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Byrne, Gerard J. "Psychotropic drug prescribing in residential aged care homes". Medical Journal of Australia 208, nr 9 (maj 2018): 389–90. http://dx.doi.org/10.5694/mja18.00037.
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Lloyd, Therese, Stefano Conti, Filipe Santos i Adam Steventon. "Effect on secondary care of providing enhanced support to residential and nursing home residents: a subgroup analysis of a retrospective matched cohort study". BMJ Quality & Safety 28, nr 7 (7.04.2019): 534–46. http://dx.doi.org/10.1136/bmjqs-2018-009130.
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BackgroundThirteen residential care homes and 10 nursing homes specialising in older people in Rushcliffe, England, participated in an improvement programme. The enhanced support provided included regular visits from named general practitioners and additional training for care home staff. We assessed and compared the effect on hospital use for residents in residential and nursing homes, respectively.MethodsUsing linked care home and administrative hospital data, we examined people aged 65 years or over who moved to a participating care home between 2014 and 2016 (n=568). We selected matched control residents who had similar characteristics to the residents receiving enhanced support and moved to similar care homes not participating in the enhanced support (n=568). Differences in hospital use were assessed for residents of each type of care home using multivariable regression.ResultsResidents of participating residential care homes showed lower rates of potentially avoidable emergency admissions (rate ratio 0.50, 95% CI 0.30 to 0.82), emergency admissions (rate ratio 0.60, 95% CI 0.42 to 0.86) and Accident & Emergency attendances (0.57, 95% CI 0.40 to 0.81) than matched controls. Hospital bed days, outpatient attendances and the proportion of deaths that occurred out of hospital were not statistically different. For nursing home residents, there were no significant differences for any outcome.ConclusionsThe enhanced support was associated with lower emergency hospital use for older people living in residential care homes but not for people living in nursing homes. This might be because there was more potential to reduce emergency care for people in residential care homes. In nursing homes, improvement programmes may need to be more tailored to residents’ needs or the context of providing care in that setting.
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KARMEL, ROSEMARY, DIANE GIBSON, PHIL ANDERSON, YVONNE WELLS i STEPHEN DUCKETT. "Care trajectories through community and residential aged care services: disease effects". Ageing and Society 32, nr 8 (16.01.2012): 1428–45. http://dx.doi.org/10.1017/s0144686x11001231.
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ABSTRACTAs in other ageing populations, dementia, musculoskeletal conditions and cardiovascular disease affect a high proportion of Australians aged over 65 years, and the prevalence of these conditions increases significantly with age. People with these conditions may need to access a range of care services over time to enable them to remain living in their homes. Many eventually need to move into a nursing home.In contrast to the considerable recent literature on the funding of long-term care systems for population ageing, studies on the care pathways followed by individuals are much less common. This paper explores the effect of disease on use of community care services and nursing homes over time, focusing on people with dementia, cardiovascular disease and musculoskeletal conditions. Care-use transitions are identified using linked administrative client data for a cohort of 33,300 community-living Australians who had an aged care assessment in 2003-04 and who had not previously used aged care services.The different symptoms and courses of diseases meant that the patterns of aged care service use, both in terms of care services accessed and the timing of this access, varied considerably for people with different health conditions. These differences persisted across a range of client characteristics. In particular, people with dementia or cerebrovascular disease as their main health condition were more likely to enter nursing home care than those with heart disease or musculoskeletal conditions.The variation in use of aged care services according to disease group need to be taken into account in any projections of demand for aged care. Such projections must allow for predictions of disease prevalence, or else they will yield inaccurate predictions of demand for both community and residential care.
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Evans, Catherine J., Claire Goodman i Sally Redfern. "Maintaining independence in the cognitively intact elderly care home population: a systematic review of intervention trials". Reviews in Clinical Gerontology 13, nr 2 (maj 2003): 163–74. http://dx.doi.org/10.1017/s0959259803013285.
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Over the last two decades, the care home sector has been a significant provider of long-term care for older people, with 11 500 homes providing care for 236 700 people across England and Wales. New admissions to residential care homes are increasingly older, aged 80 and over and have high levels of physical dependency, cognitive impairment and behavioural problems.
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Asmuri, Siti Noraini, Masne Kadar, Nor Afifi Razaob, Chai Siaw Chui i Hanif Farhan Mohd Rasdi. "The effectiveness of the buddy program training module to enhance the daily living function, social participation and emotional status of older adults in residential aged care homes". PLOS ONE 19, nr 4 (3.04.2024): e0301544. http://dx.doi.org/10.1371/journal.pone.0301544.
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Background The Compeer Model, which was originally designed to match individuals recovering from mental illness with volunteers from their community, served as the basis for the development of the buddy program. However, limited research was available related to the buddy program among older adults in a Malaysian context. Aim The study aimed to identify the effectiveness of the buddy program training module to enhance the daily living function, social participation and emotional status of older adults in residential aged care homes. Methods A quasi-experimental study was conducted with 30 pairs of buddies and older adults for both the experimental group and control group in two randomly selected residential aged care homes. The buddies in the experimental group received the buddy program training module related to activities of daily living (basic and instrumental) while the buddy-older adults pairs in the control group continued to perform their usual daily life activities in residential aged care homes. Baselines were performed before intervention and at eight weeks post-intervention. Results Over the eight weeks, for the older adults in the experimental group, there was a significant main effect of time after the intervention on BADL (p = 0.010). There were no significant interaction effects for the experiment group and control group on IADL and social participation. Also, there were no significant interaction effects for all domains in emotional status: depression, anxiety and stress. For buddies, there was a significant interaction effect for depression (p = 0.045) in the control group. Conclusions The buddy program training module can be used as a guideline for older adults with more significant disabilities in residential aged care homes in managing activities of daily living. Future studies could be implemented to explore the intergenerational buddy program among older adults and young children in the community.
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Andrews-Hall, Sharon, Anna Howe i Andrew Robinson. "The dynamics of residential aged care in Australia: 8-year trends in admission, separations and dependency". Australian Health Review 31, nr 4 (2007): 611. http://dx.doi.org/10.1071/ah070611.
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The aims of this paper are to analyse changes in dependency of residents in residential aged care homes consequent upon the passing of the Commonwealth Aged Care Act in late 1997, and to establish the extent of resultant changes in the dynamics of residential aged care. The paper outlines the major changes brought by the Aged Care Act, and evidence for the effects of these changes is examined to test the hypothesis that changes in dependency generated changes in turnover and length of stay. The findings show that the proportion of admissions classified at higher categories of the Resident Classification Scale has increased over time, and that the trend to higher classification is even more pronounced by the time residents separate. As funding of residential aged care is based on resident dependency, change in dependency and in the dynamics of the aged care system have potentially significant consequences for Commonwealth funding of providers to ensure care can be provided commensurate with resident needs. The conclusions take up a number of implications of the findings for future policy in relation to planning and funding of residential aged care as a new resident funding system based on the Aged Care Funding Instrument (ACFI) is phased in from mid 2007.
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Hudson, Rosalie. "Palliative care in residential aged care". Australasian Journal on Ageing 42, nr 2 (czerwiec 2023): 278–79. http://dx.doi.org/10.1111/ajag.13216.
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Pachana, Nancy A., Edward Helmes, Gerard J. A. Byrne, Barry A. Edelstein, Candace A. Konnert i Anne Margriet Pot. "Screening for mental disorders in residential aged care facilities". International Psychogeriatrics 22, nr 7 (6.04.2010): 1107–20. http://dx.doi.org/10.1017/s1041610210000128.
