المؤلفون: Cook C, Henrickson M, Schouten V

مصطلحات موضوعية: aged residential care, person-centred care, sexual expression, social citizenship, social death, Humans, Aged, Homes for the Aged, Palliative Care, Sexual Behavior, Sexual Partners, Sexuality

جغرافية الموضوع: Switzerland

الوصف: Copyright: © 2022 by the authors. ; Commonly, frail older adults move to residential care, a liminal space that is their home, sometimes a place of death, and a workplace. Residential facilities typically espouse person-centred values, which are variably interpreted. A critical approach to person-centred care that focuses on social citizenship begins to address issues endemic in diminishing opportunities for intimacy in the end-of-life residential context: risk-averse policies; limited education; ageism; and environments designed for staff convenience. A person-centred approach to residents’ expressions of intimacy and sexuality can be supported throughout end-of-life care. The present study utilised a constructionist methodology to investigate meanings associated with intimacy in the palliative and end-of-life care context. There were 77 participants, including residents, family members and staff, from 35 residential facilities. Analysis identified four key themes: care home ethos and intimacy; everyday touch as intimacy; ephemeral intimacy; and intimacy mediated by the built environment. Residents’ expressions of intimacy and sexuality are supported in facilities where clinical leaders provide a role-model for a commitment to social citizenship. Ageism, restrictive policies, care-rationing, functional care, and environmental hindrances contribute to limited intimacy and social death. Clinical leaders have a pivotal role in ensuring person-centred care through policies and practice that support residents’ intimate reciprocity.

وصف الملف: 13080-

العلاقة: Int J Environ Res Public Health; ijerph192013080; https://www.ncbi.nlm.nih.gov/pubmed/36293660Test; Cook C, Henrickson M, Schouten V. (2022). Palliative Care, Intimacy, and Sexual Expression in the Older Adult Residential Care Context: "Living until You Don't". Int J Environ Res Public Health. 19. 20. (pp. 13080-).; http://hdl.handle.net/10179/19955Test; Massey_Dark; journal-article

الإتاحة: https://doi.org/10.3390/ijerph192013080Test
http://hdl.handle.net/10179/19955Test
https://www.ncbi.nlm.nih.gov/pubmed/36293660Test

المؤلفون: Catherine Cook, Mark Henrickson, Vanessa Schouten

المصدر: International Journal of Environmental Research and Public Health; Volume 19; Issue 20; Pages: 13080

مصطلحات موضوعية: person-centred care, social citizenship, social death, sexual expression, aged residential care

جغرافية الموضوع: agris

الوصف: Commonly, frail older adults move to residential care, a liminal space that is their home, sometimes a place of death, and a workplace. Residential facilities typically espouse person-centred values, which are variably interpreted. A critical approach to person-centred care that focuses on social citizenship begins to address issues endemic in diminishing opportunities for intimacy in the end-of-life residential context: risk-averse policies; limited education; ageism; and environments designed for staff convenience. A person-centred approach to residents’ expressions of intimacy and sexuality can be supported throughout end-of-life care. The present study utilised a constructionist methodology to investigate meanings associated with intimacy in the palliative and end-of-life care context. There were 77 participants, including residents, family members and staff, from 35 residential facilities. Analysis identified four key themes: care home ethos and intimacy; everyday touch as intimacy; ephemeral intimacy; and intimacy mediated by the built environment. Residents’ expressions of intimacy and sexuality are supported in facilities where clinical leaders provide a role-model for a commitment to social citizenship. Ageism, restrictive policies, care-rationing, functional care, and environmental hindrances contribute to limited intimacy and social death. Clinical leaders have a pivotal role in ensuring person-centred care through policies and practice that support residents’ intimate reciprocity.

وصف الملف: application/pdf

العلاقة: Health-Related Quality of Life and Well-Being; https://dx.doi.org/10.3390/ijerph192013080Test

الإتاحة: https://doi.org/10.3390/ijerph192013080Test

المؤلفون: Morgan, Tessa, Carey, Melissa, Gott, Merryn, Williams, Lisa, Egli, Victoria, Anderson, Natalie

مصطلحات موضوعية: COVID-19, death, media analysis, newspapers, aged residential care

الوصف: News media have an important social role during times of disruption including national emergencies. This paper bears witness to the 21 New Zealanders who died during the first lockdown due to COVID-19 by critically examining the nature of their portrayal in mainstream newspapers. We searched Knowledgebasket for newspapers published between 28 February 2020 and 13 May 2020 relating to COVID-19 deaths. Of the 147 included articles, 50 were selected for in-depth thematic analysis. Our key finding is that COVID-19 made the death of ordinary older New Zealanders newsworthy, albeit in a way that distinguished individuals by residential status. This is reflected in the themes identified: (1) Unexpected community deaths; (2) Inevitable aged residential care deaths; (3) Justification for lockdown measures. We conclude that New Zealand journalists played an important advocacy role in justifying New Zealand’s ‘go hard go early’ approach through the largely compassionate coverage of older people’s deaths.

