scholarly journals Staff perceptions of caring for people exhibiting behavioural and psychological symptoms of dementia in residential aged care: A cross‐sectional survey

2019 ◽  
Vol 39 (3) ◽  
pp. 237-243
Author(s):  
Jessica Roe ◽  
Suzanne Coulson ◽  
Cherene Ockerby ◽  
Alison M. Hutchinson
Keyword(s):  
Psychological Symptoms ◽  
Aged Care ◽  
Residential Aged Care ◽  
Cross Sectional Survey ◽  
Staff Perceptions ◽  
Cross Sectional ◽  
Behavioural And Psychological Symptoms

scholarly journals Advance care planning participation by people with dementia: a cross-sectional survey and medical record audit

2021 ◽  
pp. bmjspcare-2020-002550
Author(s):  
Jamie Bryant ◽  
Marcus Sellars ◽  
Amy Waller ◽  
Karen Detering ◽  
Craig Sinclair ◽  
...  
Keyword(s):  
Advance Care Planning ◽  
Aged Care ◽  
Residential Aged Care ◽  
Health Record ◽  
Care Planning ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Substitute Decision Maker ◽  
People With Dementia ◽  
Advance Care

ObjectivesTo describe among individuals with dementia: (1) self-reported awareness of, and engagement in, advance care planning; (2) presence of advance care planning documentation in the health record and (3) concordance between self-reported completion of advance care planning and presence of documentation in the health record.MethodsAn Australian prospective multicentre audit and cross-sectional survey. Individuals diagnosed with dementia who were able to speak English and were judged by a healthcare provider as having decision-making capacity were recruited from self-selected hospitals, residential aged care facilities and general practices across Australia.ResultsFifty-two people with dementia completed surveys and were included. Overall, 59.6% of participants had heard about advance care planning and 55.8% had discussed advance care planning with someone, most often a family member (48.1%). While 38.5% of participants had appointed a medical substitute decision maker, only 26.9% reported that they had written down their values and preferences for future care. Concordance between self-reported completion of advance care planning and presence of documentation in the health record was low (56.8%, κ=0.139; 57.7%, κ=0.053).ConclusionEffective models that promote discussion, documentation and accessible storage of advance care planning documents for people with dementia are needed.

Evaluation of care staff knowledge, confidence, motivation and opportunity for preventing falls in residential aged care settings: A cross‐sectional survey

2019 ◽  
Vol 14 (2) ◽  
pp. e12224
Author(s):  
Jacqueline Francis‐Coad ◽  
Jo‐Aine Hang ◽  
Christopher Etherton‐Beer ◽  
Alexandra Ellis ◽  
Anne‐Marie Hill
Keyword(s):  
Aged Care ◽  
Care Staff ◽  
Residential Aged Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Evaluation Of Care

scholarly journals Vitamin D status and its predictors in New Zealand aged-care residents eligible for a government-funded universal vitamin D supplementation programme

2016 ◽  
Vol 19 (18) ◽  
pp. 3349-3360 ◽  
Author(s):  
Sue O MacDonell ◽  
Jody C Miller ◽  
Michelle J Harper ◽  
Debra L Waters ◽  
Lisa A Houghton
Keyword(s):  
Vitamin D ◽  
New Zealand ◽  
Aged Care ◽  
Falls Prevention ◽  
Lower Latitude ◽  
Residential Aged Care ◽  
Vitamin D Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Supplemental Vitamin

AbstractObjectiveThe provision of prescribed vitamin D to all aged-care residents has been implemented in New Zealand as part of a government-led falls prevention programme. To our knowledge, there has been no evaluation of this universal programme on vitamin D status and functional and health outcomes. Thus, we aimed to determine 25-hydroxyvitamin D (25(OH)D) concentrations and their predictors in aged-care residents across the country and to investigate whether the government-funded programme was associated with adequate vitamin D status.DesignCross-sectional survey of sociodemographic, biochemical, anthropometric, dietary and health characteristics. Blood samples were analysed for serum 25(OH)D and other biochemical measures. Multiple regression was used to examine predictors of vitamin D status.SettingSixteen residential aged-care facilities throughout New Zealand.SubjectsResidents aged ≥60 years with residency duration >12 weeks (n309).ResultsMean serum 25(OH)D was 89·9 (95 % CI 85·2, 94·5) nmol/l and monthly supplements (1250 µg (50 000 IU)) were taken by 75 % of all residents. Of those not taking a funded supplement, 65·3 % had serum 25(OH)D <50 nmol/l compared with only 1·5 % of supplement users. Being female, residing at lower latitude, increasing duration of aged-care residency and raised serum α1-acid glycoprotein were positively associated with higher 25(OH)D concentrations. Supplemental vitamin D from all sources was the strongest predictor, increasing serum 25(OH)D levels by more than 70 nmol/l. Furthermore, 25 % of participants had serum 25(OH)D levels >125 nmol/l.ConclusionsResidents taking supplemental vitamin D had adequate vitamin D status; however monitoring of long-term supplementation should be considered, due to the high proportion of participants with high serum 25(OH)D levels.

