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

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The majority of private and voluntary facilities have separate sitting and diningrooms (Table 6.15). However, the proportion is significantly lower in public geriatrichome/hospitals and district/community hospitals. Public geriatric hospitals/homesand district/community hospitals mostly have combined dining and sitting rooms.A separate room or rooms for meeting/entertaining visitors is available in 70 percent of all facilities, with the figure much higher in the private and voluntary sectorsthan in the public sector. Less than half of public geriatric homes/hospitals andonly 39 per cent of district/community hospitals have separate visiting rooms.As these public facilities are more likely to have communal wards, this lack ofprovision is likely to significantly impact on the ability of residents to maintainsocial relationships and/or develop new friendships. Provision for children visitinglong-stay facilities is poorly provided for, especially in public facilities. The availabilityof child friendly areas is highest in private nursing homes, with 18 per cent offacilities having a designated space for children.Table 6.15: Provision of various facilities and space by facility typeSeparatedining roomSeparatesitting roomCombinedsitting/diningCombinedsitting/receptionSeparatereceptionSeparatevisitingroomChildfriendly areaActivitiesroomAllfacilitiesPrivatenursinghomesPublichomes/hospitalsVoluntaryhomes/hospitalsDistrict/communityhospitalsWelfarehomes267 (82.9) 195 (96.1) 20 (52.6) 30 (88.2) 11 (33.3) 11 (78.6)270 (83.9) 194 (95.6) 22 (57.9) 32 (94.1) 13 (39.4) 9 (64.3)81 (25.2) 26 (12.8) 20 (52.6) 7 (20.6) 25 (75.8) 3 (21.4)36 (11.2) 26 (12.8) 4 (10.5) 3 (8.8) 3 (9.1) 0 (0.0)240 (74.5) 173 (85.2) 20 (52.6) 26 (76.5) 13 (39.4) 8 (57.1)224 (69.6) 162 (79.8) 18 (47.4) 26 (76.5) 13 (39.4) 5 (35.7)43 (13.4) 37 (18.2) 3 (7.9) 3 (8.8) 0 (0.0) 0 (0.0)91 (28.3) 52 (25.6) 10 (26.3) 19 (55.9) 6 (18.2) 4 (28.6)Other 54 (16.8) 40 (19.7) 3 (7.9) 7 (20.6) 3 (9.1) 1 (7.1)135N 322 203 38 34 33 14
Bathroom facilities varied considerably between and within each facility type (Table6.16). In general, the private nursing home sector provides better bathroomfacilities than the public sector. After correction for numbers of residents, thesedifferences are significant for numbers of en suite rooms and for WCs with fixedgrab rails. Differences are not so evident in respect of WCs separate frombathrooms or showers, or for special baths. Call bells are provided in the majority ofrooms, bathrooms and WCs, but not generally in corridors (Table 6.17). However, inpublic geriatric hospitals, 25 per cent of residents’ rooms and 25 per cent of WCsdo not have call bells.Table 6.16: Ratio of WCs/special baths to (all) residents by facility type136NEnsuiteroomsFixedgrabrailsinWCsResidentsResidentsSeparateWCSpecialbathsResidentsResidentsAll facilities 300 1 3.9 1 3.8 1 9.4 1 34.8PrivatenursinghomesPublichomes/hospitalsVoluntaryhomes/hospitalsDistrict/communityhospitalsWelfarehomes190 1 2.2 1 2.6 1 8.9 1 32.336 1 43.9 1 9.1 1 10.3 1 50.633 1 4.8 1 4.9 1 8.5 1 25.428 1 26.3 1 7.7 1 16.4 1 39.413 1 25.2 1 8.5 1 5.8 1 37.9Improving Quality of Life for Older People in Long-Stay Care Settings in Ireland
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ImprovingQuality of Lifefor Older P
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National Council on Ageing and Olde
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Authors’ AcknowledgementsThe rese
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ContentsCouncil Comments and Recomm
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6.7 Meaningful Occupation 1296.8 Ch
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CouncilComments andRecommendations
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Quality of Life DomainsThe research
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Meaningful ActivitiesThe research n
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the research revealed that, in gene
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The Council accepts that the cultur
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this regard. The Council believes t
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ExecutiveSummary
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MethodologyA mixed method research
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Long-Stay Facility Survey FindingsT
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Residents were most positive about
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Chapter OneIntroduction
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There is no single definition descr
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This chapter provides justification
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Chapter TwoQuality of Careand Quali
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2.2 Separating Quality of Care and
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2.3 Policy for Long-Stay Care in Ir
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2.4 Regulatory StructuresThere are
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Medical preparations - medication s
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inspections are mainly concerned wi
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often not designed to meet the spec
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Residents who did not want to be in
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Human resources management standard
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The Mid-West Standards for Resident
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process and outcomes of the service
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2.9 ConclusionQuality of life for o
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Chapter ThreeThe Interpretationand
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The difficulty of defining such an
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Implicit definitions use the broad
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Human needs may also provide part o
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successfully complete a self-report
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In relation to older people specifi
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The results of this particular stud
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The design of a residential care se
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Chapter FourMethodology
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each method used at the same point
