Understanding the Continuum of Musical Experiences for People With Dementia

2019 ◽  
pp. 3-23
Author(s):  
Amy Clements-Cortés
Keyword(s):  
Holistic Care ◽  
Care Providers ◽  
People With Dementia ◽  
Potential Benefits ◽  
The Continuum

This chapter provides an overview of the music experiences of people living with dementia with a focus on their implementation by care providers. Music experiences exist on a continuum which spans recreational to therapeutic and passive to active participatory opportunities. For care providers, it is essential to become familiar with the various musical opportunities that can be implemented when providing holistic care, and to choose the most appropriate experiences for persons living with dementia. This chapter explores the potential benefits of these experiences, as well as the risks of using music in care. A list of implications for care providers are presented alongside a dialogue on musical considerations.

scholarly journals Caregiver-Centered Care Health Workforce Competencies: Developing Consistent Support for Family Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 15-15
Author(s):  
Jasneet Parmar ◽  
Sharon Anderson ◽  
Lisa Poole ◽  
Wendy Duggleby ◽  
Jayna Holyroyd-Leduc ◽  
...  
Keyword(s):  
Health System ◽  
Family Caregivers ◽  
Health Providers ◽  
Care Providers ◽  
Modified Delphi ◽  
Healthcare Settings ◽  
Delphi Approach ◽  
People With Dementia ◽  
Health And Social Care ◽  
Centered Care

Abstract Family caregivers [FCGs] are the backbone of the health system. They provide over 80% of the care for people with dementia, chronic illnesses and impairments. Despite evidence of their contributions and consequences of caregiving, support for FCGs has not been a health system priority. Education to prepare health providers to effectively identify, engage, assess, and support FCGs throughout the care trajectory is an innovative approach in addressing inconsistent system of supports for FCGs. We report on development and validation of the Caregiver-Centered Care Competency Framework to help with curricular design and subsequent evaluation of effectiveness of care providers working within healthcare settings to engage and support FCGs. We used a three round modified Delphi approach. An expert panel of 42 international, national, and provincial stakeholders agreed to participate. In the first 2 rounds, multi-level, interdisciplinary participants, rated the indicators in terms of importance and relevance. In the 3rd round consensus meeting, participants validated the six competency domains, including indicators in small group sessions. Thirty-four experts (81%) participated in the round 1, 36 (85.7%) in round 2, and 42 people (100%) in round 3. There was stable consensus across all three rounds, 96.07% of participants rated the indicators as essential or important (Round 1, 95.81%; Round 2, 94.15; Round 3, 98.23%). FCG research has been primarily focussed on educating FCGs to provide care. These competencies will shape the design of educational curricula and interdisciplinary training programs aimed at supporting the health and social care workforce to provide caregiver-centered care.

Provision of the Continuum of Care to Noncommunicable Diseases Post-Floods in Kerala, India 2018

2021 ◽  
pp. 1-4
Author(s):  
Parasuraman Ganeshkumar ◽  
Rontgen Saigal ◽  
Bipin Gopal ◽  
Hari Shankar ◽  
Prabhdeep Kaur
Keyword(s):  
Disaster Response ◽  
Care Delivery ◽  
Treatment Protocol ◽  
Continuum Of Care ◽  
The State ◽  
Noncommunicable Disease ◽  
World Health ◽  
Guidance Document ◽  
Care Providers ◽  
The Continuum

Abstract Integrating noncommunicable disease (NCD) in health care delivery during emergency response posed a major challenge post-floods in Kerala. Kerala experienced an abnormally high rainfall during mid-2018 where more than 400 people lost their lives. State health officials and the Disaster Response Team were sensitized about the importance of including NCDs in the response action. More than 80% of patients with hypertension and diabetes were not under control in Kerala. Under the state NCD cell, an NCD expert group was consulted for drafting the treatment and referral strategies. Steps to tackle NCDs during the disaster response were formulated. The state NCD cell decided to integrate NCDs in the response measures. The technical guidance document by the World Health Organization South-East Asia Region was consulted to formulate actions. The activities were implemented in 6 steps: prioritizing of major NCDS, patient estimation and drug stock preparation, standard treatment protocol, mapping of referral facilities, public engagement, and daily reporting of NCD consultations. Prioritizing the continuum of care of NCDs during floods among the program managers and care providers was crucial. The health education and communication campaign was done to sensitize the known NCD patients to seek early care. Daily reporting of consultations was established.

