scholarly journals EVALUATION OF ART ON THE BRAIN, A HEALTH APP FOR OLDER ADULTS, IN LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S808-S808
Author(s):  
Elizabeth P Howard ◽  
Tammy Retalic ◽  
Jessica Rogan
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Well Being ◽  
Personal Relationships ◽  
Post Intervention ◽  
Term Care ◽  
Significant Difference ◽  
The Brain ◽  
Health And Well Being

Abstract ArtOn the Brain is a mobile application that incorporates art history education, play and socialization for older adults. This pilot project examined its health and social impact among long term care residents. A convenience sample of 48 residents, 60+ years, with borderline intact to moderate cognitive impairment were recruited. Residents with mild or better cognitive status used the app individually on a tablet while the remaining participated in therapist-led group sessions. One-hour intervention occurred twice weekly. Primary outcomes, health and well-being, were measured with 5Q-5D-5L and Warwick-Edinburgh Mental Well-being tools at baseline and after 6 weeks. Secondary outcomes were mood, cognition, function and overall satisfaction with activity options and personal relationships. Pre-post paired t-test analyses of data from EQ-5D-5L and Warwick tools did not show a significant difference. There were no notable declines with cognitive performance, functional ability and depression post-intervention. Four activity options and three personal relationship items had statistically significant improvements post-intervention. Activity options addressed engagement in enjoyable activities on weekends and evenings, and opportunity to, spend time with other like-minded residents and explore new skills, interests. Personal relationships items included engagement in activities helpful to others and having people to do things with. ArtOn the Brain is a novel application suitable for long term care residents. While 6 week intervention did not show improvement in overall health and well-being, there were significant improvements with residents’ reported engagement in activity options and improvement of personal relationships. Longitudinal evaluations are needed to examine changes in health status and well-being.

scholarly journals THE IMPACT OF A PARO INTERVENTION ON DEPRESSION AND WELL-BEING IN OLDER ADULTS WITH DEPRESSION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S341-S341
Author(s):  
Shu-Chuan Chen ◽  
Wendy Moyle ◽  
Cindy Jones
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Older People ◽  
Long Term Care ◽  
Well Being ◽  
World Health ◽  
Term Care ◽  
Care Facilities

Abstract Aim: This study aimed to explore the effect of a social robot Paro intervention on depression and well-being in older adults with depression living in long-term care facilities in Taiwan. Methods: This study was adopted a single group and quasi-experimental with repeated measures design. Each participant participated in two stages: observation and Paro intervention stages. Stage 1 was an 8-week observation stage in long-term care facilities where the purpose was to observe the normal mood, behaviour and activities of older adults with depression. In stage 2, each participant was given a Paro by the researcher to keep for 24 hours for 7 days in for 8 weeks. Outcome measurements were obtained 4 times: a week before the intervention (T1), immediately the end of 8-week observation (T2), mid-point of Paro intervention (T3), and immediately the end of 8-week Paro intervention (T4). Instruments included the Geriatric Depression Scale, the UCLA Loneliness Scale version 3, and the World Health Organization Quality of Life Questionnaire-OLD. Results: There were 20 participants completed the study. The mean age of participants was 81.1years (SD = 8.2). After 8-week Paro intervention, statistically significant differences in changes were found on depression, loneliness, and quality of life from pre-intervention to post-intervention. Conclusion: This study was found that Paro intervention has beneficial effects on depression and mental well-being for older people with depression in long-term care facilities. Paro Intervention might be a suitable psychosocial intervention for older people with depression and should be considered as a useful tool in clinical practice.

scholarly journals Resilience and Mental Health Among Male Older Adults in Extreme Poverty in Long-term Care Facilities in Rural China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 855-855
Author(s):  
Ying Ma ◽  
Patrick Leung
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Long Term Care ◽  
Oldest Old ◽  
Age Groups ◽  
Term Care ◽  
Extreme Poverty ◽  
Significant Difference ◽  
Care Facilities

