scholarly journals SEeking AnsweRs for Care Homes during the COVID-19 pandemic (COVID SEARCH)

2020 ◽  
Author(s):  
Karen Spilsbury ◽  
Reena Devi ◽  
Alys Griffiths ◽  
Cyd Akrill ◽  
Anita Astle ◽  
...  
Keyword(s):  
Research Agenda ◽  
Long Term Care ◽  
Care Home ◽  
Discussion Group ◽  
Short Report ◽  
Term Care ◽  
Care And Support ◽  
Care Facilities ◽  
The Uk

Abstract The care and support of older people residing in long-term care facilities during the COVID-19 pandemic has created new and unanticipated uncertainties for staff. In this short report, we present our analyses of the uncertainties of care home managers and staff expressed in a self-formed closed WhatsApp™ discussion group during the first stages of the pandemic in the UK. We categorised their wide-ranging questions to understand what information would address these uncertainties and provide support. We have been able to demonstrate that almost one-third of these uncertainties could have been tackled immediately through timely, responsive and unambiguous fact-based guidance. The other uncertainties require appraisal, synthesis and summary of existing evidence, commissioning or provision of a sector- informed research agenda for medium to long term. The questions represent wider internationally relevant care home pandemic-related uncertainties.

Evaluating and Motivating Activation in Long Term Care: Lessons From a Pilot Study

2021 ◽  
Vol 10 (1) ◽  
pp. 42-46
Author(s):  
J. Jbilou ◽  
A. El Bouazaoui ◽  
B. Zhang ◽  
J.L. Henry ◽  
L McDonald ◽  
...  
Keyword(s):  
Long Term Care ◽  
Driving Simulator ◽  
Care Home ◽  
Lessons Learned ◽  
Term Care ◽  
Care Facilities ◽  
Technological Intervention ◽  
The Impact ◽  
Research Recommendations

Older adults living in long-term care facilities typically receive insufficient exercise and have long periods of the day when they are not doing anything other than sitting or lying down, watching television, or ruminating (Wilkinson et al., 2017). We developed an intervention called the Experiential Centivizer, which provides residents with opportunities to use a driving simulator, watch world travel videos, and engage in exercise. We assessed the impact of the intervention on residents of a long-term care home in Fredericton, NB, Canada. In this paper, we report on the results observed and highlight the lessons learned from implementing a technological intervention within a long-term care setting. Practical and research recommendations are also discussed to facilitate future intervention implementation in long-term care.

Dietetic Students’ Experiences: Providing Meal Assistance in Long-term Care Facilities

2013 ◽  
Vol 74 (2) ◽  
pp. 88-91 ◽  
Author(s):  
Nicole Osinga ◽  
Heather Keller
Keyword(s):  
Long Term Care ◽  
Care Home ◽  
Structured Interviews ◽  
Term Care ◽  
Face To Face ◽  
Qualitative Thematic Analysis ◽  
Care Facilities ◽  
Role Learning ◽  
Dietetic Students

Purpose: This qualitative study involved describing the experiences of dietetic students who provided meal help to older adults. Of interest were benefits and challenges, and how training could be enhanced. Methods: Individual, face-to-face, semi-structured interviews were conducted with nine undergraduate dietetic students. In the preceding year, these students had volunteered as meal helpers in a long-term care home. Interviews were digitally recorded and transcribed verbatim. Qualitative thematic analysis was used to analyze the transcripts. Results: All participating students were female and from one undergraduate program. Three main themes emerged: growing into the role, learning outside the classroom, and providing quality assistance. Conclusions: This study provides an understanding of how meal helping can be a valuable experience for emerging dietitians. It also gives insights into training and the development of the meal helper role.

scholarly journals Old age psychiatry services: long-stay care facilities in Australia and the UK

2002 ◽  
Vol 26 (1) ◽  
pp. 24-26 ◽  
Author(s):  
John Snowdon ◽  
Tom Arie
Keyword(s):  
Old Age ◽  
Long Term Care ◽  
Focus Attention ◽  
Old People ◽  
Term Care ◽  
What Works ◽  
Care Facilities ◽  
Old Age Psychiatry ◽  
The Uk

We are old age psychiatrists; T.A. based in Britain, J.S. in Australia. A return visit by T.A. to Australia allowed us to focus attention on differences between the two countries in their provision of long-term care for old people with mental disabilities. What works well? What constrains development?

