scholarly journals Older people's perspectives on living in integrated housing and care settings: the case of extra care housing

2020 ◽  
Vol 28 (3) ◽  
pp. 281-290
Author(s):  
Ailsa Cameron ◽  
Eleanor K Johnson ◽  
Simon Evans
Keyword(s):  
Qualitative Data ◽  
Care Needs ◽  
Housing Service ◽  
Content Type ◽  
Levels Of Care ◽  
Care And Support ◽  
Care Workers ◽  
Practical Implications ◽  
Extra Care Housing

PurposeThis paper explores residents' perceptions and experiences of extra care housing as an integrated model of housing with care.Design/methodology/approachData were collected in a longitudinal qualitative study based on four extra care housing schemes. Data from interviews with residents, care workers, managers and local commissioners were analysed thematically.FindingsThe integration of housing with care enabled many older people to manage their care proactively. However, the increasing number of residents with complex health and care needs, including chronic illness, led some residents to question the ability of the model to support residents to live independently.Research limitations/implicationsThe study struggled to recruit sufficient residents from the specialist dementia setting who were able to communicate their consent to take part in the research. In addition, the quality of qualitative data collected in interviews with participants at this setting reduced over successive rounds of interviews.Practical implicationsThe study suggests the need to ensure that residents are fully informed about levels of care and support is available when considering a move into extra care housing.Originality/valueThis paper provides a timely opportunity to consider extra care housing as an example of an integrated housing service, particularly in light of the current challenges facing the sector.

Wearable devices to support rehabilitation and social care

2016 ◽  
Vol 10 (1) ◽  
pp. 51-63 ◽  
Author(s):  
Kevin Doughty ◽  
Alistair Appleby
Keyword(s):  
Social Care ◽  
Wearable Devices ◽  
Assistive Technologies ◽  
Care Needs ◽  
Content Type ◽  
Battery Power ◽  
Wide Range ◽  
Different Types ◽  
Practical Implications

Purpose – The purpose of this paper is to provide a review of the use of wearable technologies that focuses on applications that tackle sensory and communication deficits, physical disabilities and alarm and activity monitoring. It is intended to promote the introduction of more wearable approaches to providing assistive technologies because of their benefits in utilisation and aesthetic appeal. Design/methodology/approach – The approach involves a comparison of different types of portable device in order to identify different groups that may be beneficial to different application areas. Recent advances are then considered for each area. Findings – The work demonstrates that the use of wearable AT device is increasing due to improvements in materials, battery power and connected intelligence such as smartphones. They will allow new devices to be introduced that are smaller, lighter and more usable. Practical implications – Utilisation of assistive technologies is likely to improve as wearable devices become the norm across a wide range of applications Social implications – Approaches to improving the Quality of Life of people with disabilities through an extended use of assistive technologies will be enhanced by the increased range of devices available and by their performance. Originality/value – To the best of the authors’ knowledge, this is the first review of wearable devices that has focused on the needs of people who have rehabilitation and/or social care needs. Its value lies in encouraging manufacturers and designers to use wearable approaches to solving some of the problems facing vulnerable people.

scholarly journals Ageing in extra-care housing: preparation, persistence and self-management at the boundary between the third and fourth age

2019 ◽  
Vol 40 (12) ◽  
pp. 2711-2731 ◽  
Author(s):  
Eleanor K. Johnson ◽  
Ailsa Cameron ◽  
Liz Lloyd ◽  
Simon Evans ◽  
Robin Darton ◽  
...  
Keyword(s):  
Older People ◽  
Longitudinal Research ◽  
Self Management ◽  
Care Needs ◽  
The Third ◽  
The United Kingdom ◽  
Care And Support ◽  
Care Workers ◽  
Operational Practices ◽  
Extra Care Housing

AbstractExtra-care housing (ECH) has been hailed as a potential solution to some of the problems associated with traditional forms of social care, since it allows older people to live independently, while also having access to care and support if required. However, little longitudinal research has focused on the experiences of residents living in ECH, particularly in recent years. This paper reports on a longitudinal study of four ECH schemes in the United Kingdom. Older residents living in ECH were interviewed four times over a two-year period to examine how changes in their care needs were encountered and negotiated by care workers, managers and residents themselves. This paper focuses on how residents managed their own changing care needs within the context of ECH. Drawing upon theories of the third and fourth age, the paper makes two arguments. First, that transitions across the boundary between the third and fourth age are not always straightforward or irreversible and, moreover, can sometimes be resisted, planned-for and managed by older people. Second, that operational practices within ECH schemes can function to facilitate or impede residents’ attempts to manage this boundary.

scholarly journals Can extra care housing support the changing needs of older people living with dementia?