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ABSTRACTIntroduction: The International Psychogeriatric Association Task Force on Mental Health Services in Long-Term Care Facilities seeks to improve care of persons in residential aged care facilities (RACFs). As part of that effort the current authors have contributed an overview and discussion of the uses of brief screening instruments in RACFs.Methods: While no current guidelines on the use of screening instruments in nursing homes were found, relevant extant guidelines were consulted. The literature on measurement development, testing standards, psychometric considerations and the nursing home environment were consulted.Results: Cognitive, psychiatric, behavioral, functional and omnibus screening instruments are described at a category level, along with specifics about their use in a RACF environment. Issues surrounding the selection, administration, interpretation and uses of screening instruments in RACFs are discussed. Issues of international interest (such as translation of measures) or clinical concern (e.g. impact of severe cognitive decline on assessment) are addressed. Practical points surrounding who can administer, score and interpret such screens, as well as their psychometric and clinical strengths more broadly, are articulated.Conclusions: Guidelines for use of screening instruments in the RACF environment are offered, together with broad recommendations concerning the appropriate use of brief screening instruments in RACFs. Directions for future research and policy directions are outlined, with particular reference to the international context.
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Velasquez Reyes, Diana, Hema Patel, Nicola Lautenschlager, Andrew H. Ford, Eleanor Curran, Rachael Kelly, Rhoda Lai i in. "Behavioural activation in nursing homes to treat depression (BAN-Dep): study protocol for a pragmatic randomised controlled trial". BMJ Open 9, nr 10 (październik 2019): e032421. http://dx.doi.org/10.1136/bmjopen-2019-032421.
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IntroductionDepression is a common disorder among older people living in residential aged care facilities. Several trials have demonstrated the effectiveness of behavioural therapies in treating depressive symptoms in older adults living in the community and in residential aged care. Behavioural Activation is demonstrably effective even when delivered by non-specialists (staff without formal psychological training), although strategies for adapting its use in residential aged care facilities are yet to be explored. This study will determine whether training residential care staff in the use of a structured Behavioural Activation programme is more effective at decreasing depressive symptoms among older residents than internet-based training about depression recognition and management alone.Method and analysisThe behavioural activation in nursing homes to treat depression (BAN-Dep) trial is a pragmatic two-arm parallel clustered randomised controlled trial. It will recruit 666 residents aged 60 or older from 100 residential aged care facilities, which will be randomly assigned to the Behavioural Activation or control intervention. Staff in both treatment groups will be encouraged to complete theBeyondblueProfessional Education to Aged Care e-learning programme to improve their recognition of and ability to respond to depression in older adults. Selected staff from intervention facilities will undergo additional training to deliver an 8-module Behavioural Activation programme to residents with subthreshold symptoms of depression-they will receive ongoing Mental support from trained Behavioural Activation therapists. Outcome measures will be collected by blind research officer at baseline and after 3, 6 and 12 months. The Patient Health Questionnaire-9 is the primary outcome measure of the study.Ethics and disseminationThe trial will comply with the principles of the Declaration of Helsinki for Human Rights and is overseen by the University of Western Australia (reference RA/4/20/4234) and Melbourne Health (reference number HREC/18/MH/47) Ethics Committees. The results of this research project will be disseminated through publications and/or presentations in a variety of media to health professionals, academics, clinicians and the public. Only de-identified group data will be presented.Trial registrationACTRN12618000634279.
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Ibrahim, JE, Z. Davies i R. Nay. "Residential Aged Care Coronial Communiqué". Australasian Journal on Ageing 26, nr 4 (grudzień 2007): 205. http://dx.doi.org/10.1111/j.1741-6612.2007.00246.x.
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McDerby, Nicole C., Sam Kosari, Kasia S. Bail, Alison J. Shield, Tamra MacLeod, Gregory M. Peterson i Mark Naunton. "Pharmacist‐led influenza vaccination services in residential aged care homes: A pilot study". Australasian Journal on Ageing 38, nr 2 (17.01.2019): 132–35. http://dx.doi.org/10.1111/ajag.12611.
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Yu, Ping, Yiting Zhang, Yang Gong i Jiajie Zhang. "Unintended adverse consequences of introducing electronic health records in residential aged care homes". International Journal of Medical Informatics 82, nr 9 (wrzesień 2013): 772–88. http://dx.doi.org/10.1016/j.ijmedinf.2013.05.008.
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Marmamula, Srinivas, Thirupathi Reddy Kumbham, Satya Brahmanandam Modepalli, Navya Rekha Barrenkala, Jill Elizabeth Keeffe i David S. Friedman. "Cross-sectional study of prevalence and correlates of fear of falling in the older people in residential care in India: the Hyderabad Ocular Morbidity in Elderly Study (HOMES)". BMJ Open 14, nr 5 (maj 2024): e080973. http://dx.doi.org/10.1136/bmjopen-2023-080973.
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ObjectiveTo report the prevalence and risk factors for the fear of falling (FOF) among older individuals living in residential care facilities in India.DesignCross-sectional study.SettingHomes for the aged centres in Hyderabad, India.ParticipantsThe study included individuals aged ≥60 years from homes for the aged centres. The participants underwent a comprehensive eye examination in make-shift clinics setup in homes. Trained investigators collected the personal and demographic information of the participants and administered the Patient Health Questionnaire-9 and Hearing Handicap Inventory for Elderly questionnaire in the vernacular language. FOF was assessed using the Short Falls Efficacy Scale. The presence of hearing and visual impairment in the same individual was considered dual sensory impairment (DSI). A multiple logistic regression analysis was done to assess the factors associated with FOF.Primary outcome measureFOF.ResultsIn total, 867 participants were included from 41 homes for the aged centres in the analyses. The mean (±SD) age of the participants was 74.2 (±8.3) years (range 60–96 years). The prevalence of FOF was 56.1% (95% CI 52.7% to 59.4%; n=486). The multivariate analysis showed that those with DSI had eleven times higher odds of reporting FOF than those with no impairment (OR 11.14; 95% CI 3.15 to 41.4.) Similarly, those with moderate depression had seven times higher odds (OR 6.85; 95% CI 3.70 to 12.70), and those with severe depression had eight times higher odds (OR 8.13; 95% CI 3.50 to 18.90) of reporting FOF. A history of falls in the last year was also associated with increased odds for FOF (OR 1.52; 95% CI 1.03 to 2.26).ConclusionFOF is common among older individuals in residential care in India. Depression, falling in the previous year and DSI were strongly associated with FOF. A cross-disciplinary approach may be required to address FOF among the older people in residential care in India.
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Zhang, Qing, Marlien Varnfield, Liesel Higgins, Vanessa Smallbon, Julia Bomke, John O'Dwyer, Joshua M. Byrnes i in. "The Smarter Safer Homes Solution to Support Older People Living in Their Own Homes Through Enhanced Care Models: Protocol for a Stratified Randomized Controlled Trial". JMIR Research Protocols 11, nr 1 (24.01.2022): e31970. http://dx.doi.org/10.2196/31970.
