scholarly journals Beta Test of a PAC Dementia Knowledge Training Module Included in a Nursing Home Orientation Curriculum

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 88-88
Author(s):  
Jerry Brown ◽  
Peter Baylie ◽  
Candidus Nwakasi ◽  
Pranay Reddy ◽  
Katie Ehlman ◽  
...  
Keyword(s):  
Nursing Home ◽  
Undergraduate Students ◽  
Quality Care ◽  
Qualitative Evaluation ◽  
Personal Space ◽  
Bivariate Analysis ◽  
Term Care ◽  
Dementia Caregiving ◽  
Post Test ◽  
Beta Test

Abstract Providing quality care for older adults in long-term care can be challenging, and this issue appears to be more pressing with people living with dementia. Using the Positive Approach® to Care (PAC) model, a 2-hour module for new staff nursing home orientation curriculum was designed to help introduce the concept of working with people living with dementia. Twelve undergraduate students participated in a beta-test of the nursing home orientation. A pre-and-post 38-item survey was administered to measure knowledge level and improvement. Participants also responded to qualitative semi-structured questions after the orientation. Descriptive statistics and bivariate analysis were conducted. Results indicated an improvement on dementia-related knowledge in most of the survey items (21 of 34 items). Examples of statistically significant differences in the pretest and post-test identified are knowledge on the effect of pressure in the palm to comfort a person with dementia (p-0.039), vision as the most powerful sensory input during dementia caregiving (p-0.001), and functionalities lost when the left temporal lobe shrinks (p-0.014). The qualitative evaluation showed that most of the participants indicated a change in dementia caregiving views — including how to pause if permission is not given to engage, and to respect personal space. These findings prove important because the PAC orientation curriculum was successful in improving the students’ knowledge and perspectives on dementia. This training program could be a useful tool if implemented into nursing home employee orientation.

scholarly journals Dementia Knowledge and Caregiving Skills Improvement From Using the PAC Model: A Pilot Comparative Evaluation

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 89-89
Author(s):  
Jerry Brown ◽  
Pranay Reddy ◽  
Candidus Nwakasi ◽  
Beth Nolan ◽  
Teepa Snow ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Care ◽  
Bivariate Analysis ◽  
Certified Nursing Assistants ◽  
Term Care ◽  
Knowledge And Skills ◽  
Provide Quality Care ◽  
Item Knowledge

Abstract The diverse needs of persons living with dementia in nursing home settings presents challenges for Certified Nursing Assistants (CNAs) to provide quality care. There is a lack of educational preparedness among nursing home CNAs regarding dementia knowledge and skills required to care for a person living with dementia. As direct caregivers for persons living with dementia, CNAs play an important role in long-term care. This pilot study evaluated the dementia knowledge and caregiving skills of newly trained CNA students. The students were trained by an instructor certified using Teepa Snow’s Positive Approach to Care (PAC) curriculum. Conducted in a rural southwestern Indiana community, this study evaluated CNA students’ knowledge and perception of dementia, as well as their skill performing the Positive Physical Approach™ (PPA™) technique to approach and connect. A 38-item knowledge and perception survey and a 12-step observed skills assessment using a standardized patient encounter were administered to CNA students. Data were analyzed using descriptive statistics and bivariate analysis. Preliminary results indicate that 100% of students correctly answered the survey item regarding non-confrontational body language, while 29% of students correctly performed the corresponding PPA skill. There is a statistically significant association between the knowledge that people find pressure in their palm comforting and the ability to perform the corresponding Hand-under-Hand® and PPA techniques. Incorporation of PAC into current CNA curriculum may equip CNAs with the knowledge and skills required to provide better care, with the potential to improve the overall quality of life for persons living with dementia.

scholarly journals Providing Nursing Home Care in an Era of Increasing Scarcity: The Case of Pennsylvania