Dementia ◽  
2018 ◽  
Vol 19 (5) ◽  
pp. 1492-1508 ◽  
Author(s):  
Simon Chester Evans ◽  
Teresa Atkinson ◽  
Ailsa Cameron ◽  
Eleanor K Johnson ◽  
Randall Smith ◽  
...  
Keyword(s):  
Older People ◽  
Living Alone ◽  
Care Staff ◽  
Key Factors ◽  
Care Needs ◽  
People With Dementia ◽  
Care And Support ◽  
Acceptable Quality ◽  
Extra Care Housing

With over two-thirds of people with dementia living in the community and one-third of those living alone, it is important to consider the future housing needs of this population, particularly as symptoms of cognitive impairment increase. Policy in England has focused on enabling people living with dementia to remain in their own homes for as long as possible, often with the support of a family carer. However, many people struggle to maintain an acceptable quality of life in their own homes as their dementia advances, often due to the design limitations of mainstream housing and the challenge of finding specialist domiciliary care that is affordable and of sufficient quality. Extra care housing offers a model that aims to support older people living in their own apartments, whilst also offering specialist person-centred care as and when it is needed. This paper reports on a longitudinal project that explored how extra care housing can respond to the changing social care needs of residents, including those living with dementia. Participants included residents and staff from four extra care housing schemes, one of which was a specialist dementia scheme, in two regions of England. Interviews were carried with 51 residents across 4 rounds at 5 month intervals between October 2015 and June 2017. Interviews were also carried out with 7 managers, 20 care staff and 2 local authority commissioners of housing for older people. Key factors included person-centred care and support, flexible commissioning and staffing, appropriate design of the environment and suitable location of the scheme within the wider community. The challenge of delivering services that addresses these issues during a period of reduced public spending is acknowledged. Further research is suggested to compare different approaches to supporting people with dementia, including integrated and separated accommodation, and different stages of dementia.

Diagnosis of “acopia”: prescription for neglect?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Zoe Hodges
Keyword(s):  
Design Methodology ◽  
Social Care ◽  
Content Type ◽  
Appropriate Care ◽  
Care And Support ◽  
Health And Social Care ◽  
The Individual ◽  
Professional Disciplines ◽  
Practical Implications

Purpose This paper aims to reflect upon the usefulness of the word “acopia” as a diagnosis in relation to individuals in hospital. Design/methodology/approach A response to existing literature and consideration of application to practice with adults who may be vulnerable. Findings The term “acopia” is derived from medicine but has gained popularity throughout health and social care. It is a term that has no diagnostic tool or agreed characteristics. Practical implications Practitioners across a number of professional disciplines need to be aware of the individual circumstances, preferences and priorities of individuals to secure the most appropriate care and support for each person. Failure to acknowledge complexity of an individual’s presenting condition at hospital admission may have fatal consequences. Originality/value The importance of language used to refer to adults who are likely to be vulnerable may influence the quality of the care and treatment that they receive.

scholarly journals Everybody S***s: how defecation stigma reduces care quality in dementia

2020 ◽  
Vol 21 (2) ◽  
pp. 79-87
Author(s):  
Leah Hewer-Richards ◽  
Dawn Goodall
Keyword(s):  
Quality Of Life ◽  
Faecal Incontinence ◽  
Design Methodology ◽  
Care Quality ◽  
Dementia Care ◽  
Content Type ◽  
Invisible Work ◽  
Care Workers ◽  
Practical Implications

Purpose This paper aims to raise awareness of the ways in which faecal incontinence can impact the provision of dementia care by examining this through the lens of stigma. Design/methodology/approach This paper contains a scoping review of available literature relating to faecal incontinence, dementia and stigma. Findings Literature was organised into three themes: the origins of the stigma, the purpose of stigma and the care context. Research limitations/implications Limitations of this paper include the lack of literature discussing faecal incontinence and dementia in relation to stigma. Practical implications Stigma regarding faecal incontinence has the potential to impact quality of life of people with a dementia and contributes towards the invisible work of unqualified care workers. Originality/value Stigma and faecal incontinence have only a small amount of research around them in residential dementia care.

