Age Page: Nursing Homes: Making the Right Choice

2009 ◽  
Keyword(s):  
Nursing Homes ◽  
The Right

scholarly journals Mealtime Care for People With Dementia: What Do Nursing Home Staff Think?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 182-183
Author(s):  
James Faraday ◽  
Clare Abley ◽  
Catherine Exley ◽  
Joanne Patterson
Keyword(s):  
Nursing Homes ◽  
Ethnographic Study ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Structured Interviews ◽  
Staff Members ◽  
People With Dementia ◽  
Comparison Approach ◽  
The Right

Abstract More and more people with dementia are living in nursing homes (NH). Often, they depend on NH staff for help with eating and drinking. It is important that staff have the skills and support they need to provide good care at mealtimes. This qualitative study explores mealtime care for people with dementia, from the perspective of NH staff. Semi-structured interviews with NH staff (n=16) were carried out in two nursing homes. The homes were chosen to have diverse characteristics: one home had a large number of beds and was part of a small local organization; the other had a small number of beds and was part of a large national organization. Various staff members were interviewed, including direct care staff, senior carers, nurses, managers, and kitchen staff. Interviews were audio-recorded and transcribed verbatim. A constant comparison approach was taken, so that data from early interviews were explored in more depth subsequently. From the analysis, five themes emerged as important in mealtime care for people with dementia living in nursing homes: Setting the right tone; Working well as a team; Knowing the residents; Promoting autonomy and independence; Gently persevering. This work forms part of a larger ethnographic study on the topic, which includes data from residents with dementia, and family carers. Results will inform the development of a staff training intervention to optimize mealtime care for this population.

scholarly journals Sustainable Food Consumption in Nursing Homes: Less Food Waste with the Right Plate Color?

2020 ◽  
Vol 12 (16) ◽  
pp. 6525
Author(s):  
Kai Victor Hansen ◽  
Lukasz Andrzej Derdowski
Keyword(s):  
Nursing Homes ◽  
Food Consumption ◽  
Food Waste ◽  
National Level ◽  
Health Issues ◽  
Sustainable Food ◽  
People With Dementia ◽  
Quasi Experimental ◽  
Color Combinations ◽  
The Right

The problem of unsustainable food consumption among vulnerable residents of nursing homes who suffer from dementia is often multifaceted. From an individual perspective, people with dementia who do not finish their meals are likely to encounter serious health issues associated with malnutrition. Moreover, at the institutional level, nursing homes generate tons of nonrecoverable food waste each year, impairing not only their economic position but also the natural and social environment at large. The purpose of this study is to explore the possibility of reducing food waste in Norwegian nursing homes by appraising how large this reduction could be as one replaces traditional dining white porcelain with plates with diverse color combinations. A quasi-experimental method was adopted. The results of the pilot study were extrapolated to the annual amount of food wasted at the national level. The findings indicate that, on average, 26% of food was thrown away when served on white plates compared to only 9% when served on one of the colored plate options tested. Nationally, approximately 992.6 tons of food per year could potentially be saved with only a single change, ultimately ameliorating the unsustainable food consumption problem among residents of nursing homes.

scholarly journals The Rights of Elders in Ireland during COVID-19

2021 ◽  
pp. 1-21
Author(s):  
Katharina Ó Cathaoir ◽  
Ida Gundersby Rognlien
Keyword(s):  
Nursing Homes ◽  
Healthcare System ◽  
Family Life ◽  
Social Contact ◽  
Death Toll ◽  
Home Help ◽  
High Death ◽  
Areas Of Concern ◽  
The Law ◽  
The Right

Abstract This article reflects on COVID-19 restrictions imposed on elders in Ireland through the lens of the right to private and family life (Article 8 ECHR), focusing on stay at home orders and recommendations advising elders to avoid social contact. Furthermore, we examine restrictions on visiting nursing homes given the high death toll in that setting. In our analysis, we zero in on the principles of foreseeability and proportionality, highlighting areas of concern and aspects that we submit should be considered in a proportionality assessment. Ultimately, we argue that it is a mistake to view the COVID-19 pandemic solely as an emergency. In this manner, the solutions suggested through the law – restrictions on movement and visitation bans – are too narrow and fail to address the underlying structures, such as, issues in the healthcare system, the limited home help for elderly and poor conditions in nursing homes.

scholarly journals Making Each Other’s Daily Life: Nurse Assistants’ Experiences and Knowledge on Developing a Meaningful Daily Life in Nursing Homes

2014 ◽  
Vol 8 (1) ◽  
pp. 34-42 ◽  
Author(s):  
Inger James ◽  
Carin Fredriksson ◽  
Catrin Wahlström ◽  
Annica Kihlgren ◽  
Karin Blomberg
Keyword(s):  
Nursing Homes ◽  
Older Persons ◽  
Practical Wisdom ◽  
Practical Knowledge ◽  
Daily Life ◽  
Older Person ◽  
Action Research Project ◽  
Daily Lives ◽  
Reflection Data ◽  
The Right

Background In a larger action research project, guidelines were generated for how a meaningful daily life could be developed for older persons. In this study, we focused on the nurse assistants’ (NAs) perspectives, as their knowledge is essential for a well-functioning team and quality of care. The aim was to learn from NAs’ experiences and knowledge about how to develop a meaningful daily life for older persons in nursing homes and the meaning NAs ascribe to their work. Methods The project is based on Participatory and Appreciative Action and Reflection. Data were generated through interviews, participating observations and informal conversations with 27 NAs working in nursing homes in Sweden, and a thematic analysis was used. Result NAs developed a meaningful daily life by sensing and finding the “right” way of being (Theme 1). They sense and read the older person in order to judge how the person was feeling (Theme 2). They adapt to the older person (Theme 3) and share their daily life (Theme 4). NAs use emotional involvement to develop a meaningful daily life for the older person and meaning in their own work (Theme 5), ultimately making each other’s daily lives meaningful. Conclusion It was obvious that NAs based the development of a meaningful daily life on different forms of knowledge: theoretical and practical knowledge, and practical wisdom, all of which are intertwined. These results could be used within the team to constitute a meaningful daily life for older persons in nursing homes.

