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

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Hubbard, G., Downs, M.G. and Tester, S., 2003. ‘Including older people withdementia in research: challenges and strategies’, Ageing and Mental Health,7(5): 351-362.Hughes, B., 1990. ‘Quality of life’ in Peace, S. (ed.), 1990. Researching SocialGerontology Concepts, Methods and Issues. London: Sage.Inter-Departmental Committee on the Care of the Aged, 1968. The Care ofthe Aged. Dublin: Stationery Office.Irish Health Services Accreditation Board, 2005. Acute Care AccreditationScheme – A Framework for Quality and Safety. Dublin: Irish Health ServicesAccreditation Board.Kane, R.A., 2001. ‘Long-term care and a good quality of life: bringing them closertogether’, The Gerontologist, 41(3): 293-304.Kane, R.A., 2003a. ‘Definition, measurement, and correlates of quality of life innursing homes: toward a reasonable practise, research, and policy agenda’, TheGerontologist, 45, Special Issue 2: 28-36.237Kane, R.A., Kling, K.C., Bershadsky, B., Kane, R.L., Giles, K., Degenholtz, H.B.,Liu, J. and Cutler, L.J., 2003b. ‘Quality of life measures for nursing home residents’,Journal of Gerontology, 58A(3): 240-248.Kane, R.A., 2003c. Quality of Life in Nursing Homes – Final Report. Baltimore:Centers for Medicare and Medicaid Services.Kane, R.L., Bershadsky, B., Kane, R.A., Degenholtz, H.B., Liu, J., Giles, K. andKling, K.C., 2004. ‘Using resident reports of quality of life to distinguish amongnursing homes’, The Gerontologist, 44(5): 624-632.Katz, S. and Gurland, B.J., 1991. ‘Science of quality of life of elders: challenge andopportunity’ in Birren, J.E., Lubber, J.E., Rowe, J.C. and Deutchman, D.E., (eds),1991. The Concept and Measurement of Quality of Life in the Frail Elderly.California: Academic Press.Kitson, A., 1991. Therapeutic Nursing and the Hospitalised Elderly. Middlesex:Scutari Press.
Lawton, M.P., 1983. ‘Environment and other determinants of well-beingin older people’, The Gerontologist, 23(4): 349-357.Lawton, M.P., 1991. ‘A multidimensional view of quality of life in frail elders’in Birren, J.E., Lubber, J.E., Rowe, J.C. and Deutchman, D.E., (eds), 1991.The Concept and Measurement of Quality of Life in the Frail Elderly.California: Academic Press.Lawton, M.P., 1996. ‘Quality of life and affect in later life’ in Magai, C. andMcFadden, S. H., (eds), 1996. Handbook of Emotion, Adult Development,and Aging. California: Academic Press.Lawton, M.P., 1997. ‘Assessing quality of life in Alzheimer disease research’,Alzheimer Disease and Associated Disorders, 11 (Supplement 6): 91-99.Lawton, M.P., 2001. ‘Quality of care and quality of life in dementia care units’in Noelker, L.S. and Harel, Z., (eds), 2001. Linking Quality of Long-Term Careand Quality of Life. Canada: Springer Publishing Company.238Lawton, M.P., Van Haitsma, K., Perkinson, M. and Ruckdeschel, K., 1999.‘Observed affect and quality of life in dementia: further affirmations and problems’,Journal of Mental Health and Ageing, 5(1): 69-82.Leung, K., Wu, E., Lue, B. and Tang, L, 2004. ‘The use of focus groups in evaluatingquality of life components among elderly Chinese people’, Quality of Life Research,13(1): 179-190.Logsdon, R., Gibbons, L., McCurry, S. and Terri, L., 1999. ‘Quality of life inAlzheimer’s disease: patient and caregiver reports’, Journal of Mental Healthand Aging, 5(1): 21-32.Mangan, I., 1998. The Law and Older People: A Handbook for Service Providers.Dublin: NCAOP.Mangan, I., 2003. Older People in Long Stay Care. Dublin: The Human RightsCommission.Maslow, A.H., 1970. Motivation and Personality. New York: Harper and RowPublishers.Improving 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
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Table 4.2: Distribution of question
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4.4.4 Quantitative Data AnalysisThe
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Anonymity and confidentiality are i
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from stakeholders who attended the
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4.7 Ethical ClearanceEthical cleara
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Chapter FiveQuality of Lifein Long-
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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
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They believed that this problem was
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Participants also discussed at leng
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Chapter SixQuality of Lifein Long-S
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Table 6.1: Type of facilityN %Priva
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Figure 6.2: Age profile of long-sta
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Figure 6.5 shows the percentages of
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Figure 6.7: Long-stay residents’
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In private and voluntary facilities
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Table 6.6: Ratio of RNs on the even