scholarly journals Accountability across the Continuum: The Participation of Postacute Care Providers in Accountable Care Organizations

2016 ◽  
Vol 51 (4) ◽  
pp. 1595-1611 ◽  
Author(s):  
Carrie H. Colla ◽  
Valerie A. Lewis ◽  
Savannah L. Bergquist ◽  
Stephen M. Shortell
Keyword(s):  
Accountable Care Organizations ◽  
Accountable Care ◽  
Care Providers ◽  
Postacute Care ◽  
The Continuum

全人照護及其教育訓練與評值

2022 ◽  
Vol 16 (1) ◽  
pp. 042-047
Author(s):  
鄭舒倖 鄭舒倖 ◽  
蕭宇涵 Shu-Hsing Cheng ◽  
李孟智 Yu-Han Hsiao
Keyword(s):  
Health Care Providers ◽  
Hospice Care ◽  
Family Care ◽  
Core Values ◽  
Holistic Care ◽  
Care Providers ◽  
The Core ◽  
Education Training ◽  
Consistent Assessment ◽  
Main Components

<p>目的：全人照護是對病人身體、心理、社會層面及靈性全面照護的態度與行為，需要醫療院所投注多專 業、跨領域且有效率又有品質的整合服務，才能滿足病人「一站式服務、一次購足」的需求。本文之目的在於詮釋全人照護之真諦、內涵、教育訓練與評值。</p> <p>方法：藉由闡釋全人照護的素養與能力，強調推廣全人照護需要多面向的教育訓練加以養成，並發展以能力為基礎的評值方法。</p> <p>結果：醫療人員需要終身持續學習有關全人照護的核心知識與技能、醫療專業照護、同理心與心理支持、就醫行為和家庭照護，以及生命關懷及和臨終照護，並佐以適合及一致性的評值標準，方能系統性的推廣全人照護。</p> <p>結論：本文探討全人照護的真諦、如何推動全人照護及如何實施全人照護之教育訓練與評值，作為醫療院所推動全人照護之參考。</p> <p>&nbsp;</p><p>Objective: Holistic care is an approach that involves consideration of the physical, emotional, social, and spiritual wellbeing of a patient. It involves multidisciplinary, interprofessional integrated teams with members who educate, cooperate with, and respect each other to offer one-stop fulfillment of patient needs. This article explains the core values and intentions of holistic care and the relevant education, training, and assessments.</p> <p>Methods: By explaining the competencies of holistic care, this article argues that the promotion of holistic care necessitates multidimensional education, training, and competency-based assessments.</p> <p>Results: To systematically promote holistic care, accompanied by appropriate and consistent assessment standards, health care providers must continue to learn about the main components of holistic care, including its required knowledge and competencies, professional medical care empathy and psychological support, the praxeology of healthcare seeking, family care, and end-of-life and hospice care.</p> <p>Conclusion: This article discusses the core values of holistic care; how to promote holistic care; and how to implement education, training, and assessments in the field of holistic care and may therefore serve as a reference for holistic care training in medical settings.</p> <p>&nbsp;</p>

Animal-assisted therapy for dementia: a review of the literature

2006 ◽  
Vol 18 (4) ◽  
pp. 597-611 ◽  
Author(s):  
Susan L. Filan ◽  
Robert H. Llewellyn-Jones
Keyword(s):  
Psychological Symptoms ◽  
Preliminary Evidence ◽  
Aged Care ◽  
Animal Assisted Therapy ◽  
Residential Aged Care ◽  
Pet Dogs ◽  
People With Dementia ◽  
Aged Care Facilities ◽  
Residential Aged Care Facilities ◽  
Potential Benefits