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Background An aging population, accompanied by the prevalence of age-related diseases, presents a significant burden to health systems. This is exacerbated by an increasing shortage of aged care staff due to the existing workforce entering their retirement and fewer young people being attracted to work in aged care. In line with consumer preferences and potential cost-efficiencies, government and aged care providers are increasingly seeking options to move care and support to the community or home as opposed to residential care facilities. However, compared to residential care, home environments may provide limited opportunity for monitoring patients’ progression/decline in functioning and therefore limited opportunity to provide timely intervention. To address this, the Smarter Safer Homes (SSH) platform was designed to enable self-monitoring and/or management, and to provide aged care providers with support to deliver their services. The platform uses open Internet of Things communication protocols to easily incorporate commercially available sensors into the system. Objective Our research aims to detail the benefits of utilizing the SSH platform as a service in its own right as well as a complementary service to more traditional/historical service offerings in aged care. This work is anticipated to validate the capacity and benefits of the SSH platform to enable older people to self-manage and aged care service providers to support their clients to live functionally and independently in their own homes for as long as possible. Methods This study was designed as a single-blinded, stratified, 12-month randomized controlled trial with participants recruited from three aged care providers in Queensland, Australia. The study aimed to recruit 200 people, including 145 people from metropolitan areas and 55 from regional areas. Participants were randomized to the intervention group (having the SSH platform installed in their homes to assist age care service providers in monitoring and providing timely support) and the control group (receiving their usual aged care services from providers). Data on community care, health and social-related quality of life, health service utilization, caregiver burden, and user experience of both groups were collected at the start, middle (6 months), and end of the trial (12 months). Results The trial recruited its first participant in April 2019 and data collection of the last participant was completed in November 2020. The trial eventually recruited 195 participants, with 98 participants allocated to the intervention group and 97 participants allocated to the control group. The study also received participants’ health service data from government data resources in June 2021. Conclusions A crisis is looming to support the aging population. Digital solutions such as the SSH platform have the potential to address this crisis and support aged care in the home and community. The outcomes of this study could improve and support the delivery of aged care services and provide better quality of life to older Australians in various geographical locations. Trial Registration Australian New Zealand Clinical Trials Registry ACTRN12618000829213; https://tinyurl.com/2n6a75em International Registered Report Identifier (IRRID) DERR1-10.2196/31970
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Mizuki, Rie, Mamiko Kyuzen, Satoru Nishizawa i Shigeyuki Mori. "ASSESSING THE ASSOCIATION BETWEEN CARE QUALITY AND HOUSEHOLD CHORE RULES IN RESIDENTIAL CARE INSTITUTIONS IN JAPAN". International Journal of Child, Youth and Family Studies 11, nr 4 (18.11.2020): 80–95. http://dx.doi.org/10.18357/ijcyfs114202019939.
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The performance of household chores by children in Japanese residential care institutions has been widely accepted as a practice that fosters children’s independence and self-sufficiency. However, children coming from neglectful or dysfunctional families often require sensitive, individualized care, which they did not receive from their family of origin. While a shift away from large-scale institutions has begun, with smaller units or group homes now accounting for 40% of all care institutions, it is not clear that family-like, individualized care has been achieved in these smaller group homes. This study involved 61 participants aged 10 to 15 years and their care workers from six residential care institutions in the greater Tokyo area. It explored what aspects of care quality were related to the presence of certain characteristics of traditional management-oriented care: fixed rules for household chores and lack of choice in daily living. Care workers were asked whether children washed their own dishes, did their own laundry, chose their own clothes when shopping, and had mandatory events to attend in the residential care institutions. Care quality was assessed using the Early Adolescent HOME (Home Observation for Measurement of Environment) developed for Japanese residential care institutions (EA-HOME-JP). The findings suggest that care workers should re-examine their intentions in setting and applying household chore rules while exploring which aspects of child care, including regulatory activities and modeling, should be emphasized in order to actualize family-like and individualized care in institutions.
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Qian, Siyu, Ping Yu i David Hailey. "Nursing staff work patterns in a residential aged care home: a time–motion study". Australian Health Review 40, nr 5 (2016): 544. http://dx.doi.org/10.1071/ah15126.
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Objective Residential aged care services are challenged by an increasing number of residents and a shortage of nursing staff. Developing strategies to overcome this challenge requires an understanding of nursing staff work patterns. The aim of the present study was to investigate the work processes followed by nursing staff and how nursing time is allocated in a residential aged care home. Methods An observational time–motion study was conducted at two aged care units for 12 morning shifts. Seven nurses were observed, one per shift. Results In all, there were 91 h of observation. The results showed that there was a common work process followed by all nurse participants. Medication administration, documentation and verbal communication were the most time-consuming activities and were conducted most frequently. No significant difference between the two units was found in any category of activities. The average duration of most activities was less than 1 min. There was no difference in time utilisation between the endorsed enrolled nurses and the personal carers in providing nursing care. Conclusion Medication administration, documentation and verbal communication were the major tasks in morning shifts in a residential aged care home. Future research can investigate how verbal communication supports nursing care. What is known about the topic? The aging population will substantially increase the demand for residential aged care services. There is a lack of research on nurses’ work patterns in residential aged care homes. What does this paper add? The present study provides a comprehensive understanding of nurses’ work patterns in a residential aged care home. There is a common work process followed by nurses in providing nursing care. Medication administration, verbal communication and documentation are the most time-consuming activities and they are frequently conducted in the same period of time. Wound care, physical review and documentation on desktop computers are arranged flexibly by the nurses. What are the implications for practitioners? When developing a task reallocation strategy to improve work efficiency, effort can be put into tasks that can be arranged more flexibly.
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Hyde, Paula, Diane Burns, John Hassard i Anne Killett. "Colonizing the Aged Body and the Organization of Later Life". Organization Studies 35, nr 11 (listopad 2014): 1699–717. http://dx.doi.org/10.1177/0170840614550735.
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Based on fieldwork in residential homes, arrangements for the care of older people are examined with reference, primarily, to Deetz’s theory of ‘corporate colonization’. Extending this theory, it is argued that grouping such people in care homes can result in a form of social segregation, one that reflects the management of the aged body in relation to normative constructions of dependence. Focusing on the experiences of residents, the everyday effects of narratives of decline on disciplining the lives of older people are assessed, with this analysis taking recourse to the work of Foucault (1979). The result is the identification of three related concepts at work in the colonizing process of the aged body: (i) appropriation of the body – the physical and social practices involved in placing older people in care homes; (ii) separation from previous identities – how a range of new subjectivities are produced in the process of becoming a ‘resident’; and (iii) contesting colonized identities – the ways in which residents can attempt to challenge normative concepts of managed physical and mental decline. Overall the disciplining of the body is theorized not only as an adjunct to the notion of corporate colonization but also, more generally, as a prominent and powerful organizing principle of later life.
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Chiarelli, Pauline. "Continence assessment in residential aged care". Australasian Journal on Ageing 30, nr 1 (marzec 2011): 2. http://dx.doi.org/10.1111/j.1741-6612.2011.00508.x.
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Thomson, William Murray, Moira B. Smith, Catherine Anna Ferguson i Geraldine Moses. "The Challenge of Medication-Induced Dry Mouth in Residential Aged Care". Pharmacy 9, nr 4 (1.10.2021): 162. http://dx.doi.org/10.3390/pharmacy9040162.
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With a reported prevalence between 20% and 30%, dry mouth is more common among older people than any other age group. The major risk factor for dry mouth is polypharmacy. Older people take more medications than any other age group, not only for symptomatic relief of various age-associated chronic diseases, but also to reduce the likelihood of the complications that may arise from those conditions. Most aged care residents take even more medications than older people who are living in their own homes. The greater the number of medications taken, the greater the associated anticholinergic burden, and the more likely it is that the individual will suffer from dry mouth. The condition not only affects the dentition and ability to wear dentures, but also the sufferers’ quality of life. Treating dry mouth is a considerable challenge for clinicians. As medication use is by far the most important risk factor, there is a need for pharmacists, doctors and dentists to work together to prevent this from occurring. Medication review and deprescribing is a key strategy, but there have not yet been any randomised control trials of its efficacy in reducing the occurrence of dry mouth.