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 504-504
Author(s):  
Edward Miller ◽  
Molly Wylie ◽  
Elizabeth Simpson ◽  
Marc Cohen
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Low Income ◽  
Quality Care ◽  
State Level ◽  
Safety Net ◽  
Nursing Home Care ◽  
Population Projections ◽  
Term Care ◽  
Over Time

Abstract Medicaid financing of nursing home (NH) care provides the strongest safety net for low income older adults, persons who have high-intensity long-term care (LTC) needs, and consumers with exorbitant LTC costs. Yet, NHs currently face serious threats to their financial viability, particularly in the context of the COVID-19 pandemic, where the costs of caring for residents in a safe way have increased significantly, even as the ability to recoup these costs from the Medicaid program has been constrained. The purpose of this study is to assess key demand and supply factors affecting the performance of the NH industry in Pennsylvania over time. It draws from several large, national data sources, including NH Compare, LTCFocus.org, the U.S. Bureaus of the Census and Labor Statistics, and Certification and Survey Provider Enhanced Reports, as well as state-level population projections and Departments of Health and Human Services data. An aggregate database was constructed with historical data points at the facility, regional, and state level. Annual total and regional trends were examined from 2010 to 2020. Findings suggest a growing gap between what NHs require to meet the needs of residents and the level of reimbursement paid by the largest funder: Medicaid. Considering demographic trends, this gap will only grow over time in the absence of policy change. The pandemic has further highlighted the existing challenges resulting from an underfunded service infrastructure and the need for additional investment if NHs are to provide high quality care to a growing cohort of older adults requiring support.

scholarly journals Person-Centred Care Transformation in a Nursing Home for Residents with Dementia

2021 ◽  
pp. 1-9
Author(s):  
Peiyan Ho ◽  
Rachel Chin Yee Cheong ◽  
Siew Pei Ong ◽  
Carol Fusek ◽  
Shiou Liang Wee ◽  
...  
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Quality Care ◽  
Well Being ◽  
Care Quality ◽  
Care Recipient ◽  
Staff Retention ◽  
Term Care

<b><i>Background:</i></b> Conventional nursing homes in Singapore adopt an institutional and medical model of care with a focus on safety and risk management. As such, less regard is placed on upholding the dignity and autonomy of the resident, which compromises quality of care and the well-being of the resident. Today, person-centred care (PCC) has become synonymous with high-quality care that sustains the well-being and personhood of the care recipient. <b><i>Objectives:</i></b> To describe the model of PCC adopted by a nursing home, Apex Harmony Lodge (AHL), with a logic model and evaluate outcomes on residents’ well-being, care quality, and staff attrition by comparing pre-PCC initiation (2015) to post-implementation (2016). <b><i>Methods:</i></b> Male residents in a 30-bed assisted living facility for persons with dementia in AHL were assessed using Dementia Care Mapping. Residents’ well-being and staff attrition were measured before and after PCC implementation. <b><i>Results:</i></b> There were statistically significant improvements in resident well-being (Δ = 0.44, <i>p</i> = 0.029), Positive Engagement Potential (Δ = 0.17, <i>p</i> = 0.002), and Occupational Diversity (Δ = 0.12, <i>p</i> = 0.014) in 2016. Withdrawal and Passive Engagement in the residents were reduced significantly as were Care Detractors. There was also a 55% reduction in staff attrition rates post-PCC. <b><i>Conclusions:</i></b> Post-PCC implementation, the outcomes indicate a superior quality of care, enhanced resident well-being, and better staff retention. The AHL PCC model could serve as a roadmap for other nursing homes aspiring to raise the quality of care and influence long-term care standards and regulations for policy makers and legislators.

scholarly journals (UN)EQUAL BURDEN OF CARE: STAFF PERSPECTIVES ON NURSING HOME CARE AND QUALITY OF LIFE FOR RESIDENTS OF COLOR