وصف الملف: application/pdf

العلاقة: https://research.usq.edu.au/download/50870ad4ddc70b8f528b7bc92025299b380b06d0b4737061aebc6c9a12022f27/2495779/Morgan-2021-More-than-mortality-data-a-news-med.pdfTest; https://doi.org/10.1080/1177083X.2021.1905006Test; Morgan, Tessa, Carey, Melissa, Gott, Merryn, Williams, Lisa, Egli, Victoria and Anderson, Natalie. 2021. "More than mortality data: a news media analysis of COVID-19 deaths in Aotearoa, New Zealand." Kotuitui: New Zealand Journal Of Social Sciences Online. 16 (2), pp. 419-43. https://doi.org/10.1080/1177083X.2021.1905006Test

الإتاحة: https://doi.org/10.1080/1177083X.2021.1905006Test
https://research.usq.edu.au/item/q64qq/more-than-mortality-data-a-news-media-analysis-of-covid-19-deaths-in-aotearoa-new-zealandTest
https://research.usq.edu.au/download/50870ad4ddc70b8f528b7bc92025299b380b06d0b4737061aebc6c9a12022f27/2495779/Morgan-2021-More-than-mortality-data-a-news-med.pdfTest

المؤلفون: Hamish A. Jamieson, Rebecca Abey-Nesbit, John W. Pickering

المصدر: Frontiers in Medicine, Vol 7 (2020)

مصطلحات موضوعية: heart failure, instrumental activities of daily living (IADL), aged residential care, older people, InterRAI, resilience, Medicine (General), R5-920

الوصف: Background: Heart failure is a common condition in older people with complex medical needs. A key factor in resilience after heart failure is the capacity to perform the instrumental activities of daily living (IADLs). Knowing the association between capacity to perform IADLs and entry into aged residential care will help health professionals plan interventions that will allow older people to remain independent longer.Methods: We analyzed the association between the capacity to perform eight IADLs and entry into ARC. Participants included New Zealanders aged ≥65 years with a diagnosis of heart failure, and who had an InterRAI 9.1 Home Care assessment between July 2012 and June 2018. A multivariable competing risks regression model for entry to ARC with death as the competing risks was used to establish sub-hazard ratios (SHR) for IADL capacity. Co-variates included demographic variables, co-morbidities, living arrangements, cognitive performance, depression, timed walk, alcohol use, smoking, activities of daily living, recent hospitalization and history of falls.Results: There were 13,220 participants with heart failure who were followed for a median 1.69 (0.70–3.17) years. There were 3,177 (24.0%) participants who entered aged residential care and 5,714 (43.2%) who died without having first entered residential care. Overall capacity to perform specific IADLs was “very poor” for housework (85.5%), shopping (68.0%), stairs (61.7%), meal preparation (53.0%), and transportation (52.2%). In the multivariable model, compared to adequate capacity (the reference) poorer capacity for managing finance, managing medications, meal preparation and transport were all associated with increased risk of entering aged residential care, with SHR from 1.05 to 1.18. Overall, the IADL capacity explained ~10% of the risk of entering aged residential care.Conclusion: Capacity to perform IADL is a key factor in maintaining resilience in older people with heart failure. Capacity to manage finances, transport and medications, prepare meals, and transport oneself with minimal supervision could reduce the risk of entry into aged residential care. Developing early interventions and support for people with poor capacity to perform their IADL may help reduce admission into aged residential care.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/article/10.3389/fmed.2020.00386/fullTest; https://doaj.org/toc/2296-858XTest

الوصول الحر: https://doaj.org/article/a492687cd0c5410583cf594608bf825bTest

المؤلفون: Christopher Buckley, Alana Cavadino, Silvia Del Din, Sue Lord, Lynne Taylor, Lynn Rochester, Ngaire Kerse

المصدر: Sensors; Volume 20; Issue 21; Pages: 6314

مصطلحات موضوعية: aged residential care, wearables, accelerometer, dementia, reliability, physical activity

