scholarly journals USUARIOS DE SERVICIOS SOCIALES COMUNITARIOS (SAD Y CENTROS DE DÍA) PARA PERSONAS MAYORES

2016 ◽  
Vol 5 (1) ◽  
pp. 299
Author(s):  
Agustín Dosil Maceiras ◽  
Patricia Mª Iglesias Souto ◽  
Eva Mª Taboada Ares ◽  
Carlos Dosil Díaz ◽  
José Eulogio Real Deus
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Social Services ◽  
Good Condition ◽  
Community Based ◽  
Day Care Centers ◽  
Home Help ◽  
Adequate Quality ◽  
Community Based Services

Abstract.USERS OF COMMUNITY SOCIAL SERVICES FOR OLDER PEOPLEThe majority of older people show a clear preference for aging and staying at home for as long as possible, whilst getting the attention that they need without being admitted into a nursing home. Precisely, avoiding or delaying institutionalization of the older people is one of the main objectives of the home help service and day centers. Ensuring an adequate quality of care through programs and community-based services involves, firstly, the convergence of the formal and informal systems of support, and secondly, with regard to the latter, the optimal match between the services provided and the needs of the users. The present study analyzes the health status at functional, cognitive and social levels of the older people that use the service of home help and day care centers. It also explores the extent to which the current user’s profile matches the objectives and their needs are met by the assistance provided by the above services, in such a way that the quality of care is ensured. The results indicate that a significant percentage of users of home help were people without significant dependence problems, which were in good condition both physically and cognitive and enjoyed a broad and committed informal social network. On the other hand, those who attended day centers had higher levels of dependency, especially at instrumental level, while the ability to perform basic activities was preserved in more than half of the cases. Thus, we found a mismatch between the needs of a significant number of users of these services and the response that is offered within them.Key words: Older people, Social services, Home Help Service, Day Centre.Resumen.La mayoría de las personas de edad muestra una preferencia clara por envejecer en casa y permanecer en su domicilio durante el mayor tiempo posible, recibiendo en él las atenciones que necesite y prescindiendo del ingreso en un centro residencial. Precisamente, evitar o retrasar la institucionalización de los mayores es uno de los principales objetivos del servicio de ayuda a domicilio y de los centros de día. Garantizar una adecuada calidad atencional a través de programas y servicios de tipo comunitario implica, en primer lugar, la convergencia de los sistemas de ayuda informal y formal, y en segundo lugar, respecto a estos últimos, una óptima adecuación de los servicios prestados a las necesidades de los usuarios de los mismos. El presente trabajo analiza la situación de salud, funcional, cognitiva y social de los mayores que utilizan el servicio de ayuda a domicilio y los centros de día, así como la medida en que el perfil del usuario actual se adecua a los objetivos y prestaciones contempladas en los mismos, de modo que se garantice la calidad en la atención. Los resultados obtenidos indican que un porcentaje considerable de usuarios del servicio de ayuda a domicilio eran personas sin problemas importantes de dependencia, que estaban en buenas condiciones tanto a nivel físico como cognitivo y disponían de una red social informal amplia y comprometida. Por su parte, los que acudían a centros de día presentaban mayores niveles de dependencia, sobre todo a nivel instrumental, mientras que la capacidad para llevar a cabo las actividades básicas estaba preservada en más de la mitad de los casos. Por lo tanto, se ha encontrado un desajuste entre las necesidades de un número importante de usuarios de estos servicios y la respuesta que se les ofrece desde los mismos.Palabras clave: Personas mayores, Servicios Sociales, Viviendas comunitarias, Apartamentos tutelados.

Care work and quality of care for older people: a review of the research literature

2001 ◽  
Vol 11 (2) ◽  
pp. 189-203 ◽  
Author(s):  
Shirina Hannan ◽  
Ian J Norman ◽  
Sally J Redfern
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Social Services ◽  
Work Satisfaction ◽  
Well Being ◽  
National Standards ◽  
Care Staff ◽  
Care Services ◽  
Health And Social Care