Continence aids in the management of urinary incontinence

2012 ◽  
Vol 22 (2) ◽  
pp. 85-98 ◽  
Author(s):  
J Browning ◽  
Z Zaheer ◽  
A Orzechowska ◽  
A Mistri
Keyword(s):  
Urinary Incontinence ◽  
Nursing Homes ◽  
Older People ◽  
Urge Incontinence ◽  
Individual Characteristics ◽  
First Line ◽  
Anticholinergic Medications ◽  
Surgical Measures ◽  
The Right

SummaryUrinary incontinence is a common problem, more so in older people and those in residential or nursing homes. Guidelines promote a structure to the management of incontinence, recommending non-pharmacological measures (including continence aids) as first-line options. Anticholinergic medications are used widely for urge incontinence, and surgical measures employed in selective cases.Whilst other treatments are being tried, or where incontinence is refractory to treatment (about 30% of cases), it is important to promote continence or contain incontinence with continence aids in order to minimize psychological complications. What can be a bewildering array of aids is available and choosing the right type of aid requires knowledge of these. Here, we suggest a classification of continence aids, describing individual characteristics and appropriate situations for use.

scholarly journals ‘Powerlessness’ or ‘doing the right thing’ – Moral distress among nursing home staff caring for residents at the end of life: An interpretive descriptive study

2017 ◽  
Vol 31 (9) ◽  
pp. 853-860 ◽  
Author(s):  
Amanda Young ◽  
Katherine Froggatt ◽  
Sarah G Brearley
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
End Of Life ◽  
Critical Incident ◽  
Nurse Managers ◽  
Moral Distress ◽  
Structured Interviews ◽  
Nursing Home Staff ◽  
The Right ◽  
Do The Right Thing

Background: Caring for dying people can contribute to moral distress experienced by healthcare professionals. Moral distress can occur when this caring is restricted by organisational processes, resources or the provision of futile care. These factors apply to end of life care in nursing homes but research is lacking. Aim: To describe how nursing home staff experience moral distress when caring for residents during and at the end of life. Methods: An interpretive descriptive design, using the critical incident technique in semi-structured interviews to collect data from nursing home staff. Data were analysed using a thematic analysis approach. Setting: Four nursing homes in one large metropolitan area. Participants: A total of 16 staff: 2 nurse managers, 4 nurses and 10 care assistants. Findings: Participants described holding ‘good dying’ values which influenced their practice. The four practice-orientated themes of advocating, caring, communicating and relating with residents were found to influence interactions with residents, relatives, general practitioners, and colleagues. These led staff to be able to ‘do the right thing’ or to experience ‘powerlessness’, which could in turn lead to staff perceiving a ‘bad death’ for residents. Conclusion: When there are incongruent values concerning care between staff and others involved in the care of residents, staff feel powerless to ‘do the right thing’ and unable to influence care decisions in order to avoid a ‘bad death’. This powerlessness is the nature of their moral distress.

Are We Selecting the Right Patients for Stroke Rehabilitation in Nursing Homes?

2005 ◽  
Vol 86 (5) ◽  
pp. 876-880 ◽  
Author(s):  
Patrick K. Murray ◽  
Neal V. Dawson ◽  
Charles L. Thomas ◽  
Randall D. Cebul
Keyword(s):  
Nursing Homes ◽  
Stroke Rehabilitation ◽  
The Right

scholarly journals A Resident-Centered View of Sexual Expression in Long-Term Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 603-603
Author(s):  
Maggie Syme ◽  
Tracy Cohn ◽  
Allyson Graf
Keyword(s):  
Nursing Homes ◽  
Intimate Relationships ◽  
Long Term Care ◽  
Sexual Expression ◽  
Term Care ◽  
Sexual Stigma ◽  
Centered Care ◽  
The Right ◽  
Fear Of Retaliation

Abstract Contrary to societal beliefs, older adults residing in nursing homes continue to have sexual interests. However, the right and need to engage in intimate relationships are often ignored in nursing homes, erring on the side of safety and prohibiting intimacy. This is due to ageist sexual stigma, under-educated providers, complexities of care, and fear of retaliation. Nursing homes are not attending to resident preference/choice when it comes to sexuality and intimacy, which ignores the consumer of services and is wholly inconsistent with person-centered care. However, in order to craft resident-centered/informed policies and practices, we must understand the needs and preferences of the resident/consumer. The following presentation will highlight findings from three separate mixed-methods studies that address the consumer, or how now and future residents understand and evaluate intimacy and sexuality in long-term care. We will address potential challenges, areas for intervention, and a unique consumer-oriented solution— sexual advance directives.

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