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Cave, Danielle, Karen Abbey i Sandra Capra. "Food and Nutrition Champions in Residential Aged Care Homes Are Key for Sustainable Systems Change within Foodservices; Results from a Qualitative Study of Stakeholders". Nutrients 13, nr 10 (12.10.2021): 3566. http://dx.doi.org/10.3390/nu13103566.
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The role of foodservices in aged care is difficult to understand, and strategies to improve the nutritional care of residents are often unsustainable. In particular, food-first strategies such as food fortification are poorly executed in everyday practice and its execution relies upon the foodservice system in aged care homes. The aim of this study was to explore the perspective of staff on the role of foodservices in aged care and gauge the level of skills, education, access, time, and ability to deliver food fortification. Semi-structured interviews were conducted with foodservice managers, foodservice workers, dietitians, carers, and other managers who work in aged care homes across Australia. Participants were recruited purposively through email and through snowballing. Interviews (n = 21) were recorded, transcribed verbatim, and analyzed using inductive thematic analysis. Three themes and six sub-themes were identified. The three themes include the role of foodservices being more than just serving food, teamwork between all staff to champion nutrition, and workplace culture that values continuous improvement. These themes identify how staff perceive the role of foodservices in aged care and provide an important perspective on the long-term sustainability of food fortification strategies and how to improve current practice.
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Sluggett, Janet K., Stephanie L. Harrison, Leona A. Ritchie, Alexander J. Clough, Debbie Rigby, Gillian E. Caughey i Edwin C. K. Tan. "High-Risk Medication Use in Older Residents of Long-Term Care Facilities: Prevalence, Harms, and Strategies to Mitigate Risks and Enhance Use". Senior Care Pharmacist 35, nr 10 (1.10.2020): 419–33. http://dx.doi.org/10.4140/tcp.n.2020.419.
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Older residents of long-term care facilities (LTCFs), also known as nursing homes, care homes, or residential aged care facilities, often have multiple health conditions and are exposed to polypharmacy. Use of high-risk medications such as opioids, glucose-lowering medications, antithrombotics, and antipsychotics is prevalent among residents of LTCFs. Ensuring appropriate use of high-risk medications is important to minimize the risk of medication-related harm in this vulnerable population. This paper provides an overview of the prevalence and factors associated with high-risk medication use among residents of LTCFs. Evidencebased strategies to optimize the use of high-risk medications and enhance resident outcomes are also discussed.
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Sluggett, Janet K., Stephanie L. Harrison, Leona A. Ritchie, Alexander J. Clough, Debbie Rigby, Gillian E. Caughey i Edwin C. K. Tan. "High-Risk Medication Use in Older Residents of Long-Term Care Facilities: Prevalence, Harms, and Strategies to Mitigate Risks and Enhance Use". Senior Care Pharmacist 35, nr 10 (1.10.2020): 419–33. http://dx.doi.org/10.4140/tcp.n.2020.419.
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Older residents of long-term care facilities (LTCFs), also known as nursing homes, care homes, or residential aged care facilities, often have multiple health conditions and are exposed to polypharmacy. Use of high-risk medications such as opioids, glucose-lowering medications, antithrombotics, and antipsychotics is prevalent among residents of LTCFs. Ensuring appropriate use of high-risk medications is important to minimize the risk of medication-related harm in this vulnerable population. This paper provides an overview of the prevalence and factors associated with high-risk medication use among residents of LTCFs. Evidencebased strategies to optimize the use of high-risk medications and enhance resident outcomes are also discussed.
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Courtney, Mary, Maria T. O'Reilly, Helen Edwards i Stacey Hassall. "Benchmarking clinical indicators of quality for Australian residential aged care facilities". Australian Health Review 34, nr 1 (2010): 93. http://dx.doi.org/10.1071/ah09663.
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To undertake exploratory benchmarking of a set of clinical indicators of quality care in residential care in Australia, data were collected from 107 residents within four medium-sized facilities (40–80 beds) in Brisbane, Australia. The proportion of residents in each sample facility with a particular clinical problem was compared with US Minimum Data Set quality indicator thresholds. Results demonstrated variability within and between clinical indicators, suggesting breadth of assessment using various clinical indicators of quality is an important factor when monitoring quality of care. More comprehensive and objective measures of quality of care would be of great assistance in determining and monitoring the effectiveness of residential aged care provision in Australia, particularly as demands for accountability by consumers and their families increase. What is known about the topic?The key to quality improvement is effective quality assessment, and one means of evaluating quality of care is through clinical outcomes. The Minimum Data Set quality indicators have been credited with improving quality in United States nursing homes. What does this paper add?The Clinical Care Indicators Tool was used to collect data on clinical outcomes, enabling comparison of data from a small Australian sample with American quality benchmarks to illustrate the utility of providing guidelines for interpretation. What are the implications for practitioners?Collecting and comparing clinical outcome data would enable practitioners to better understand the quality of care being provided and whether practices required review. The Clinical Care Indicator Tool could provide a comprehensive and systematic means of doing this, thus filling a gap in quality monitoring within Australian residential aged care.
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Nishtala, Prasad S., Sarah N. Hilmer, Andrew J. McLachlan, Paul J. Hannan i Timothy F. Chen. "Impact of Residential Medication Management Reviews on Drug Burden Index in Aged-Care Homes". Drugs & Aging 26, nr 8 (sierpień 2009): 677–86. http://dx.doi.org/10.2165/11316440-000000000-00000.
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Bartlett, Helen P., i David R. Phillips. "Regulating Residential Aged Care Homes in Hong Kong: Issues for the Asia-Pacific Region". Asian Journal of Public Administration 17, nr 2 (grudzień 1995): 231–47. http://dx.doi.org/10.1080/02598272.1995.10800307.
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Wells, Yvonne, Deirdre Fetherstonhaugh i Kane Norman Solly. "Development of a consumer experience reporting questionnaire for residential aged care homes in Australia". Australasian Journal on Ageing 38, nr 4 (23.04.2019): 267–73. http://dx.doi.org/10.1111/ajag.12664.
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Pappne Demecs, Ilona, i Evonne Miller. "Woven Narratives: A Craft Encounter with Tapestry Weaving in a Residential Aged Care Facility". Art/Research International: A Transdisciplinary Journal 4, nr 1 (27.02.2019): 256–86. http://dx.doi.org/10.18432/ari29399.
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For six months, a tapestry artist/researcher moved her studio into an aged care home to conduct a participatory art project. Drawing on ethnographic-based qualitative approaches, narrative inquiry and researcher-generated photographs, this arts-based research textually and visually documents the impact of introducing the studio-based craft activity of participatory tapestry weaving into an aged care environment. As well as highlighting the joy of creative collaboration and of learning a new skill, this project explores how tapestry weaving facilitated the understanding of the participants’ worlds through stories and reminiscence. This paper also disseminates that craft, as a practice and method, connects materials, ideas and people through engagement, and facilitates wellbeing. Given rapid population ageing, and the fear and stigma surrounding aged care homes, this paper argues that craft practice might help demystify and connect aged care with the broader community, as well as enhancing residents’ quality of life.
