scholarly journals Influences of Prejudice and Stereotyping in the Direct Care Workforce

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 980-980
Author(s):  
Jennifer May
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Home Health ◽  
Direct Care ◽  
Future Research ◽  
Residential Care Facilities ◽  
Home Health Services ◽  
Care Facilities ◽  
Direct Care Workforce ◽  
And Gender

Abstract Direct Care Workers (DCW; nursing assistants, personal care aides, home health aides) have the most one on one care with sexual and gender minority (SGM) older adults who reside in residential care facilities or use home health services. DCWs make up a vast majority of the healthcare workforce, holding almost five million jobs in 2019, with approximately 70% of the positions held being in residential care facilities. In a qualitative design study, 11 DCWs were interviewed using an open-ended, semi-structured format to describe their perceptions of care provided to SGM older adults in residential care facilities and the home health setting. These results were part of a larger qualitative study which found there were cues of stereotyping and prejudice in DCW narratives toward SGM older adults. The category DCWs’ care and social system referred to characteristics of the DCWs’ work environment and the perspectives, attitudes, and reported care toward SGM older adults and diverse populations. It was determined that there are synergies among SGM older adults’ care and DCW along with DCW workforce issues (short staffed, low wages, lack of health benefits) that may prevent the DCW from being accepting of implicit bias training or culture change within these facilities/agencies. Implications for practice, policy, and future research are discussed.

An Examination of the Health Profile, Service Use and Care Needs of Older Adults in Residential Care Facilities

2004 ◽  
Vol 23 (3) ◽  
pp. 281-294 ◽  
Author(s):  
F. Aminzadeh ◽  
W.B. Dalziel ◽  
F. J. Molnar ◽  
J. Alie
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Use ◽  
Functional Health ◽  
Future Research ◽  
Health Profile ◽  
Care Needs ◽  
Research Attention ◽  
Residential Care Facilities ◽  
Care Facilities

ABSTRACTPrivate, unregulated residential care facilities have become an increasingly important component of the continuum of housing and care for frail older adults in Canada. To date, this growing segment of the older population has received very little research attention. This study involved an in-depth examination of the functional/health profile, patterns of service use, and medical/care needs of a representative sample of 178 older adults in residential care facilities in the City of Ottawa. The results indicate great diversity in resident and facility profiles in this setting and confirm earlier impressions that special care units in the residential care sector have become increasingly close to being unlicensedpseudo-nursing homes. Despite the heavy burden of care, the evidence suggests that the care needs of the majority of residents are adequately met in the residential care environment. The results can inform future research, case finding, educational, and policy planning initiatives in this setting.

Providing care for older adults with extreme obesity in aged residential care facilities: An environmental scan

2020 ◽  
Vol 36 (3) ◽  
pp. 24-36
Author(s):  
Caz Hales ◽  
◽  
Isaac Amankwaa ◽  
Lesley Gray ◽  
Helen Rook ◽  
...  
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Service Provision ◽  
Aged Care ◽  
Extreme Obesity ◽  
Financial Barriers ◽  
Residential Care Facilities ◽  
Environmental Scan ◽  
Staffing Ratios ◽  
Care Facilities

Little is known about the level of service demand and preparedness of Aotearoa New Zealand’s aged residential care facilities to care for older adults with extreme obesity. The aim of this study was to assess the current state of bariatric (extreme obesity) services within aged residential care. An environmental scan was conducted to identify bariatric resident needs and gaps in service provision to inform the development of policy and service provision. Observational and interview data from three facilities in Aotearoa New Zealand was collected along with a retrospective review of national resident admissions over a three-year period. Poor environmental design that included infrastructure deficiencies and financial barriers impacted on the ability to deliver safe and equitable care for this population. Specifically, equipment procurement and safe staffing ratios were of concern to the sector. There is an increasing need for bariatric level support within aged care, necessitating more equipment and staff, adaptation of physical care environments, and enhanced funding. Significant investment is required to address care concerns of older adults with extreme obesity at government and organisational levels.

scholarly journals Household Accessibility and Residential Relocation in Older Adults

2018 ◽  
Vol 74 (7) ◽  
pp. e72-e83 ◽  
Author(s):  
Marianne Granbom ◽  
Nancy Perrin ◽  
Sarah Szanton ◽  
Thomas K.M. Cudjoe ◽  
Laura N Gitlin
Keyword(s):  
Older Adults ◽  
Environmental Factors ◽  
Residential Care ◽  
The United States ◽  
Multinomial Regression ◽  
Housing Type ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Nationally Representative ◽  
Safety Features

