Staff awareness of food and fluid care needs for older people with dementia in residential care: A qualitative study

Autonomy has been recognised as a key principle in healthcare, but we still need to develop a consistent understanding of older people’s perceived autonomy in residential care. This study aimed to identify, describe and synthesise previous studies on the perceived autonomy of older people in residential care. Ethical approval was not required, as this was a review of published literature. We carried out an integrative review to synthesise previous knowledge published in peer-review journals in English up to September 2019. Electronic and manual searches were conducted using the CINAHL, Philosopher’s Index, PubMed, SocINDEX, Scopus and Web of Science databases. The data were analysed using the constant comparison method. The review identified 46 studies. Perceived autonomy referred to the opportunities that older people had to make their own choices about their daily life in residential care, and achieving autonomy promoted both health and quality of life. Autonomy was linked to older people’s individual capacities, including their level of independence, physical and mental competence, personal characteristics, and whether relatives shared and supported their perceived autonomy. Professionals could facilitate or hinder older peoples’ autonomy in a number of ways, including providing opportunities for autonomy, how daily care needs and activities were managed, and controlling older people’s choices. Professionals’ characteristics, such as education and attitudes, and the older people’s living environments were also associated with their perceived autonomy and included organisational characteristics and physical and social care facilitators. Older people’s perceived autonomy promoted health and quality of life in residential care. However, their autonomy was associated with a number of protective and restrictive individual and environmental factors, which influenced whether autonomy was achieved.

Download Full-text

Supporting the Long-Term Residential Care Needs of Older Homeless People With Severe Alcohol-Related Brain Injury in Australia: The Wicking Project

Care Management Journals ◽

10.1891/152109807781753763 ◽

2007 ◽

Vol 8 (3) ◽

pp. 141-148 ◽

Cited By ~ 5

Author(s):

Alice Rota-Bartelink ◽

Bryan Lipmann

Keyword(s):

Brain Injury ◽

Older People ◽

Residential Care ◽

Service Providers ◽

Challenging Behaviors ◽

Homeless People ◽

Homeless Population ◽

Care Needs ◽

Supported Accommodation

For years, community service providers have been frustrated with the lack in availability of long-term, specialized supported accommodation for older people, particularly older homeless people, with severe acquired brain injury (ABI) and challenging behaviors. Although the incidence of ABI (particularly alcohol-related brain injury) is far wider than being confined to the homeless population, it is frequently misdiagnosed and very often misunderstood. Wintringham is an independent welfare company in Melbourne, Australia, that provides secure, affordable, long-term accommodation and high quality services to older homeless people. The high incidence of alcohol abuse among the resident population has led us to adapt our model of care to accommodate a complexity of need. However, there are some individuals with severely affected behaviors that continue to challenge Wintringham’s capacity to provide adequate support. The deficiency in highly specialized, long-term supported accommodation for older people with severe alcohol-related brain injury (ARBI) is the driving force behind this project. We aim to further develop and improve the current Wintringham model of residential care to better support people with these complex care needs. We will report on the synthesis of this project, which aims to test a specialized model that can be reproduced or adapted by other service providers to improve the life circumstances of these frequently forgotten people.

Download Full-text

A high-intensity functional exercise program for older people with dementia and living in residential care facilities (The Umeå Dementia and Exercise Study ? The UMDEX Study)

http://isrctn.org/> ◽

10.1186/isrctn31767087 ◽

2012 ◽

Author(s):

Erik Rosendahl

Keyword(s):

Older People ◽

Residential Care ◽

High Intensity ◽

Exercise Program ◽

Residential Care Facilities ◽

People With Dementia ◽

Care Facilities ◽

Functional Exercise

Download Full-text

An exploratory qualitative study of equity and the social care needs of visually impaired older people in England

British Journal of Visual Impairment ◽

10.1177/0264619609102212 ◽

2009 ◽

Vol 27 (2) ◽

pp. 97-109 ◽

Cited By ~ 3

Author(s):

Nigel Charles ◽

Jill Manthorpe

Keyword(s):

Qualitative Study ◽

Older People ◽

Visually Impaired ◽

Social Care ◽

Care Needs ◽

The Social

Download Full-text

A qualitative study of the first batch of medical assistance team’s first-hand experience in supporting the nursing homes in Wuhan against COVID-19

PLoS ONE ◽

10.1371/journal.pone.0249656 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249656

Author(s):

Xiu-Fen Yang ◽

Meng-qi Li ◽

Lu-lu Liao ◽

Hui Feng ◽

Si Zhao ◽

...