scholarly journals Understanding and Explaining How Staff Promote Quality for Older People Living in Long-Term Care Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 145-146
Author(s):  
Julienne Meyer ◽  
Kirsty Haunch ◽  
Carl Thompson ◽  
Karen Spilsbury
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Valuable Resource ◽  
Social Psychological ◽  
Term Care ◽  
Care Facilities ◽  
Emotional Dimensions ◽  
The Uk

Abstract Little is known about how the workforce influences quality in long term care facilities for older people. Conceptually, quality is complex, often contested, and dynamic, has overlapping physical, social, psychological and emotional dimensions and can refer to both quality of life and quality of care. Assuming ‘more staff equates to better quality’ is intuitively appealing but research suggests that a more nuanced, non-linear, relationship exists. A programme of research in the UK is developing theoretical and empirical explanations of how staff promote quality for older people living in long-term care facilities. It shifts the debate from numbers of staff and their relationship to quality indicators toward recognising the ways in which staff more broadly influence quality. Our work will be useful for people and organisations making policy and delivering services on the best ways to deploy and support quality in long term care through the most valuable resource: its staff.

scholarly journals UNDERSTANDING AND MEETING THE NEEDS OF RESIDENTS IN LONG-TERM CARE FACILITIES: A MULTIDISCIPLINARY PERSPECTIVE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S241-S241
Author(s):  
Barbara Hanratty ◽  
Karen Spilsbury
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
Service Providers ◽  
Quality Care ◽  
Care Home ◽  
Later Life ◽  
Term Care ◽  
Care Facilities

Abstract Long-term care facilities play a vital role in the care of older people. Across the world, service providers face common challenges to the delivery of high quality care to residents. Rising levels of morbidity and dependency, recruiting and retaining a skilled workforce, and separation from mainstream services are some of the issues that make this one of the most precarious care sectors. In this symposium, we will consider the evidence underlying some of these challenges, along with current and possible future service responses. The first presentation will look at factors that increase the risk of transition to dependency in the Newcastle 85+ cohort study. This is followed by an analysis of trends over time in health, morbidity and disability in the UK care home population, drawing on data from three later life cohorts. Having considered the characteristics and needs of residents, the next presentations move onto care services. Findings will be presented from a mixed methods study on the relationship between care home staffing and quality of care, followed by a study of the organisation of primary care for long term care facilities. This session will end by looking to the future, with findings from rapid syntheses of international evidence on technology, and evaluation methods, in animated format. Together, these presentations will enhance our understanding of the relationships between the needs of residents in long-term care facilities, demands on service providers and quality of care. We aim to stimulate debate and discussion on future directions for research and practice.

scholarly journals The need for improved discharge criteria for hospitalised patients with COVID-19—implications for patients in long-term care facilities

2020 ◽  
Author(s):  
Shirley Sze ◽  
Daniel Pan ◽  
Caroline M L Williams ◽  
Joseph Barker ◽  
Jatinder S Minhas ◽  
...  
Keyword(s):  
South Africa ◽  
Clinical Outcomes ◽  
Symptom Onset ◽  
Long Term Care ◽  
Term Care ◽  
Hospitalised Patients ◽  
Care Facilities ◽  
The Uk ◽  
Discharge Criteria

Abstract In the COVID-19 pandemic, patients who are older and residents of long-term care facilities (LTCF) are at greatest risk of worse clinical outcomes. We reviewed discharge criteria for hospitalised COVID-19 patients from 10 countries with the highest incidence of COVID-19 cases as of 26 July 2020. Five countries (Brazil, Mexico, Peru, Chile and Iran) had no discharge criteria; the remaining five (USA, India, Russia, South Africa and the UK) had discharge guidelines with large inter-country variability. India and Russia recommend discharge for a clinically recovered patient with two negative reverse transcription polymerase chain reaction (RT-PCR) tests 24 h apart; the USA offers either a symptom based strategy—clinical recovery and 10 days after symptom onset, or the same test-based strategy. The UK suggests that patients can be discharged when patients have clinically recovered; South Africa recommends discharge 14 days after symptom onset if clinically stable. We recommend a unified, simpler discharge criteria, based on current studies which suggest that most SARS-CoV-2 loses its infectivity by 10 days post-symptom onset. In asymptomatic cases, this can be taken as 10 days after the first positive PCR result. Additional days of isolation beyond this should be left to the discretion of individual clinician. This represents a practical compromise between unnecessarily prolonged admissions and returning highly infectious patients back to their care facilities, and is of particular importance in older patients discharged to LTCFs, residents of which may be at greatest risk of transmission and worse clinical outcomes.

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