scholarly journals Environmental Assessment Tools for Shared Residential Settings for Individuals Living With Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 264-264
Author(s):  
Migette Kaup ◽  
Addie Abushousheh ◽  
Margaret Calkins
Keyword(s):  
Environmental Assessment ◽  
Care Service ◽  
Models Of Care ◽  
Assessment Tools ◽  
Residential Settings ◽  
The Past ◽  
Person Centered Care ◽  
The Us ◽  
Centered Care ◽  
Conducting Research

Abstract The overarching goal of conducting research in and on settings for individuals living with dementia is to be able to identify associations between features, or set(s) of features, and outcomes of interest. A major challenge to this goal is the disconnect between the rapidly changing arena of LTC design over the past 20 years toward more residential-styled settings and existing assessment tools, many of which were developed over 20 years ago, and which are based on and reflect more traditional models of care, service delivery and design. This session examines the strengths and limitations of both existing and emerging assessment tools from the US, Canada, UK and Australia. More recently developed tools are more directly focused on the values of person-centered care than older tools.

scholarly journals Person-centered dementia care in home care services – highly recommended but still challenging to obtain: a qualitative interview study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kari-Anne Hoel ◽  
Anne Marie Mork Rokstad ◽  
Ingvild Hjorth Feiring ◽  
Bjørn Lichtwarck ◽  
Geir Selbæk ◽  
...  
Keyword(s):  
Decision Making ◽  
Home Care ◽  
Shared Decision Making ◽  
Care Service ◽  
Home Care Services ◽  
Shared Decision ◽  
Care Services ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

Abstract Background Dementia is one of the main causes of disability and dependence in older people, and people with dementia need comprehensive healthcare services, preferably in their own homes. A well-organized home care service designed for people with dementia is necessary to meet their needs for health- and social care. Therefore, it is important to gain knowledge about how people with dementia experience the home care service and if the service responds to their wishes and needs. The aim of this study was to explore the experience of home care services among people with dementia, to understand the continuity in services, how the service was adapted to people with dementia, and how the patient experienced person-centered care and shared decision-making. Methods We used a qualitative, exploratory design based on a phenomenological-hermeneutic approach and performed individual in-depth interviews with persons with dementia. A convenience sample of 12 persons with moderate to severe degrees of dementia from four Norwegian municipalities participated in the study. The interviews were conducted in February 2019. Results The findings identified that the participants appreciated the possibility to stay safely in their own homes and mostly experienced good support from staff. They expressed various views and understanding of the service and experienced limited opportunities for user involvement and individualized, tailored service. The overall theme summarizing the findings was: “It is difficult for people with dementia to understand and influence home care services, but the services facilitate the possibility to stay at home and feel safe with support from staff.” Conclusion The participants did not fully understand the organization of the care and support they received from the home care services, but they adapted to the service without asking for changes based on their needs or desires. Although person-centered care is recommended both nationally and internationally, the participants experienced little inclusion in defining the service they received, and it was perceived as unclear how they could participate in shared decision-making.

scholarly journals Best Practices in Museum Programming for People With Dementia and Their Care Partners

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 836-836
Author(s):  
Carolyn Halpin-Healy ◽  
James Noble
Keyword(s):  
Adult Learning ◽  
Best Practices ◽  
Adult Learning Theory ◽  
Art Making ◽  
The Past ◽  
Living Well ◽  
Person Centered Care ◽  
People With Dementia ◽  
Care Partners ◽  
Centered Care

Abstract As more people are living longer with dementia, museums can play an important public health role to support individuals, families, and communities. Arts & Minds programs for people with dementia and their care partners are designed according to principles of person-centered care and adult learning theory. The approach builds on research and evaluation to provide contact with art, which has been shown to reduce apathy and soothe agitation in persons with dementia and also to reduce caregiver stress. According to our observation- and feedback-based assessments of more than 500 program participants over the past 10 years, the processes of collective looking and art making specifically address symptoms of dementia and support human dignity. This presentation addresses the growing research base on the benefits of museum programming, and the ways in which research and evaluation support best practices in museum education to address the challenge of living well with dementia.

