Teaching at an Assisted Living Facility

2008 ◽  
Vol 9 (4) ◽  
pp. 186-191
Author(s):  
Alec Pruchnicki ◽  
James Janeski ◽  
Elsie Mitchell ◽  
Elizabeth Fetten
Keyword(s):  
Health Care ◽  
Assisted Living ◽  
The Elderly ◽  
Social Model ◽  
Health Care Personnel ◽  
Assisted Living Facilities ◽  
Clinical Services ◽  
The Social ◽  
Teaching Programs ◽  
And Training

The increase in assisted living facilities (ALFs) of various types has provided a new option for the delivery of clinical services to the elderly. For all these facilities, whether large or small, profit or nonprofit, primarily residential (the “social model”) or with significant nursing care (the “new” model), their sole mission is to provide an appropriate level of residential and clinical services to their residents. However, given the rise in the number and variety of these facilities, there may be other uses to which they can be put. Specifically, these facilities may make excellent sites for the education and training of health care personnel. Acute care hospitals and nursing homes primarily deliver clinical services, but both are common sites for the training of a variety of health care personnel, both professional and nonprofessional. This article examines the teaching programs at one ALF and explores some possibilities for the future.

A Scoping Review of Behavior Change Interventions to Decrease Health Care Disparities for Patients With Disabilities in a Primary Care Setting: Can Social Marketing Play a Role?

2021 ◽  
Vol 27 (1) ◽  
pp. 48-63
Author(s):  
Angela Makris ◽  
Mahmooda Khaliq ◽  
Elizabeth Perkins
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavior Change ◽  
Social Marketing ◽  
Health Care Disparities ◽  
Social Model ◽  
Care Providers ◽  
Social Model Of Disability ◽  
Behavior Change Interventions ◽  
The Social

Background: One in four Americans have a disability but remain an overlooked minority population at risk for health care disparities. Adults with disabilities can be high users of primary care but often face unmet needs and poor-quality care. Providers lack training, knowledge and have biased practices and behaviors toward people with disabilities (PWD); which ultimately undermines their quality of care. Focus of the Article: The aim is to identify behavior change interventions for decreasing health care disparities for people with disabilities in a healthcare setting, determine whether those interventions used key features of social marketing and identify gaps in research and practice. Research Question: To what extent has the social marketing framework been used to improve health care for PWD by influencing the behavior of health care providers in a primary health care setting? Program Design/Approach: Scoping Review. Importance to the Social Marketing Field: Social marketing has a long and robust history in health education and public health promotion, yet limited work has been done in the disabilities sector. The social marketing framework encompasses the appropriate features to aligned with the core principles of the social model of disability, which espouses that the barriers for PWD lie within society and not within the individual. Incorporating elements of the social model of disability into the social marketing framework could foster a better understanding of the separation of impairment and disability in the healthcare sector and open a new area of research for the field. Results: Four articles were found that target primary care providers. Overall, the studies aimed to increase knowledge, mostly for clinically practices and processes, not clinical behavior change. None were designed to capture if initial knowledge gains led to changes in behavior toward PWD. Recommendations: The lack of published research provides an opportunity to investigate both the applicability and efficacy of social marketing in reducing health care disparities for PWD in a primary care setting. Integrating the social model of disability into the social marketing framework may be an avenue to inform future interventions aimed to increase health equity and inclusiveness through behavior change interventions at a systems level.

Hand Washing Frequencies and Procedures Used in Retail Food Services

2008 ◽  
Vol 71 (8) ◽  
pp. 1641-1650 ◽  
Author(s):  
CATHERINE STROHBEHN ◽  
JEANNIE SNEED ◽  
PAOLA PAEZ ◽  
JANELL MEYER
Keyword(s):  
Assisted Living ◽  
Service Industry ◽  
Food Service ◽  
The Elderly ◽  
Hand Washing ◽  
Assisted Living Facilities ◽  
Food Services ◽  
Managerial Control ◽  
Lost Productivity ◽  
Retail Food

Transmission of viruses, bacteria, and parasites to food by way of improperly washed hands is a major contributing factor in the spread of foodborne illnesses. Field observers have assessed compliance with hand washing regulations, yet few studies have included consideration of frequency and methods used by sectors of the food service industry or have included benchmarks for hand washing. Five 3-h observation periods of employee (n = 80) hand washing behaviors during menu production, service, and cleaning were conducted in 16 food service operations for a total of 240 h of direct observation. Four operations from each of four sectors of the retail food service industry participated in the study: assisted living for the elderly, childcare, restaurants, and schools. A validated observation form, based on 2005 Food Code guidelines, was used by two trained researchers. Researchers noted when hands should have been washed, when hands were washed, and how hands were washed. Overall compliance with Food Code recommendations for frequency during production, service, and cleaning phases ranged from 5% in restaurants to 33% in assisted living facilities. Procedural compliance rates also were low. Proposed benchmarks for the number of times hand washing should occur by each employee for each sector of food service during each phase of operation are seven times per hour for assisted living, nine times per hour for childcare, 29 times per hour for restaurants, and 11 times per hour for schools. These benchmarks are high, especially for restaurant employees. Implementation would mean lost productivity and potential for dermatitis; thus, active managerial control over work assignments is needed. These benchmarks can be used for training and to guide employee hand washing behaviors.