Abstract Older adults in extreme poverty refer to “three-noes people”: no working ability, no income source, and no children or legal supporters. They are eligible for a government-funded welfare system called “Five Guarantee system”. The majority of residents in rural welfare institutes are male older adults in extreme poverty. Research demonstrates that resilience is a critical factor in shaping health. This study aims to examine the association between resilience and mental health for male older adults in extreme poverty, and its differences in young-old (60-69 years), old-old (70-79 years), and oldest-old groups (≥80 years). A cross-sectional study was conducted with 1,427 eligible subjects in rural long-term care facilities from Anhui province in China during 2019, with a response rate of 77.4%. Resilience was measured by the Chinese version of Connor-Davidson Resilience Scale, including three subscales of optimism, strength and tenacity. Mental health was assessed using General Health Questionnaire-12. A MANOVA test revealed a significant difference among age groups on three subscales of resilience [Pillai’s Trace=.023, F (6,1486) =2.709, p=.013, ηp2=.012]. Tukey Post hoc indicated the oldest reported significantly lower levels of strength, optimism, and tenacity compared to the other two groups. A multiple logistic regression identified a significant negative association between resilience and mental disorder for the old-old (OR=0.95, 95%CI:0.93-0.97) and oldest-old (OR=0.93, 95%CI: 0.88-0.99) groups. Our findings identified th differences in the link between resilience and mental health within the three different age groups. Resilience-training programs to improve mental health would require targeting specific subscales of resilience for each group.

scholarly journals HEALTH AND WELL-BEING OF OLDER ADULTS IN LONG-TERM CARE FACILITIES: LESSONS FROM LONGITUDINAL STUDIES.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S242-S242
Author(s):  
Robert O Barker ◽  
Andrew Kingston ◽  
Fiona Matthews ◽  
Barbara Hanratty
Keyword(s):  
Older Adults ◽  
Longitudinal Studies ◽  
Long Term Care ◽  
Well Being ◽  
Cross Sectional ◽  
Term Care ◽  
Complex Needs ◽  
People With Dementia ◽  
Care Facilities

Abstract Older adults in long-term care facilities (LTCF) have complex needs for health care and support. There is a perception that residents’ needs are increasing over time, but little research evidence to back this up. In this study we brought together data on 1640 residents in LTCFs from three longitudinal studies, and conducted repeated cross-sectional analyses across a 25 year period. We found that the prevalence of severe disability amongst residents has increased from 56% to 80% over a 20 year period, driven by increases in difficulties in bathing and dressing. The prevalence of multimorbidity also increased from 29% to 56% between 2006 and 2014. A growth in the number of people with dementia, cardiovascular and cerebrovascular diseases contributed to this. We conclude that residents in LTCFs have become a selected subset of the population, characterised by increasing needs for support. This poses an important challenge for future care provision.

Story-Sharing Intervention to Improve Depression and Well-Being in Older Adults Transitioning to Long-Term Care

2019 ◽  
Vol 12 (2) ◽  
pp. 81-90
Author(s):  
Gail J. Sullivan ◽  
Debra J. Hain ◽  
Christine Williams ◽  
David Newman
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Well Being ◽  
Term Care ◽  
Story Sharing

scholarly journals Intimacy for older adults in long-term care: a need, a right, a privilege—or a kind of care?

2021 ◽  
pp. medethics-2020-107171
Author(s):  
Vanessa Schouten ◽  
Mark Henrickson ◽  
Catherine M Cook ◽  
Sandra McDonald ◽  
Nilo Atefi
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Family Members ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
Survey Tool ◽  
Whole Person

BackgroundTo investigate attitudes of staff, residents and family members in long-term care towards sex and intimacy among older adults, specifically the extent to which they conceptualise sex and intimacy as a need, a right, a privilege or as a component of overall well-being.MethodsThe present study was a part of a two-arm mixed-methods cross-sectional study using a concurrent triangulation design. A validated survey tool was developed; 433 staff surveys were collected from 35 facilities across the country. Interviews were conducted with 75 staff, residents and family members.ResultsIt was common for staff, residents and family members to talk about intimacy and sexuality in terms of rights and needs. As well as using the language of needs and rights, it was common for participants to use terms related to well-being, such as fun, happiness or being miserable. One participant in particular (a staff member) described receiving intimate touch as a ‘kind of care’—a particularly useful way of framing the conversation.ConclusionWhile staff, residents and family frequently used the familiar language of needs and rights to discuss access to intimate touch, they also used the language of well-being and care. Reframing the conversation in this way serves a useful purpose: it shifts the focus from simply meeting minimum obligations to a salutogenic approach—one that focuses on caring for the whole person in order to improve overall well-being and quality of life.

