Results for 'physical disabilities'
Results 1 - 5 of 5
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.
MITCHELL Wendy, et al
Summarises the findings of a study on approaches to supporting physically disabled young adults to achieve their preferred levels of control over care and support arrangements. The study took place between July 2012 and January 2014 and involved semi-structured interviews with young adults, parents and social care professionals. It examined physically disabled young adults experiences of managing their care and support arrangements and explored how they can be better supported. Key findings and practice implications are included. While welcoming the opportunities afforded by personalised approaches within adult social care, almost all the young adults described feeling daunted by the associated responsibilities, with managing personal assistants/carers consistently identified as the most difficult aspect of having a Direct Payment. Young adults found information from statutory services was typically targeted at other audiences, for example, older people and only a minority believed transition planning/support services had played a significant role in preparing them for taking on a Personal Budget. Social workers with more experience of working with young adults identified specific issues that need to be accommodated including: young adults’ relative lack of life skills and experience; young adults’ preferences regarding parental involvement; and addressing parents’ support needs.
This report focusses on meeting the needs of working-age disabled adults as health and social care services are increasing integrated. It provides an empirical evidence base to demonstrate how whole person care (which is about making the connections between physical health, mental health and social care services) can be used to effectively meet these needs. The report also draws on the findings of a focus group with 12 disabled adults and carers on desired outcomes from the integration of health and social care services. Interviews with social care and voluntary sector professionals, commissioners and local authority policy to see if they are willing to include working-age disabled adults' needs in plans for future integration. The report looks at how working-age disabled adults have different needs and outcomes from older people and identifies the health inequalities they face in day-to-day life. Ten dimensions of health inequality are identified including housing, employment, financial security and quality of life. The report makes seven recommendations to inform the service response, including: taking a long term view of managing long-term conditions, viewing whole person care as a 10-year journey with matched by stable funding; debates on funding gap in social care should give consideration to the needs of working-age disabled adults; shifting resources from case management to community coordinated care to support prevention and providing a single point of contact for health and social care needs; service integration should take place across a much wider range of services to meet the needs of disabled people.
Halton Borough Council
The Community Bridge Building team is a generic service and Bridge Builders work with adults who have a disability and are socially isolated to connect them with services in their communities. It began in 2007 when adult day care services were restructured, moving from a day centre model (two centres in Widnes and Runcorn) to one where people are supported to take part in activities and voluntary roles in the community. Day services now support only those with the most complex needs. Community Bridge Builders aim to: promote wellbeing and healthy living; encourage equal opportunities for all; identify support needs and overcome them; enable people to make their own choices; promote Independence and reduce isolation; enable people to have a valued role within their community.
Mindfulness is a form of meditative practice that involves paying attention to present-moment experiences in a non-judgemental way in order to cultivate a stable and nonreactive awareness. Although mindfulness has been studied in relation to various health conditions, no known published study exists which considers mindfulness in the context of visual impairment. Semi-structured interviews were therefore conducted with blind and partially sighted individuals who participated in regular mindfulness practice. Their narratives were then analysed thematically. The results suggest that mindfulness enhanced spiritual well-being by increasing their sense of intrapersonal, interpersonal, and transpersonal ‘connectedness’, which was seen to be related to a self-perceived increase in emotional, social, and physical health. The findings of this exploratory study call for further research into the utility of mindfulness as a well-being resource for individuals with a visual impairment.
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