There is considerable research on work satisfaction and stress of care staff on the one hand and on quality of care and well-being of older people on the other. However, very little research in continuing-care settings for older people (nursing homes, residential homes and long-stay wards) links perceptions of workers (work satisfaction and stress) with the process of care (quality of care) and outcomes for residents/patients (well-being). This is a notable omission, given the emphasis of government policy on improving quality of health and social care services for vulnerable elderly people in the UK. The White Papers, The New NHS and Modernising Social Services and the National Priority Guidance for Health and Social Services for 2000–2003, all emphasize the importance of services that are responsive to local needs and which maintain and promote independence. The Centre for Policy on Ageing has been commissioned by the Department of Health to develop national standards for nursing and residential home care services for older people. This work will build upon recommendations of the Burgner Report and Achieving a Better Home Life, which identified areas for benchmarking. The national standards proposed under the forthcoming National Service Framework for Older People will underpin new legislation to regulate care services.

scholarly journals Exploring the Relationship Between Day-to-Day Care and Caregiver Vigilance

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 639-639
Author(s):  
Brandy Renee McCann ◽  
Karen Roberto ◽  
Rosemary Blieszner ◽  
Tina Savla ◽  
Emily Hoyt ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Service Use ◽  
Care Facility ◽  
Well Being ◽  
Community Based ◽  
Term Care ◽  
Long Term Care Facility ◽  
Formal Services ◽  
Community Based Services

Abstract A demanding aspect of caregiving for a relative with dementia is need for constant vigilance of their behavior and well-being. Vigilance is associated with higher quality of care, but can take a toll on caregivers who have few opportunities for respite. Home- and community-based services have the potential to offer caregivers relief from constant vigilance. Using in-depth interviews with 30 rural caregivers, we found that service use did not necessarily provide relief from constant vigilance. Caregivers typically needed to monitor aspects of home- and community-based services and care facilities such as scheduling and quality of care from CNAs. In contrast, some caregivers found respite from constant vigilance when they used formal services—typically in extreme situations such as when a husband with dementia became violent and moved temporarily to a long-term care facility. Findings connect caregiver needs and concerns related to vigilance with availability, quality, and use of formal services.

scholarly journals Understanding the Link between Family Caregiver Quality of Life and the Care Provided to Older People With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 153-154
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Life ◽  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Well Being ◽  
The United States ◽  
People With Dementia ◽  
The Impact

Abstract Dementia is one of the most rapidly growing diseases in the United States. In 2018, the direct costs to American society of caring for older people with dementia was approximately $277 billion. Primary informal caregivers are mainly responsible for the care of older people with dementia including Alzheimer’s disease. Caregivers perform a myriad of duties ranging from shopping for their loved ones’ groceries, helping with medications, and managing finances. The caregiving role becomes more demanding as the disease progresses over time, and studies have shown that the quality-of-life (QoL) experienced by caregivers of older adults who have dementia is lower than the QoL of caregivers for older people who do not have dementia. To the best of our knowledge, there has been no research conducted to investigate whether lower caregiver QoL affects the level or quality of care that caregivers provide to persons with dementia. In the current study, we interviewed family caregivers living in Rochester, New York to inquire about their quality of life and the care provided to older people living with dementia. Further, caregivers completed the 36-item Short Form Health Survey (SF-36) as well as a draft questionnaire for measuring the quality of care provided to older people living with dementia. Both quantitative and qualitative findings from this study reveals important relationships between family caregiver QoL and the care provided, including the impact of social support and financial well-being. The study findings could have significant impact, particularly for the provision of much needed support for family caregivers.

scholarly journals Quality of Care Provided by Family Caregivers of Older People With Dementia: Measurement and Interpretations

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 152-152
Author(s):  
Afeez Hazzan
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
Family Caregivers ◽  
Family Caregiver ◽  
Primary Reason ◽  
People With Dementia ◽  
High Level ◽  
The Impact ◽  
The Relationship

Abstract Family caregivers of older people living with dementia are relatives, friends, or neighbors who provide assistance related to this condition, but who are unpaid for the services they provide. Although caregiving could be personally rewarding, many caregivers report a high level of strain. Compared to caregivers of older adults who do not have dementia, family caregivers of older people living with dementia report lower quality-of-life (QoL). In a published systematic review examining the relationship between family caregiver QoL and the quality of care provided, only one study was found to be somewhat relevant. The study suggested that the primary reason for an absence of research into the link between family caregiver QoL and quality of care was the absence of a questionnaire for measuring quality of care in dementia. Therefore, any attempt to investigate the impact of caregiver QoL on the care provided to older people with dementia must first address the lack of an instrument to measure quality of care. To address this issue, we interviewed approximately 20 family caregivers in order to elicit feedback on measurements and interpretation of the quality of care provided by family caregivers of older people living with dementia. Content analysis of the interview transcripts revealed that the quality of relationships with family, caregiver availability to provide or supervise care, and availability of paid or volunteer help are important for the quality of care provided. These results have important implications, particularly for the development of an instrument to measure quality of care in dementia.