الوصف: Strong associations exist between quality of life and physical activity for those living in aged residential care (ARC). Suitable and reliable tools are required to quantify physical activity for descriptive and evaluative purposes. We calculated the number of days required for reliable walking outcomes indicative of physical activity in an ARC population using a trunk-worn device. ARC participants (n = 257) wore the device for up to 7 days. Reasons for data loss were also recorded. The volume, pattern, and variability of walking was calculated. For 197 participants who wore the device for at least 3 days, linear mixed models determined the impact of week structure and number of days required to achieve reliable outcomes, collectively and then stratified by care level. The average days recorded by the wearable device was 5.2 days. Day of the week did not impact walking activity. Depending on the outcome and level of care, 2–5 days was sufficient for reliable estimates. This study provides informative evidence for future studies aiming to use a wearable device located on the trunk to quantify physical activity walking out in the ARC population.

وصف الملف: application/pdf

العلاقة: Physical Sensors; https://dx.doi.org/10.3390/s20216314Test

الإتاحة: https://doi.org/10.3390/s20216314Test

المؤلفون: Jaye, Chrystal, Tordoff, June, Butler, Mary, Hale, Beatrice, McKechnie, Roz, Robertson, Linda, Simpson, Jean

المصدر: Quality in Ageing and Older Adults, 2016, Vol. 17, Issue 4, pp. 253-262.

الوصول الحر: http://www.emeraldinsight.com/doi/10.1108/QAOA-03-2016-0015Test

المؤلفون: Schouten, Catherine Cook, Mark Henrickson, Vanessa

المصدر: International Journal of Environmental Research and Public Health; Volume 19; Issue 20; Pages: 13080

مصطلحات موضوعية: person-centred care, social citizenship, social death, sexual expression, aged residential care

الوصف: Commonly, frail older adults move to residential care, a liminal space that is their home, sometimes a place of death, and a workplace. Residential facilities typically espouse person-centred values, which are variably interpreted. A critical approach to person-centred care that focuses on social citizenship begins to address issues endemic in diminishing opportunities for intimacy in the end-of-life residential context: risk-averse policies; limited education; ageism; and environments designed for staff convenience. A person-centred approach to residents’ expressions of intimacy and sexuality can be supported throughout end-of-life care. The present study utilised a constructionist methodology to investigate meanings associated with intimacy in the palliative and end-of-life care context. There were 77 participants, including residents, family members and staff, from 35 residential facilities. Analysis identified four key themes: care home ethos and intimacy; everyday touch as intimacy; ephemeral intimacy; and intimacy mediated by the built environment. Residents’ expressions of intimacy and sexuality are supported in facilities where clinical leaders provide a role-model for a commitment to social citizenship. Ageism, restrictive policies, care-rationing, functional care, and environmental hindrances contribute to limited intimacy and social death. Clinical leaders have a pivotal role in ensuring person-centred care through policies and practice that support residents’ intimate reciprocity.

وصف الملف: application/pdf

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=multidiscipl::c8aa9a877a39f2cbe485308c1b8fa71aTest

المؤلفون: Fryer, Susan, Bellamy, Gary, Morgan, Tessa, Gott, Merryn

مصطلحات موضوعية: Health care assistant, Aged residential care, Dying, End of life, Palliative, Older people, Care home, Nursing home, Residential aged care settings

الوصف: Background In most developed countries, Health Care Assistants comprise a significant, and growing, proportion of the residential aged care workforce. Despite the fact that they provide the majority of direct care for residents, little is known about a key care aspect of their work, namely their experience of caring for dying residents. Methods Twenty-six Health Care Assistants working in aged residential care facilities in Auckland, New Zealand participated in six focus group discussions. Focus groups were designed to explore the experiences of Health Care Assistants caring for imminently dying residents in aged care facilities and to identify barriers and facilitators to their work in this area. The focus groups were digitally recorded, transcribed verbatim and analysed using a general inductive approach. Results Participants confirmed that Health Care Assistants provide the majority of hands on care to dying residents and believed they had a valuable role to play at this time due to their unique ‘familial’ relationship with residents and families. However, it was apparent that a number of barriers existed to them maximising their contribution to supporting dying residents, most notably the lack of value placed on their knowledge and experience by other members of the multidisciplinary team. Whilst a need for additional palliative and end of life care education was identified, a preference was identified for hands on education delivered by peers, rather than the didactic education they currently receive. Conclusion Given ageing populations internationally coupled with a constrained health budget, the role of Health Care Assistants in most developed countries is likely to become even more significant in the short to medium term. This study makes a unique contribution to the international literature by identifying the barriers to caring for dying residents experienced by this valuable sector of the aged care workforce. These data have the potential to inform new, innovative, interventions to address the ...