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S780-S781
Author(s):  
Odichinma C Akosionu ◽  
Tetyana P Shippee ◽  
Heather Davila ◽  
Mai See Thao ◽  
Moses Waiswa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Nursing Home ◽  
Quality Care ◽  
Nursing Home Care ◽  
Care Staff ◽  
Burden Of Care ◽  
Structured Interviews ◽  
Term Care ◽  
Color Experience

Abstract Racial disparities in quality of care (QoC) and quality of life (QoL) for nursing home (NH) residents persist even as the proportion of minorities is significantly increasing. Staff of color are a growing part of the long-term care workforce and staffing is a key component for delivering quality care. This study looks at staff (n=60) perspectives on resident QOL through semi-structured interviews, using thematic analysis in six Minnesota high proportion minority NHs. Key findings show that staff of color are concerned about the QoC and QoL residents of color experience, and take extra steps to provide care that goes beyond addressing their clinical needs. This agency of providing extra care is a factor in burnout among staff of color. More research on how this unequal burden of care impacts QoC/QoL is important to address the disproportionate role that staff of color play in reducing disparities in resident QoC and QoL.

scholarly journals PENINGKATAN KEBUTUHAN ISTIRAHAT DAN TIDUR PADA LANSIA MELALUI PENERAPAN TERAPI RELAKSASI OTOT PROGRESIF DI PANTI WERDHA BUDI MULYA 1 CIPAYUNG JAKARTA TIMUR

2021 ◽  
Vol 5 (1) ◽  
pp. 24-30
Author(s):  
SRI NYUMIRAH
Keyword(s):  
Nursing Home ◽  
Muscle Relaxation ◽  
Muscle Tension ◽  
The Elderly ◽  
Progressive Muscle Relaxation ◽  
Test Design ◽  
Relaxation Techniques ◽  
Term Care ◽  
Significant Difference ◽  
Post Test

ABSTRAKSri NyumirahAkademi Keperawatan Pasar Reboe-mail : [email protected] Gangguan istirahat dan tidur merupakan keluhan utama yang sering dialami lansia, dengan perkiraan lebih dari setengah jumlah lansia yang berusia di atas 65 Tahun yang tinggal di rumah dan sekitar dua pertiga jumlah lansia yang berada dalam fasilitas perawatan jangka panjang mengalami kesulitan tidur. Pada proses penuaan yang mempengaruhi terjadinya perubahan pola tidur karena faktor lingkungan, faktor bilogis dan faktor psikososial. Banyak penelitian yang telah dilakukan bahwa hubungan mekanisme tidur dan terjaga dengan penuaan, walaupun tidur dan terjaga memiliki spektrum perilaku yang sangat berbeda, keduanya diyakini telah diatur oleh sebagian kecil fungsi fisiologis umum dan mekanisme neurokimiawi (Maas dkk, 2014). Menurut Herodes (2010) teknik relaksasi otot progresif adalah teknik relaksasi otot dalam yang tidak memerlukan imajinasi, ketekunan, atau sugesti. Berdasarkan keyakinan bahwa tubuh manusia berespons pada kecemasan dan kejadian yang merangsang pikiran dengan ketegangan otot. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian teknik relaksasi otot progresif terhadap pemenuhan kebutuhan istirahat tidur pada lansia di Panti Werdha Budi Mulya 1 Cipayung Jakarta Timur. Desain penelitian pra-post test dalam satu kelompok (one group pre-post test design). Sampel berjumlah 28  lansia dengan tehnik pengambilan sampel accidental sampling. Hasil penelitian menunjukkan ada pengaruh terapi relaksasi otot progresif terhadap kebutuhan istirahat dan tidur lansia (p value0,05). Pemenuhan kebutuhan istirahat tidur sesudah dilaksanakan teknik relaksasi otot pada lansia di Panti Werdha sebagian besar terpenuhi. Terdapat perbedaan yang signifikan antara pemenuhan kebutuhan istirahat tidur sebelum dan sesudah dilakukan teknik relaksasi otot pada lansia di Panti Werdha. KATA KUNCI : Otot, Progresif, Istirahat, Relaksasi, Tidur,     ABSTRACTSri Nyumirah Akademi Keperawatan Pasar Reboe-mail : [email protected] Rest and sleep disturbances are the main complaints that are often experienced by the elderly, with an estimate of more than half of the elderly over 65 who live at home and about two-thirds of the number of elderly people in long-term care facilities experiencing difficulty sleeping. In the aging process that affects the occurrence of changes in sleep patterns due to environmental factors, biological factors and psychosocial factors. Many studies have been conducted that link sleep and wakefulness mechanisms to aging, although sleep and wakefulness have a very different spectrum of behaviors, both of which are believed to have been regulated by a small number of general physiological functions and neurochemical mechanisms (Maas et al., 2014). According to Herodes (2010) progressive muscle relaxation techniques are deep muscle relaxation techniques that do not require imagination, persistence, or suggestion. Based on the belief that the human body responds to anxiety and mind-stimulating events with muscle tension. This study aims to determine the effect of progressive muscle relaxation techniques on meeting the need for sleep rest in the elderly at Panti Werdha Budi Mulya 1 Cipayung, East Jakarta. Research design pre-post test in one group (one group pre-post test design). The sample consisted of 28 elderly with accidental sampling technique. The results showed that there was an effect of progressive muscle relaxation therapy on the need for rest and sleep in the elderly (p value 0.05). Most of the fulfillment of the need for sleep rest after the implementation of muscle relaxation techniques in the elderly at the Nursing Home is fulfilled. There is a significant difference between fulfilling the need for sleep rest before and after muscle relaxation techniques are carried out in the elderly at the Nursing Home. KEY WORDS: Muscle, Progressive, Rest, Relaxation, Sleep,   