scholarly journals Evaluation of older people's knowledge, awareness, motivation and perceptions about falls and falls prevention in residential aged care homes: a tale of two cities

2018 ◽  
Vol 39 (11) ◽  
pp. 2541-2559 ◽  
Author(s):  
Jacqueline Francis-Coad ◽  
Tessa Watts ◽  
Christopher Etherton-Beer ◽  
Gerwyn Panes ◽  
Howard Griffiths ◽  
...  
Keyword(s):  
Older People ◽  
Aged Care ◽  
Functional Mobility ◽  
Falls Prevention ◽  
Residential Aged Care ◽  
Prevention Strategies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Daily Lives ◽  
Self Blame

AbstractFalls prevention strategies can only be effective in reducing falls amongst older people if they are adopted and enacted in their daily lives. There is limited evidence identifying what older people in residential aged care (RAC) homes understand about falls and falls prevention, or what may limit or enable their adoption of strategies. This study was conducted in two countries and explored older people's knowledge and awareness of falls and their preferences, opportunities and motivation to undertake falls prevention strategies. A cross-sectional survey was administered to participants (N = 70) aged 65 years and over, living in six RAC homes in Perth, Australia and six RAC homes in Swansea, Wales, United Kingdom. Participants had limited knowledge about intrinsic falls risk factors and strategies to address these and frequently expressed self-blame regarding falling. Almost all (N = 67, 95.7%) participants felt highly motivated to maintain their current functional mobility and independence in everyday tasks. Key preferences for receiving falls prevention messages favoured a positive approach promoting wellness and independence (N = 41, 58.6%) via pictorial posters or brochures (N = 37, 52.9%) and small group discussions preferably with demonstrations (N = 18, 25.7%). Findings from this study may assist organisations and staff to more effectively engage with older people living in RAC about falls prevention and design targeted resources to address the motivations and preferences of this population.

scholarly journals Evaluating the Utility of a Structured Clinical Protocol for Reducing the Impact of Behavioural and Psychological Symptoms of Dementia in Progressive Neurological Diseases: A Pilot Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Nicholas P. Ryan ◽  
Laura Scott ◽  
Maryanne McPhee ◽  
Susan Mathers ◽  
Marie-Claire Davis ◽  
...  
Keyword(s):  
Job Stress ◽  
Psychological Symptoms ◽  
Neurological Diseases ◽  
Aged Care ◽  
Medium Effect ◽  
Residential Aged Care ◽  
Secondary Outcome ◽  
Clinical Protocol ◽  
Behavioural And Psychological Symptoms ◽  
The Impact

Objectives. Behavioural and psychological symptoms of dementia (BPSD) cause significant distress to both aged care residents and staff. Despite the high prevalence of BPSD in progressive neurological diseases (PNDs) such as multiple sclerosis, Huntington’s disease, and Parkinson’s disease, the utility of a structured clinical protocol for reducing BPSD has not been systematically evaluated in PND populations. Method. Staff (n=51) and individuals with a diagnosis of PND (n=13) were recruited into the study, which aimed to evaluate the efficacy of a PND-specific structured clinical protocol for reducing the impact of BPSD in residential aged care (RAC) and specialist disability accommodation (SDA) facilities. Staff were trained in the clinical protocol through face-to-face workshops, which were followed by 9 weeks of intensive clinical supervision to a subset of staff (“behaviour champions”). Staff and resident outcome measures were administered preintervention and immediately following the intervention. The primary outcome was frequency and severity of BPSD, measured using the Neuropsychiatric Inventory-Nursing Home Version (NPI-NH). The secondary outcome was staff coping assessed using the Strain in Dementia Care Scale (SDCS). Results. In SDA, significant reductions in staff ratings of job-related stress were observed alongside a statistically significant decrease in BPSD from T1 to T2. In RAC, there was no significant time effect for BPSD or staff coping; however, a medium effect size was observed for staff job stress. Conclusions. Staff training and clinical support in the use of a structured clinical protocol for managing BPSD were linked to reductions in staff job stress, which may in turn increase staff capacity to identify indicators of resident distress and respond accordingly. Site variation in outcomes may relate to organisational and workforce-level barriers that may be unique to the RAC context and should be systematically addressed in future RCT studies of larger PND samples.

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