Improving Quality of Life for Older People in Long-Stay Care ...

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6.7 Meaningful Occupation 1296.8 Choice and Autonomy 1316.9 Care Process and Organisational Issues 1326.10 Physical Environment and Facilities 1346.11 Conclusion 137Chapter Seven: Description of Study Sitesand Resident and Staff Demographics 1397.1 Geriatric Homes/Hospitals 1407.1.1 Physical Environment 1407.1.2 Staffing 1417.1.3 Life in the Facility 1417.1.4 Resident Profile/Dependency 1427.2 Private Nursing Homes 1427.2.1 Physical Environment 1427.2.2 Staffing 1437.2.3 Life in the Facility 1437.2.4 Resident Profile/Dependency 1437.3 Welfare Home 1447.3.1 Physical Environment 1447.3.2 Staffing 1447.3.3 Life in the Facility 1447.3.4 Resident Profile/Dependency 1457.4 Voluntary Home/Hospital 1457.4.1 Physical Environment 1457.4.2 Staffing 1457.4.3 Life in the Facility 1467.4.4 Resident Profile/Dependency 1467.5 Community/District Hospitals 1467.5.1 Physical Environment 1467.5.2 Staffing 1477.5.3 Life in the Facility 1477.5.4 Resident Profile/Dependency 1477.6 Resident Demographics 1477.7 Staff Demographics 149Chapter Eight: Care Environment and Ethos of Care 1518.1 Introduction 1528.2 Promoting Autonomy 1538.2.1 Involvement in Decision-Making 1538.2.2 Exercising Choice 1548.3 Promoting and Maintaining Independence 156
Page 1 and 2: ImprovingQuality of Lifefor Older P
Page 3: National Council on Ageing and Olde
Page 6 and 7: Authors’ AcknowledgementsThe rese
Page 8 and 9: ContentsCouncil Comments and Recomm
Page 13 and 14: Table 8.4: Individualised care and
Page 15 and 16: Council Commentsand Recommendations
Page 17 and 18: actively providing residents with o
Page 19 and 20: all long-stay facilities, the Counc
Page 21 and 22: Fostering Quality of Life in Long-S
Page 23 and 24: Age Awareness TrainingMany stereoty
Page 25 and 26: Finally, the Council recommends tha
Page 27 and 28: Executive SummaryIntroduction26Qual
Page 29 and 30: The interviews with residents, staf
Page 31 and 32: The findings also revealed that sta
Page 33 and 34: espect in an environment that is em
Page 35 and 36: Chapter OneIntroduction34Quality of
Page 37 and 38: Traditionally, the quality focus in
Page 39 and 40: Chapter Twelve provides a model for
Page 41 and 42: Chapter TwoQuality of Careand Quali
Page 43 and 44: While residents may have a range of
Page 45 and 46: The Health Act, 1970, should be ame
Page 47 and 48: 46Design - the design of the nursin
Page 49 and 50: estraint should only be used in cas
Page 51 and 52: public patients in private nursing
Page 53 and 54: 52Group identity and being part of
Page 55 and 56: The establishment of the Health Inf
Page 57 and 58: 7. Independence - develop support s
Page 59 and 60: to identify and liaise with other r
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The introduction of the RAI entaile
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62Improving Quality of Life for Old
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Chapter ThreeThe Interpretation and
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to be taken into account (Farquhar,
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In a study of quality of life in nu
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expressing their preferences or vie
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social activities and retaining a r
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Many researchers believe that the b
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certain test of validity, there are
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3.7 Conclusion78While the literatur
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Chapter FourMethodology4.1 Introduc
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Table 4.1: Distribution of focus gr
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A small number of private nursing h
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to the research team; secondly, it
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y participants to be taken into acc
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4.5.4 Profile of Study SitesA compr
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4.6 Interviews4.6.1 ResidentsIn all
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94Improving Quality of Life for Old
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Chapter FiveQuality of Life in Long
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Participants from welfare homes rep
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Participants also reported that the
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Education and training: comments fr
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Participants maintained that a key
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Keeping in touch with the community
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5.7.2 Increasing the Visibility of
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5.8 ConclusionsThis chapter present
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Chapter SixQuality of Life inLong-S
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6.2 ResidentsThe total number of re
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6.3 Dependency116Dependency levels
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Figure 6.6: Long-stay residents’
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The differences between public geri
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in the morning for all facilities i
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It is also of interest to document
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6.5 Provision of Therapy and Other
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or how many residents avail of the
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esidents the opportunity to partici
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Table 6.14: Choice of time to get u
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6.10 Physical Environment and Facil
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Bathroom facilities varied consider
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Overall, there is a significant amo
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Chapter SevenDescription of StudySi
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7.1.4 Resident Profile/DependencyWh
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7.3 Welfare Home7.3.1 Physical Envi
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7.4.3 Life in the FacilityMost resi
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Table 7.1: Number of resident respo
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Table 7.6: Number of years working
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Chapter EightCare Environmentand Et
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8.2.2 Exercising ChoiceResident and
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8.3 Promoting and Maintaining Indep
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8.4 Staffing IssuesStaffing resourc
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Table 8.3: Staffing resources and p
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sites was the lack of a central cal
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Table 8.4: Individualised care and
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166Improving Quality of Life for Ol
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Chapter NinePersonal Identity9.1 In
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In contrast to residents who had th
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Table 9.3: Opportunity to observe t
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Opportunities to have a wash differ
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176Ways of copingThere are days I d
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and quiet’ and having nowhere pri
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Self-respect gained throughacknowle
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Chapter TenConnectedness,Social Rel
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Table 8.3: Staffing resources and p
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Resident respondents indicated that
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A few resident respondents commente
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This was more an issue when only a
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Men and womenTis all aged women tha
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In some facilities, it seemed that
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10.6 ConclusionsA number of factors
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Chapter ElevenActivities and Therap
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202Table 11.1 Meaningful activityPu
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Table 11.2: Therapeutic activities2
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206Table 11.3: Activities outside t
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Table 11.4: Making activities work2
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Page 213 and 214:
Chapter TwelveConclusions andRecomm
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themselves experience it. The appro
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12.3 Key Findings216Analysis of the
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It was evident across all data sets
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The importance of continuing educat
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222The physical environment and att
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meet and work on a joint project or
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egional levels. Examples of indepen
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Table 12.1 provides a summary of th
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ReferencesAdams, A. and Bond, S., 2
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Bowling, A., Formby, J., Grant, K.
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Farquhar, M., 1995b. ‘Elderly peo
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Lawton, M.P., 1983. ‘Environment
Page 241 and 242:
O’Connor, J. and Thompstone, K.,
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Strauss, A. and Corbin, J., 1990. B
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Appendix OneCensus QuestionnaireThe
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4. For long-stay/permanent resident
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9. Please indicate the number of lo
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12. How many registered nurses and
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19. Does your facility have any of
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28. Can long-stay residents decide
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35. Are any of the following proces
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43. Which of the following types of
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Appendix TwoDescription of StudySit
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Appendix ThreeResident InterviewSch
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264DomainRelationshipsContinuitywit
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266DomainCompanionshipRelationships
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Appendix FourStaff Interview Schedu
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Appendix FiveRelative InterviewSche
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Page 275 and 276:
Terms of ReferenceThe National Coun
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MembershipChairperson Cllr Éibhlin
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