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Results for 'care homes'

Results 1 - 10 of 45

Nine ways to connect your care home with the community: a guide for care homes

NATIONAL DEVELOPMENT FORUM FOR INCLUSION, TIMEBANKING UK
2020

This guide draws out some of the lessons from the final evaluation of Time to Connect, a project to help people living in care settings to play a greater part in the life of their community. It makes nine suggestions of ways for a care home to connect with its community, all based on based real-life examples. They include bringing in visiting services, such as leisure or health services; supporting residents to host their own guests and groups; strengthening existing contacts and creating new links in the community; and connecting and organising activities with other care homes.

Quick guide: falls prevention and management in care homes

NHS ENGLAND. North
2019

A guide to help care home staff to manage and prevent falls and risk of fractures, with an emphasis on person centred care and continuous improvement. It looks a preventing falls through activity and exercise; risk factors in falls, risk assessment and screening, management following a fall, and the importance of education. The guide includes key references to national falls prevention in care homes best practice and NICE quality standards. It also provides links to wider resources and tools. The resource can be used to benchmark existing policies and procedures with care homes to ensure the care given reflects evidence-based practice.

Interventions to prevent or delay long-term nursing home placement for adults with impairments: a systematic review of reviews

DUAN-PORTER Wei, et al
2020

Background: With continued growth in the older adult population, US federal and state costs for long-term care services are projected to increase. Recent policy changes have shifted funding to home and community-based services (HCBS), but it remains unclear whether HCBS can prevent or delay long-term nursing home placement (NHP). Methods: This study searched MEDLINE (OVID), Sociological Abstracts, PsycINFO, CINAHL, and Embase (from inception through September 2018); and Cochrane Database of Systematic Reviews, Joanna Briggs Institute Database, AHRQ Evidence-based Practice Center, and VA Evidence Synthesis Program reports (from inception through November 2018) for English-language systematic reviews. This study also sought expert referrals. Eligible reviews addressed HCBS for community-dwelling adults with, or at risk of developing, physical and/or cognitive impairments. Two individuals rated quality (using modified AMSTAR 2) and abstracted review characteristics, including definition of NHP and interventions. From a prioritized subset of the highest-quality and most recent reviews, this study abstracted intervention effects and strength of evidence (as reported by review authors). Results: Of 47 eligible reviews, most focused on caregiver support (n = 10), respite care and adult day programs (n = 9), case management (n = 8), and preventive home visits (n = 6). Among 20 prioritized reviews, 12 exclusively included randomized controlled trials, while the rest also included observational studies. Prioritized reviews found no overall benefit or inconsistent effects for caregiver support (n = 2), respite care and adult day programs (n = 3), case management (n = 4), and preventive home visits (n = 2). For caregiver support, case management, and preventive home visits, some reviews highlighted that a few studies of higher-intensity models reduced NHP. Reviews on other interventions (n = 9) generally found a lack of evidence examining NHP. Discussion: Evidence indicated no benefit or inconsistent effects of HCBS in preventing or delaying NHP. Demonstration of substantial impacts on NHP may require longer-term studies of higher-intensity interventions that can be adapted for a variety of settings.

Engaging with the arts to improve health and wellbeing in social care settings

WELSH NHS CONFEDERATION
2020

This briefing, prepared for the Cross-Party Group on Arts and Health, provides innovative examples of arts-based activities which are being delivered in social care settings across Wales to improve people’s physical and mental wellbeing. They include Live Music Now which supports professional musicians to deliver evidence-based music workshops in care homes; cARTrefu, a project from Age Cymru to improve access to quality arts experiences for older people in residential care homes project; and Bangor University's Dementia and Imagination.

Living well with dementia through music: a resource book for activities providers and care staff


2020

A guide to music activities for people with dementia for use by activity leaders, care staff and therapists, drawing on the expertise of people regularly using music in their work. The ideas show the varied ways that music can enhance the daily lives from the early to late stage of dementia. It includes chapters on the creative uses of technology, such as tablets and personal playlists. It also covers general considerations for using music with people living with dementia in institutional settings, including evaluating and recording outcomes.

