scholarly journals Compulsory covid vaccination: Loss of care home workers puts beds and care at risk, warn unions and providers

BMJ ◽  
2021 ◽  
pp. n2318
Author(s):  
Matthew Limb
Keyword(s):  
At Risk ◽  
BMJ ◽  
2021 ◽  
pp. n1684 ◽  
Author(s):  
Lydia Hayes ◽  
Allyson M Pollock
Keyword(s):  

Geriatrics ◽  
2019 ◽  
Vol 4 (3) ◽  
pp. 48
Author(s):  
Susan Pownall ◽  
Elizabeth Barnett ◽  
Julie Skilbeck ◽  
Angel Jimenez-Aranda ◽  
Sally Fowler-Davis

Good nutrition is a recognised outcome in the health and well-being of older care home residents and dysphagia is a known risk factor associated with under nutrition and poor outcomes. The study co-produced a digital Dysphagia Guide with Care Homes using a consensus method with interviews and focus groups to prioritise the need for information and explore acceptability of an educational tool for care home workers. Evaluation of use, acceptability of design, and content of the guide were completed via remote monitoring. The workforce prioritised the need for training as well as the knowledge and skills in relation to planning resident-centred care and advice on textured diets. The technology was a means of offering ‘bite-size’ learning to enhance planning for nutrition across the whole organisation including managers, kitchen staff, and care workers. The Guide to Dysphagia was produced on a tablet and piloted in four care homes over 12 weeks, by 57 staff. Integrated analytics allowed user activity to be monitored. Findings showed that 73% of respondents reported the guide helped them in their job. Additionally, 88% of respondents stated they would recommend the guide to other staff, with 90% reporting it was easy to use. Engagement with staff and managers in four homes resulted in a co-designed, dysphagia guide.


2013 ◽  
Vol 25 (5) ◽  
pp. 733-741 ◽  
Author(s):  
Claudia Cooper ◽  
Briony Dow ◽  
Susan Hay ◽  
Deborah Livingston ◽  
Gill Livingston

ABSTRACTBackground: Elder abuse in care homes is probably common but inherently difficult to detect. We developed the first questionnaire to ask care home workers to report abuse anonymously.Method: We held qualitative focus groups with 36 care workers from four London care homes, asking about abuse they had witnessed or perpetrated.Results: The participants reported that situations with potentially abusive consequences were a common occurrence, but deliberate abuse was rare. Residents waited too long for personal care, or were denied care they needed to ensure they had enough to eat, were moved safely, or were not emotionally neglected. Some care workers acted in potentially abusive ways because they did not know of a better strategy or understand the resident's illness; care workers made threats to coerce residents to accept care, or restrained them; a resident at high risk of falls was required to walk as care workers thought otherwise he would forget the skill. Most care workers said that they would be willing to report abuse anonymously. Care workers were sent the newly developed Care Home Conflict Scale to comment on but not to complete and to report whether it was acceptable and relevant to them. Several completed it and reported abusive behavior.Conclusion: Lack of resources, especially care worker time and knowledge about managing challenging behavior and dementia were judged to underlie much of the abuse described. We describe the first instrument designed to measure abuse by care home workers anonymously; field-testing is the logical next step.


2019 ◽  
Vol 27 (2) ◽  
Author(s):  
Katerina latkova-Doncheva ◽  
◽  
◽  

Current study research the use of language towards aggressive behavior and anxiety of at-risk children deprived of parental care. At-risk youth raise outside their family and in residential care home centers are most vulnerable children with a high level of anxiety, aggression, and emotional disorders. Children without parents living in Bulgarian residential centers homes (N=40) divided into 3 age groups (aged 7–10; aged 11–14; and aged 15–17) comprised intervention performed by volunteers using 4 interaction strategies: normal voice and positive language (N+); high tone and positive language (H+); normal tone and negative language (N-) and high tone and negative language (H-). Intervention participants have been subjected to surveillance by independent observer in a pre-standardized checklist using the Buss-Durky classification of aggression and Prihojan classification of anxiety within structured scientific observation measuring 15 indicators of aggression, anxiety as a personal trait and interpersonal anxiety. Results of current study demonstrate contradictory tendencies and partially confirm the underlying hypothesis that lexical signs with negative semantic meaning and high tone with negative language would have strongest impact on increasing the aggression and anxiety of children only for children that are more aggressive in general. Analysis experienced that aggressive behavior, interpersonal anxiety and anxiety as a personal trait would increase with the use of negative language without raising the tone. The results in current research can help specialists to find suitable strategy and proper use of language for better results on socialization and adaptation of the child with behavior and emotional problems.


2009 ◽  
Vol 66 (9) ◽  
pp. 639-640
Author(s):  
S Semple ◽  
A Naji ◽  
S Haw ◽  
J G Ayres
Keyword(s):  

Dementia ◽  
2018 ◽  
Vol 19 (3) ◽  
pp. 822-829
Author(s):  
Asha Pari Katwa ◽  
Chris Jenner ◽  
Karen MacDonald ◽  
Nina Barnett

The importance of effective advance care planning is often underestimated by professionals caring for care home residents. Using a simulated scenario, this model aimed to highlight the importance of timely advance care planning for care home residents. An adapted simulation effectiveness tool was used to evaluate a simulated scenario of a resident with advanced dementia. Feedback from this tool, N = 28 (response rate 82%), suggests this model was well received and that simulation training delivered by a multi-professional faculty, effectively demonstrates the benefits of early advance care planning for residents with dementia.


2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
L Johnston ◽  
C Malcolm ◽  
L Rambabu ◽  
J Hockley ◽  
S D Shenkin

Abstract Introduction COVID-19 in care homes has heightened the risk of staff burnout, undermining already problematic staff retention and low morale. There has been an associated proliferation of resources and online initiatives to support frontline workers, however, few of these are directly targeted at the care home workforce. Care home workers are highly skilled in caring for people with complex needs, but have very variable levels of formal training, and just over half of care homes in Scotland include registered nurses. This project will rapidly collate existing resources and identify, direct from care home workers, their best practice, initiatives, and resources used to support resilience and retention during this pandemic and moving forward. Methods 1) Rapid review of care home specific evidence and resources (including published research and social media); 2) Online survey of Enabling Research in Care Homes (ENRICH) members across Scotland (n = 55); 3) Case studies within six care homes to identify what is working well and what is not in terms of promoting resilience and emotional support. Results The rapid review has identified a wide range of resources directed at supporting staff working in care homes; the survey and case studies will provide data on the key learning and resources that have supported staff, and outline the challenges identified. There are many resources available but staff do not access these. The role of the care home manager is key. Key conclusions This comprehensive review of resources and initiatives will make a valuable contribution to policy and practice designed to reduce burnout and foster retention not just in care homes but more widely across health and social care.


2020 ◽  
Vol 22 (3) ◽  
pp. 139-146
Author(s):  
Jennie Wilson ◽  
Alison Tingle ◽  
Aggie Bak ◽  
Carolynn Greene ◽  
Amalia Tsiami ◽  
...  

Age-related changes put older people at risk of dehydration, and care home residents are particularly vulnerable. Researchers at the University of West London outline their study that identifies the possible barriers and facilitators to optimising hydration in nursing homes, offering guidance for service improvement initiatives


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