scholarly journals Validation and psychometric evaluation of the Dutch person-centred care of older people with cognitive impairment in acute care (POPAC) scale

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Annette Keuning-Plantinga ◽  
Evelyn J. Finnema ◽  
Wim Krijnen ◽  
David Edvardsson ◽  
Petrie F. Roodbol
Keyword(s):  
Factor Analysis ◽  
Cognitive Impairment ◽  
Quality Of Care ◽  
Confirmatory Factor Analysis ◽  
Older People ◽  
Root Mean Square ◽  
Acute Care ◽  
Mean Square ◽  
Confirmatory Factor

Abstract Background Person-centred care is the preferred model for caring for people with dementia. Knowledge of the level of person-centred care is essential for improving the quality of care for patients with dementia. The person-centred care of older people with cognitive impairment in acute care (POPAC) scale is a tool to determine the level of person-centred care. This study aimed to translate and validate the Dutch POPAC scale and evaluate its psychometric properties to enable international comparison of data and outcomes. Methods After double-blinded forward and backward translations, a total of 159 nurses recruited from six hospitals (n=114) and via social media (n=45) completed the POPAC scale. By performing confirmatory factor analysis, construct validity was tested. Cronbach’s alpha scale was utilized to establish internal consistency. Results The confirmatory factor analysis showed that the comparative fit index (0.89) was slightly lower than 0.9. The root mean square error of approximation (0.075, p=0.012, CI 0.057–0.092) and the standardized root mean square residual (0.063) were acceptable, with values less than 0.08. The findings revealed a three-dimensional structure. The factor loadings (0.69–0.77) indicated the items to be strongly associated with their respective factors. The results also indicated that deleting Item 5 improved the Cronbach’s alpha of the instrument as well as of the subscale ‘using cognitive assessments and care interventions’. Instead of deleting this item, we suggest rephrasing it into a positively worded item. Conclusions Our findings suggest that the Dutch POPAC scale is sufficiently valid and reliable and can be utilized for assessing person-centred care in acute care hospitals. The study enables nurses to interpret and compare person-centred care levels in wards and hospital levels nationally and internationally. The results form an important basis for improving the quality of care and nurse-sensitive outcomes, such as preventing complications and hospital stay length.

scholarly journals PSS58 A SCORING SYSTEM FOR QUALITY OF CARE EVALUATION. A COMMUNITY-BASED STUDY OF CHRONIC LEG ULCERS IN NORTH GERMANY

2008 ◽  
Vol 11 (6) ◽  
pp. A627
Author(s):  
M Augustin ◽  
L Grams ◽  
K Herberger ◽  
N Franzke ◽  
S Debus ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Scoring System ◽  
Leg Ulcers ◽  
Community Based ◽  
North Germany ◽  
Care Evaluation ◽  
Chronic Leg Ulcers

Wales

2019 ◽  
pp. 283-290
Author(s):  
Bob Woods
Keyword(s):  
United Kingdom ◽  
Quality Of Care ◽  
Older People ◽  
Social Movement ◽  
Third Sector ◽  
The United Kingdom ◽  
New Strategy ◽  
The Subject ◽  
Artistic Heritage

This chapter documents the developments in Wales relating to a National Dementia Vision and Strategy. A new Strategy is to appear by December 2016. While activity and progress are evident in many areas, much remains to be done. Wales benefits from having an Older People’s Commissioner, a statutory voice for older people, including those living with dementia, and from its rich cultural, linguistic, and artistic heritage, with active third-sector organizations. Like many countries, Wales has had well-publicized scandals in relation to quality of care in hospitals and care homes, which have provided learning and impetus for development. Compared with other parts of the United Kingdom, dementia diagnosis rates in Wales appear low and are now the subject of government targets. The new Strategy will need to fully engage with people living with dementia in order to address these challenges, while building on the growing social movement of dementia-friendly communities.

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