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

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45. Are any of the following provided in this facility (please tick morethan one box if appropriate)?Walking aidsManual wheelchairsElectric wheelchairsHandrails along corridorsHandrails along dining room/sitting room wallsRampsAutomatic doorsSpecial eating utensilsSpecial writing utensilsColour-cueing e.g. toilet doors painted the same colourabcdefghij46. Is there occupational therapy advice available regardingthe provision of the above?YesNo259ConclusionIf you have any other comments that you would like to make about qualityof life issues in long-stay facilities, we invite you to add these comments here:Thank you for your time and help!
Appendix TwoDescription of StudySites: GuidelinesBrief history of building, e.g. custom-built in 1980 or an old workhouse.General description of building and grounds.Physical environment260Produce a detailed floor plan of ward/unit/home showing the use of each room.General comments on first impressions, e.g. décor, bright, access to gardenetc.Describe where residents sleep, e.g. private room or 6-bedded unit, each bedhas curtains around it, each resident has a chair, locker etc.Describe where residents eat, e.g. at bedside or separate dining area.Describe the day room, e.g. décor, typically where residents sit etc.Describe the bathroom facilities, e.g. number accessibility to residents.Identify off-ward/unit/home facilities available to residents,e.g. chapel, garden etc.Do residents wear their own clothes? Have they access to locker/presswhere they can store their own things?Do residents have their own belongings, e.g. photos etc. around them?Life in the ward/unit/homeDescribe a typical day.Identify the types of social/recreational activities available to residents;how often do they happen?Identify additional services, e.g. physiotherapy, hairdressing etc.How often do they come?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
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Staffing and skill mix: comments fr
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Recruiting and retaining staff: com
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Impact of physical environment on r
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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
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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
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 238 and 239: Hubbard, G., Downs, M.G. and Tester
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 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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