Measurement of salivary alpha-amylase to support person-centered care for individuals with dementia

2019 ◽  
Author(s):  
Ikuhiro Yamaguchi ◽  
Yukiko Sugaya ◽  
Mutsumi Ogata
Keyword(s):  
Alpha Amylase ◽  
Salivary Alpha Amylase ◽  
Support Person ◽  
Person Centered Care ◽  
Centered Care

Transforming Practice to Support Person-Centered Care for Patients With Advanced Kidney Disease

2020 ◽  
pp. 248-260
Author(s):  
Ann M. O’Hare ◽  
Nancy C. Armistead
Keyword(s):  
Kidney Disease ◽  
Treatment Options ◽  
Quality Measurement ◽  
Provider Education ◽  
Illness Trajectory ◽  
Support Person ◽  
Person Centered Care ◽  
Centered Care ◽  
The Right ◽  
Person Centered Approach

Contemporary patterns of care for patients with advanced kidney disease are far from person-centered. Large changes to health systems, payment structures, quality measurement, patient and provider education, and the culture in which care is delivered will be needed to support a more person-centered approach to care for members of this population. To uphold the essence of who our patients are, efforts are needed throughout the illness trajectory to foster the development of strong patient–provider relationships and extend the reach of these relationships across settings, to educate our patients about their treatment options and what to expect in the future, to offer opportunities for patients to involve their family members and close friends in their care, and ultimately to promote a culture in which providers are flexible, creative, and tireless in working with their colleagues and with their patients and their families to fulfill the mission of person-centered care of finding the “right treatment for the right person at the right time.”

scholarly journals Mobile Apps to Support Caregiver-Resident Communication in Long-Term Care: Systematic Search and Content Analysis

JMIR Aging ◽  
10.2196/17136 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e17136 ◽  
Author(s):  
Rozanne Wilson ◽  
Diana Cochrane ◽  
Alex Mihailidis ◽  
Jeff Small
Keyword(s):  
Augmentative And Alternative Communication ◽  
Mobile Apps ◽  
Care Staff ◽  
Term Care ◽  
Support Person ◽  
Cultural Barrier ◽  
Person Centered Care ◽  
Innovative Solution ◽  
Centered Care

Background In long-term residential care (LTRC), caregivers’ attempts to provide person-centered care can be challenging when assisting residents living with a communication disorder (eg, aphasia) and/or a language-cultural barrier. Mobile communication technology, which includes smartphones and tablets and their software apps, offers an innovative solution for preventing and overcoming communication breakdowns during activities of daily living. There is a need to better understand the availability, relevance, and stability of commercially available communication apps (cApps) that could support person-centered care in the LTRC setting. Objective This study aimed to (1) systematically identify and evaluate commercially available cApps that could support person-centered communication (PCC) in LTRC and (2) examine the stability of cApps over 2 years. Methods We conducted systematic searches of the Canadian App Store (iPhone Operating System platform) in 2015 and 2017 using predefined search terms. cApps that met the study’s inclusion criteria underwent content review and quality assessment. Results Although the 2015 searches identified 519 unique apps, only 27 cApps were eligible for evaluation. The 2015 review identified 2 augmentative and alternative cApps and 2 translation apps as most appropriate for LTRC. Despite a 205% increase (from 199 to 607) in the number of augmentative and alternative communication and translation apps assessed for eligibility in the 2017 review, the top recommended cApps showed suitability for LTRC and marketplace stability. Conclusions The recommended existing cApps included some PCC features and demonstrated marketplace longevity. However, cApps that focus on the inclusion of more PCC features may be better suited for use in LTRC, which warrants future development. Furthermore, cApp content and quality would improve by including research evidence and experiential knowledge (eg, nurses and health care aides) to inform app development. cApps offer care staff a tool that could promote social participation and person-centered care. International Registered Report Identifier (IRRID) RR2-10.2196/10.2196/17136

Role of social media to support person-centered care in small healthcare practices

2017 ◽  
Vol 5 (2) ◽  
pp. 170
Author(s):  
Debashish Mandal ◽  
Robert J McQueen ◽  
Owen Doody ◽  
Ita Richardson
Keyword(s):  
Social Media ◽  
Support Person ◽  
Implementation Processes ◽  
Person Centered Care ◽  
Care Processes ◽  
Centered Care ◽  
Use Of Social Media ◽  
To Receive ◽  
Media Data

Rationale, aims and objectives: Healthcare practitioners use social media to receive feedback from patients to deliver better person-centered care. The aim of this research was to investigate the ability of social media to support person-centered healthcare in small practices. The objectives of this study were to: (a) diagnose their existing patient care processes; (b) introduce social media to them as an additional channel for communication and feedback with their patients & (c) examine the effectiveness of social media to support delivery of person-centered healthcare.Method: The study used an action research method to train 20 healthcare practitioners in small practices in the use of social media. Data were collected through unstructured interviews and analysis of social media scripts. Thematic analysis of the source data was undertaken, supported by Nvivo software.Results: Practitioners reported that social media assisted and supported delivery of person-centered healthcare if suitable training and implementation processes were used. The introduction of social media increased healthcare practitioners’ socialising and personalising capabilities, which enhanced their capability to empathise with patients. Socialising increased because of improved 2-way communication and trust between practitioner and patient and improved a practitioner’s capability to personalise care for patients. Through building trust and additional communication, practitioners were better able to motivate patients to undertake behavioural changes.Conclusions: Social media use can enhance person-centered care by bridging social, economic and demographic differences between practitioner and patient. Small healthcare practitioners need suitable training in social media to support person-centered healthcare.

