs. Finally, extended knowledge is needed to improve the collaboration between private and public networks, such as day care services, to improve the experience of social support for people with dementia.

scholarly journals The Leader of the Band: A Case Story of Community Music Therapy on a Hospital Ward for People Who Have Dementia

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Patrice Dennis ◽  
Daphne Joan Rickson
Keyword(s):  
Music Therapy ◽  
Clinical Data ◽  
Sense Of Community ◽  
Family Members ◽  
Care Facility ◽  
Care Staff ◽  
Therapy Process ◽  
Residential Care Facility ◽  
Music Making ◽  
People With Dementia

This case story was undertaken as part of a research project[1] investigating music therapy to aid relationships between people with dementia and their family members. Involving family members in the music therapy process was found to be valuable in fostering a sense of community between residents, family members, and care staff (Dennis, 2012). However, a sense of community was also fostered by the interactions of the residents themselves as they participated in music therapy over a ten month period. Music making became a natural part of the environment, an important medium for individual expression, shared communication, enhancing social events, and demonstrating mutual care and love. We demonstrate this through our case story of Jack[2] whose music making permeated the dementia ward to invite the active participation of others, and led to the development of caring relationships. [1] The qualitative study used secondary analysis of clinical data (also known as clinical data mining) to explore and describe a student music therapist’s experience of involving family members of people with dementia in a music therapy process at a residential care facility. The study has the approval of the Massey University Human Ethics Committee (HEC: Southern A – 11/41). [2] Not his real name. 

Blessing’s (Life) Story: An Adolescent in Residential Care Living with HIV

2019 ◽  
Vol 31 (2) ◽  
Author(s):  
Jenita Chiba ◽  
Jeanette Schmid
Keyword(s):  
Identity Formation ◽  
Residential Care ◽  
Antiretroviral Treatment ◽  
Service Providers ◽  
Life Story ◽  
Care Facility ◽  
Hiv Positive ◽  
Residential Care Facility ◽  
Living With Hiv ◽  
Specific Construction

The lifespan of perinatally HIV-infected children in South Africa has increased owing to the availability of antiretroviral treatment, allowing growth into adolescence and beyond. There is limited knowledge of the lived realities of adolescents with HIV. This paper, using life story methodology and based on Blessing’s narrative, provides an intersectional, complex view of the experience of one such teenager who is perinatally HIV-positive, was abandoned by his family and is living in a residential care facility. His story powerfully illuminates the specific construction of adolescence in this context, focusing on identity formation and the need for connection. The narrative also points to service providers’ practice when engaged with such youths.

Geriatrische revalidatiezorg na triage op de Spoedeisende Hulp: Patiëntkarakteristieken en revalidatie-uitkomsten

2019 ◽  
Keyword(s):  
Emergency Department ◽  
Residential Care ◽  
Functional Decline ◽  
Care Facility ◽  
Geriatric Rehabilitation ◽  
Residential Care Facility ◽  
Successful Group ◽  
Geriatrische Revalidatiezorg ◽  
One Year ◽  
Single Contact

In the Netherlands geriatric rehabilitation is possible (among others) for patients who are selected by a geriatrician at the emergency department of a hospital. The aim of this study was to investigate the rehabilitation trajectory of patients who were selected for geriatric rehabilitation at the emergency department after a single contact with the geriatrician and to identify patient factors related to rehabilitation outcome. Successful rehabilitation was defined as discharge to home or a residential care facility after a maximum of 6 months. All patients who in 2016 were selected for geriatric rehabilitation were included. Data were collected retrospectively from electronic patient files. 74 patients were included (mean age 84.7 years). 84% were successfully discharged home or to a residential care facility within six months. The presentation with a fall and the absence of a partner at home was higher in the unsuccessful group. In the successful group more patients lived independent and without professional help prior to rehabilitation. Noteworthy is that the analysed patient group is a frail group, considering the high one-year mortality (21,6%) and overall functional decline despite geriatric rehabilitation.

Migrants and the Labor Market: The Role and Tasks of Adult Education

2021 ◽  
Vol 32 (1) ◽  
pp. 29-39
Author(s):  
Tetyana Kloubert ◽  
Chad Hoggan
Keyword(s):  
Labor Market ◽  
Adult Education ◽  
Adult Educators ◽  
Learning Needs ◽  
Integration Process ◽  
Multiple Forms ◽  
Education Programs ◽  
Successful Integration

The process of migration to a new country brings with it a host of challenges, and therefore also learning needs. Some countries have systems in place to facilitate the transition of migrants into society, often including adult education programs. Those programs, however, cannot be effective if blithely designed in ignorance of the interrelationship between established systems for facilitating integration and the experiences of migrants during the integration process. Focusing on the transition into the labor market and drawing on the expertise of adult educators who work in these systems in Germany, this article explores several stumbling blocks that make a successful integration for migrants more difficult and describes three strategies to address them: challenging the logic of the labor market, dealing with failure, and acknowledging multiple forms of discrimination. The analysis of Germany can provide insights that are useful in other national contexts.

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