Abstract Objectives It is unclear how home environmental factors influence relocation decisions. We examined whether indoor accessibility, entrance accessibility, bathroom safety features, housing type, and housing condition were associated with relocations either within the community or to residential care facilities. Methods We used prospective data over 4 years from the nationally representative National Health and Aging Trends Study in the United States of Medicare beneficiaries 65 years and older living in the community (N = 7,197). We used multinomial regression analysis with survey weights. Results Over the 4 years, 8.2% of the population moved within the community, and 3.9% moved to residential care facilities. After adjusting for demographics and health factors, poor indoor accessibility was found to be associated with moves within the community but not to residential care facilities. No additional home environmental factors were associated with relocation. Discussion One-floor dwellings, access to a lift, or having a kitchen, bedroom, and bathroom on the same floor may help older adults age in place. Understanding which modifiable home environmental factors trigger late-life relocation, and to where, has practical implications for developing policies and programs to help older adults age in their place of choice.

scholarly journals Agitated Behavior of Elderly and Alternative Simple Treatments: Individualized music – A feasibility study (the ABrEAST-iM feasibility study)

2020 ◽  
Author(s):  
Anastasia Mallidou ◽  
Anne-Marie Boström ◽  
Daphne Kaitelidou ◽  
Jennifer Brett ◽  
Sara John Fowler ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Positive Affect ◽  
Clinical Significance ◽  
Residential Care ◽  
Feasibility Study ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Individualized Music

Abstract Background Behavioral and psychological symptoms of dementia (BPSD) influence older persons’ quality of life. Non-pharmacological interventions such as individualized music (iM) are promising to reduce BPSD and sustain interpersonal connectedness that contributes to quality of life. The purpose of this study was to assess the practicalities (e.g., process, results) of iM activities application on older adults over 65 years of age diagnosed with dementia living in residential care facilities. Our objectives were to: a) evaluate the recruitment process; b) explore the process of iM activity implementation; c) assess the clinical significance of the outcomes. Methods A concurrent mixed methods feasibility study designed and was conducted in two residential care facilities in British Columbia, Canada to assess the practicalities (i.e., recruitment, acceptability of the intervention, adherence to it, and clinical significance) of iM activities implementation on older adults diagnosed with dementia living in residential care facilities. Data were collected from residents, their families and staff using administrative records, observations, surveys, and interviews. Our primary outcomes were affect and quality of life. Results The observed iM activities were feasible, acceptable and adhered to by residents with clinical significance. Specifically, about 47% of eligible residents, their families and staff agreed to participate in and completed the study (recruitment); approximately 86% of participants enthusiastically received and were satisfied with the iM activity (acceptability); more than 70% of participants completed at least seven of the nine iM sessions (adherence); about 55% of participants experienced an increase in positive affect scores and 29% had a decrease in negative affect scores after the intervention; more than 43% of participants had a reduction in BPSD (clinical significance). Finally, participants reported improvement of quality of life and positive effects of iM intervention and provided insights and suggestions to improve it. Conclusions Individualized music activities can be successfully implemented (i.e., feasible, acceptable, adherent) with significant clinical outcomes. Participants reported positive affect emotions, increase in quality of life and well-being. With this feasibility study, we developed a process to identify challenges and their solutions that may assist us in a following pilot study with similar iM intervention.

scholarly journals Bullying Among Older Adults: A Book Review

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Jane Lyons
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Senior Centers ◽  
Residential Care Facilities ◽  
Practical Guide ◽  
Care Facilities ◽  
Bullying Behaviors

In the book<em> Bullying Among Older Adults</em>, Bonifas examines bullying among older adults in senior centers and residential care facilities. Bonifas clearly describes bullying behaviors and presents a practical guide for assessment of bullying and antibullying intervention.

The functions and value of reminiscence for older adults in long-term residential care facilities

Memory ◽  
2016 ◽  
Vol 25 (3) ◽  
pp. 425-435 ◽  
Author(s):  
Linda A. Henkel ◽  
Alison Kris ◽  
Sarah Birney ◽  
Kaitlyn Krauss
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities

scholarly journals Adequate vitamin B12 and riboflavin status from menus alone in residential care facilities in the Lower Mainland, British Columbia

2019 ◽  
Vol 44 (4) ◽  
pp. 414-419 ◽  
Author(s):  
Kyly C. Whitfield ◽  
Liz da Silva ◽  
Fabio Feldman ◽  
Sonia Singh ◽  
Adrian McCann ◽  
...  
Keyword(s):  
Older Adults ◽  
British Columbia ◽  
Residential Care ◽  
Vitamin B ◽  
Convenience Sample ◽  
Residential Care Facilities ◽  
Age Related ◽  
Increased Risk ◽  
Care Facilities ◽  
Riboflavin Status

