scholarly journals Where's the Bar? Alcohol and Meaningful Engagement Among Assisted Living Residents With Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 289-289
Author(s):  
Candace Kemp ◽  
Elisabeth Burgess ◽  
Alexis Bender
Keyword(s):  
Alcohol Use ◽  
Assisted Living ◽  
Social Model ◽  
Psychological Benefits ◽  
Model Of Care ◽  
Know How ◽  
The Social ◽  
Meaningful Engagement ◽  
The Life Course

Abstract Alcohol use across the life course provides some physical and psychological benefits when used in moderation. As a social model of care, assisted living (AL) communities emphasize autonomy; yet, we do not know how this philosophy extends to drinking. Using ethnographic and interview data from a larger 5-year NIA-funded study in four diverse AL communities designed to identify best practices for the meaningful engagement of AL residents with dementia, we examine how residents, families, and staff interpret residents’ rights about alcohol use and how staff and families facilitate or limit alcohol use of residents with dementia. Findings indicate staff and families frequently rely on a narrative of “watchful oversight” to limit or restrict alcohol consumption while simultaneously affirming the social connection of drinking (e.g., alcohol-free socials). We discuss the implications of our findings for research and practice aimed at promoting meaningful engagement and quality of life among persons with dementia.

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 MEANINGFUL ENGAGEMENT AND QUALITY OF LIFE AMONG ASSISTED LIVING RESIDENTS WITH DEMENTIA: EMERGENT FINDINGS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S943-S944
Author(s):  
Joy Ciofi ◽  
Candace L Kemp ◽  
Alexis A Bender ◽  
Elisabeth O Burgess ◽  
Jennifer C Morgan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Assisted Living ◽  
Personal Characteristics ◽  
Future Research ◽  
Structured Interviews ◽  
Care Partners ◽  
Meaningful Engagement ◽  
Physical Abilities ◽  
Community Staff

Abstract This poster provides an overview of the aims, methods, and emergent findings from an ongoing five-year NIA-funded project (R01AG062310) examining meaningful engagement and quality of life among assisted living (AL) residents with dementia. The overall goal of this project is to determine how opportunities for meaningful engagement can best be recognized, created, and maintained for individuals with different dementia types and varying levels of functional ability. Guided by grounded theory, this qualitative study will involve 12 diverse AL communities in and around Atlanta, Georgia, USA. Presently, our interdisciplinary team is collecting data in four communities using ethnographic observations, semi-structured interviews, and resident record review. We are studying daily life in each community, following 30 resident participants, and actively recruiting and interviewing their formal and informal care partners. Based on ongoing analysis, we offer key emergent findings. First, meaningful engagement is highly individualized and dynamic. Differing personal interests, along with wide variations in cognitive and physical abilities, can present challenges for AL community staff and other care partners when trying to recognize what constitutes meaningful engagement for residents. Second, multiple complex factors interplay to shape the experience of meaningful engagement among persons living with dementia, such as personal characteristics, care partner background and training, AL community design and philosophy, and state/corporate regulations. Finally, flexibility and ‘meeting the resident where they are at’ appear to be critical to identifying and fostering meaningful engagement for persons living with dementia. We discuss the implications of these preliminary findings for translation, dissemination, and future research.

scholarly journals The Best Day of the Week: New Technology Enhancing Quality of Life in a Care Home

2019 ◽  
Vol 16 (6) ◽  
pp. 1000 ◽  
Author(s):  
Anne Juul ◽  
Raelene Wilding ◽  
Loretta Baldassar
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Social Engagement ◽  
New Technologies ◽  
Residential Aged Care ◽  
Daily Routine ◽  
The Social ◽  
Care Facilities ◽  
Meaningful Engagement

Older people living in residential aged care facilities tend to be physically as well as socially inactive, which leads to poorer health and reduced wellbeing. A lack of recognition of the importance of social support, limited resources, lack of training and task-oriented work routines leave little time for staff to meet the social needs of residents. Through qualitative ethnographic fieldwork, this study investigates the potential for new technologies to enhance quality of life and facilitate meaningful engagement in physical and social activities among culturally and linguistically diverse residents and staff in care facilities. A continuum from nonparticipation to full participation among residents was observed when Touch Screen Technology activities were implemented. Data indicate that resident’s engagement is impacted by five interdependent factors, including environmental, organisational, caregiver, patient, and management- &government-related. Findings show that new technologies can be used to increase meaningful physical and social engagement, including transcending language and cultural barriers. However, the successful application of new technologies to enhance quality of life is dependent on their integration into the daily routine and social relationships of staff and residents, with the full support of management. Guidelines governing the use of new technologies to support meaningful engagement of older people in residential care are lacking: this project highlights the importance of attention to the social relational dimensions of technology interventions to support best practice in their use.