Primary Health Care or Primary Medical Care: In Reality

2007 ◽  
Vol 13 (2) ◽  
pp. 18 ◽  
Author(s):  
John Macdonald
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Vertical Integration ◽  
Social Determinants ◽  
Primary Medical Care ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
The Social ◽  
And Training

Despite considerable rhetoric, comprehensive primary health care remains largely a matter of a paper exercise. The theory promotes horizontal and vertical integration and the active participation of people in planning. Experience in Australia and elsewhere indicates that what is in place in health services is often primary medical care: the management of the needs of presenting individuals. The arguments for upstream interventions remain valid, bolstered by research on the social determinants of health. Two examples are given of primary health care that attempt to work upstream, before clinical interventions become necessary and illustrate the need for both horizontal and vertical integration. Consequences for policy and training are drawn.

scholarly journals Using Emotions in Intelligent Virtual Environments: The EJaCalIVE Framework

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Jaime A. Rincon ◽  
Angelo Costa ◽  
Paulo Novais ◽  
Vicente Julian ◽  
Carlos Carrascosa
Keyword(s):  
Virtual Environments ◽  
Assisted Living ◽  
The Elderly ◽  
User Needs ◽  
Assisted Living Facilities ◽  
Safe Environment ◽  
Decision Making Processes ◽  
Human Actors ◽  
New Applications

Nowadays, there is a need to provide new applications which allow the definition and implementation of safe environments that attends to the user needs and increases their wellbeing. In this sense, this paper introduces the EJaCalIVE framework which allows the creation of emotional virtual environments that incorporate agents, eHealth related devices, human actors, and emotions projecting them virtually and managing the interaction between all the elements. In this way, the proposed framework allows the design and programming of intelligent virtual environments, as well as the simulation and detection of human emotions which can be used for the improvement of the decision-making processes of the developed entities. The paper also shows a case study that enforces the need of this framework in common environments like nursing homes or assisted living facilities. Concretely, the case study proposes the simulation of a residence for the elderly. The main goal is to have an emotion-based simulation to train an assistance robot avoiding the complexity involved in working with the real elders. The main advantage of the proposed framework is to provide a safe environment, that is, an environment where users are able to interact safely with the system.

scholarly journals Elderly Care: An Examination of Shahuchi Old People’s Home, Kano, Nigeria

2014 ◽  
Vol 12 (1) ◽  
Author(s):  
Patience E. Ukiri Mudiare
Keyword(s):  
Assisted Living ◽  
Filial Piety ◽  
Elderly Care ◽  
The Elderly ◽  
Gender Segregation ◽  
Social Needs ◽  
Assisted Living Facilities ◽  
Term Care ◽  
Care For The Elderly ◽  
Proactive Measures

In Nigeria, it is expected that children take care of their parents in their old age. However, it is increasingly becoming more difficult for children to cater for their aged parents who are not economically buoyant. Because of filial piety, the idea of putting one’s parents in an institution like old people’s home is an anathema for most people. Yet the need for such homes and other specialized care for the elderly is obvious in the light of the burden being experienced by women who are the major primary caregivers. This study of an Old People’s Home in Kano revealed that other than the accommodation and feeding provided, there are no specialized programmes and facilities to cater for the physical, mental and social needs of the elderly. Gender segregation is enforced but no consideration is given to differences in age, physical and developmental challenges. This highlights the urgent need for the Nigerian government to take more proactive measures in its policy on ageing by making provisions for long-term care facilities, residential arrangements with assisted living facilities, and adult day care centres with competent personnel.

scholarly journals Analysis of the Situation of Abuse Suffered Outside the Institution Older People in the Context of Residential Care

2014 ◽  
Vol 4 (2) ◽  
pp. 161-168
Author(s):  
Carmelo Gómez Martínez ◽  
Elena Carrasco Martínez ◽  
Inmaculada Martínez Escámez ◽  
Pedro Andreo Muñoz
Keyword(s):  
Assisted Living ◽  
Elderly Population ◽  
The Elderly ◽  
Factors Associated ◽  
Lack Of Information ◽  
Time Period ◽  
The Social ◽  
The Family ◽  
Type Of Abuse ◽  
Geographical Scope

Within the elderly population, the specific circumstances that some of the elderly find themselves due to certain socio-cultural factors make them more likely to be abused while residing in assisted living residences, due to the facts that the abuse is coming from the organisation it is unlikely to be reported, or brought to the attention of others, making it difficult to detect and, as a result, an issue not often discussed. We intend to investigate these possibilities; however, due to lack of information on this subject, we aim to address this issue by investigating the number of elderly people living in nursing homes who have suffered abuse due to agents outside of the organisation, such as the family, other residents and Friends. A brief questionnaire was created on an Excel Spreadsheet for the collection of data for this study, these questionnaires where then passed on the social workers of 4 assisted living residences, in the geographical scope of the Murcia region. The data collected correspond to the time period between January and December 2013. The results lead us to believe that the principal risk factors associated with this type of abuse is being a woman, a widow and with and age of about 80 years. Psychological abuse from family members was the most frequently reported type of abuse in the study.

Social Policy: History (1950–1980)

2013 ◽  
Author(s):  
Mark J. Stern
Keyword(s):  
Health Care ◽  
The Elderly ◽  
The United States ◽  
Health Care Insurance ◽  
Older Americans ◽  
Policy History ◽  
The Social ◽  
The Disabled ◽  
The Government ◽  
Social Wage

Between 1950 and 1980, the United States developed a welfare state that in many ways was comparable to those of other advanced industrial nations. Building on its New Deal roots, the Social Security system came to provide a “social wage” to older Americans, people with disability, and the dependents of deceased workers. It created a health-care insurance system for the elderly, the disabled, and the poor. Using the tax system in innovative ways, the government encouraged the expansion of pension and health-care protection for a majority of workers and their families. By 1980, some Americans could argue that their identification as a “laggard” in the field of social provision was no longer justified.

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