Would integrating women's professional care of pelvic organ prolapse improve the symptoms and quality of life: an integrative literature review

2020 ◽  
Vol 28 (2) ◽  
pp. 119-133
Author(s):  
Nicola Davies ◽  
Teresa Burdett
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Integrated Approach ◽  
Pelvic Organ ◽  
Social Implications ◽  
Content Type ◽  
Practical Implications

PurposeIntegrated healthcare is a central tenant of the NHS Long Term Plan (NHS, 2019). NICE in 2019 published guidelines; advising the integration of multidisciplinary professionals which may lead to an improvement in conservative treatment methods of pelvic organ prolapse. Therefore, current literature on the conservative treatments for pelvic organ prolapse needs to be reviewed to ascertain if an integrated approach would improve the symptoms and quality of life for women.Design/methodology/approachA systematic review of the literature between 2013 and 2018 was implemented. Papers included were written in English, peer-reviewed and consisted of treatments of pelvic organ prolapse in women. Papers containing surgical interventions, postpartum participants, reviews, evaluations, guidelines, follow-up studies, focusing on cost effectiveness, sexual function were excluded.FindingsSeven studies in total were included, and two overarching themes were identified: quality of life after treatment and the effect of conservative treatment on pelvic organ prolapse symptoms. The literature suggested that integrating care had a more positive outcome on pelvic organ symptoms and quality of life.Research limitations/implicationsTo develop a robust enhanced model of care for conservative treatment of pelvic organ prolapse through more mixed method or qualitative research, that incorporates integrative treatment methods with collaboration from multidisciplinary professionals.Practical implicationsThe practical implications of integrating the conservative management of pelvic organ prolapse is the communication between the multidisciplinary team must be exceptional to ensure everyone understands and agrees the treatment that is being provided to patient. Also, effective teamwork is important to ensure the patient receives the best care with input from the correct disciplines. The multi-professional team will need to have regular meetings to discuss and implement care plans for patients that might prove difficult to schedule due to differing commitments and priorities. This must be overcome to insure a successful and effective integrated approach to pelvic organ prolapse is delivered.Social implicationsThe social implications of integrating the professional approach to women's care of pelvic organ prolapse involves reducing the severity of the symptoms therefore, increasing the quality of life. This may result in the reduction of surgical intervention due to the patient being satisfied with the conservative management. Through integrating the management of the prolapse the patient will receive an accessible individualised care plan pathway that focuses on treating or reducing the impact of the symptoms that are bothersome to the patient whilst managing patient expectations. Patients will also, be reassured by the number of multi-disciplinary professionals involved in their care.Originality/valueGlobal integration of conservative treatments and multidisciplinary-professionals specialising in pelvic organ prolapse and pelvic floor dysfunction is needed.

scholarly journals A sociology for other animals: analysis, advocacy, intervention

2016 ◽  
Vol 36 (3/4) ◽  
pp. 242-257 ◽  
Author(s):  
Erika Cudworth
Keyword(s):  
Animal Studies ◽  
Actor Network Theory ◽  
Political Agenda ◽  
Political Strategy ◽  
Advocacy Groups ◽  
Content Type ◽  
Secondary Sources ◽  
Central Argument ◽  
Practical Implications

Purpose – The purpose of this paper is to map the field of sociological animal studies through some examples of critical and mainstream approaches and considers their relation to advocacy. It makes the argument that while all these initiatives have made important contributions to the project of “animalising sociology” and suggest a need for change in species relations, the link between analysis and political strategy is uncertain. Design/methodology/approach – The paper develops its argument by using secondary sources, reviewing sociological positions and offering illustrations of possible interventions. Findings – Sociological interventions in the field of animal studies have been informed by critical perspectives, such as feminism and Marxism, or taken less critical routes deploying actor-network theory and symbolic interactionism. Whilst those working in critical traditions may appear to have a more certain political agenda, an analysis of “how things are” does not always lead to a clear position on “what is to be done” in terms of social movement agendas or policy intervention. In addition, concepts deployed in advocacy such as “liberation”, “quality of life” or “care” are problematic when applied beyond the human. Despite this, there are possibilities for coalition and solidarity around certain claims for change. Research limitations/implications – If the central argument of the paper were taken seriously by general sociologists, then sociology may be more open to “animal studies”. In implications for exisitng sociological animal studies scholarship is to trouble some of the certainties around advocacy. Practical implications – If the central argument of the paper were taken seriously by advocacy groups, then the hiatus between “welfarism” and “liberation” might be overcome. Originality/value – There have been recent attempts to map the field of scholarship in animal studies, but surprisingly little consideration of how different emergent positions inform questions of advocacy and the possibilities for political intervention.