A systematic review of interventions for loneliness among older adults living in long-term care facilities

QUAN Nicolas G., et al
2019

Objectives: This study aimed to review loneliness interventions for older adults living in long-term care (LTC) facilities over the past 10 years, to categorise interventions by type, and to compare effectiveness of loneliness interventions in these settings. Methods: Systematic review followed PRISMA guidelines. Articles matching search criteria were collected from PubMed, PsycINFO, and Web of Science from 2009 to 2019. The inclusion criteria were as follows: 1) English language, 2) intervention studies with a quantitative measure that compares pre-trial to post-trial changes, 3) loneliness as a primary or secondary outcome 4) subjects age >65, and 5) subjects living in a LTC facility, such as a nursing home, assisted-living, or hospice. Results: A total of 15 intervention studies qualified for systematic review. Most of these interventions were psychological therapies and leisure/skill development interventions. Approximately, 87% of studies reported significant decreases in loneliness following intervention. Laughter therapy, horticultural therapy, and reminiscence therapy were associated with the greatest decreases in loneliness. Discussion: Results suggest that, although less common than interventions in the community, there are several effective interventions to reduce loneliness among older adults living in LTC facilities. Lack of standardised measures and high-quality studies limits comparisons between intervention types and generalizability to different populations.

The effect of music on wellbeing - case studies

CONROY Jill, FAULKNER Sue
2020

This article reports on a small scale study of the impact of personalised music on residents living with dementia in a care home. Three care homes (Fremantle Trust's Lent Rise House, Lewin House and Meadowside care homes) and nine people living with dementia took part in the two week study. Care staff and activity organisers selected times of day (and night) to play music or a radio station with the resident. The researchers collaborated with Unforgettable (now part of Live Better with Dementia), a company allied to the non-profit organisation Music and Memory which donates iPods to people living in care homes to deliver the intervention. Findings:Qualitative statements from the care homes were invariably positive. Personalised music was found to reduce agitation and improve mood. None of the people living with dementia were able to initiate music themselves, so it required either staff or visitors to play it. Conclusion: the findings suggest that, when compiled in a person-centred way, music can be a source of comfort and calm. It can counter distressing events, alleviate anxiety, and increase sociability. The paper also includes some implications for practice or tips on how to provide personalised music in care homes.

The role of the visual arts in the resilience of people living with dementia in care homes

NEWMAN Andrew, et al
2019

This study responds to a gap in the literature relating to the resilience of people living with dementia in care homes. The research applied an ecopsychosocial framework of resilience, theorising that sources of resilience may be personal, social and structural. Visual arts enrichment activities were examined to see how they might provide opportunities for resilience. The data used for this study were qualitative and originated from people with dementia aged between 70 and 99 years old (N = 48) living in four care homes in North East England, United Kingdom and staff/carers/family members (N = 37). The results showed that visual arts enrichment activities supported the resilience of those with dementia through creative expression, increased communication, improved self-esteem, and influenced relationships with carers and family members. It is concluded that even those with advanced dementia are capable of demonstrating resilience which can be supported by, and explored through, visual arts enrichment activities.

Facilitators and barriers to autonomy: a systematic literature review for older adults with physical impairments, living in residential care facilities

van LOON Jolande, et al
2019

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.

Indoor nature interventions for health and wellbeing of older adults in residential settings: a systematic review

YEO Nicola L., et al
2019

Background and Objectives: Having contact with nature can be beneficial for health and wellbeing, but many older adults face barriers with getting outdoors. This study conducted a systematic review of quantitative studies on health and wellbeing impacts of indoor forms of nature (both real and simulated/artificial), for older adults in residential settings. Research Design and Methods: Search terms relating to older adults and indoor nature were run in 13 scientific databases (MEDLINE, CINAHL, AgeLine, Environment Complete, AMED, PsychINFO, EMBASE, HMIC, PsychARTICLES, Global Health, Web of Knowledge, Dissertations and Theses Global, and ASSIA). This study also pursued grey literature, global clinical trials registries, and a range of supplementary methods. Results: Of 6,131 articles screened against eligibility criteria, 26 studies were accepted into the review, and were quality-appraised using the Effective Public Health Practice Project (EPHPP) tool. The participants were 930 adults aged over 60. Nature interventions and health/wellbeing outcomes were heterogeneous, which necessitated a narrative synthesis. The evidence base was generally weak, with 18 of 26 studies having a high risk of bias. However, several higher-quality studies found indoor gardening and horticulture programs were effective for cognition, psychological wellbeing, social outcomes, and life satisfaction. Discussion and Implications: There is inconsistent evidence that indoor nature exposures are beneficial for older care residents. This study suggests that successful interventions were, at least partly, facilitating social interaction, supporting feelings of autonomy/control, and promoting skill development, that is, factors not necessarily associated with nature per se. Higher-quality studies with improved reporting standards are needed to further elucidate these mechanisms.

Results 1 - 10 of 45

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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