scholarly journals Limiting and Promoting Resident Self-Care in Assisted Living

2021 ◽  
Author(s):  
Jennifer Craft Morgan ◽  
Candace L Kemp ◽  
Christina Barmon ◽  
Andrea Fitzroy ◽  
Mary M Ball
Keyword(s):  
Assisted Living ◽  
Participant Observation ◽  
Self Care ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Social Emotional ◽  
Care Partners ◽  
Services And Supports ◽  
Record Review ◽  
Mental Well Being

Abstract Objective Assisted living (AL) residents often manage multiple chronic conditions, functional and/or cognitive decline along with their individual needs and preferences for a full life. Although residents participate in their own care, little is known about their self-care activities and how to support them. This analysis focuses on residents’ self-care and theorizing the dynamic, socially-embedded process of negotiating self-care. Methods We analyze data from a grounded theory study informed by the Convoys of Care model. Participants included 50 focal residents and 169 paid and unpaid convoy members in eight AL homes; each resident convoy was followed for two years. Data collection included: participant observation, interviews, and resident record review. Results To the extent possible, most AL residents were involved in self-care related to activities of daily living, health promotion and social, emotional, and mental well-being. Residents and care partners engaged in a dynamic process of limiting and promoting self-care activities. Multiple factors influenced self-care, including residents’ past self-care behaviors, caregiver fear and availability, and the availability of services and supports. Discussion Strategies for promoting self-care must involve residents and care partners and include: convoy education in collaborative goal-setting, prioritizing care that supports the goals and putting resources in place to support goal achievement.

scholarly journals Communicative Competence: Responding to Residents’ Health Changes in Assisted Living

2019 ◽  
Author(s):  
Candace L Kemp ◽  
Mary M Ball ◽  
Kendra Jason ◽  
Joy Anna Dillard Appel ◽  
Andrea F Fitzroy
Keyword(s):  
Informal Care ◽  
Assisted Living ◽  
Communicative Competence ◽  
Participant Observation ◽  
Dynamic Networks ◽  
Communication Process ◽  
Health Changes ◽  
Care Partners ◽  
Record Review ◽  
Design And Methods

AbstractBackground and ObjectivesFrail and disabled individuals, including assisted living (AL) residents, are embedded in care convoys composed of dynamic networks of formal and informal care partners. Yet, little is known about how care convoys operate over time, especially when health changes occur. Thus, our aim was to provide an in-depth understanding of care convoy communication during times of residents’ health changes in AL.Research Design and MethodsData for this analysis come from a Grounded Theory study that involved 50 residents and their care convoy members (n = 169) from 8 diverse AL communities followed over 2 years. Researchers conducted formal and informal interviewing, participant observation, and record review.ResultsWe identified “communicative competence” as an explanatory framework in reference to a resident’s or care partner’s ability, knowledge, and action pertaining to communication and health change. Individual and collective competencies were consequential to timely and appropriate care. Communication involved: identifying; assessing significance; informing, consulting or collaborating with others; and responding to the change. Variability in communication process and properties (e.g., pace and timing; sequencing, timing, content, and mode of communication) depended on multiple factors, including the nature of the change and resident, informal and formal caregiver, convoy, AL community, and regulatory influences.Discussion and ImplicationsFormal and informal care partners need support to establish, enhance, and maintain communicative competence in response to health changes. Findings reinforce the need for timely communication, effective systems, and well-documented accessible health care directives and have implications that are applicable to AL and other care settings.

scholarly journals Meaningful Engagement Among Assisted Living Residents With Dementia: Successful Approaches

2021 ◽  
pp. 073346482199686
Author(s):  
Candace L. Kemp ◽  
Alexis A. Bender ◽  
Joy Ciofi ◽  
Jennifer Craft Morgan ◽  
Elisabeth O. Burgess ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Qualitative Study ◽  
Assisted Living ◽  
Care Partners ◽  
Meaningful Engagement ◽  
Care Practices ◽  
The Moment ◽  
Record Review

Meaningful engagement is an important dimension of quality of life and care for persons living with dementia, including the growing number who reside in assisted living communities. This report presents preliminary findings from an ongoing qualitative study aimed at identifying best care practices to create and maintain meaningful engagement among persons with dementia. Over a 1-year period, we conducted interviews, residents’ record review, and participant observations in four diverse care communities. Our analysis identified four approaches that successfully promote meaningful engagement: (a) knowing the person, (b) connecting with and meeting people where they are, (c) being in the moment, and (d) viewing all encounters as opportunity. Incorporation of these approaches in care routines and adoption by all care partners can promote meaningful engagement, including during crises such as COVID-19.