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Solly, Kane Norman, i Yvonne Wells. "What predicts consumer experience in residential aged care? An analysis of consumer experience report data". Australian Health Review 45, nr 4 (2021): 485. http://dx.doi.org/10.1071/ah20270.
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ObjectivesThis study explored whether consumer experience report (CER) data from residential aged care services (RACSs) could be combined into a general factor and determined whether poor experience in RACSs could be predicted by known resident or home characteristics or sampling procedures. MethodsCER data collected by structured interviews in 2018 and early 2019 were analysed using structural equation modelling and linear regression analysis. ResultsData were available from 17194 interviews undertaken at 1159 RACSs. The 10 CER items loaded onto two independent factors. Bifactorial modelling indicated that items could be combined into a general factor. Controlling for state or territory, consumer experience was best predicted by home size: those in large facilities reported poorer experience than those in smaller facilities. Other significant negative predictors with small effect sizes included not being independently mobile, being male and not being randomly selected. Dementia did not predict total CER score. ConclusionsThe results of this study support the inclusion of people with dementia and exclusion of volunteer participants from published CERs. Further research is needed to explore why a relatively poor consumer experience is reported by people in larger homes, men and those with mobility issues. What is known about the topic?Poor experience in aged care is a persistent concern for government, individuals and aged care services. The recent Royal Commission into Aged Care Quality and Safety has identified systemic failure. Although many organisational features and processes have previously been identified as important in determining the quality of care, few studies have explored the characteristics that predict the consumer experience of residents in aged care. What does this paper add?This paper provides empirical evidence that several variables influence consumer experience in aged care, including facility size and resident sex and mobility. There is evidence that smaller facilities provide care that is perceived better by residents, and that men and people with mobility issues have worse experiences in aged care. There is a lack of clarity as to what other influences, such as facility ethos, facility location and staffing levels, may contribute to resident experience. Such clarity is important, because Australian aged care is currently facing comprehensive scrutiny, and governments are looking to ensure the safety and quality of aged care services. What are the implications for practitioners?Identifying and addressing inequities in aged care services and mitigating risks must be a priority in Australia to ensure aged care services provide safe and high-quality care. The results of this study challenge current funding structures that encourage the development of larger aged care homes, and instead suggest that better funding for smaller-sized facilities may be able to improve the experience of residents in aged care. The results also suggest that facilities and governments should attend to the experiences of specific groups, such as men and people with mobility issues.
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Chung, Cho Yan, Chau Ho Yin, Chu Hoi Fung, Chung Cho Yan, Fong Long Kit, Foo Siu Fung, Ho Tsz Yan, Or Pui Lai Peggy i Ching Tai Yin Patricia. "SG-APSIC1201: Knowledge and awareness of healthcare workers in a residential care home regarding the use of personal protective equipment (PPE) during the COVID-19 pandemic: A pilot study". Antimicrobial Stewardship & Healthcare Epidemiology 3, S1 (luty 2023): s7. http://dx.doi.org/10.1017/ash.2023.22.
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Background: According to the World Health Organization (WHO), as of April 9, 2022, there had been 494,587,638 confirmed COVID-19 cases and 6,170,283 deaths reported worldwide. In Hong Kong, in recent outbreak, ~55% of confirmed cases were residential care home (RCH) residents and >800 staff were infected. In 2016, ~15% of people aged ≥80 years were living in residential care homes. Objectives: To assess healthcare worker (HCW) knowledge level and attitudes about PPE use in residential care homes. Methods: This cross-sectional study, included participants who worked in the residential care homes, registered as healthcare workers (HCWs). HCWs who were part-time staff or worked <3 months in the residential care home were excluded. Ethical review approval from the faculty research committee of the university was obtained in January 2022. The Knowledge, Attitude, Practical (KAP) questionnaire was adapted. The questionnaire has 33 items pertaining to knowledge, attitude, and practice regarding PPE. Results: In total, 50 questionnaires were received; 32 respondents (64%) were female and 18 (36%) were male. Nearly half of the participants had completed a high diploma course, and 32% had graduated from secondary school. Using ANOVA, there were no significant differences of education level of participants or participant knowledge level of PPE [F(2,47) = .181; P = .835], attitudes [F(2,47) = 1.995; P = .147] and practice [F(2,47) = .459; P = .635]. The Pearson correlation was used to measure the relationship between knowledge level and PPE practices. Our results indicated a significant difference and moderate correlation between knowledge level and PPE practice among HCWs. Conclusions: Knowledge level does not directly affect HCW practice regarding PPE. PPE practice skills have been influenced by various factors during the pandemic situation, such as availability of PPE, manpower, workload, and communication.
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Lesage, Alain D., Daniel Gélinas, David Robitaille, Éric Dion, Diane Frezza i Raymond Morissette. "Toward Benchmarks for Tertiary Care for Adults with Severe and Persistent Mental Disorders". Canadian Journal of Psychiatry 48, nr 7 (sierpień 2003): 485–92. http://dx.doi.org/10.1177/070674370304800710.
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Background: Scarce attention has been paid to establishing benchmarks for tertiary care for adults with severe mental disorders. Yet, the availability and efficient utilization of residential resources partly determines the capacity of a comprehensive system of care to avoid clogging ever-shrinking acute care bed facilities. Objectives: To describe the actual utilization of and projected needs for residential resources, one part of tertiary care, in the catchment area of a psychiatric hospital in east-end Montreal. To compare results obtained against actual utilization and projected needs evaluated in other Canadian provinces and in other countries, with a view to establishing national benchmarks. Methods: Two surveys were undertaken to establish the number of places in these facilities that were utilized and needed for adults aged 18 to 65 years with severe mental disorders, without a primary diagnosis of mental retardation or organic brain syndrome, and originally from the catchment area. A first survey ascertained the number of places utilized and of those needed for residential care among all long-stay inpatients and all adults in supervised residential facilities. A second survey identified the need for such long-stay hospitalization, nursing homes, and supervised facilities as an alternative or as a complement to hospitalization among acute care inpatients. Results: The actual ratio of places in long-stay hospital units, nursing homes, and supervised residential facilities was 150:100 000 inhabitants. The ideal ratio, according to estimated needs, is 171:100 000. The figure breakdown is as follows: 20:100 000 for long-stay hospital units, 20:100 000 for nursing homes, 40:100 000 for group homes, 40:100 000 for private hostels or foster families, and 51:100 000 for supervised apartments. The needs of this urban, blue-collar population for supervised residential places hovered in the upper range of utilization and standards for European countries and within the proposed standards for Canadian provinces. Discussion: Needs for long-stay hospitalization or for supervised residential facilities cannot be treated as absolute. For example, evaluation conducted in this hospital-led system of psychiatric care may produce higher estimates of institutional care. Comparing actual utilization and projected needs in this urban catchment area with current utilization in other jurisdictions in Canada and Europe should contribute to establishing sound national benchmarks within ranges. Conclusions: It is possible to establish benchmarks that guide the development of supervised residential settings to best meet the needs of the population of adults with severe and persistent mental disorders. The methods used here to assess needs should serve as guidelines for future research, because they were designed to contain the bias of over- or underprovision of care in the current utilization.
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CARTWRIGHT, JULIANA C. "Nursing Homes and Assisted Living Facilities As Places for Dying". Annual Review of Nursing Research 20, nr 1 (styczeń 2002): 231–64. http://dx.doi.org/10.1891/0739-6686.20.1.231.
