Abstract WP424: Challenges of Participation in Life Activities Post-Stroke: A Qualitative Study

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Janita P Chau ◽  
Suzanne Hoi Shan Lo
Keyword(s):  
Qualitative Study ◽  
Residential Care ◽  
Real Life ◽  
Care Facility ◽  
Stroke Survivors ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Services ◽  
Cognitive Limitations ◽  
Care Facilities

Background and Purpose: Our previous study of 265 stroke survivors recruited immediately before discharge from two regional rehabilitation hospitals found state self-esteem, social support satisfaction, discharge location (home, residential care facility), and gender significantly accounted for 49% of the variance in depressive symptoms. The purpose of this study is to explore the challenges of promoting participation in life activities for stroke survivors. Methods: A qualitative study with individual face-to-face semi-structured interviews were conducted. Adult managerial persons who were responsible for the development of community, rehabilitation or residential care services for stroke survivors were recruited. All participants were asked to share the mission of their institutions, types of care services for stroke survivors, perceived importance of, barriers to and facilitators of promoting participation in life activities, and opportunities for enhancing stroke care services. All interviews were audio recorded and transcribed verbatim for thematic analysis. Results: A total of 11 participants were interviewed. Five were in-charge persons of stroke support groups, two were legislators, two from residential care facilities, and two from community-based organisations. Four key themes were generated: (1) Being institutionalized was found associated with lower levels of psychosocial health, (2) Stroke survivors’ physical and cognitive limitations were perceived as key challenges in promoting participation in life activities, (3) Healthcare providers placed more emphasis on promoting physical rehabilitation than social participation, and (4) Physical environment particularly in residential care facilities posed greater challenges to promoting participation in real life activities. Conclusions: This highlights major challenges for healthcare professionals who care for stroke survivors in residential care facilities. Further studies that investigate the associations between environmental barriers, psychological morbidity and participation restriction is needed.

Retirement and the Lifestyles of Older Women

1988 ◽  
Vol 8 (1) ◽  
pp. 63-83 ◽  
Author(s):  
Wolfgang Voges ◽  
Hannelore Pongratz
Keyword(s):  
Older Women ◽  
Residential Care ◽  
Care Facility ◽  
Close Relative ◽  
Continuity Hypothesis ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Women's Lives ◽  
Household Activities

ABSTRACTChange of residence from a private household to a residential care facility, implying the relinquishing of household activities, is as critical a life event for older women as retirement from employment outside the home is for older men. This transition terminates many of the activities that had structured the older women's lives for decades, and implies modification of patterns of lifestyle. Based on interviews with female residents of residential care facilities in the Munich area, a close relative who had observed the transition and an employee at the facility, the impacts of the move on dimensions/aspects of lifestyle were analysed, as well as the success with which adaptation to the new setting was made. The positive relationship posited by the continuity hypothesis between continuity in lifestyle and contentment with life situation were generally upheld, although the compensation for a dimension of lifestyle disrupted by the transition by another dimension often occurred.

scholarly journals Aging and Masculinity in Bibliotherapy and Poetry Groups for Men in Late Life

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 568-568
Author(s):  
Dovrat Harel
Keyword(s):  
Qualitative Research ◽  
Older People ◽  
Residential Care ◽  
Care Facility ◽  
Late Life ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Reading And Writing ◽  
Care Facilities ◽  
The Way

Abstract The transition to residential care facility may symbolize the joining into the 'community of older people'. This may influence the ways men in late life construct their identities and the intersection of aging and masculinity. Due to some barriers, this experience may be difficult to express explicitly. Bibliotherapy aims to bridge this gap by using literature to address diverse issues in the form of reading and writing activities. In this presentation we will present "The Literary Parliament" project, in which bibliotherapy and poetry groups of men in late life were conducted in residential care facilities in Israel. We will present findings of a qualitative research which explored poems written by group participants, and the way these helped participants to express their perceptions and feelings of ageing and masculinity in the context of residential care. The use of bibliotherapy to encourage psychological discourse among men in late life will be discussed.