scholarly journals Social Connection is Essential in Long-Term Care Homes: Considerations During COVID-19 and Beyond

2021 ◽  
Vol 24 (2) ◽  
pp. 151-153
Author(s):  
Jennifer Bethell ◽  
Hannah M. O'Rourke ◽  
Heather Eagleson ◽  
Daniel Gaetano ◽  
Wayne Hykaway ◽  
...  
Keyword(s):  
Long Term Care ◽  
Task Force ◽  
Well Being ◽  
Social Connection ◽  
Term Care ◽  
Profound Impact ◽  
Emerging Issues ◽  
Health And Well Being

COVID-19 has had a profound impact on long-term care (LTC) homes in Canada. But the measures put in place to control infection within LTC homes have also had devastating impacts on the health and well-being of residents through the effects on social connection. Here, we offer guiding principles to enable social connection and promote health and quality of life for LTC residents during COVID-19 and beyond. These principles were generated by a working group of the CO­VID-19 and Dementia Task Force, convened by the Alzheimer Society of Canada to identify the urgent and emerging issues raised by COVID-19 for Canadians with dementia.

“Calm . . . Satisfied . . . Comforting”: The Experience and Meaning of Rabbit-Assisted Activities for Older Adults

2016 ◽  
Vol 37 (12) ◽  
pp. 1564-1575 ◽  
Author(s):  
Natalie Pitheckoff ◽  
Sara J. McLaughlin ◽  
Kate de Medeiros
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Well Being ◽  
Residential Facility ◽  
Term Care ◽  
Negative Experiences ◽  
Activity Program ◽  
Care Facilities ◽  
Depth Interviews

Animal-assisted activity programs are commonly used in long-term care facilities to enhance the well-being of older residents. Although research suggests that older adults benefit from these programs, little is known about the experience from the perspective of older adults themselves. In this qualitative study, we used direct observation and in-depth interviews to gain an understanding of the experience of participating in a unique rabbit-assisted activity program delivered in a Midwestern residential facility. Several benefits were identified, with no negative experiences articulated by the participants. In addition to finding the rabbits soothing, the rabbits served as a source of social support for some participants and encouraged social interaction. Participants generally felt that rabbits are good animals to use for this type of activity, but expressed a desire for more frequent, longer, and more interactive visits. Facilities considering animal-assisted activities (AAA) programs should consider these factors when designing their programs.

scholarly journals The perceptions of workers in a long-term care institution for older adults regarding the family

2014 ◽  
Vol 23 (4) ◽  
pp. 971-978 ◽  
Author(s):  
Naiana Oliveira dos Santos ◽  
Margrid Beuter ◽  
Nara Marilene Oliveira Girardon-Perlini ◽  
Lisiane Manganelli Girardi Paskulin ◽  
Marinês Tambara Leite ◽  
...  
Keyword(s):  
Older Adults ◽  
Long Term Care ◽  
Well Being ◽  
The Elderly ◽  
Structured Interviews ◽  
Term Care ◽  
Care Institution ◽  
The Family

This study aimed to investigate the perception of the workers in a Long-Term Care Institution for the Elderly regarding the families of the older adults in the institution. It is qualitative research, undertaken with 16 workers of the multidisciplinary team. Data collection occurred in February-June 2012, through semi-structured interviews. The technique used for treatment of the data was thematic analysis. The results indicate that the family members visit the Long-Term Care Institution for the Elderly rarely, with commemorative dates being the main occasions in which they appear. The workers evidenced some situations of abandonment, in which the family does not visit the older adult even when called. They understand that nobody can substitute the role of the family, as it is the reference for the older adults. Therefore, spending time with the family can positively influence the well-being of the older adults in institutions.

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