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This chapter reviews the state of knowledge about nursing homes and assisted living facilities as places for dying. Reviewed are 25 published and unpublished research reports by nurse researchers and researchers from other disciplines that address the following questions: (a) What is known about how communication and shared decision-making about end-of-life care preferences occur? (b) How are symptoms assessed and managed at end-of-life? and (c) What are facility characteristics that influence end-of-life care services delivery? Reports were identified through searches of the following databases: MEDLINE, CINAHL, Health Star, PsychLit, Ageline, Ebsco, and PubMed. The following terms guided the search: advance directives, geriatric assessment or nursing, health services for the aged, hospice, residential facilities, palliative care, symptom management, and terminal care. Reports were included if published between 1990 and 2000, if relevant to nursing research on end-of-life care, if conducted on samples age 65 or older and living in nursing home or residential care settings, and if published in English. The studies reviewed were primarily descriptive. The findings indicate that little is known about end-of-life care in these settings, and that family and staff perspectives differ on the nature and quality of the services provided. Both external and internal factors influence the ability of facilities to provide end-of-life care. Recommendations are provided for further research related to nursing homes and assisted living facilities as places for dying.
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Ellis, Julie M., Ros Ben-Moshe i Karen Teshuva. "Laughter yoga activities for older people living in residential aged care homes: A feasibility study". Australasian Journal on Ageing 36, nr 3 (12.07.2017): E28—E31. http://dx.doi.org/10.1111/ajag.12447.
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Shuttleworth, Russell, Cherry Russell, Patricia Weerakoon i Tinashe Dune. "Sexuality in Residential Aged Care: A Survey of Perceptions and Policies in Australian Nursing Homes". Sexuality and Disability 28, nr 3 (30.05.2010): 187–94. http://dx.doi.org/10.1007/s11195-010-9164-6.
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Wicki, Monika T. "Physical and mental health of older people with disabilities in residential homes in Switzerland". SAGE Open Medicine 9 (styczeń 2021): 205031212110005. http://dx.doi.org/10.1177/20503121211000530.
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Objectives: People with disabilities are underserved in terms of health care and prevention, and special health conditions exist among older people with intellectual disabilities. The Swiss Health Survey only covers people over the age of 15 years living in private households. Therefore, this study aims to assess the health status of older persons living in residential facilities for adults with disabilities. Methods: A cross-sectional survey with written questionnaires was conducted in six cantons in Switzerland to capture context factors and the physical health status of persons aged between 50 and 65 years in residential homes in Switzerland. The survey collected data on physical and mental health from 241 persons aged 50–65 years living in residential homes for people with disabilities. This was compared with data from the 2012 Swiss Health Survey comprising a sample of 2261 persons of the same age with chronic morbidities living in their own apartments. Results: Regarding their health, 94.1% of the survey respondents rated it as being very good, good or moderate. Although higher limitations on activities of daily living, higher levels of psychological distress and lower energy and vitality were reported by all respondents, a lower level of health issues was assessed than in the sample of persons with chronic morbidities living in their own apartment. Conclusion: Low energy and vitality, high limitations on activities of daily living, high psychological distress, high obesity rates and the assessment of health issues and pain should be specifically addressed in residential homes for people with disabilities.
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Sommerfeldt, Marianne Buen. "“Sometimes I feel at home” adolescents’ narratives of everyday life in residential care". Journal of Children's Services 17, nr 1 (28.01.2022): 33–44. http://dx.doi.org/10.1108/jcs-12-2020-0086.
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Purpose A residential care is home for children who live there and is simultaneously a workplace for employees aiming to safeguard the needs and development of children. Studies have shown that adolescents’ descriptions of life in residential care are connected to feelings of otherness and deviance. The purpose of this study is to explore how adolescents in residential care in Norway relate residential care as a home to their experiences of everyday life in this context and to their relationships with the employees. Design/methodology/approach This study draws on individual, qualitative interviews with 19 boys and girls (aged 15–18 years) living in residential care homes in Norway. The interviews explored their narratives of everyday life in residential care. The adolescents were encouraged to tell about yesterday and were asked follow-up questions regarding everything that had occurred during encounters with employees. The Norwegian Center for Research Data approved the study. Findings The analysis shows tensions in the adolescents’ accounts between the institution as an abnormal context and their own subject position as normal. By drawing upon the terms “stigma” and “recognition” in the analysis, the study shows how recognising relationships between the youth and staff decreases the potential to experience stigma. Originality/value This study contributes to existing knowledge on social work in residential care. The paper shows how the institutional framework and employees’ practices impact adolescents’ self-understanding and their experiences of residential care as a home.
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Socci, Marco, Mirko Di Rosa, Barbara D’Amen i Maria Gabriella Melchiorre. "Functional and Psychosocial Profile of Older People Living in Nursing Homes: Findings from the European Survey of Health, Ageing and Retirement in Europe (SHARE)". Healthcare 11, nr 19 (9.10.2023): 2702. http://dx.doi.org/10.3390/healthcare11192702.
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Background: This paper is based on results from the Survey of Health, Ageing and Retirement in Europe (SHARE), exploring many aspects (health, economic situation and welfare) of the European population aged 50+. Differently from many other international studies, SHARE includes persons living in nursing homes or residential care facilities as part of its sample. The aim of this paper is to provide a socio-demographic, functional and psychosocial snapshot of older residents in nursing homes in Europe. Methods: This paper uses data from SHARE Wave 8/2020, carried out in 27 European countries. A quantitative/descriptive approach explores the prevalence of older people aged 65+ living in residential facilities as mapped by the SHARE survey across Europe, with regard to associated dimensions, i.e., socio-demographic, family relationship, perceived health/main diseases, functional and psychological status. Results: These show that older residents live mainly in Central and Northern Europe, are aged 80+, female and widowed. A small social network (SN) size is often reported. Health is perceived, above all, as being fair–poor, and the presence of long-term illness is high, with several chronic health conditions and functional limitations. The reported quality of life (QoL) is low for most respondents, with moderate–low satisfaction with life. Conclusion: The analysis depicts a profile of seniors needing residential care in Europe, and provides useful insights for policymakers, to better sustain this frail population group, and to allow and improve access to high-quality long-term care (LTC) in Europe. Our findings could also be of help to train health professionals, and potentially drive the research towards the exploration of new housing solutions for seniors. This would in turn contribute to the effective implementation of European initiatives to strengthen LTC systems.
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Cheluvappa, Rajkumar, i Selwyn Selvendran. "Antipodean Perspectives—Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse". Nursing Reports 12, nr 3 (30.08.2022): 629–36. http://dx.doi.org/10.3390/nursrep12030062.