Uitbraak COVID-19 in de verpleeghuiszorg

2020 ◽  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Long Term Care ◽  
Informal Caregivers ◽  
Rapid Review ◽  
Daily Routine ◽  
Term Care ◽  
Care Facilities

Long-term care for older adults is highly affect by the COVID-19 outbreak. The objective of this rapid review is to understand what we can learn from previous crises or disasters worldwide to optimize the care for older adults in long term care facilities during the outbreak of COVID-19. We searched five electronic databases to identify potentially relevant articles. In total, 23 articles were included in this study. Based on the articles, it appeared that nursing homes benefit from preparing for the situation as best as they can. For instance, by having proper protocols and clear division of tasks and collaboration within the organization. In addition, it is helpful for nursing homes to collaborate closely with other healthcare organizations, general practitioners, informal caregivers and local authorities. It is recommended that nursing homes pay attention to capacity and employability of staff and that they support or relieve staff where possible. With regard to care for the older adults, it is important that staff tries to find a new daily routine in the care for residents as soon as possible. Some practical tips were found on how to communicate with people who have dementia. Furthermore, behavior of people with dementia may change during a crisis. We found tips for staff how to respond and act upon behavior change. After the COVID-19 outbreak, aftercare for staff, residents, and informal caregivers is essential to timely detect psychosocial problems. The consideration between, on the one hand, acute safety and risk reduction (e.g. by closing residential care facilities and isolating residents), and on the other hand, the psychosocial consequences for residents and staff, were discussed in case of other disasters. Furthermore, the search of how to provide good (palliative) care and to maintain quality of life for older adults who suffer from COVID-19 is also of concern to nursing home organizations. In the included articles, the perspective of older adults, informal caregivers and staff is often lacking. Especially the experiences of older adults, informal caregivers, and nursing home staff with the care for older adults in the current situation, are important in formulating lessons about how to act before, during and after the coronacrisis. This may further enhance person-centered care, even in times of crisis. Therefore, we recommend to study these experiences in future research.

