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.

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.

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.

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.

scholarly journals Influences of Prejudice and Stereotyping in the Direct Care Workforce

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 980-980
Author(s):  
Jennifer May
Keyword(s):  
Older Adults ◽  
Residential Care ◽  
Home Health ◽  
Direct Care ◽  
Future Research ◽  
Residential Care Facilities ◽  
Home Health Services ◽  
Care Facilities ◽  
Direct Care Workforce ◽  
And Gender

Abstract Direct Care Workers (DCW; nursing assistants, personal care aides, home health aides) have the most one on one care with sexual and gender minority (SGM) older adults who reside in residential care facilities or use home health services. DCWs make up a vast majority of the healthcare workforce, holding almost five million jobs in 2019, with approximately 70% of the positions held being in residential care facilities. In a qualitative design study, 11 DCWs were interviewed using an open-ended, semi-structured format to describe their perceptions of care provided to SGM older adults in residential care facilities and the home health setting. These results were part of a larger qualitative study which found there were cues of stereotyping and prejudice in DCW narratives toward SGM older adults. The category DCWs’ care and social system referred to characteristics of the DCWs’ work environment and the perspectives, attitudes, and reported care toward SGM older adults and diverse populations. It was determined that there are synergies among SGM older adults’ care and DCW along with DCW workforce issues (short staffed, low wages, lack of health benefits) that may prevent the DCW from being accepting of implicit bias training or culture change within these facilities/agencies. Implications for practice, policy, and future research are discussed.

scholarly journals How Can Autonomy Be Maintained and Informal Care Improved for People With Dementia Living in Residential Care Facilities: A Systematic Literature Review

2018 ◽  
Vol 59 (6) ◽  
pp. e709-e730 ◽  
Author(s):  
Jogé Boumans ◽  
Leonieke C van Boekel ◽  
Caroline A Baan ◽  
Katrien G Luijkx
Keyword(s):  
Literature Review ◽  
Residential Care ◽  
Informal Care ◽  
Physical Environment ◽  
Care Delivery ◽  
Care Provision ◽  
Residential Care Facility ◽  
Residential Care Facilities ◽  
People With Dementia ◽  
Care Facilities

Abstract Background and Objectives For people with dementia living in residential care facilities, maintaining autonomy and receiving informal care are important. The objective of this review is to understand how caregiving approaches and physical environment, including technologies contribute to the maintenance of autonomy and informal care provision for this population. Research Design and Methods A literature review of peer-reviewed articles published between January 1995 and July 2017 was performed. Realist logic of analysis was used, involving context, mechanism and outcome configurations. Results Forty-nine articles were included. The improvement of the relationship between residents and formal/informal caregivers is important. This increases the knowledge (sharing) about the resident and contributes to their autonomy. A social, flexible, and welcoming attitude of the formal caregiver improves the provision of informal care. Specially designed spaces, for instance, therapeutic gardens, create activities for residents that remind them of themselves and contribute to their autonomy. Use of technologies reduces caregiver’s time for primary tasks and therefore enables secondary tasks such as interaction with the residents. Discussion and Implications The results revealed how residential care facilities could maintain autonomy of their residents and improve informal care delivery using caregiving approaches and the physical environment including technologies. The results are supporting toward each other in maintaining autonomy and also helped in enhancing informal care provision. For residential care facilities that want to maintain the autonomy of their residents and improve informal care delivery, it is important to pay attention to all aspects of living in a residential care facility.

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