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Healthy ageing refers to the development and maintenance of the functional ability of ageing individuals. Aged care nurses provide nursing care to elderly individuals and usually work in aged care residential facilities, nursing homes, home care services, and/or hospital departments. The registered nurse working in the aged care sector has several important roles. Key roles cover both therapeutic and preventative paradigms, as discussed in this paper. The aged care nurse is also “tasked with” holistic patient-centred care and the promotion of healthy ageing via advocacy and sociocultural roles. This paper examined, described, and analysed the multifaceted role of an aged care nurse from an Australian perspective. We conducted meticulous searches using PubMed, Google Scholar, government guidelines, authoritative body regulations, quality control guidelines, and government portals pertaining to aged care nursing in Australia. This paper relied upon the information garnered from publications, reports, and guidelines resulting from these searches and analyses. Multiple aspects of healthy ageing and holistic aged care nursing are discussed. The key roles of the aged care nurse are enumerated next, in accordance with the code of conduct from the Nursing and Midwifery Board of Australia (NMBA). The NMBA promotes evidence-based, culturally sensitive, consultative, holistic aged care clinical practice that includes input from care recipients, their decision makers, and/or their health care providers. The difficult issue of loneliness is discussed with strategies to ameliorate aspects of this. Good social networks, community interactions, meaningful friendships, and participation in personalised spiritual/religious practices improve the quality of aged care. The key topic of elder abuse and its forms are discussed apropos of aged care nursing. Healthy ageing is promoted by identifying and reporting elder abuse at the earliest. Current Australian law and recent federal legislation changes pertaining to aged care nursing are discussed next. As a result of these legislation changes, several new quality control imperatives (for aged care organisations/facilities) under the Aged Care Quality and Safety Commission (ACQSC) have been implemented. Residential and flexible aged care providers should now have robust ongoing documentation and a well-developed behaviour support plan (BSP) for each care recipient who currently requires or may require restrictive practices, which must be reported under the new serious incident reporting scheme (SIRS). Various strategies to promote healthy ageing and approaches to communicate effectively with aged care recipients are also discussed. Healthy ageing is promoted when age care recipients are empowered with making their own autonomous choices in “major and minor” aspects of life. Finally, approaches to optimise quality aged care nursing care are discussed. The Roper–Logan–Tierney model is one of the models used to assess and optimise nursing care. This is premised on the capability of an ageing individual to accomplish 12 basic activities of daily living.
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Fetherstonhaugh, Deirdre M., Yvonne Wells i Angela Herd. "MEASURING CLIENT EXPERIENCE IN RESIDENTIAL AGED CARE TO INFORM AND SUPPORT CONSUMER CHOICE". Innovation in Aging 3, Supplement_1 (listopad 2019): S507. http://dx.doi.org/10.1093/geroni/igz038.1875.
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Abstract The Australian Government Aged Care Quality and Safety Commission (prior to January 2019 known as the Australian Aged Care Quality Agency) is responsible for accreditation of Australian aged care services which are audited against the Australian Accreditation Standards. Accreditation reports are publicly available. Prior to 2017, some clients were interviewed about their experiences, but the resulting information could not represent the client experience within a service due to low numbers, biased sampling, and an unsystematic approach to asking questions. La Trobe University was engaged to develop and pilot an interview tool to measure client experience for use in accreditation. Potential questions were identified through a literature review, mapped against the Accreditation Standards, and workshopped with an expert reference group. Twenty-four questions and a visual analogue were then piloted. Consumer groups and groups of Indigenous and culturally diverse clients in residential aged care homes were consulted. The perspective of Quality Agency surveyors was sought on the questions’ usability. Statistical analyses sought to identify questions that minimised missing data, were responded to similarly by residents and their representatives, and elicited stable responses on retest. Twelve questions were identified as optimal. The 10 quantitative questions proved to reflect a single underlying dimension (consumer experience) and, when summed and explored through regression analyses, differentiated services significantly. The consumer experience interview tool is now used in all accreditation audits in Australia. Results are then used to generate consumer experience reports, which are published online and can support consumer choice of a residential aged care home.
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Johnston, Carolyn. "Ethical Design and Use of Robotic Care of the Elderly". Journal of Bioethical Inquiry 19, nr 1 (marzec 2022): 11–14. http://dx.doi.org/10.1007/s11673-022-10181-z.
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AbstractThe Australian Royal Commission into Aged Care Quality and Safety acknowledged understaffing and substandard care in residential aged care and home care services, and recommendations were made that that the Australian Government should promote assistive technology within aged care. Robotic care assistants can provide care and companionship for the elderly—both in their own homes and within health and aged care institutions. Although more research is required into their use, studies indicate benefits, including enabling the elderly to live independently at home, assistance with medication and monitoring of safety. Nevertheless, there are inherent ethical challenges in the use of robots as carers, including loss of privacy, unwarranted restrictions on autonomy, lack of dignity, deception, and the exacerbation of loneliness. Ethics by design can counter these issues in development of robotics and clinical ethics committees have been put forward as a way of dealing with the ethical use of robotic care in healthcare institutions. In this paper I outline the ethical challenges of robotic care assistants and how these may be mediated in their design and use.
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Winkler, Dianne F., Louise J. Farnworth, Sue M. Sloan i Ted Brown. "Young people in aged care: progress of the current national program". Australian Health Review 35, nr 3 (2011): 320. http://dx.doi.org/10.1071/ah10889.
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Objective. The aim of this paper is to examine the progress and effect of the current 5-year $244 million national Young People in Residential Aged Care program on the reduction of young people in aged care. Method. Semi-structured telephone interviews with 20 service providers, 10 advocacy organisations and 6 public servants across Australia actively involved in the implementation of the program. Results. The development of new accommodation options has been slow. The 5-year program aims to move 689 young people out of nursing homes; in the first 4 years of the initiative only 139 people had moved out. The lives of those who have been helped by the program have been enormously improved. Conclusions. This study highlights the challenges of achieving a long-term reduction in the number of young people in residential aged care, including the challenge of achieving systemic change to prevent new admissions. Implications. The accommodation options currently being developed for this target group will soon be at capacity. Without sustained investment in developing alternative accommodation options and resources to implement systemic change ~250 people under 50 are likely to continue to be admitted to aged care each year in Australia. What is known about the topic? Prior to the current 5-year, $244 million, national Young People in Residential Aged Care program there were more than 1000 Australians under 50 years of age who lived in aged care facilities. Aged care is not designed or resourced to facilitate the active involvement of young people with high clinical needs in everyday activities or support their continued participation in the life of their community. What does this paper add? In the first 4 years of the national program only 139 people moved out of aged care. The lives of those who have been helped by the program have been enormously improved. The program is unlikely to result in a long-term reduction in the number of young people in aged care. What are the implications for practitioners? Systemic change and sustained investment in accommodation options is required to resolve the issue of young people in aged care.
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BRADFORD, DANA KAI, YASMIN VAN KASTEREN, QING ZHANG i MOHAN KARUNANITHI. "Watching over me: positive, negative and neutral perceptions of in-home monitoring held by independent-living older residents in an Australian pilot study". Ageing and Society 38, nr 7 (27.02.2017): 1377–98. http://dx.doi.org/10.1017/s0144686x1700006x.
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ABSTRACTWith an increase in the proportion of Australians aged over 65, and high government expenditure on residential care, there is a strong imperative to find smart, safe solutions to support older people to stay in their own homes. There is a growing interest in Australia for assistive technologies that provide home monitoring to promote health and wellbeing. This solution will only be viable if it meets with the expectations of older residents and their families. In the first smart homes pilot in Australia, we sought to ascertain barriers and facilitators of this technology. There was an overall positive response to the system, despite a slight tendency for residents to modify their behaviour due to perceived surveillance. Positive outcomes included increases in family communication, health autonomy and advances in technology uptake. Our findings suggest that a combination of considered placement of in-home technology, straightforward medical devices and a supportive human element will ensure that the technology meets the balance of service provision and preservation of dignity. Smart homes could mitigate the challenges associated with aged care while affording peace of mind for seniors and families.
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McInerney, Fran, Rosemary Ford, Angela Simpson i Michelle Willison. "Residential Aged-Care Workers and the Palliative Approach". Journal of Hospice & Palliative Nursing 11, nr 6 (listopad 2009): 344–52. http://dx.doi.org/10.1097/njh.0b013e3181bd03df.
