Results for 'independence'
Results 51 - 60 of 63
van LOON Jolande, et al
Autonomy is important in every stage of life. However, little is known about how autonomy is enhanced for older adults living in residential care facilities (RCFs). This leads to the research question: which facilitators and barriers to autonomy of older adults with physical impairments due to ageing and chronic health conditions living in RCFs are known? The results will be organised according to the framework of person-centred practice, because this is related to autonomy enhancement. To answer the research question, a systematic literature search and review was performed in the electronic databases CINAHL, PsycINFO, PubMed, Social Services Abstracts and Sociological Abstracts. Inclusion and exclusion criteria were derived from the research question. Selected articles were analysed and assessed on quality using the Mixed Methods Appraisal Tool. Facilitators and barriers for autonomy were found and arranged in four themes: characteristics of residents, prerequisites of professional care-givers, care processes between resident and care-giver, and environment of care. The established facilitators and barriers are relational and dynamic. For a better understanding of the facilitators and barriers to autonomy for older adults with physical impairments living in RCFs, a description is based on the 35 included articles. Autonomy is a capacity to influence the environment and make decisions irrespective of having executional autonomy, to live the kind of life someone desires to live in the face of diminishing social, physical and/or cognitive resources and dependency, and it develops in relationships. The results provide an actual overview and lead to a better understanding of barriers and facilitators for the autonomy of older adults with physical impairments in RCFs. For both residents and care-givers, results offer possibilities to sustain and reinforce autonomy. Scientifically, the study creates new knowledge on factors that influence autonomy, which can be used to enhance autonomy.
Call and Check is a Jersey based initiative which uses the delivery platform of the postal service to support people to live independently in their own homes. Postal workers are trained to make short visits to residents which involve conversations covering health and social wellbeing topics. The service links residents with health social care and voluntary sector providers whilst also preventing social isolation.
Royal Voluntary Service
Hospital 2 Home Leicestershire provides low level practical support for people returning home from hospital after illness, surgery or accident. The service aims to ensure people achieve full rehabilitation and regain independence, whilst also enabling quicker discharge from hospital.
NHS Wigan Borough Clinical Commissioning Group
The Wigan Community Link Worker service provides person centred support that enables individuals to access community activities keep them independent, whilst taking greater control of their health and wellbeing, and connecting them to their communities. The service was jointly commissioned by Wigan Borough Clinical Commissioning Group and Wigan Council with the aim of improving the health and wellbeing of local people through better connections to appropriate sources of support in the community. Initially piloted in 2015, run by City Health Care Partnership (CHCP), with 11 practices the service has grown and now covers the whole Borough (63 practices). In March 2016, funding for the service was extended for a year.
Tower Hamlets London Borough Council
The London Borough of Tower Hamlets provide a multidisciplinary, short-term Reablement service to all adults over 18 in the borough who may have lost confidence, skills or independence following an accident, ill health, a disability or a stay in hospital. The service aims to enable people to relearn life skills, to rebuild their confidence, to facilitate and consolidate their existing abilities and build on their own resources and to enable and promote a healthy lifestyle that is relevant to the individual. This can lead to a reduction or absence in long-term support needed, thereby reducing long-term costs.
British Red Cross
British Red Cross (BRC) Support at Home services offer short-term practical and emotional support at home to help people regain their independence following a stay in hospital. Evaluations of Red Cross preventative services have found that these services improved the quality of life for people who use services, contributed to cost savings and a reduction in use of formal/informal care.
ASTRAL PUBLIC SERVICES
A summary of the main points raised at the Disabled Facilities Grant summit together with some apposite case studies showing what works well now. Disabled facilities grants are a national housing grant available to adults and children with a disability to facilitate access to and within the property. The grant is available to all owner occupiers, private and housing association tenants subject to a statutory means test. The meeting discussed five key questions about DFGs and their context within the wider theme of people remaining independent in the community, regardless of their means. The questions are: what works well in current practice; how to improve customer service; how to support self-funders; how to collaborate better with other services; and how to redesign services for the future. The document closes with major themes that emerged from the day together with some key recommendations of what can be changed nationally and locally to advance collaborative systems, prevention and DFG regulations.
Blackburn with Darwen Borough Council
Safe and Well is the Assistive Technology Programme with which Blackburn and Darwen Borough Council aims to improve the outcomes for its citizens, supporting them to live independently at home, while also reducing its social care costs. It has consisted of 3 pilot projects to date, working with adults with learning and physical disabilities; nursing and residential homes and early intervention with adults not yet eligible for funded social care. Blackburn has moved from supporting 60 people to over 1900 people with assistive technologies.
London Borough of Bexley
The London Borough of Bexley is currently supporting different groups of people using a prevention approach: promoting citizenship for adults with learning disabilities; following a community-based recovery model in mental health day services and providing an integrated reablement service to enable older people to regain their independence and stay in their homes for longer.
ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
This report focuses on the important contribution that occupational therapists can make to support further integration of health and social care in Wales. It looks at the role of occupational therapy in helping older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three key areas: prevention or delaying the need for care and support; helping older people to remain in their communities; and ensuring equality of access to occupational therapy. It provides recommendations to improve the design and delivery of services and examples of best practice and individual case studies to how occupational therapists can contribution to integrated, person-centred services. These include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services.
Results 51 - 60 of 63