VALIDA: A Validation Therapy-Training Program for Staff of a Residential Care Facility

2020 ◽  
pp. 009141502092000 ◽  
Author(s):  
Mónica P. Oliveira ◽  
Liliana X. Sousa
Keyword(s):  
Training Program ◽  
Residential Care ◽  
Psychological Symptoms ◽  
Care Facility ◽  
Direct Care ◽  
Pilot Training ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Validation Therapy

Behavioral and psychological symptoms of dementia are a major reason for institutionalization, and high demanding for staff in Residential Care Facilities. This article reports the design, implementation, and evaluation of a Validation Therapy pilot-training program (VALIDA) for staff members of a residential care facility in Aveiro, Portugal. This pilot study involved 22 members of the staff, including qualified professionals and nonqualified direct care workers, who were involved in the design. The pilot-training program comprises two components: training sessions in group and individual monitoring between those sessions. The evaluation indicates that the structure of the pilot-program was well accepted, and participants reported positive impacts in professional (better skilled to deal with residents with dementia) and personal (better trained to deal with elderly relatives) lives. This pilot-training program shows potential to be used in residential care facilities and needs to be replicated.

scholarly journals Designing virtual natural environments for older adults in residential care facilities

2021 ◽  
pp. 1-14
Author(s):  
Rikard Lundstedt ◽  
Carita Håkansson ◽  
Mare Lõhmus ◽  
Mattias Wallergård
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Qualitative Content Analysis ◽  
Care Facility ◽  
Emotional Reactions ◽  
Natural Environments ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Beneficial Effects ◽  
Care Facilities

BACKGROUND: Spending time in natural environments is beneficial for mental health and cognitive function. Unfortunately, many elderly citizens, who would potentially gain from these beneficial effects, have limited or no access to natural environments. Virtual reality may provide the experience of being present in a natural environment without the need of transportation. OBJECTIVE: The purpose of the present study was to acquire an understanding of how residents and staff at a residential care facility may use and experience different virtual natural environments, and thus aid the design of virtual natural environments. METHODS: We used qualitative method, collecting data through interviews and observations. The data was analyzed using qualitative content analysis. RESULTS: Exposure to virtual natural environments provoked various emotional reactions, and promoted skill development and social interaction among participants. The staff perceived virtual natural environments as potentially useful for, for example, improving residents’ anxiety. We identified several user interface improvements. CONCLUSIONS: The present study discusses how various aspects of virtual natural environments work in relation to the experience of a user and how this might affect wellbeing in older adults. These aspects may be valuable to consider in the design of virtual natural environments for use at residential care facilities.

Network Variables as Determinants of the Elderly Entering Adult Residential Care Facilities

1989 ◽  
Vol 9 (2) ◽  
pp. 149-163 ◽  
Author(s):  
Mary Bear
Keyword(s):  
Residential Care ◽  
Care Facility ◽  
The Elderly ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
Differential Involvement ◽  
Labelling Theory ◽  
Using Data

ABSTRACTThis research extends the study of social network analysis and labelling theory into the context of adult residential care facilities (ARCFs). Network density, reciprocity, and intensity are hypothesized to explain who labels the frail elderly ‘out of place’ in their homes and refers them to an adult residential care facility. Using data from interviews with 81 new, elderly ARCF residents and 75 of their closest others, logistic regression analyses indicate that network intensity is related to the differential involvement of professionals and informal network members in the ARCF entry process. Findings suggest further research on the networks of the elderly's relatives may explain the role of density in ARCF labelling and referral. Practice implications incorporating a network strategy are addressed.

Managing for quality aged residential care with a migrant workforce

2015 ◽  
Vol 22 (1) ◽  
pp. 32-48 ◽  
Author(s):  
Nyemudzai Esther Ngocha-Chaderopa ◽  
Bronwyn Boon
Keyword(s):  
Qualitative Study ◽  
Residential Care ◽  
Care Delivery ◽  
Quality Care ◽  
Well Being ◽  
Residential Care Facilities ◽  
Local Labour ◽  
Care Workers ◽  
Care Facilities ◽  
Adequate Staffing

AbstractGiven the growing demand for aged residential care facilities in Western industrialised economies, the adequate staffing of these facilities is a growing concern. Increasingly migrant care workers are being employed to fill the local labour shortfall. In this paper we present findings of a qualitative study exploring how managers of aged residential care facilities work to ensure consistent delivery of quality care through their migrant care workers. The issues raised by the 16 managers cluster around three themes: communication and language barriers; racism by residents, families and managers; and underemployment of tertiary qualified migrant care workers. In addition to issues of quality care delivery, concerns around migrant employee well-being are seen to be difficult to avoid.