Rules, Know-How, and the Future of Moral Cognition

2000 ◽  
Vol 26 ◽  
pp. 291-306 ◽  
Author(s):  
Paul M. Churchland
Keyword(s):  
Social World ◽  
The Other ◽  
Political Activity ◽  
Moral Cognition ◽  
Adequate Account ◽  
Cognitive Mechanisms ◽  
Know How ◽  
The Social ◽  
The One

Professor Clark's splendid essay represents a step forward from which there should be no retreat. Our de facto moral cognition involves a complex and evolving interplay between, on the one hand, the non discursive cognitive mechanisms of the biological brain, and, on the other, the often highly discursive extra-personal “scaffolding” that structures the social world in which our brains are normally situated, a world that has been, to a large extent, created by our own moral and political activity. That interplay extends the reach and elevates the quality of the original nondiscursive cognition, and thus any adequate account of moral cognition must address both of these contributing dimensions. An account that focuses only on brain mechanisms will be missing something vital.

scholarly journals Harry Potter and the Stigma of Disability: Squibs as Outsiders to the Magical Universe

2020 ◽  
Vol 3 ◽  
Author(s):  
Megan Rhodes
Keyword(s):  
Quality Of Life ◽  
Harry Potter ◽  
Social Model ◽  
Fictional World ◽  
Social Model Of Disability ◽  
Book Series ◽  
The Social ◽  
The Disabled ◽  
Do So

In the young adult book series Harry Potter, there exists a class of citizens known as Squibs. By all accounts they can be considered a disabled group: they have a ‘disease’ (no magical abilities) that detracts from their overall quality of life and prevents them from operating at a normal level within society. This paper will prove that Squibs are restricted within the fictional world by the institutions of school and government. It will do so by studying Argus Filch and Arabella Figg, two of the most visible Squibs in the series. In this case, the social model of disability and Michel Foucault’s theories about government restrictions on disability will support the idea that Filch and Figg could succeed within the Harry Potter universe if the barriers put in place against the disabled Squibs were removed. In addition, the paper expresses the hope that the fans of Harry Potter will be able to rectify the discriminatory mistakes that the author, J.K. Rowling, has created against Squibs.

scholarly journals Self-care of people with intestinal ostomy: beyond the procedural towards rehabilitation

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Vanessa Damiana Menis Sasaki ◽  
André Aparecido da Silva Teles ◽  
Natália Michelato Silva ◽  
Tatiana Mara da Silva Russo ◽  
Lorena Alves Pantoni ◽  
...  
Keyword(s):  
Colorectal Neoplasia ◽  
Self Care ◽  
The Self ◽  
Social Model ◽  
Exploratory Research ◽  
Social Model Of Disability ◽  
Social Barriers ◽  
Care Experience ◽  
The Social

ABSTRACT Objectives: to interpret the self-care experience of people with intestinal ostomy registered in an ostomy program, based on the framework of the Social Model of Disability. Methods: qualitative exploratory research, with the participation of nine people with intestinal ostomy, based on the Social Model of Disability. Results: majority were elderly, married, male with colostomy due to colorectal neoplasia. The self-care of these people was analyzed in two thematic groups: “Interdisciplinary assistance needed for people with intestinal ostomy” and “Self-care for the rehabilitation of the person with intestinal ostomy”. It was proved that there was a need for a specialized health team, offering information on disabilities, teaching self-care and perioperative follow-up. Final Considerations: when the social barriers of physical disabilities are overcome in the context of assistance for health and life, self-care will go beyond the reductionist vision of procedural care, towards comprehensive care, favoring the achievement of rehabilitation and the quality of survival.

scholarly journals Gender Differentials in Education

2020 ◽  
Vol 4 (6) ◽  
pp. 78-82
Keyword(s):  
Social Factors ◽  
High Quality ◽  
Know How ◽  
Gender Differentials ◽  
The Social

The authors talk about a portion of the social factors and practices that confine ladies' entrance to training. The apparent requirement for offering training to females would be distinctive for various gatherings and with certain gatherings they may be no felt want for educating women. A few humans may additionally need to teach their daughters and they have become able to earning an income. For others, training can be greater a standing considered necessary most effective know how and belief to get right of entry to education and the high-quality of training additionally be made.

