Music player for dementia care homes

There are an increasing number of people living with dementia in care home settings. Recent reports suggest that people who deliver care to residents living with dementia in care homes require specialist support to provide optimum care. To address this need Four Seasons Health Care, the largest provider of care homes within the UK today, sought to design a dementia care framework that enhanced the quality of life for people living with dementia in their care homes. The framework was designed using a robust evidence base, engagement with people living with dementia, their care partners, policy-writers, multidisciplinary professionals and people within the organisation. This paper describes the methodology behind the dementia care framework and outcomes data from the first phase (of 20 care homes that included the care of 451 people living with dementia). The main outcome was a significant improvement in the quality of the lives of residents across biological, psychological, social and spiritual needs.

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Connections with nature for people living with dementia

Working with Older People ◽

10.1108/wwop-01-2019-0003 ◽

2019 ◽

Vol 23 (3) ◽

pp. 142-151 ◽

Cited By ~ 1

Author(s):

Simon Chester Evans ◽

Julie Barrett ◽

Neil Mapes ◽

June Hennell ◽

Teresa Atkinson ◽

...

Keyword(s):

Social Interaction ◽

Online Survey ◽

Good Practice ◽

Dementia Care ◽

Care Homes ◽

Content Type ◽

Outdoor Spaces ◽

The Uk ◽

Extra Care Housing

Purpose The benefits of “green dementia care”, whereby people living with dementia are supported to connect with nature, are increasingly being recognised. Evidence suggests that these benefits span physical, emotional and social spheres and can make a significant contribution towards quality of life. However, care settings often present specific challenges to promoting such connections due to a range of factors including risk-averse cultures and environmental limitations. The purpose of this paper is to report on a project that aims to explore the opportunities, benefits, barriers and enablers to interaction with nature for people living with dementia in residential care and extra care housing schemes in the UK. Design/methodology/approach Data were gathered from 144 responses to an online survey by managers/staff of extra care housing schemes and care homes in the UK. In depth-case studies were carried out at three care homes and three extra care housing schemes, involving interviews with residents, staff and family carers. Findings A wide variety of nature-based activities were reported, both outdoor and indoor. Positive benefits reported included improved mood, higher levels of social interaction and increased motivation for residents, and greater job satisfaction for staff. The design and layout of indoor and outdoor spaces is key, in addition to staff who feel enabled to promote connections with nature. Research limitations/implications This paper is based on a relatively small research project in which the participants were self-selecting and therefore not necessarily representative. Practical implications The paper makes some key recommendations for good practice in green dementia care in extra care housing and care homes. Social implications Outdoor activities can promote social interaction for people living with dementia in care settings. The authors’ findings are relevant to the recent policy focus on social prescribing. Originality/value The paper makes some key recommendations for good practice in green dementia care in extra care housing and care homes.

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The Implementation of Dementia Care Mapping in a Randomized Controlled Trial in Long-Term Care: Results of a Process Evaluation

American Journal of Alzheimer s Disease & Other Dementias® ◽

10.1177/1533317519845725 ◽

2019 ◽

Vol 34 (6) ◽

pp. 390-398 ◽

Cited By ~ 5

Author(s):

Claire A. Surr ◽

Alys W. Griffiths ◽

Rachael Kelley ◽

Ivana Holloway ◽

Rebecca E. A. Walwyn ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Implementation Fidelity ◽

Dementia Care ◽

External Support ◽

Care Homes ◽

Term Care ◽

Randomized Controlled ◽

Care Mapping ◽

Dementia Care Mapping

This study explored intervention implementation within a pragmatic, cluster randomized controlled trial of Dementia Care Mapping™ (DCM) in UK care homes. DCM is a practice development tool comprised of a 5 component cycle (staff briefing, mapping observations, data analysis and reporting, staff feedback, and action planning) that supports delivery of person-centered care. Two staff from the 31 intervention care homes were trained in DCM and asked to deliver 3 cycles over a 15-month period, supported by a DCM expert during cycle 1. Implementation data were collected after each mapping cycle. There was considerable variability in DCM implementation fidelity, dose, and reach. Not all homes trained 2 mappers on schedule, and some found it difficult to retain mappers. Only 26% of homes completed more than 1 cycle. Future DCM trials in care home settings should consider additional methods to support intervention completion including intervention delivery being conducted with ongoing external support.

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Attitudes to dementia and dementia care held by nursing staff in U.K. “non-EMI” care homes: what difference do they make?

International Psychogeriatrics ◽

10.1017/s104161020500150x ◽

2005 ◽

Vol 17 (3) ◽

pp. 383-391 ◽

Cited By ~ 33

Author(s):

A. J. D. Macdonald ◽

R. T. Woods

Keyword(s):

Cognitive Impairment ◽

Nursing Homes ◽

Medication Use ◽

Dementia Care ◽

Care Homes ◽

Care Practice ◽

Senior Nurse ◽

South East England ◽

Training And Support ◽

State Examination

Background: There is doubt about the value of training in dementia care in U.K. nursing homes. We decided to estimate the association between nursing staff's attitudes to dementia and dementia care and their recognition of cognitive impairment in residents and other indicators of care practice in nonspecialist nursing homes derived from a probability sample of 445 residents in South-East England, and to relate this to previous training.Methods: Prospective survey. The most senior nurse on duty was interviewed about each resident sampled, about their own training and experience, their attitude to restriction of egress and covert medication use, and asked to complete the Attitudes to Dementia Questionnaire (ADQ) and the dementia Care Styles Questionnaire (CSQ). Nurses were also asked about care practices in relation to restriction of egress and covert medication use in the home. Residents were interviewed using the Mini-mental State Examination (MMSE).Results: One hundred and fifty-eight nurses were interviewed. Increased person-centered attitudes seem to be associated with better recognition of cognitive impairment independent of training and experience. The espousal of restrictive practices was also associated with better recognition, but only when analysis included nurses reporting on only one impaired resident.Conclusions: More person-centered attitudes are associated with better recognition of cognitive impairment, despite perverse U.K. regulatory incentives; the need for training and support in developing person-centered dementia care for staff in “non-Elderly Mentally Infirm” (“non-EMI”) care homes is supported by these results.

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Bob Woods, John Keady, Helen Ross and Clare Wenger, Partners in Care, Jessica Kingsley, London, 2008, DVD, 30 minutes running time, £25.52, ISBN 13: 978 1 84310 675 3. - Bob Woods, John Keady and Diane Seddon, Involving Families in Care Homes: A Relationship-Centred Approach to Dementia Care, Jessica Kingsley, London, 2007, 144 pp., pbk £14.99, ISBN 13: 978 1 84310 229 8.

Ageing and Society ◽

10.1017/s0144686x09008666 ◽

2009 ◽

Vol 29 (5) ◽

pp. 844-846

Author(s):

PAM SCHWEITZER

Keyword(s):

Dementia Care ◽

Care Homes ◽

Running Time

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