Predictors of Mortality in Board and Care Homes

1997 ◽  
Vol 36 (1) ◽  
pp. 77-87 ◽  
Author(s):  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Social Services ◽  
Long Term Care ◽  
Significant Proportion ◽  
The Elderly ◽  
Term Care ◽  
Care Facilities ◽  
Board And Care

Long-term care institutions have emerged as dominant sites of death for the elderly. However, studies of this trend have primarily examined nursing homes. The purpose of this research is to determine demographic, functional, disease, and facility predictors and/or correlates of death for the elderly residing in board and care facilities. Twelve factors are found to be significant: proportion of residents older than sixty-five years of age, proportion of residents who are chair- or bed-fast, proportion of residents with HIV, bed size, ownership, chain membership, affiliation with a nursing home, number of health services provided other than by the facility, the number of social services provided other than by the facility, the number of social services provided by the facility, and visits by Ombudsmen. These are discussed and comparisons with similar studies in nursing homes are made.

Musical pantophagy: Is there an effect on changes in preference resulting from repeated exposure?

2021 ◽  
pp. 030573562098729
Author(s):  
Rebecca R Johnston ◽  
Gina M Childers
Keyword(s):  
Undergraduate Students ◽  
Classical Music ◽  
Effective Means ◽  
Affective Response ◽  
Repeated Exposure ◽  
Positive Trend ◽  
Preference Rating ◽  
Significant Difference ◽  
Music Consumption ◽  
Post Test

The purpose of this research was to examine the effects of musical pantophagy, classical music consumption, and initial receptivity to select musical examples on changes in preference rating resulting from a program of repeated exposure. Participants included undergraduate students enrolled in a section of music appreciation at a large Southeastern university ( n = 67). Data were collected using a research designed preference rating measure (PRM) administered during a 5-week period within which there were eight test measures. Participants were divided into quartiles. Pre- to post-test measures resulted in a general positive trend for all participants. Comparisons of Q1 (lowest pantophagy) and Q3 (highest pantophagy) on PRMs 1–8 yielded no differences between groups, and PRM 8 was significantly different from PRM 1 for both groups. The same comparisons for Q1 (non-Classical music consumption) indicated significant difference with large effect size and for Q1 (lowest initial receptivity) indicated significant difference. Results suggest that regardless of musical pantophagy, repetition is an effective means by which to increase affective response to music, and that students who do not currently consume formal art music and who have low initial receptivity may report greater increases in affective response to music over time.

scholarly journals The Effectiveness of a Board Game-Based Oral Hygiene Education Program on Oral Hygiene Knowledge and Plaque Index of Adults with Intellectual Disability: A Pilot Study

2021 ◽  
Vol 18 (3) ◽  
pp. 946
Author(s):  
Hsiu-Yueh Liu ◽  
Ping-Ho Chen ◽  
Wun-Jyun Chen ◽  
Shan-Shan Huang ◽  
Jen-Hao Chen ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
Oral Hygiene ◽  
Care Facility ◽  
Plaque Index ◽  
Board Game ◽  
Term Care ◽  
Long Term Care Facility ◽  
Post Test ◽  
Health Related ◽  
Two Stages

An oral hygiene board game was designed as an intervention tool and applied to explore the effectiveness for the oral health related knowledge (OHK) score and plaque index (PI) of adults with intellectual disability (ID). This one-group pre/post-test design study was conducted in a residential long-term care facility for 42 participants. The study had one pre-test (baseline) and three post-tests evaluated in both control and intervention stages, respectively. The participants participated in a 60-min oral hygiene board game twice a week during the intervention stage. Total OHK score and PI of the participants were recorded to determine the effectiveness of intervention. There were no differences in OHK score and PI between the two stages at baseline. The results in intervention stage demonstrated a significant gradual increase and reduction in the OHK score when compared with the control stage. A statistically significant improvement in the OHK score and PI (42.29% and −33.28%, respectively) at the end of intervention between two stages was recorded. This study proved a board game is deemed an effective education method applicable to promote the OHK and skills of ID adults.

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