Outcome of Person-centered Care at a Dynamic-Psychiatric Hospital in Germany

2014 ◽  
Vol 3 (3) ◽  
pp. 220-227
Author(s):  
Maria Ammon ◽  
Gisela Finke
Keyword(s):  
Quality Of Life ◽  
Psychiatric Treatment ◽  
Psychiatric Inpatient ◽  
Interpersonal Problems ◽  
Assessment Tools ◽  
Self Report ◽  
Personalized Care ◽  
Person Centered Care ◽  
Centered Care

Dynamic psychiatric treatment is a well established therapeutic approach with substantial elements of person-centered care. A study was designed and conducted in order to evaluate the outcome of a person centered dynamic psychiatric inpatient treatment program in Munich, Germany. It was conducted  with 792 patients, for whom mean duration of therapy was 65 days. Assessment tools included the Inventory of Interpersonal Problems ( IIP) (a self-report measure of maladaptive relationship behavior), the Ammon Ego Structure Test (ISTA ), the WHO Quality of Life Instrument-Bref, indices of social network extent and depth, and satisfaction with personal communication and care and with concerted treatment planning. The results at discharge and follow up showed that patients had significantly improved concerning all dynamic personality dimensions, interpersonal problems, quality of life, and satisfaction with personalized care. This study offers a measure of validation of  person-centered dynamic psychiatric care in terms of relevant outcome measures.

scholarly journals Forecasting the future while investigating the past. The use of computational models in pre-trial detention decisions.

2021 ◽  
Vol 7 (3) ◽  
pp. 1859
Author(s):  
Serena Quattrocolo
Keyword(s):  
Computational Models ◽  
Assessment Tools ◽  
Western World ◽  
Presumption Of Innocence ◽  
Actuarial Assessment ◽  
The Past ◽  
The Us ◽  
The Future ◽  
Precautionary Measures ◽  
Criminological Theories

The paper focuses on the traditional purpose of pre-trial detention (and other precautionary measures) to prevent specific risks. While liberty is the rule, before conviction, pre-trial detention is an absolute exception, competing with the opposite principle of the presumption of innocence: providing valuable and accurate justification for balancing the interest to prevent risk with the presumption of innocence is an overarching difficulty for judges, in the whole western world. Which the solutions? The paper reflects and compares the traditional solution of legal presumptions with the newer trend of actuarial assessment tools, based on psycho-criminological theories, based on the Italian and the uS federal systems.

Servicing the Senior Swallow: A Family-Centered Private Practice Model of Service Delivery

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Yvette M. McCoy
Keyword(s):  
Older Adults ◽  
Medical Model ◽  
Recovery Process ◽  
Swallowing Disorders ◽  
Current Evidence ◽  
Care Needs ◽  
Skilled Nursing ◽  
Person Centered Care ◽  
Centered Care ◽  
Traditional Medical Model

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.

Advances In Asthma Care

2003 ◽  
Vol 1 (1) ◽  
pp. 87-90 ◽  
Author(s):  
Chris Garvey
Keyword(s):  
Healthcare Costs ◽  
Professional Organizations ◽  
Current Status ◽  
Asthma Care ◽  
Advanced Level ◽  
Clinical Criteria ◽  
Asthma Knowledge ◽  
The Past ◽  
The Us ◽  
Examination Process

Asthma rates in the US have risen during the past 25 years, as have asthma-related morbidity and healthcare costs. Professional organizations involved in asthma care have identified the need to assure that an advanced level of asthma knowledge and skill is available to patients with asthma, their families, and insurers. This need led to development of the certification for asthma educators. The Certified Asthma Educator (AE-C) must meet specific clinical criteria and pass a standardized examination designed to evaluate knowledge and skill for providing competent asthma education and coordination. The development and current status of the Certified Asthma Educator examination process and content are discussed, as are goals of the certification

BP Global Energy Outlook 2030

2013 ◽  
pp. 109-128 ◽  
Author(s):  
C. Rühl
Keyword(s):  
Emerging Economies ◽  
Energy Demand ◽  
Fossil Fuels ◽  
Net Energy ◽  
Global Energy ◽  
The Past ◽  
Market Shares ◽  
The Us ◽  
Almost All ◽  
Oil Gas

This paper presents the highlights of the third annual edition of the BP Energy Outlook, which sets out BP’s view of the most likely developments in global energy markets to 2030, based on up-to-date analysis and taking into account developments of the past year. The Outlook’s overall expectation for growth in global energy demand is to be 36% higher in 2030 than in 2011 and almost all the growth coming from emerging economies. It also reflects shifting expectations of the pattern of supply, with unconventional sources — shale gas and tight oil together with heavy oil and biofuels — playing an increasingly important role and, in particular, transforming the energy balance of the US. While the fuel mix is evolving, fossil fuels will continue to be dominant. Oil, gas and coal are expected to converge on market shares of around 26—28% each by 2030, and non-fossil fuels — nuclear, hydro and renewables — on a share of around 6—7% each. By 2030, increasing production and moderating demand will result in the US being 99% self-sufficient in net energy. Meanwhile, with continuing steep economic growth, major emerging economies such as China and India will become increasingly reliant on energy imports. These shifts will have major impacts on trade balances.

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