Quality of care plans in long‐term care facilities for the older persons—How well is information from RAI assessments utilised in care planning?

2021 ◽  
Author(s):  
Suvi Kuha ◽  
Katriina Niemelä ◽  
Pia Vähäkangas ◽  
Anja Noro ◽  
Sinikka Lotvonen ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Older Persons ◽  
Long Term Care ◽  
Care Planning ◽  
Term Care ◽  
Care Plans ◽  
Care Facilities

scholarly journals Mapping evidence on standards and quality of care for older persons in long-term care facilities: a scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Letasha Kalideen ◽  
Pragashnie Govender ◽  
Jacqueline Marina van Wyk ◽  
Desmond Kuupiel
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Scoping Review ◽  
Older Persons ◽  
Long Term Care ◽  
Standards Of Care ◽  
Term Care ◽  
Care Facilities

Abstract Background Ageing is a global and universal process that results in physiological, psychological and behavioural changes. Due to the changing needs of the individual and the circumstances of the family, long-term care of older persons in facilities has become essential. The standard and quality of health care for older persons in long-term care facilities is critical to maintain functional ability in keeping with international goals of healthy ageing. This study, therefore, will aim to systematically map literature and describe the evidence on standards and the quality of health care for older persons living in long-term care facilities (LTCFs). Methods A scoping review will be conducted using Arksey and O’Malley’s framework and recommendations set out by Levac and colleagues. PubMed, CINAHL, Health Sources, PsycInfo, Web of Science, Scopus, and Google Scholar will be searched for relevant published studies/sources of evidence up to the last search date. The search will be conducted using keywords, and Boolean terms, and Medical Subject Headings/Subject Headings. EndNote X9 will be used to compile all relevant sources of evidence. This study will include studies involving participants ≥ 65 years old, living in LTCFs for older persons. English language publications, with no time limitations, and primary studies, guidelines, and quality of care specific to LTCFs for older persons will be sourced. Two reviewers will independently screen all sources of evidence at the title, abstract, and full-text screening stages as well as perform the data charting. The Preferred Reporting Items for Systematic Review and Meta-Analysis flow diagram will be used to account for all relevant sources of evidence during the screening. Thematic content analysis will be used to describe the themes aligned with this study’s research question based on initial coding and categorisation and a summary of the findings reported narratively for each theme. Discussion We anticipate that this scoping review will highlight the standards of care and assessment tools available worldwide, in addition to gaps that exist in the evidence base for older persons in LTCFs. These may include an exposition of the standards and quality of care documented, monitoring and evaluation processes, instruments used for reviewing standards of care. This would contribute towards identifying the need for practical and universally acceptable tools for LTCFs for older persons.

scholarly journals Quality of Care and Mortality among Long-term Care Residents with Dementia

2008 ◽  
Vol 35 (1) ◽  
pp. 49 ◽  
Author(s):  
R. Colin Reid
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
Mortality Data ◽  
Social Selection ◽  
Term Care ◽  
Causative Factors ◽  
Care Facilities ◽  
Selection Factors

Seniors with dementia who enter long-term care facilities are at greater risk of death than are similar individuals that remain in the community. Previous research has focused primarily on social selection factors such as health status to explain mortality in this population. This study seeks to determine whether resident mortality within 12 months of admission to a facility can be explained by post-admission social causative factors, that is, by institutional quality of care. Logistic regression results are based on the study of 402 residents in 73 long-term care facilities throughout British Columbia, Canada. Mortality data were obtained from Vital Statistics. Although social selection factors (e.g., physical dependency) emerge as the strongest predictors, one social causative factor – facility level restraint use – also predicts mortality. This study provides some evidence that social causative factors play a role in determining mortality among long-term care residents with dementia. Further research on the social causative factors is needed to understand the degree to which they affect mortality, and the way in which they do so.

Quality of Care for Residents Dying in Ontario Long-Term Care Facilities: Findings from a Survey of Directors of Care

2006 ◽  
Vol 22 (1) ◽  
pp. 18-25 ◽  
Author(s):  
Kevin Brazil ◽  
Paul Krueger ◽  
Michel Bedard ◽  
Mary Lou Kelley ◽  
Carrie Mcainey ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

scholarly journals Associations between Length of Stay in Long Term Care Facilities and End of Life Care. Analysis of the PACE Cross-Sectional Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2742 ◽  
Author(s):  
Danni Collingridge Moore ◽  
Sheila Payne ◽  
Thomas Keegan ◽  
Luc Deliens ◽  
Tinne Smets ◽  
...  
Keyword(s):  
Quality Of Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Long Term Care ◽  
Life Care ◽  
Cross Sectional ◽  
Term Care ◽  
Care Facilities

Long term care facilities (LTCFs) are increasingly a place of care at end of life in Europe. Longer residence in an LTCF prior to death has been associated with higher indicators of end of life care; however, the relationship has not been fully explored. The purpose of this analysis is to explore associations between length of stay and end of life care. The analysis used data collected in the Palliative Care for Older People in care and nursing homes in Europe (PACE) study, a cross-sectional mortality follow-back survey of LTCF residents who died within a retrospective 3-month period, conducted in Belgium, England, Finland, Italy, the Netherlands and Poland. Primary outcomes were quality of care in the last month of life, comfort in the last week of life, contact with health services in the last month of life, presence of advance directives and consensus in care. Longer lengths of stay were associated with higher scores of quality of care in the last month of life and comfort in the last week of life. Longer stay residents were more likely to have advance directives in place and have a lasting power of attorney for personal welfare. Further research is needed to explore the underlying reasons for this trend, and how good quality end of life care can be provided to all LTCF residents.

Administrators and Quality of Care in Long-Term Care Facilities

2009 ◽  
Vol 23 (3) ◽  
pp. 243-260 ◽  
Author(s):  
Sean Keays ◽  
Andrew V. Wister ◽  
Gloria M. Gutman
Keyword(s):  
Quality Of Care ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities

A Multidisciplinary Approach to Assessing the Quality of Care in Long-Term Care Facilities

1977 ◽  
Vol 17 (1) ◽  
pp. 61-65 ◽  
Author(s):  
K. A. Kahn ◽  
W. Hines ◽  
A. S. Woodson ◽  
G. Burkham-Armstrong
Keyword(s):  
Quality Of Care ◽  
Multidisciplinary Approach ◽  
Long Term Care ◽  
Term Care ◽  
Care Facilities
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