Shareholder risk-taking incentives in the presence of contingent capital

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mahmoud Fatouh ◽  
Ayowande A. McCunn
Keyword(s):  
Risk Taking ◽  
Banking System ◽  
Capital Requirements ◽  
Content Type ◽  
Basic Model ◽  
Conversion Rates ◽  
A Minor ◽  
The Impact ◽  
Practical Implications

Purpose This paper aims to present a model of shareholders’ willingness to exert effort to reduce the likelihood of bank distress and the implications of the presence of contingent convertible (CoCo) bonds in the liabilities structure of a bank. Design/methodology/approach This study presents a basic model about the moral hazard surrounding shareholders willingness to exert effort that increases the likelihood of a bank’s success. This study uses a one-shot game and so do not capture the effects of repeated interactions. Findings Consistent with the existing literature, this study shows that the direction of the wealth transfer at the conversion of CoCo bonds determines their impact on shareholder risk-taking incentives. This study also finds that “anytime” CoCos (CoCo bonds trigger-able anytime at the discretion of managers) have a minor advantage over regular CoCo bonds, and that quality of capital requirements can reduce the risk-taking incentives of shareholders. Practical implications This study argues that shareholders can also use manager-specific CoCo bonds to reduce the riskiness of the bank activities. The issuance of such bonds can increase the resilience of individual banks and the whole banking system. Regulators can use restrictions on conversion rates and/or requirements on the quality of capital to address the impact of CoCo bonds issuance on risk-taking incentives. Originality/value To model the risk-taking incentives, authors generally modify the asset processes to introduce components that reflect asymmetric information between CoCo holders and shareholders and/or managers. This paper follows a simpler method similar to that of Holmström and Tirole (1998).

scholarly journals Accounting for the messiness of the research process: the fieldpath approach

2018 ◽  
Vol 13 (4) ◽  
pp. 315-332 ◽  
Author(s):  
Perttu Salovaara
Keyword(s):  
Qualitative Research ◽  
Design Methodology ◽  
Research Process ◽  
Content Type ◽  
Environmental Consequences ◽  
Human Ethics ◽  
Conceptual Paper ◽  
The Common ◽  
Practical Implications

Purpose It has recently become more acknowledged that there is a quality of “messiness” to the qualitative research process. The purpose of this paper is to introduce the fieldpath approach—a hermeneutically inspired framework—to account for the non-linearity, uncertainty and ambiguity of the research process. Design/methodology/approach This conceptual paper reviews how the scope of hermeneutics has been partly misunderstood. The paper discusses how the scope of hermeneutics has lately been expanded by works such as Günter Figal’s (2010) Objectivity: The Hermeneutical and Philosophy. Findings The fieldpath approach proposes that a heightened relation to materiality enables the messiness of the process to be preserved, while at the same time offering a way to find one’s footing in the midst of ontologically incomplete phenomena that are still—in a processual fashion—forming and becoming. Research limitations/implications This is a conceptual paper. In addition to the research mentioned here, more studies would be needed to legitimise, test and refine the approach. Practical implications Objectivity provides an additional criterion for researchers to lean on when facing the non-linearity and unexpected turns inherent in the qualitative research process. Social implications The stress on materiality involves an ethical dimension. Post-human ethics are concerned with the future environmental consequences and sustainability of the material world. The way that matter matters in our methodologies is of primary importance. Originality/value First, the paper emphasises that hermeneutics, contrary to the common perception, does offer criteria for evaluating between interpretations. Second, it introduces the notion of hermeneutic objectivity, which stresses the importance of materiality for interpretations. Third, it introduces the fieldpath approach, which, based on the previous criterion of hermeneutic objectivity, allows for the messiness of the research process, while also preserving a tight grip on the hermeneutic imperative of “understanding in a new way”.

scholarly journals Two concepts of community in the Niger Delta

2017 ◽  
Vol 10 (3) ◽  
pp. 254-269 ◽  
Author(s):  
Nwamaka Okeke-Ogbuafor ◽  
Tim Gray ◽  
Selina Stead
Keyword(s):  
Sense Of Place ◽  
Niger Delta ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Strong Sense ◽  
Content Type ◽  
Solid Foundation ◽  
Attachment To Place ◽  
Poor Communities

Purpose This paper aims to understand what two apparently contrasting concepts of communality and place attachment say about the quality of community life in the Niger Delta. Design/methodology/approach The research for this paper relied on extensive qualitative and quantitative data: qualitative data were collected from five oil-rich and three oil-poor communities across Ogoniland, while quantitative data were collected from four of these communities. Thematic content analysis was used to interpret the qualitative data, while the quantitative data were analysed through Excel. Findings Most participants from both oil-rich and oil-poor communities strongly reject a social sense of communality and strongly endorse a geographical sense of place. Practical implications The wider implication of this finding is that proponents of community development (CD) have a choice between either the cynical option of noting that Ogoni’s strong sense of place means that they will tolerate limited CD, or the noble option of noting that Ogoni’s strong sense of place is a solid foundation on which to build sustainable CD by empowering citizens to create their own future. Originality/value The originality of this study is twofold. First, it shows the complexity of people’s sense of community encompassing widely different and possibly contradictory elements. Second, it reveals the strength and persistence of people’s attachment to place despite its physical shortcomings.

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