Keyword(s):

Nursing Homes ◽

Qualitative Study ◽

Older People ◽

Medical Staff ◽

Management Strategies ◽

Care Needs ◽

Risk Area ◽

High Risk Area ◽

Public Health Emergencies ◽

Difficult Time

Background The pandemic of coronavirus disease 2019 (COVID-19) has global impact, Wuhan in Hubei province is a high-risk area. And the older people in nursing homes are the most susceptible group to COVID-19. The aim of this study was to describe the practice and experience of the first-line medical team, to provide insights of coping with COVID-19 in China. Method This qualitative study used a descriptive phenomenological design to describe the experience of medical staff supported the nursing homes in Wuhan fighting against COVID-19. Unstructured interviews via online video were conducted with seven medical staffs who supported the nursing homes in Wuhan. Data were analyzed using content analysis in five main themes: for nursing homes, we interviewed the difficulties faced at the most difficult time, services for the older people, and prevention and management strategies, for the medical staff, the psychological experience were interviewed, and the implications for public health emergencies were also reported. Conclusions It is imperative that effective preventive and response measures be implemented to face the outbreak of COVID-19 and meet the care needs of older people in the context of COVID-19. Implications Findings will inform managers of some reasonable instructional strategies for implementing effective infection management. Nursing homes need to provide targeted services to help alleviating their bad psychology for residents.

Download Full-text

Systemic work of carers of community dwelling older people with complex care needs: A qualitative study of carers’ experiences

International Journal of Integrated Care ◽

10.5334/ijic.s4162 ◽

2021 ◽

Vol 20 (3) ◽

pp. 162

Author(s):

Rachel Quigley ◽

Michele Foster ◽

Carolyn Ehrlich ◽

Desley Harvey

Keyword(s):

Qualitative Study ◽

Older People ◽

Community Dwelling ◽

Complex Care ◽

Care Needs ◽

Community Dwelling Older People ◽

Complex Care Needs

Download Full-text

When Frail Older People Relocate in Very Old Age, Who Makes the Decision?

Innovation in Aging ◽

10.1093/geroni/igz030 ◽

2019 ◽

Vol 3 (4) ◽

Author(s):

Fiona Scheibl ◽

Morag Farquhar ◽

Jackie Buck ◽

Stephen Barclay ◽

Carol Brayne ◽

...

Keyword(s):

Decision Making ◽

Older People ◽

Old Age ◽

Residential Care ◽

Care Home ◽

Later Life ◽

Old People ◽

Care Needs ◽

Health Crisis ◽

Age In Place

Abstract Background and Objectives Older people are likely to transition to a new home closer to family who can provide assistance or to long-term residential care as their health declines and their care needs increase. A minority choose to move to “age-friendly” housing before the onset of disability, but the majority prefer to “age in place” and defer moving until health crises compel a transition. Older people living with dementia are likely to move into residential care, but not much is known about the role they play in decision making around these moves. This qualitative study addresses this gap in knowledge by examining how a rare cohort of “older old” people, most with some level of cognitive impairment, were involved in decisions surrounding assistance seeking and moving to a care home. Research Design and Methods Thematic analysis of qualitative interview data from Cambridge City over-75s Cohort (CC75C) study participants aged 95 years and older, who had moved in later life, and their proxy informants (n = 26). Results Moves at such an old age were made due to a complexity of push and pull factors which had layered dynamics of decision making. In most cases (n = 22), decision making involved other people with varying degrees of decision ownership. Only four older people, who moved voluntarily, had full ownership of the decision to move. Many relatives reported being traumatized by events leading up to the move. Discussion and Implications “Older old” people are sometimes unable to make their own decisions about moving due to the urgency of health crisis and cognitive decline. There is a need to support relatives to discuss moving and housing options at timely junctures before health crises intervene in an effort to optimize older people’s participation in decision making.

Download Full-text