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Smith, Daisy E., Meghan T. Wright i Joseph E. Ibrahim. "Aged care nurses’ perception of unwanted sexual behaviour in Australian residential aged care services". Australasian Journal on Ageing 41, nr 1 (18.11.2021): 153–59. http://dx.doi.org/10.1111/ajag.13014.
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Tolley, Carolyn, i Rob Ranzijn. "Predictors of heteronormativity in residential aged care facilities". Australasian Journal on Ageing 25, nr 4 (grudzień 2006): 209–14. http://dx.doi.org/10.1111/j.1741-6612.2006.00186.x.
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Chou, Hsien-Ming, Shih-Ming Pi i Tsai-Lun Cho. "An Intelligent Healthcare System for Residential Aged Care during the COVID-19 Pandemic". Applied Sciences 12, nr 22 (21.11.2022): 11847. http://dx.doi.org/10.3390/app122211847.
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There are many healthcare possibilities for the elderly, such as hospitals, nursing homes, and home-based care. However, in times of COVID-19, most home-based elderly people did not have sufficient supplies or healthcare as usual. Fulfilling their desire for an independent lifestyle while protecting them from falls, sudden illness, or accidents is difficult. This study represents a smart system for coping with this problem in public healthcare. The existing methods for residential aged care (RAC), such as fall detection, focus on personal profiles and physical symptoms records or use a collaborative filtering method to notify caregivers or family members that the elderly person may be at a high level of risk. However, these methods have many limitations in times of COVID-19, including insufficient risk factors, problems gathering information from mobile sensors, and issues with handling human variability. This study proposes a new method for RAC in times of COVID-19 called the Intelligent Healthcare Agent System (IHAS), which, unlike the old system, incorporates context information, such as indoor and outdoor (IO), standing and lying (SL), and resting and moving (RM). IHAS integrates diverse mobile sensor data and utilizes artificial intelligence (AI) technologies into the research model and learning-oriented prototype system that can manage human variability. Ultimately, this study’s findings should contribute to the existing research and industrial applications of RAC, as well as offer new avenues of study in future research.
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PENNEC, SOPHIE, JOELLE GAYMU, ELISABETH MORAND, FRANCOISE RIOU, SILVIA PONTONE, REGIS AUBRY i CHANTAL CASES. "Trajectories of care home residents during the last month of life: the case of France". Ageing and Society 37, nr 2 (14.10.2015): 325–51. http://dx.doi.org/10.1017/s0144686x15001117.
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ABSTRACTThis paper examines some demographic and medical factors associated with the likelihood of residing in a care home during the last month of life for persons aged 70 and over in France and, if so, of remaining in the care home throughout or being transferred to hospital. The data are from the Fin de vie en France (End of Life in France) survey undertaken in 2010. During the last month of life, very old people are more likely to be living in a care home but are not less likely to be transferred to hospital. Medical conditions and residential trajectories are closely related. People with dementia or mental disorders are more likely to live in a care home and, if so, to stay there until they die. Compared to care homes, a more technical and medication-based approach is taken in hospitals and care home residents who are transferred to hospital more often receive medication while those remaining in care homes more often receive support from a psychologist. In hospitals as in care homes, few older persons had recourse to advance directives and hospice programmes were not widespread. Promoting these two factors may help to increase the quality of end of life and facilitate an ethical approach to end-of-life care.
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Qian, Siyu, Ping Yu, David M. Hailey, Zhenyu Zhang, Pamela J. Davy i Mark I. Nelson. "Time spent on daytime direct care activities by personal carers in two Australian residential aged care facilities: a time–motion study". Australian Health Review 38, nr 2 (2014): 230. http://dx.doi.org/10.1071/ah13161.
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Objective To examine the time, frequency and duration of each direct care activity conducted by personal carers in Australian residential aged care homes. Methods A time–motion study was conducted to observe 46 personal carers at two high-care houses in two facilities (14 days at Site 1 and 16 days at Site 2). Twenty-three direct care activities were classified into eight categories for analysis. Results Overall, a personal carer spent approximately 45% of their time on direct care, corresponding to 3.5 h in an 8-h daytime shift. The two sites had similar ratios of personal carers to residents, and each resident received 30 min of direct care. No significant differences between the two sites were found in the time spent on oral communication, personal hygiene and continence activities. Personal carers at Site 1 spent significantly less time on toileting and mobility activities than those at Site 2, but more time on lunch activity. Although oral communication took the longest time (2 h), it occurred concurrently with other activities (e.g. dressing) for 1.5 h. Conclusions The findings provide information that may assist decision makers in managing the operation of high-care residential aged care facilities, such as planning for task allocation and staffing. What is known about the topic? Overall, 30%–45% of the care staff’s time is spent on direct care in residential aged care facilities. What does this paper add? This paper adds knowledge about how much time is required to conduct each direct care activity and the frequency and duration of conducting these activities to meet residents’ day-to-day care needs in two high-care houses in two aged care facilities. What are the implications for practitioners? On average, a resident with high-care needs requires 30 min direct care. There may exist a basic minimum desirable ratio of personal carers to residents in high-care facilities. Residents’ toileting needs are high after meals. Communication with residents represents an essential role in providing care.
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Yuan, Shuai, Simon Coghlan, Reeva Lederman i Jenny Waycott. "Social Robots in Aged Care: Care Staff Experiences and Perspectives on Robot Benefits and Challenges". Proceedings of the ACM on Human-Computer Interaction 6, CSCW2 (7.11.2022): 1–23. http://dx.doi.org/10.1145/3555220.
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Social robots have the potential to augment the care provided to older adults in residential aged care homes. However, social robots can only be valuable in aged care if care staff successfully incorporate them into their ongoing care practices beyond a limited research period. This study examines the benefits and challenges of using different types of social robots in real-world practices from care staff perspectives. We conducted semi-structured interviews with eleven staff members who have first-hand experience of employing robots in their work. Our findings highlight the entangled relationships among the actors in the older adult/carer/robot triad. We discuss the role of robots in supporting a mutually beneficial relationship between care staff and older adults, and how robopets and humanoid robots impact care staff in different ways. Finally, we offer recommendations for the future deployment of robots. We argue that sustainable deployment of robots in care practice might involve recognizing and promoting positive impacts for both human parties in the triad, and that the practice of using robots needs to align with the needs and interests of both caregivers and care recipients.
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Crotty, Frances, Rosie Watson i Wen Kwang Lim. "Nursing homes: the titanic of cruise ships – will residential aged care facilities survive the COVID‐19 pandemic?" Internal Medicine Journal 50, nr 9 (10.08.2020): 1033–36. http://dx.doi.org/10.1111/imj.14966.
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AUDENAERT, VEERLE. "Changes in older people's living arrangements in Flanders, 1993–98". Ageing and Society 23, nr 4 (25.06.2003): 451–69. http://dx.doi.org/10.1017/s0144686x03001181.
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The living arrangements of older people are changing. An analysis of official registration data (1993–1998) in Flanders, Belgium, shows that while the number of single person households has been increasing, the proportion of people aged 75 or more years living alone has been falling and the proportion living with a spouse or partner increasing. No less than one third of the older people who lived alone in 1993 sustain a one-person household into very old age. It was also found that those who are widowed at a very advanced age change house or move very quickly, women to a greater extent and at younger ages than men. The principal destinations are residential care homes and, to a lesser extent, child's households. Living alone appears to be a decreasingly acceptable option. Since very old people with a disability appear to have an increasing preference for residential care and a lessening preference for co-residence with relatives, these developments have consequences for both informal family care and public social services. Particular attention needs to be paid to men who live alone as a risk-group, and residential care provision requires expansion.