العلاقة: http://www.biomedcentral.com/1472-684X/15/78Test

الإتاحة: http://www.biomedcentral.com/1472-684X/15/78Test

المؤلفون: Silvia Del Din, Ngaire Kerse, Lynn Rochester, Sue Lord, Lynne Taylor, Christopher D. Buckley, Alana Cavadino

المصدر: Sensors, Vol 20, Iss 6314, p 6314 (2020)
Sensors (Basel, Switzerland)
Sensors
Volume 20
Issue 21

مصطلحات موضوعية: medicine.medical_specialty, Time Factors, Names of the days of the week, Population, Physical activity, Wearable computer, physical activity, Fitness Trackers, Walking, lcsh:Chemical technology, Biochemistry, Article, Analytical Chemistry, 03 medical and health sciences, Wearable Electronic Devices, 0302 clinical medicine, Quality of life (healthcare), Physical medicine and rehabilitation, Residential care, Medicine, Homes for the Aged, Humans, lcsh:TP1-1185, 030212 general & internal medicine, Electrical and Electronic Engineering, education, Instrumentation, Aged, Aged, 80 and over, education.field_of_study, reliability, business.industry, Walking (activity), Trunk, aged residential care, C600, Atomic and Molecular Physics, and Optics, B900, accelerometer, wearables, Quality of Life, business, 030217 neurology & neurosurgery, dementia

الوصف: Strong associations exist between quality of life and physical activity for those living in aged residential care (ARC). Suitable and reliable tools are required to quantify physical activity for descriptive and evaluative purposes. We calculated the number of days required for reliable walking outcomes indicative of physical activity in an ARC population using a trunk-worn device. ARC participants (n = 257) wore the device for up to 7 days. Reasons for data loss were also recorded. The volume, pattern, and variability of walking was calculated. For 197 participants who wore the device for at least 3 days, linear mixed models determined the impact of week structure and number of days required to achieve reliable outcomes, collectively and then stratified by care level. The average days recorded by the wearable device was 5.2 days. Day of the week did not impact walking activity. Depending on the outcome and level of care, 2&ndash
5 days was sufficient for reliable estimates. This study provides informative evidence for future studies aiming to use a wearable device located on the trunk to quantify physical activity walking out in the ARC population.

وصف الملف: application/pdf

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fb73bf507cfdaa8ddaca4bce57dae402Test
https://nrl.northumbria.ac.uk/id/eprint/44702/1/sensors-20-06314-v2.pdfTest

المؤلفون: Shannon, Kay

المساهمون: Neville, Stephen, Wright-St Clair, Valerie

مصطلحات موضوعية: Aged care, Aged residential care, Dementia, Dementia-friendly communities, Person-centred care, Culture change, Governance networks, Innovation in aged care, Critical realism, Case study, Dementia-enabling environments, Desegregation

الوصف: The practice of segregating people who require specialist dementia services from residents requiring other levels of care is beginning to be questioned. The ageing of the population, along with the accumulation of long-term health conditions such as dementia in older people indicate there will be an increasing demand for Aged Residential Care facilities. There is a growing awareness of the need to transform Aged Residential Care facilities into places where people can continue to live in ways that matter to them and engage in activities they value, with support. This thesis explains the transition of residents from a traditional Aged Residential Care facility to an innovative dementia-friendly village where they are supported to live life as normally as possible. Additionally, residents who require specialist dementia services are not segregated from the rest of the community within the secure perimeter. The case study, guided by a critical realist theoretical perspective, explains the process and outcomes of the transition of residents from Whare Aroha CARE to The CARE Village. Data for the study comprised transcripts of semi-structured interviews, records of observation of resident daily life, documents and photographs. Forty-two facility staff, residents, their family members and key informants participated in the study. Analysis of study data using a process of retroduction enabled three underlying mechanisms generating the events contributing to the process of the transition to be identified. These are 'they changed the culture of the workplace to enable person-centred care,' 'they created a physical environment that supports the vision of people living normal lives,' and 'they formed a governance network to support the transition to an innovative model of care.' Themes in the data explain the outcomes of the transition for the staff, residents and their family members. Data analysis began with the development of codes derived from the beginning theoretical propositions for the study and the data, themes ...

وصف الملف: application/pdf

العلاقة: https://hdl.handle.net/10292/14226Test

الإتاحة: https://hdl.handle.net/10292/14226Test