scholarly journals Promoting Health in a Rural Community in the Basque Country by Leveraging Health Assets Identified through a Community Health Diagnosis

2022 ◽  
Vol 19 (2) ◽  
pp. 627
Author(s):  
Maria Jose Alberdi-Erice ◽  
Esperanza Rayón-Valpuesta ◽  
Homero Martinez
Keyword(s):  
Participant Observation ◽  
Basque Country ◽  
Intervention Strategy ◽  
Well Being ◽  
Social Environments ◽  
Participatory Action ◽  
Social Emotional ◽  
Community Identification ◽  
Data Saturation ◽  
Health Assets

Salutogenesis focuses on factors that generate health and is a useful construct for identifying factors that promote health and for guiding activities to this end. This article describes health assets identified in a community diagnosis and how to leverage them with actions for improvement to deepen the understanding of this concept and its impact on health promotion. An intervention strategy was designed following the principles of participatory action research (PAR). The study was carried out in Mañaria (Basque Country, Spain) using semi-structured and in-depth interviews, participant observation, desk review, and photographs, alongside different participatory strategies. Twenty-six women were interviewed, 21 of whom were community inhabitants, and five were key informants who worked in public or private institutions. Participant recruitment stopped when data saturation was reached. Data were analysed through discourse analysis, progressive coding, and categorisation. Six meta-categories emerged, and for each of these categories, health assets were identified together with actions to improve the community’s health. The latter were presented by the community to the authorities to trigger specific actions towards improving the health of the community. Identification of health assets led to different actions to improve the health of the community including improving the existing physical and social environments, personal and group skills, and the promotion of physical, social, emotional and cultural well-being.

scholarly journals Parenting during the COVID-19 Pandemic

2020 ◽  
Vol 58 (231) ◽  
Author(s):  
Utkarsh Karki ◽  
Gunjan Dhonju ◽  
Arun Raj Kunwar
Keyword(s):  
Mental Health ◽  
Environmental Factors ◽  
Children And Adolescents ◽  
Social Economic ◽  
Self Care ◽  
Developmental Outcomes ◽  
Well Being ◽  
Positive Parenting ◽  
Preventative Intervention ◽  
Mental Well Being

Parenting is both an art and science of nurturing a child that comes very naturally to some. In today’s world, the fundamentals of parenting are getting challenged but it has been even more magnified during the coronavirus 2019 (COVID-19) pandemic. The mental health of children is bound to be affected by the stress related to COVID-19 owing to loss of usual routine, unpredictability, uncertainty. Various other social, economic, and environmental factors also threaten their mental well-being. Parents are the child’s first and longest-lasting context for development Positive parenting that involves sensitivity, responsivity, caring, communicating, and empowering would ensure positive developmental outcomes in children and adolescents. Positive parenting and self-care of parents would serve as a promotive and preventative intervention for child and adolescent mental health, especially during this crisis.

scholarly journals Perspectives of Self-Care Experiences of Aging Individuals Living Independently: A Focused Ethnography in the Community Setting

2021 ◽  
Vol 13 (6) ◽  
pp. 81
Author(s):  
Phatchanun Vivarakanon
Keyword(s):  
Data Collection ◽  
Participant Observation ◽  
Self Care ◽  
Community Setting ◽  
Well Being ◽  
Focused Ethnography ◽  
Structured Interviews ◽  
Healthy Behaviors ◽  
Field Notes ◽  
Health And Well Being

Globally, aging individuals who live independently facing various problems in maintaining their health and well-being. Understanding the capability of personal well-being is an important consideration in promoting healthy behaviors and lifestyles in aging individuals. This paper aimed to more deeply explore, from self-care experiences of aging individuals living independently in the community, from their perspective. The study used the inductive approach of focused ethnography which is based on Orem’s Theory of Self-Care. Data collection consisted of participant observation with field notes and semi-structured interviews with 25 aging individuals living independently in the northern part of Thailand. Three themes were followed as protocol of the data collection plan and used the identification and classification of transcription, coding, and thematic analysis as perspectives of self-care experiences of aging individuals living independently in the community setting: 1) continuing habits of healthcare practices, 2) maintaining positive emotional adaptation, 3) and having reasonable social and life adjustments. These themes exemplified the practice of activities that aging individuals initiated and performed as their daily and routine activities with the intention of maintaining life health and well-being. Consideration of aging individuals living independently self-care experiences assisted nurses and provided greater perspectives in providing actual needs and reduced resources of nursing care and healthcare system.

