Towards a Theory of the Everyday: The Ordinary and the Special in Daily Living in Residential Care

2004 ◽  
Vol 33 (3) ◽  
pp. 209-225 ◽  
Author(s):  
Adrian Ward
2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 90-90
Author(s):  
Meghan Jenkins Morales ◽  
Stephanie Robert

Abstract At some point in our lives, approximately 70% of us will need support to help with daily care. Without adequate assistance we may experience unmet care need consequences (UCNC) – such as skipping meals, going without clean clothes, or taking the wrong medication. This study examines the likelihood of experiencing UCNC related to gaps in assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) across long-term care arrangements: informal community care, paid community care, residential care, and nursing homes. We examine a sample of older adults receiving assistance in a care arrangement (N=2,499) from the nationally representative 2015 National Health and Aging Trends Study. Cross-sectional and longitudinal regression models, adjusting for differences in demographic and health/functioning characteristics, examine if type of care arrangement in 2015 is associated with UCNC in 2015 and change in UCNC by 2017. Holding all else constant, there were no significant differences in UCNC related to ADLs in 2015 across care arrangements. However, those receiving paid community care were more likely to experience UCNC related to IADLs (going without clean clothes, groceries, or a hot meal and making medication errors) compared to those receiving only informal care (OR=1.64, p<.05) or residential care (OR=2.19, p<.01). By 2017, paid care was also significantly associated with continued UCNC, but older adults in informal care arrangements were most likely to experience a new UCNC. Results suggest improving/expanding assistance with IADLs among community-dwelling older adults, and promoting equitable access to residential care, to reduce UCNC.


1996 ◽  
Vol 8 (S1) ◽  
pp. 141-144 ◽  
Author(s):  
Staffan Josephsson

Dementing disorders such as Alzheimer's disease have an enormous impact on the everyday life of the person affected, on his or her family members, and on the staff involved in providing daily care (Borell, 1992). Cognitive dysfunction resulting from dementing diseases, such as memory problems, interferes greatly with the performance of most activities of daily living. The field of occupational therapy has developed a variety of intervention programs addressing everyday activities for persons with dementia. A review of the relevant literature shows, however, that even if the need for such interventions is acknowledged (Porszt-Miron et al., 1988) and an outline for the intervention is described (Bryant, 1991; Rogers et al., 1987), there are few studies evaluating the efficacy and functional relevance of such interventions. Consequently, one urgent task for research is to identify and evaluate intervention strategies addressing occupational functioning among persons with dementia disorders.


2007 ◽  
Vol 87 (9) ◽  
pp. 1155-1163 ◽  
Author(s):  
Mia Conradsson ◽  
Lillemor Lundin-Olsson ◽  
Nina Lindelöf ◽  
Håkan Littbrand ◽  
Lisa Malmqvist ◽  
...  

Background and Purpose: The Berg Balance Scale (BBS) is frequently used to assess balance in older people, but knowledge is lacking about the absolute reliability of BBS scores. The aim of this study was to investigate the absolute and relative intrarater test-retest reliability of data obtained with the BBS when it is used among older people who are dependent in activities of daily living and living in residential care facilities.Subjects: The participants were 45 older people (36 women and 9 men) who were living in 3 residential care facilities. Their mean age was 82.3 years (SD=6.6, range=68–96), and their mean score on the Mini Mental State Examination was 17.5 (SD=6.3, range=4–30).Methods: The BBS was assessed twice by the same assessor. The intrarater test-retest reliability assessments were made at approximately the same time of day and with 1 to 3 days in between assessments. Absolute reliability was calculated using an analysis of variance with a 95% confidence level, as suggested by Bland and Altman. Relative reliability was calculated using the intraclass correlation coefficient (ICC).Results: The mean score was 30.1 points (SD=15.9, range=3–53) for the first BBS test and 30.6 points (SD=15.6, range=4–54) for the retest. The mean absolute difference between the 2 tests was 2.8 points (SD=2.7, range=0–11). The absolute reliability was calculated as being 7.7 points, and the ICC was calculated to .97.Discussion and Conclusion: Despite a high ICC value, the absolute reliability showed that a change of 8 BBS points is required to reveal a genuine change in function among older people who are dependent in activities of daily living and living in residential care facilities. This knowledge is important in the clinical setting when evaluating an individual's change in balance function over time in this group of older people.


Author(s):  
Ruth Emond

There is growing recognition of the place of love in residential care for children ( Smith, 2009 ). This paper is a critical analysis of a range of existing research on residential child care as well as studies of material culture and of care relationships more broadly. It argues that, despite increasing regulation and surveillance, adults and children find ways to show and feel love in the context of residential care. Whilst love may be regarded as something to be avoided or indeed prohibited in an adult/child care setting these deep bonds find expression in the everyday life of the children’s home. By looking at love in this embodied way, the ‘realness’ of material things to assert connection and recognition of love ( Layne, 2000 ) is examined. As Gorenstein (1996, p.8) suggests ‘objects…[are] the perfect vehicles for conveying themes that are not commonly accepted in a community’. The paper emphasises the recognition of these symbolic and metaphorical forms of communication in practice.


2012 ◽  
Vol 8 (2) ◽  
pp. 12-27
Author(s):  
David Wästerfors

A common view is that an individual delinquent can be rehabilitated in a “home” in the countryside, away from his or her original urban social ties. An ironic result is new social ties with other juvenile delinquents as they spend a considerable amount of time together at a secluded institution. Drawing on ethnographic studies in residential care institutions, this article discusses two aspects to consider when analyzing social ties in such settings: the institutional prerequisites for and the everyday achievement of isolation and intimacy.


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