‘More and better jobs’: is quality of work still an issue – and was it ever?

2012 ◽  
Vol 18 (3) ◽  
pp. 337-353 ◽  
Author(s):  
Silke Bothfeld ◽  
Janine Leschke
Keyword(s):  
Social Model ◽  
Monitoring Tool ◽  
Core Element ◽  
Quality Of Work ◽  
Policy Problem ◽  
The Social ◽  
The Subject ◽  
Definition Of ◽  
Comprehensive Indicator

Quality of work is a core element of the European social model. In this article we analyse the role and instruments of EU actors in this policy area in order to discover the extent to which it has been institutionalized since the mid-1990s. We first demonstrate that quality of work has to be understood as a multi-dimensional concept, before analysing the respective roles of and interactions between the Council, the Commission, the European Parliament and the social partners. Both the definition of the subject as a policy problem and the construction of a comprehensive indicator-based monitoring tool represent necessary, albeit not sufficient, steps to promote the quality dimension of work. The article is based on document and secondary literature analysis as well as expert interviews.

Teaching at an Assisted Living Facility

2008 ◽  
Vol 9 (4) ◽  
pp. 186-191
Author(s):  
Alec Pruchnicki ◽  
James Janeski ◽  
Elsie Mitchell ◽  
Elizabeth Fetten
Keyword(s):  
Health Care ◽  
Assisted Living ◽  
The Elderly ◽  
Social Model ◽  
Health Care Personnel ◽  
Assisted Living Facilities ◽  
Clinical Services ◽  
The Social ◽  
Teaching Programs ◽  
And Training

The increase in assisted living facilities (ALFs) of various types has provided a new option for the delivery of clinical services to the elderly. For all these facilities, whether large or small, profit or nonprofit, primarily residential (the “social model”) or with significant nursing care (the “new” model), their sole mission is to provide an appropriate level of residential and clinical services to their residents. However, given the rise in the number and variety of these facilities, there may be other uses to which they can be put. Specifically, these facilities may make excellent sites for the education and training of health care personnel. Acute care hospitals and nursing homes primarily deliver clinical services, but both are common sites for the training of a variety of health care personnel, both professional and nonprofessional. This article examines the teaching programs at one ALF and explores some possibilities for the future.

scholarly journals Meaningful Engagement of Residents With Dementia in Assisted Living: The Role of Direct Care Workers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 254-255
Author(s):  
Jennifer Craft Morgan ◽  
Joy Ciofi ◽  
Candace Kemp ◽  
Andrea Hill ◽  
Alexis Bender
Keyword(s):  
Assisted Living ◽  
Daily Practice ◽  
Direct Care ◽  
Direct Care Workers ◽  
Observation Data ◽  
Factors Affecting ◽  
Care Workers ◽  
Meaningful Engagement ◽  
Using Data

Abstract Meaningful engagement has important implications for quality of care for persons living with dementia. Yet, little research has focused on direct care workers’ (DCWs) role in facilitating engagement opportunities for residents in assisted living. Using data from our ongoing NIA-funded study, “Meaningful Engagement and Quality of Life among Assisted Living Residents with Dementia,” we describe DCW approaches to engaging residents and the factors that influence the use and successful application of these approaches. Focal residents (N=33) were followed at four diverse assisted living communities for one year. Data includes care partner interviews (N=100), including 28 DCWs and 1560 hours of field observation data. DCWs interviewed had between 2 months and 12 years’ experience in their current position and were mostly African American and/or immigrant women of color. Findings suggest that DCW-resident interactions are key opportunities to engage residents in a meaningful way and can facilitate positive, trust-based relationships. This analysis elaborates on our previous work identifying four approaches: knowing the person, connecting with and meeting people where they are, being in the moment, and viewing all encounters as opportunities. We identified factors affecting opportunities for, and experiences with, meaningful engagement between residents and DCWs, including community staffing, consistent assignment, scheduling, DCW training and tenure, and community resources. We conclude with implications for practice emphasizing how elaboration of these approaches can inform the development of DCW training, opportunities for career advancement, and integration of approaches consistently into daily practice in an effort to support meaningful engagement of residents living with dementia.

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