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Staff turnover investigates the num
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Table 6.10: Therapeutic and other s
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sector and 50 per cent in the volun
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Table 6.13: Number of facilities in
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stay units also allow ambulant, men
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The majority of private and volunta
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Table 6.17: Call bell facilities by
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Chapter SevenDescription ofStudy Si
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others were open and residents’ b
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7.2.2 StaffingRegistered nurses and
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Some residents were able to leave t
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the day by their bed. In addition,
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equired full assistance with dressi
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Chapter EightCare Environmentand Et
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8.2 Promoting AutonomyThis category
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Table 8.1: Involvement of residents
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Table 8.2: Maintaining independence
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Focus group participants reported t
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Staff respondents also highlighted
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Therefore, the practice of rosterin
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8.7 ConclusionThis chapter presente
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Chapter NinePersonal Identity
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Table 9.1: Identity and personalise
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The real meI’m there in a photogr
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how important it was that residents
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Table 9.5: Freedom and constraintsA
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9.5 PrivacyThe degree of privacy en
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9.6 Self-RespectAcknowledging resid
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9.7 ConclusionsThe findings suggest
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Chapter TenConnectedness,Social Rel
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10.2 Connectedness, Involvement and
Page 188 and 189: A concrete example of the priority
Page 190 and 191: Cultural differencesnot an issueI f
Page 192 and 193: esidents but reserved the title of
Page 194 and 195: Table 10.3: Relationships among res
Page 196 and 197: it feel more like visiting somebody
Page 198 and 199: Near home(I) was living up the road
Page 200 and 201: Chapter ElevenActivitiesand Therapi
Page 202 and 203: had a special activities/therapies
Page 204 and 205: 11.3 Therapeutic ActivityThis categ
Page 206 and 207: A few facilities had incorporated o
Page 208 and 209: Some facilities organised special t
Page 210 and 211: For residents, what appeared to be
Page 212 and 213: Chapter TwelveConclusions andRecomm
Page 214 and 215: The prevalence of quality deficits
Page 216 and 217: attitude to their institutionalisat
Page 218 and 219: higher the proportion of care given
Page 220 and 221: was that they had a choice. In some
Page 222 and 223: The physical environment in some fa
Page 224 and 225: activities need to be dynamic and r
Page 226 and 227: Older people in residential care mu
Page 228 and 229: choice regarding the gender of a ca
Page 230 and 231: Residents and their families should
Page 232 and 233: References
Page 234 and 235: Birren, J.E. and Dieckmann, L., 199
Page 236 and 237: Collin, C., Wade, D.T., Davies, S.,
Page 240 and 241: McCormack, B., 2003. ‘A conceptua
Page 242 and 243: Redfern, S., Hannan, S., Norman, I.
Page 244 and 245: Appendices
Page 246 and 247: Profile of your long-stay facility1
Page 248 and 249: 6a. Are there any reasons why you w
Page 250 and 251: Staff resources10. How many whole-t
Page 252 and 253: Services and facilities17. Are any
Page 254 and 255: Care process24a. Can long-stay resi
Page 256 and 257: 32b. If Yes, when can residents smo
Page 258 and 259: 38a. Was this facility purpose-buil
Page 260 and 261: 45. Are any of the following provid
Page 262 and 263: General atmosphereComment on the ge
Page 264 and 265: DomainFeeling caredfor/feelingsecur
Page 266 and 267: DomainFeeling caredfor/feelingsecur
Page 268 and 269: DomainGeneralCue question/promptsHa
Page 270 and 271: DomainCompanionship/relationshipCon
Page 272 and 273: DomainRelationship tofamily/friends
Page 274 and 275: Terms ofReference
Page 276 and 277: c) providing information and advice
Page 278: National Council on Ageingand Older
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