Background: Animal-assisted therapy (AAT) is gaining popularity as part of therapy programs in residential aged care facilities. Humans and pet dogs respond to quiet interaction with a lowering of blood pressure and an increase in neuroche-micals associated with relaxation and bonding. These effects may be of benefit in ameliorating behavioral and psychological symptoms of dementia (BPSD).Methods: Medline, PsychInfo and CINAHL databases (1960–2005) were searched for papers on AAT or pets and dementia. Publications of controlled trials that measured the effect of AAT for dementia were reviewed.Results: Several small studies suggest that the presence of a dog reduces aggression and agitation, as well as promoting social behavior in people with dementia. One study has shown that aquaria in dining rooms of dementia care units stimulate residents to eat more of their meals and to gain weight but is limited by the small number of facilities studied. There is preliminary evidence that robotic pets may provide pleasure and interest to people with dementia.Conclusions: Current literature suggests that AAT may ameliorate BPSD, but the duration of the beneficial effect has not been explored. The relative benefits of “resident” versus “visiting” pet dogs are unclear and are confounded by the positive effect of pet interaction on staff or caregivers. Further research on the potential benefits of AAT is recommended.

Mealtimes as Active Processes in Long-term Care Facilities

2005 ◽  
Vol 66 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Amie J. Gibbs-Ward ◽  
Heather H. Keller
Keyword(s):  
Long Term Care ◽  
Comparison Method ◽  
Theory Approach ◽  
Care Providers ◽  
Term Care ◽  
Individualized Care ◽  
People With Dementia ◽  
Care Facilities ◽  
Active Processes

Mealtimes are central to the nutritional care of residents in long-term care facilities. There has been little Canadian research to guide interdisciplinary practice around mealtimes. This study included a grounded theory approach to explore mealtime experiences of 20 people with dementia living in two long-term care facilities, and the meal-related care they received from registered nurses, health care aides, and dietitians. Theoretical sampling directed the collection and analysis of data from mealtime observations in special care units and key informant interviews with care providers. The constant comparison method was used to analyze and conceptualize the data. A substantive theory emerged with three key themes: Each mealtime is a unique process embedded within a long-term care facility's environment. Residents are central to the process through their actions (i.e., arriving, eating, waiting, socializing, leaving, and miscellaneous distracted activities). Internal (i.e., residents’ characteristics) and external (i.e., co-resident, direct caregiving, indirect caregiving, administrative, and government activities) influences affect residents’ actions at mealtimes. The theory suggests that optimal mealtime experiences for residents require individualized care that reflects interdisciplinary, multi-level interventions.

scholarly journals The relationship between Iranian patients’ perception of holistic care and satisfaction with nursing care

BMC Nursing ◽  
2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Sahar Rajabpour ◽  
Masoud Rayyani ◽  
Parvin Mangolian shahrbabaki
Keyword(s):  
Health Care Providers ◽  
Nursing Care ◽  
Recovery Process ◽  
Holistic Care ◽  
Care Providers ◽  
Holistic Nursing ◽  
Emotional Aspects ◽  
Patient’S Perception ◽  
Iranian Patients

Abstract Background Holistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process. Since nurses interact and communicate with patients more than other health care providers, the current study aimed to determine the Iranian patients’ perceptions of holistic care and overall satisfaction with nursing care. Methods It is a descriptive-correlational study done on patients admitted to the oncology wards of hospitals in southeastern Iran. The holistic caring inventory and patient satisfaction instrument were used to measure the patients’ perceptions of holistic care and their satisfaction, respectively. SPSS 19 was used to analyze the data. Results The results showed that there is a significant positive correlation between patients’ perception of holistic care and overall satisfaction with nursing care (P < 0.01, r = 032), which means that the higher the patients’ perception of holistic care, the greater their overall satisfaction. Based on the regression model, type of hospital, Patient’s perception of holistic care, education, previous experience of hospitalization, age and marriage are respectively predictors of overall satisfaction with nursing care (P < 0.05). Conclusion The present study showed that patients’ overall satisfaction with nursing care depends on holistic nursing care, meaning that nurses should pay attention to patients’ physical, mental, emotional aspects and increase the quality of care.