Struggling between a sense of belonging and a sense of alienation: Residents' experiences of living in a residential care facility for older people in Sweden

2019 ◽  
Vol 39 (3) ◽  
pp. 143-151 ◽  
Author(s):  
Eva Ericson-Lidman
Keyword(s):  
Older People ◽  
Residential Care ◽  
Sense Of Belonging ◽  
Qualitative Content Analysis ◽  
Care Facility ◽  
Care Quality ◽  
Care Providers ◽  
Residential Care Facility ◽  
Residential Care Facilities

Living in residential care facilities for older people is described in both positive and negative terms. To maintain care quality of a vulnerable group in a constantly changing care context, it is important to continually describe their experiences. This qualitative study aims to describe residents’ experiences of living in a residential care facility for older people in Sweden. Six residents were interviewed and the interviews were analyzed using qualitative content analysis. The analysis resulted in nine sub-categories, two categories and one overall theme. Living in a residential care facility for older people is revealed as ‘Struggling between a sense of belonging and a sense of alienation’. It is of great importance for care providers to explore and try to understand what individuals perceive as factors for feelings of belonging, thereby preventing alienation.

Perceptions towards lesbian, gay and bisexual people in residential care facilities: a qualitative study

2014 ◽  
Vol 10 (1) ◽  
pp. 73-81 ◽  
Author(s):  
Stephen J. Neville ◽  
Jeffery Adams ◽  
Gary Bellamy ◽  
Michal Boyd ◽  
Nigel George
Keyword(s):  
Qualitative Study ◽  
Residential Care ◽  
Residential Care Facilities ◽  
Care Facilities ◽  
And Bisexual ◽  
Bisexual People

scholarly journals Dropout from farm-based day care for people with dementia in Norway: a follow-up study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
T. L. Ibsen ◽  
Ø. Kirkevold ◽  
G. G. Patil ◽  
S. Eriksen
Keyword(s):  
Social Support ◽  
Residential Care ◽  
Day Care ◽  
Agricultural Landscape ◽  
Care Service ◽  
Care Facility ◽  
Individual Characteristics ◽  
Residential Care Facility ◽  
Care Services ◽  
People With Dementia

Abstract Background Farm-based day care services (FDCs) for people with dementia are intending to provide social relationships and meaningful activities in an agricultural landscape and offer respite for next of kin. As this requires a certain cognitive and physical functioning, it is of interest to investigate how this service contribute during the course of dementia. In this study we aim to explore the individual characteristics predicting dropout from FDC. Furthermore, we investigate whether the participants who drop out of the service continue to live at home with another day care service or if they move to a residential care facility. Methods The study includes 92 people with dementia attending FDCs in Norway, assessed with standardized instruments at baseline between January 2017 and January 2018. They were followed for 1 year, and dropouts from FDC during this period were mapped. The association between individual characteristics and dropout was assessed using a Cox proportional hazards regression analysis. Results Thirty-eight people stopped attending FDCs during the study. Twenty-six moved to residential care. Among the 12 who continued to live in their own homes, 9 people started in a regular day care service. Higher score on educational level and more severe dementia, as well as lower scores on social support, increased the probability of stopping FDC. Conclusion FDCs appeared as a service that is stable over time for most participants, as more than two-third could use the care facility until the need of residential care. The transfers within care services and levels of care seemed to be characterized by continuity. More research on the growing population of educated older adults with dementia are warranted, to facilitate for their course of care needs. Finally, extended knowledge is needed to improve the collaboration between private and public networks, such as day care services, to improve the experience of social support for people with dementia.

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