Older adults have potential increased risk of nutrient deficiencies because of age-related decreased dietary intake and malabsorption; it is important to ensure nutrient needs are met to avoid adverse health outcomes. B vitamins are of particular interest: vitamin B12 deficiency can cause irreversible neurodegeneration; there is mandatory folic acid fortification in Canada; and suboptimal riboflavin status has been reported among older adults in the United Kingdom. In this exploratory secondary analysis study we assessed vitamin B12 and riboflavin biochemical status (via microparticle enzyme immunoassay and erythrocyte glutathione reductase activity coefficient (EGRac), respectively), and the vitamin B12, riboflavin, and folate content of menus served to a convenience sample of older adults (≥65 years) from 5 residential care facilities within the Lower Mainland of British Columbia, Canada. Diet was assessed from customized 28-day cycle meal plans. Participants (n = 207; 53 men and 154 women) were aged 86 ± 7 years, largely of European descent (92%), and nonsmokers (95%). The menus served had a low prevalence of inadequacy for vitamin B12 and riboflavin (only 4% and 1% of menus contained less than the estimated average requirement (EAR), respectively), but 93% contained less than the EAR for folate. Mean ± SD serum total vitamin B12 concentration was 422 ± 209 pmol/L, and EGRac was 1.30 ± 0.19. The majority of older adults in residential care were provided with adequate vitamin B12 and riboflavin menu amounts, and only 5% were vitamin B12 deficient (<148 pmol/L). However, 26% were riboflavin deficient (EGRac ≥ 1.4), which may warrant further investigation.

scholarly journals How Do Regulated Nurse Professionals in Alberta Assess Geriatric Depression in Residential Care Facilities?

2019 ◽  
Vol 39 (3) ◽  
pp. 468-484
Author(s):  
Anna Azulai ◽  
Christine A. Walsh
Keyword(s):  
Mental Health ◽  
Residential Care ◽  
Mental Health Professionals ◽  
Qualitative Interviews ◽  
Health Condition ◽  
Future Research ◽  
Geriatric Depression ◽  
Residential Care Facilities ◽  
Assessment Protocol ◽  
Care Facilities

ABSTRACTAlthough geriatric depression is a prevalent, serious, and under-recognized mental health condition in residential care facilities, there is a dearth of related research in Canada. This exploratory mixed methods study examines the perspectives and practices of regulated nurse professionals on assessment of geriatric depression in residential care facilities in Alberta. Findings from the quantitative surveys (n = 635) and qualitative interviews (n = 14) suggest that geriatric depression is not systematically assessed in these care settings due to multiple challenges, including confusing assessment protocol, inconsistent use and contested clinical utility of current assessment methods in facilities, limited availability of mental health professionals in facilities, and the varied views of regulated nurse professionals on who is responsible for depression assessment in facilities. Implications and future research directions are discussed.

Targeting at Risk Older Adults in Residential Care Facilities for Specialized Geriatric Services

2006 ◽  
Vol 29 (3) ◽  
pp. 3-17 ◽  
Author(s):  
Faranak Aminzadeh ◽  
William B. Dalziel ◽  
Frank J. Molnar ◽  
Josee Alie
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities

Longitudinal Associations of Falls and Depressive Symptoms in Older Adults

2019 ◽  
Vol 59 (6) ◽  
pp. 1141-1151 ◽  
Author(s):  
Namkee G Choi ◽  
C Nathan Marti ◽  
Diana M DiNitto ◽  
Mark E Kunik
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Depressive Symptoms ◽  
Residential Care ◽  
Negative Binomial ◽  
Residential Care Facilities ◽  
Community Or ◽  
Care Facilities ◽  
Longitudinal Associations ◽  
T1 And T2

Abstract Background and Objectives Fall incidents and associated medical costs are increasing among older adults. This study examined longitudinal associations between older adults’ falls status and depression at 2 time periods to further clarify bidirectional relationships. Methods We used the National Health and Aging Trends Study (NHATS) Waves 5 and 6 data and included sample persons (N = 6,299) who resided in the community or residential care facilities (not nursing homes) at both waves (T1 and T2). We employed multinomial logistic regression analysis to examine the association of T2 falls status with T1 depressive symptoms, and negative binomial regression and logistic regression analyses to examine the association of T2 depressive symptoms with stability/change in T1-T2 falls status. Results Over the study period, 46% of older adults (18 million Medicare beneficiaries) who lived in the community or residential care facilities reported a fall. T1 depressive symptoms were significantly associated with greater odds of T2 multiple falls, and increasing falls or continuing incidents of multiple falls between T1 and T2 were significantly associated with higher depressive symptoms and probable major depression at T2. Discussion and Implications The significant bidirectional relationships between T1 depression and T2 multiple falls point to the importance of incorporating depression treatment in fall prevention programs for older adults at high risk of increasing/multiple falls.

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