Balancing between Contradictions: The Meaning of Interaction with People Suffering from Dementia and “Behavioral Disturbances”

2005 ◽  
Vol 60 (2) ◽  
pp. 145-157 ◽  
Author(s):  
Ulla H. Graneheim ◽  
Ulf Isaksson ◽  
Inga-Maj Persson Ljung ◽  
Lilian Jansson
Keyword(s):  
Ethical Dilemmas ◽  
Care Providers ◽  
Narrative Interviews ◽  
Behavioral Disturbances ◽  
People With Dementia ◽  
Good For ◽  
The Individual

Interacting with people who suffer from dementia poses a challenge for care providers, and the presence of behavioral disturbances adds a further complication. Our article is based on the assumption that behavioral disturbances are meaningful expressions of experiences. Six narrative interviews were conducted with care providers with the aim of illuminating the meaning of interaction with people suffering from dementia and behavioral disturbances. The interviews were tape-recorded, transcribed into text, and interpreted using a phenomenological hermeneutic methodology. The findings indicate that interacting with people with dementia and behavioral disturbances, as narrated by care providers, means balancing between contradictions concerning meeting the person in my versus her/his world, feeling powerless versus capable, and feeling rejected versus accepted. Interaction involves being at various positions along these continua at different points in time. Furthermore, it means facing ethical dilemmas concerning doing good for the individual or the collective. This is interpreted as a dialectic process and is reflected on in light of Hegel's reasoning about the struggle between the master and the slave.

First Link: Strengthening Primary Care Partnerships for Dementia Support

2008 ◽  
Vol 27 (2) ◽  
pp. 117-127 ◽  
Author(s):  
Carrie A. Mcainey ◽  
David Harvey ◽  
Mary E. Schulz
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Support Services ◽  
Primary Care Providers ◽  
Disease Course ◽  
Collaborative Partnerships ◽  
Older Individuals ◽  
Care Providers ◽  
Innovative Program ◽  
Potential Benefits

While primary care faces many challenges, including an increasing prevalence of older individuals, emerging knowledge about the potential benefits of collaborative partnerships has encouraged the development of new means of providing and supporting primary care. First Link™ is an innovative program involving collaborations among primary care providers, Alzheimer Societies, and other health professionals. The program aims to support persons with Alzheimer's and related diseases after the diagnosis is made and to link them with support services earlier in the disease course. This paper describes the First Link program, provides an overview of a study currently underway to evaluate it, and identifies some of the benefits and challenges associated with this partnership.

Clear conscience grounded in relations: Expressions of Persian-speaking nurses in Sweden

2015 ◽  
Vol 24 (3) ◽  
pp. 349-361 ◽  
Author(s):  
Monir Mazaheri ◽  
Eva Ericson-Lidman ◽  
Ali Zargham-Boroujeni ◽  
Joakim Öhlén ◽  
Astrid Norberg
Keyword(s):  
Residential Care ◽  
Large City ◽  
Ethical Review ◽  
Full Time ◽  
Care Providers ◽  
Immigrant Background ◽  
Cultural Frameworks ◽  
People With Dementia ◽  
Different Cultures ◽  
The Voice

Background: Conscience is an important concept in ethics, having various meanings in different cultures. Because a growing number of healthcare professionals are of immigrant background, particularly within the care of older people, demanding multiple ethical positions, it is important to explore the meaning of conscience among care providers within different cultural contexts. Research objective: The study aimed to illuminate the meaning of conscience by enrolled nurses with an Iranian background working in residential care for Persian-speaking people with dementia. Research design: A phenomenological hermeneutical method guided the study. Participants and research context: A total of 10 enrolled nurses with Iranian background, aged 33–46 years, participated in the study. All worked full time in residential care settings for Persian-speaking people with dementia in a large city, in Sweden. Ethical considerations: The study was approved by the Regional Ethical Review Board for ethical vetting of research involving humans. Participants were given verbal and written study information and assured that their participation was voluntary and confidential. Findings: Three themes were constructed including perception of conscience, clear conscience grounded in relations and striving to keep a clear conscience. The conscience was perceived as an inner guide grounded in feelings, which is dynamic and subject to changes throughout life. Having a clear conscience meant being able to form a bond with others, to respect them and to get their confirmation that one does well. To have a clear conscience demanded listening to the voice of the conscience. The enrolled nurses strived to keep their conscience clear by being generous in helping others, accomplishing daily tasks well and behaving nicely in the hope of being treated the same way one day. Conclusion: Cultural frameworks and the context of practice needed to be considered in interpreting the meaning of conscience and clear conscience.

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