Shortfall in innovation: how technology, skill mix and self-care can change long-term care

2020 ◽  
Author(s):  
Keyword(s):  
Long Term Care ◽  
Self Care ◽  
Term Care ◽  
Skill Mix ◽  
Technology Skill

scholarly journals Pre-Loss Group Therapy for Family Caregivers of Persons With Dementia: Translation Into Practice

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 43-43
Author(s):  
Katherine Supiano ◽  
Troy Andersen ◽  
Marilyn Luptak ◽  
Cynthia Beynon ◽  
Eli Iacob ◽  
...  
Keyword(s):  
At Risk ◽  
Group Therapy ◽  
Family Caregivers ◽  
Long Term Care ◽  
Meaning Making ◽  
Self Care ◽  
Complicated Grief ◽  
Care Recipient ◽  
Term Care

Abstract We developed Pre-Loss Group Therapy (PLGT) for dementia caregivers at risk for Complicated Grief (CG). PLGT is a manualized ten-session multi-modal group therapy that includes elements of cognitive behavior therapy, motivational interviewing, exposure therapy, memory revisiting, meaning-making, and self-care. We implemented and evaluated three PLGT cohorts in three long-term care facilities with family caregivers at-risk for CG whose care recipient had a life expectancy of 6 months or less and resided in a long-term care facility (NT = 24). Evaluation of participant preparedness for the death of the persons with dementia (PWD), self-care and grief outcomes showed significant improvement across multiple domains between pre and post-group, notably a statistically significant decrease in grief as measured by the Inventory of Complicated Grief score from baseline (M = 25.67, SE=1.80) to post-group (M = 14.41, SE=1.65) t(21)= 6.280, p<0.001. Clinician-rated grief severity declined (N=22, β = –0.472, SE = 0.018, p < 0.001) per week and grief improvement increased (N=22, β = 0.259, SE = 0.023, p < 0.001) per week, as assessed on the Clinician Global Impressions Scale. We subsequently trained two LCSWs to conduct PLGT, and both clinical outcomes and treatment fidelity and skills measures achieved performance levels of master clinician-trainers. Family caregivers at risk for CG may benefit from group therapy targeting preparedness and pre-loss grief experience, as we provide with PLGT. Manualized PLGT is suitable for implementation by LCSWs in the settings of hospice and long-term care.

scholarly journals Self-care in older people with functional deficit: needs of long-term care

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Ana Filipa Ramos ◽  
Manuel Lopes ◽  
Felismina Mendes ◽  
Pedro Parreira ◽  
César Fonseca
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Self Care ◽  
Term Care ◽  
Functional Deficit

Abstract T P122: Functional Independence Measure Scores Predict Self-care Levels Required for Post-acute Stroke Patients Classified by the Long-Term Care Insurance System in Japan: A Multicenter Retrospective Cohort Study

Stroke ◽  
2014 ◽  
Vol 45 (suppl_1) ◽  
Author(s):  
Naoki Saji ◽  
Kazumi Kimura ◽  
Goro Ohsaka ◽  
Yasuto Higashi ◽  
Yoichi Teramoto ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Long Term Care ◽  
Self Care ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Early Prediction ◽  
Stroke Patients ◽  
Term Care ◽  
Long Term Care Insurance

Background and purpose: Early prediction of clinical outcomes in stroke patients is socioeconomically important. The aim of this study was to clarify whether Functional Independence Measure (FIM) scores on admission can predict their discharge destinations and future self-care levels required for post-acute stroke patients classified by the Long-Term Care Insurance (LTCI) system, the national insurance plan for care in Japan. Methods: We enrolled post-acute stroke patients admitted to 12 convalescent rehabilitation wards (CRW) from 9 acute stroke centers. A CRW was defined as a specialized ward for intensive rehabilitation to prevent a bedridden state and to promote home rehabilitation by improving ability to perform activities of daily living. We evaluated self-care abilities using FIM scores and modified Rankin Scale (mRS) scores as traditional assessment scales and compared with certified self-care levels within the LTCI system (seven levels; slight impairment to bedridden). We divided patients into those who were discharged home from a CRW and all others. Results: Among 1261 patients (47% female, mean age 75 years), 984 (78%) were discharged home. FIM scores at discharge were significantly correlated with both mRS scores at discharge and certified self-care levels within the LTCI system (P < .001). The cut-off values for home discharge were a FIM score on admission of 50 points and an age of 75 years. On multivariate analysis, FIM scores ≥50 on admission [odds ratio (OR), 95% confidence interval (95% CI); 5.80, 4.30-7.91] and age <75 years (2.16, 1.60-2.95) were independently associated with home discharge. Conclusions: FIM scores in post-acute stroke patients can predict self-care levels within the LTCI system. Early prediction of self-care levels may promote careful preparation of healthcare planning and improve the efficiency of stroke management.

scholarly journals A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a Quasi-experimental Pilot Study

BMJ Open ◽  
2017 ◽  
Vol 7 (6) ◽  
pp. e014393 ◽  
Author(s):  
Siti Khuzaimah Ahmad Sharoni ◽  
Hejar Abdul Rahman ◽  
Halimatus Sakdiah Minhat ◽  
Sazlina Shariff Ghazali ◽  
Mohd Hanafi Azman Ong
Keyword(s):  
Pilot Study ◽  
Self Efficacy ◽  
Older Patients ◽  
Long Term Care ◽  
Self Care ◽  
Education Programme ◽  
Term Care ◽  
Patients With Diabetes ◽  
Quasi Experimental

Working With Resistance and Encouraging Buy-In to New Programs

2011 ◽  
Vol 16 (1) ◽  
pp. 18-21
Author(s):  
Sara Joffe
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Optimal Outcomes ◽  
Speech Language Pathologist

In order to best meet the needs of older residents in long-term care settings, clinicians often develop programs designed to streamline and improve care. However, many individuals are reluctant to embrace change. This article will discuss strategies that the speech-language pathologist (SLP) can use to assess and address the source of resistance to new programs and thereby facilitate optimal outcomes.

Feeding Dependency Issues in the Long-Term Care Environment

2001 ◽  
Vol 10 (1) ◽  
pp. 19-24
Author(s):  
Carol Winchester ◽  
Cathy Pelletier ◽  
Pete Johnson
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Environment
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