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4.3.3 Data AnalysisThe transcripts
Page 86 and 87: Table 4.2: Distribution of question
Page 88 and 89: 4.4.4 Quantitative Data AnalysisThe
Page 90 and 91: Anonymity and confidentiality are i
Page 92 and 93: from stakeholders who attended the
Page 94 and 95: 4.7 Ethical ClearanceEthical cleara
Page 96 and 97: Chapter FiveQuality of Lifein Long-
Page 98 and 99: All participants reported that ther
Page 100 and 101: Staffing and skill mix: comments fr
Page 102 and 103: Recruiting and retaining staff: com
Page 104 and 105: Impact of physical environment on r
Page 106 and 107: 5.6.2 Social EnvironmentParticipant
Page 108 and 109: They believed that this problem was
Page 110 and 111: Participants also discussed at leng
Page 112 and 113: Chapter SixQuality of Lifein Long-S
Page 114 and 115: Table 6.1: Type of facilityN %Priva
Page 116 and 117: Figure 6.2: Age profile of long-sta
Page 118 and 119: Figure 6.5 shows the percentages of
Page 120 and 121: Figure 6.7: Long-stay residents’
Page 122 and 123: In private and voluntary facilities
Page 124 and 125: Table 6.6: Ratio of RNs on the even
Page 126 and 127: Staff turnover investigates the num
Page 128 and 129: Table 6.10: Therapeutic and other s
Page 130 and 131: sector and 50 per cent in the volun
Page 132 and 133: Table 6.13: Number of facilities in
Page 134 and 135: stay units also allow ambulant, men
Page 138 and 139: Table 6.17: Call bell facilities by
Page 140 and 141: Chapter SevenDescription ofStudy Si
Page 142 and 143: others were open and residents’ b
Page 144 and 145: 7.2.2 StaffingRegistered nurses and
Page 146 and 147: Some residents were able to leave t
Page 148 and 149: the day by their bed. In addition,
Page 150 and 151: equired full assistance with dressi
Page 152 and 153: Chapter EightCare Environmentand Et
Page 154 and 155: 8.2 Promoting AutonomyThis category
Page 156 and 157: Table 8.1: Involvement of residents
Page 158 and 159: Table 8.2: Maintaining independence
Page 160 and 161: Focus group participants reported t
Page 162 and 163: Staff respondents also highlighted
Page 164 and 165: Therefore, the practice of rosterin
Page 166 and 167: 8.7 ConclusionThis chapter presente
Page 168 and 169: Chapter NinePersonal Identity
Page 170 and 171: Table 9.1: Identity and personalise
Page 172 and 173: The real meI’m there in a photogr
Page 174 and 175: how important it was that residents
Page 176 and 177: Table 9.5: Freedom and constraintsA
Page 178 and 179: 9.5 PrivacyThe degree of privacy en
Page 180 and 181: 9.6 Self-RespectAcknowledging resid
Page 182 and 183: 9.7 ConclusionsThe findings suggest
Page 184 and 185: Chapter TenConnectedness,Social Rel
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10.2 Connectedness, Involvement and
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A concrete example of the priority
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Cultural differencesnot an issueI f
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esidents but reserved the title of
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Table 10.3: Relationships among res
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it feel more like visiting somebody
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Near home(I) was living up the road
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Chapter ElevenActivitiesand Therapi
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had a special activities/therapies
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11.3 Therapeutic ActivityThis categ
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A few facilities had incorporated o
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Some facilities organised special t
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For residents, what appeared to be
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Chapter TwelveConclusions andRecomm
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The prevalence of quality deficits
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attitude to their institutionalisat
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higher the proportion of care given
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was that they had a choice. In some
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The physical environment in some fa
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activities need to be dynamic and r
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Older people in residential care mu
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choice regarding the gender of a ca
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Residents and their families should
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References
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Birren, J.E. and Dieckmann, L., 199
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Collin, C., Wade, D.T., Davies, S.,
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Hubbard, G., Downs, M.G. and Tester
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McCormack, B., 2003. ‘A conceptua
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Redfern, S., Hannan, S., Norman, I.
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Appendices
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Profile of your long-stay facility1
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6a. Are there any reasons why you w
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Staff resources10. How many whole-t
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Services and facilities17. Are any
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Care process24a. Can long-stay resi
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32b. If Yes, when can residents smo
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38a. Was this facility purpose-buil
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45. Are any of the following provid
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General atmosphereComment on the ge
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DomainFeeling caredfor/feelingsecur
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DomainFeeling caredfor/feelingsecur
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DomainGeneralCue question/promptsHa
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DomainCompanionship/relationshipCon
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DomainRelationship tofamily/friends
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Terms ofReference
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c) providing information and advice
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National Council on Ageingand Older
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