scholarly journals Impact on Mental Well-Being and Resilience of Patients with Multiple Chronic Conditions in Different Periods during the Coronavirus Disease 2019 Outbreak in Taiwan

Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1457
Author(s):  
Yu-Yin Kao ◽  
Yi-Chun Chen ◽  
Tsuen-Wei Hsu ◽  
Hua-Rong Zhong ◽  
Ben-Chung Cheng ◽  
...  
Keyword(s):  
Social Support ◽  
Demographic Data ◽  
Well Being ◽  
Emergency Department Visits ◽  
Control Measures ◽  
Medical Attention ◽  
Multiple Chronic Conditions ◽  
Resilience Scale ◽  
Scale Scores ◽  
Mental Well Being

Concerns over the coronavirus disease 2019 (COVID-19) pandemic and control measures have affected the routine outpatient visits of individuals with comorbidities and their mental well-being. From October 2019 to August 2020, this cross-sectional study enrolled 135 patients who sought medical attention at a medical center in Taiwan. This period covered the early (October to December 2019), peak (January to April 2020), and late (May to August 2020) periods of the COVID-19 outbreak in Taiwan. The demographic data, social support data, activities of daily living (ADL), resilience scale scores, and mental well-being scale scores of the participants were compared. There were no statistically significant differences in the participation rate, demographic data, and social support data between the three periods. The correlation analysis confirmed significant negative relationships between the number of COVID-19 cases and outpatient department visits per month (r = −0.764, p < 0.001), emergency department visits per month (r = −0.023, p < 0.001), ADL (r = −0.257, p = 0.03), resilience scale (r = −0.390, p < 0.001), and mental well-being scale (r = −0.475, p < 0.001). In conclusion, the severity of the COVID-19 outbreak in Taiwan was associated with declines in the ADL, mental well-being, and resilience of patients who sought medical attention.

Exploring Death Anxiety among Elderly People: A Literature Review and Empirical Investigation

2012 ◽  
Vol 64 (4) ◽  
pp. 357-379 ◽  
Author(s):  
Marjolein Missler ◽  
Margaret Stroebe ◽  
Lilian Geurtsen ◽  
Mirjam Mastenbroek ◽  
Sara Chmoun ◽  
...  
Keyword(s):  
Assisted Living ◽  
Death Anxiety ◽  
Well Being ◽  
The Elderly ◽  
Small Sample ◽  
Elderly Persons ◽  
Study Results ◽  
Age Range ◽  
Mental Well Being ◽  
Older Men And Women

Given the growing number of elderly persons in society and concerns about their health and well-being, the aim was to review the available literature on their death anxiety, and to explore features of this experience among a small sample of older men and women in care facilities. In both the review and empirical parts of this study, components and correlates of death anxiety were investigated. The review revealed limited research focus on death anxiety among the elderly, particularly among those in institutions, but suggested both components and correlates for inclusion in our empirical study. Results showed that, among our elderly participants in an assisted living facility (N = 49; age range: 60–96 years), there were higher levels of fear for others and of the dying process than for fear of the unknown. Notably, among the correlates identified, fear for significant others was associated with poor physical health; fear of the dying process was related to low self-esteem, little purpose in life, and poor mental well-being. Gender differences in death anxiety were found: women showed greater fear for the death of loved ones and for the consequences of their own death on these loved ones, than did men. These patterns are discussed in the light of concerns about the welfare of elderly persons; scientific implications are also considered.

scholarly journals Maintaining independence after a fall

2009 ◽  
Vol 19 (1) ◽  
pp. 61-69 ◽  
Author(s):  
AB Spinks ◽  
J Wasiak
Keyword(s):  
Older People ◽  
Activities Of Daily Living ◽  
Assisted Living ◽  
Functional Ability ◽  
Daily Living ◽  
Independent Living ◽  
Well Being ◽  
Assisted Living Facilities ◽  
Social Emotional ◽  
Economic Well Being

SummaryFalls have a significant impact upon independent living ability in older people, with fall-related fractures one of the leading predictors of having to move into assisted living facilities. The loss of independence associated with a severe fall is often accompanied by a decline in physical, social, emotional and economic well-being. Rehabilitation programmes to restore functional ability following a fall have a greater chance of success if they adopt a multi-disciplinary approach and, if appropriate, are conducted in the patient's own home. Additional multi-component interventions that improve confidence and reduce the risk of subsequent falls may confer benefits by assisting individuals independently to perform activities of daily living.

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