scholarly journals Mobile Apps to Support Caregiver-Resident Communication in Long-Term Care: Systematic Search and Content Analysis (Preprint)

2019 ◽  
Author(s):  
Rozanne Wilson ◽  
Diana Cochrane ◽  
Alex Mihailidis ◽  
Jeff Small
Keyword(s):  
Augmentative And Alternative Communication ◽  
Mobile Apps ◽  
Care Staff ◽  
Term Care ◽  
Support Person ◽  
Cultural Barrier ◽  
Person Centered Care ◽  
Innovative Solution ◽  
Centered Care

BACKGROUND In long-term residential care (LTRC), caregivers’ attempts to provide person-centered care can be challenging when assisting residents living with a communication disorder (eg, aphasia) and/or a language-cultural barrier. Mobile communication technology, which includes smartphones and tablets and their software apps, offers an innovative solution for preventing and overcoming communication breakdowns during activities of daily living. There is a need to better understand the availability, relevance, and stability of commercially available communication apps (cApps) that could support person-centered care in the LTRC setting. OBJECTIVE This study aimed to (1) systematically identify and evaluate commercially available cApps that could support person-centered communication (PCC) in LTRC and (2) examine the stability of cApps over 2 years. METHODS We conducted systematic searches of the Canadian App Store (iPhone Operating System platform) in 2015 and 2017 using predefined search terms. cApps that met the study’s inclusion criteria underwent content review and quality assessment. RESULTS Although the 2015 searches identified 519 unique apps, only 27 cApps were eligible for evaluation. The 2015 review identified 2 augmentative and alternative cApps and 2 translation apps as most appropriate for LTRC. Despite a 205% increase (from 199 to 607) in the number of augmentative and alternative communication and translation apps assessed for eligibility in the 2017 review, the top recommended cApps showed suitability for LTRC and marketplace stability. CONCLUSIONS The recommended existing cApps included some PCC features and demonstrated marketplace longevity. However, cApps that focus on the inclusion of more PCC features may be better suited for use in LTRC, which warrants future development. Furthermore, cApp content and quality would improve by including research evidence and experiential knowledge (eg, nurses and health care aides) to inform app development. cApps offer care staff a tool that could promote social participation and person-centered care. INTERNATIONAL REGISTERED REPORT RR2-10.2196/10.2196/17136

scholarly journals Working Conditions Supporting Person-Centered Care of Persons Living with Dementia in Long-Term Care Homes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 962-962
Author(s):  
Marie Savundranayagam ◽  
Susan Docherty-Skippen ◽  
Shalane Basque
Keyword(s):  
Working Conditions ◽  
Long Term Care ◽  
Dementia Care ◽  
Term Care ◽  
Support Person ◽  
Personal Support ◽  
Person Centered Care ◽  
Centered Care ◽  
The Impact

Abstract The COVID-19 pandemic has underscored the importance of person-centered dementia care and working conditions that support such care in long-term care (LTC) home settings. Personal support workers (PSWs), known also as certified nursing assistants, provide the most direct formal care for persons living with dementia. However, little is known about the working conditions that enable person-centered care. Accordingly, the purpose of this study was to examine the working conditions and the impact of those conditions on PSWs in LTC homes. PSWs (N=39) employed at one of five LTC homes in southwestern Ontario, Canada participated in a series of one-hour focus groups before, during, and after Be-EPIC, a person-centred communication training program for formal caregivers of persons living with dementia. Using an interpretive description investigative framework, textual data from focus group conversation transcripts were open-coded into categories. Overarching themes were interpreted inductively. Study credibility was enhanced through investigator triangulation. Three themes emerged related to working conditions of PSWs: dementia care is complex, lack of trained staff to provide person-centered dementia care, and residents’ families are not situated in the residents’ care circle. Four themes emerged related to the impact of current working conditions of PSWs: occupational burnout, poor resident care, frustrated and disengaged families, and PSWs leave their role. The findings offer opportunities for employers to ameliorate working conditions to support person-centered care. We conclude with specific workplace recommendations that respond to the complexity of dementia care and the associated occupational stresses PSWs experience in the current LTC environment.

Servicing the Senior Swallow: A Family-Centered Private Practice Model of Service Delivery

2020 ◽  
pp. 1-4 ◽  
Author(s):  
Yvette M. McCoy
Keyword(s):  
Older Adults ◽  
Medical Model ◽  
Recovery Process ◽  
Swallowing Disorders ◽  
Current Evidence ◽  
Care Needs ◽  
Skilled Nursing ◽  
Person Centered Care ◽  
Centered Care ◽  
Traditional Medical Model

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.

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