China
Africa
Explore chapters and articles related to this topic
Living well with dementia
Published in Grahame Smith, Dementia Care, 2018
Grahame Smith, Jackie Davenport, Denise Parker
All three theories are helpful in understanding that a person with dementia interacts dynamically with their environment. Taking this into account the health and social care practitioner has to consider a person’s competence, how the person’s condition is having an impact on his or her ability to function, whether the environment is too challenging and difficult to negotiate, how the person is experiencing the environment, or if the environment is stressful for the individual. By taking these factors into consideration the practitioner can provide an environment that enables a person with dementia to have a good quality of life and contributes to avoiding increased disability (Woods et al., 2013; Chaudhury & Cooke, 2014). It is not always possible to sufficiently adapt a person’s current home in order that a move to residential care can be prevented. Where this type of care is required there should be a concerted effort to ensure the physical environment is person centred (Woods et al., 2013; Chaudhury & Cooke, 2014). Chenoweth et al. (2014) highlight that a person-centred environment has safe, accessible outdoor and indoor spaces which enhance social interaction through the use of colour and provides ‘objects for way-finding and to improve feelings of familiarity’ (p. 1150).
Working with American Indian and Alaska Native Families
Published in Gwen Yeo, Linda A. Gerdner, Dolores Gallagher-Thompson, Ethnicity and the Dementias, 2018
Jan Dougherty, Jordan P. Lewis, Nicole Lomay
AI/AN elders and families rely heavily on Indian Health Services (IHS), tribal health, and social services that are often in short supply and high demand, especially in rural and remote communities (Habjan et al., 2012). The IHS does not provide LTSS, despite being federally mandated to provide these services, and there are no federal funds allocated to cover these services. Currently, the main source of funding for AI/AN caregivers is provided through Title VI of the Older American Act, which is very limited in scope. Residential care is viewed unfavorably by elders and families and there is a lack of options, with only 16 tribally operated nursing homes across the US (CMS, 2016). Supports needed by dementia caregivers include direct services for respite care, caregiver education to provide hands-on care, support groups and programs. Yet, there is a lack of culture-based programs and approaches for dementia caregivers, with limited attention given to unique AI/AN caregiving issues (Browne et al., 2014; Korn et al., 2009; Martindale-Adams et al., 2017).
Psychiatry of older people
Published in Gideon Felton, Fast Revision for the MRCPsych CASC Exam, 2017
The bio-psycho-social approach is also needed in the management. Clearly, her husband’s failing health may need the involvement of social services who will need to assess her. They would then decide on a package of care based on their findings. They will endeavour to keep her parents maintained in their home as far as possible. However, residential care may have to be considered. This needs to be discussed with her daughter.
Cumulative Disempowerment: How Families Experience Older Adults’ Transitions into Long-Term Residential Care
Published in Journal of Gerontological Social Work, 2023
Despite concerted efforts by governments and families to help older adults live in their own homes for as long as possible,1There is growing emphasis in policy and practice on utilizing all non-facility options before admission can be approved, as well as stricter eligibility criteria for facilities (Canadian Healthcare Association, 2009;; Chateau et al., 2012). However, as Marier (2021) notes, rhetorical emphasis on aging in place has not typically been matched by proportionate funding for home care. significant numbers of older adults nonetheless at some point require the added support provided in long-term residential care (LTRC). Ideally, residential care is part of a broader system that guides individuals through a comprehensive array of health and social services (including housing) spanning levels of care. In reality, services and programs are fragmented, with differing and often unclear exit and entry criteria (Doupe et al., 2011; Van den Block et al., 2015). Movement through these services is often unpredictable and non-linear (Doupe et al., 2011; Van den Block et al., 2015).
Assessment tools and factors used to predict discharge from acute general medical wards: a systematic review
Published in Disability and Rehabilitation, 2022
Aruska N. D’Souza, Catherine M. Said, Nina E. Leggett, Melanie S. Tomkins, Jacqueline E. Kay, Catherine L. Granger
For this review, care was defined as “acute” if the intention was to provide diagnostic or curative action and stabilize the patient or “subacute” if the care was in a temporary inpatient facility that provides comprehensive, goal orientated inpatient care and therapy for someone after acute hospitalization (for example, rehabilitation units or skilled nursing facilities) [18,19]. Residential care was defined as a facility that provides room, board and varying degrees of assistance to manage activities of daily living but where physical, occupational and speech therapy are not readily available (for example, nursing homes) [20]. Only discharge destinations directly from the acute general medical admission were considered. Unless specified, only statistically significant data are reported.
Facility and Family Communication during the COVID-19 Visit Restriction: Early Perspectives of Family Members
Published in Journal of Gerontological Social Work, 2021
At the beginning of the COVID-19 pandemic in March 2020, CMS issued guidance that restricted nursing home visitors to end-of life situations and compassionate care visits (Chen et al., 2020). Most families were no longer able to visit for any reason. In many states, assisted living and residential care facilities adopted the same guidance. CMS suggested different ways to visit nursing homes such as dedicated visitation spaces or outdoors, which depended on the facility’s structure and residents’ needs (CMS, 2020). As more was learned about managing COVID-19, additional guidelines were issued but none that relaxed the restrictions on visitors. By June 2020, CMS required nursing homes to report the number of cases among residents and staff, along with information about staffing shortages, personal protective equipment (PPE) availability and testing. This information, provided on a national level and updated weekly, finally provided transparency about what was happening in any certified facility in the U.S. For some families, this was the first news about what had been happening in the facility where a family member lived.