scholarly journals The role of the nurse practitioner in promoting a reduction in the causes and outcomes of problematic polypharmacy among nursing home residents in British Columbia

2016 ◽  
Author(s):  
Sukhwant Jassar
Keyword(s):  
British Columbia ◽  
Nursing Home ◽  
Nurse Practitioner ◽  
Nursing Home Residents

scholarly journals The process of transprofessional collaboration: how caregivers integrated the perspectives of rehabilitation through working with a physical therapist

2020 ◽  
Vol 8 (4) ◽  
pp. e000378
Author(s):  
Ryohei Goto ◽  
Junji Haruta
Keyword(s):  
Nursing Home ◽  
Action Research ◽  
Physical Therapist ◽  
Nursing Home Residents ◽  
Research Approach ◽  
Action Research Approach ◽  
Informal Interview ◽  
Trial Basis ◽  
Field Notes

ObjectivesTo clarify the process of how caregivers in a nursing home integrate the perspectives of rehabilitation into their responsibilities through working with a physical therapist.DesignThis study was conducted under an action research approach.SettingThe target facility was a nursing home located in Japan. The researcher, a physical therapist, worked at the nursing home once a week from April 2016 to March 2017. During the study period, he created field notes focused on the dialogue and action of caregivers regarding care, responses of caregivers to the physical therapist and reflections as a physical therapist. Caregivers were also given a short informal interview about their relationship with the nursing home residents. For data analysis, two researchers discussed the content based on the field notes, consolidating the findings.ParticipantsThe participants were caregivers who worked at the target facility. Thirty-eight caregivers agreed to participate. Average age was 39.6±11.1 years, 14 (37%) were male and average caregiver experience was 9.8 years.ResultsTwo cycles of action research were conducted during the study period. There were four stages in the process of how caregivers in the nursing home integrated the perspectives of rehabilitation through their work with the physical therapist. First, caregivers resisted having the rehabilitation programme carried out in the unit because they perceived that rehabilitation performed by a physical therapist was a special process and not under their responsibility. However, the caregivers were given a shared perspective on rehabilitation by the physical therapist, which helped them to understand the meaning of care to adapt the residents’ abilities to their daily life. They practised resident-centred care on a trial basis, although with a sense of conflict between their new and previous role, which emphasised the safety of residents’ lives and personhood. The caregivers increased their self-efficacy as their knowledge and skills were supplemented by the physical therapist and his approval of their attempted care. They were then able to commit to their newly conceived specialty of care as a means of supporting the lives of residents.ConclusionsThe process of working with a physical therapist led to a change in caregivers’ perception and behaviours, which occurred in four stages: resistance to incorporation, recapture of other perspectives, conflicts and trials in the role of caregiver and transformation to a resident-centred perspective.

Advocacy for The Mentally Impaired Elderly: A Case Study Analysis

1989 ◽  
Vol 14 (4) ◽  
pp. 353-376 ◽  
Author(s):  
Jeanie Kayser-Jones ◽  
Marshall B. Kapp
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Self Advocacy ◽  
State Laws ◽  
Case Study Analysis ◽  
Appropriate Treatment ◽  
Mentally Impaired ◽  
And Training

The authors present a case study to illustrate how a mentally impaired but socially intact nursing home resident, who had no one to act as an advocate for her, was denied appropriate treatment for an acute illness which ultimately resulted in her death. The case raises important questions about advocacy for the mentally-impaired, acutely-ill institutionalized patient. This Article explores the role of the advocate, how advocates are selected, what qualities and talents they should possess, and what responsibilities should be assigned to them. The authors suggest that nursing home residents should be encouraged to engage in self-advocacy to the greatest extent possible. The competent elderly should be urged to name their preferred advocates. Individuals who serve in advocacy roles should be advised to seek information regarding the patient's wishes from those who know the patient well. Furthermore, there is a need for quality education and training of those who serve in advocacy roles on behalf of nursing home residents, and state laws need to specify the responsibilities of persons who serve as advocates.

Hospitalization Rates of Nursing Home Residents and Community-Dwelling Seniors in British Columbia

2008 ◽  
Vol 27 (1) ◽  
pp. 109-115 ◽  
Author(s):  
Lisa A. Ronald ◽  
Margaret J. McGregor ◽  
Kimberlyn M. McGrail ◽  
Robert B. Tate ◽  
Anne-Marie Broemling
Keyword(s):  
British Columbia ◽  
Nursing Home ◽  
Nous Avons ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Personnes Âgées ◽  
Fracture Du Fémur ◽  
Hospitalization Rates ◽  
Données Administratives ◽  
Fracture Du Femur

RÉSUMÉl'utilisation de l'ensemble des services de soins actifs par les pensionnaires des CHSLD (centres d'hébergement et de soins de longue durée) au Canada n'a pas été bien documentée. Nous visions à déterminer les principales causes de l'hospitalisation des pensionnaires des CHSLD et à en comparer le taux avec celui des personnes âgées résidant dans la communauté. Nous avons analysé une cohorte rétrospective à l'aide de données administratives sur la santé au niveau de la population, y compris toutes les personnes de 65 ans et plus résidant dans un CHSLD en Colombie-Britannique entre avril 1996 et mars 1999. Les taux d'hospitalisation des pensionnaires des CHSLD ont été comparés aux taux estimatifs des personnes âgées résidant dans la communauté, à l'aide de ratios standardisés d'incidence en fonction du sexe (RSI): RSI = 2,81 (95% CI: 2,71, 2,91) pour les fractures du fémur ; 1,96 (1,88, 2,04) pour la pneumonie ; 0,73 (0,70, 0,76) pour d'autres maladies du coeur; et 1,01 (0,99, 1,02) toutes causes confondues. Les pensionnaires des CHSLD sont plus susceptibles de présenter un écart plus considérable du taux d'hospitalisation pour une fracture du fémur ou une pneumonie, les pensionnaires des CHSLD représentant environ le quart des aînés de la Colombie-Britannique hospitalisés pour une fracture du fémur.

Prevalence of Pain in Nursing Home Residents: The Role of Dementia Stage and Dementia Subtypes

2017 ◽  
Vol 18 (6) ◽  
pp. 522-527 ◽  
Author(s):  
Janine van Kooten ◽  
Martin Smalbrugge ◽  
Johannes C. van der Wouden ◽  
Max L. Stek ◽  
Cees M.P.M. Hertogh
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Prevalence Of Pain
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