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

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DomainFeeling caredfor/feelingsecureSense of selfMeaningfulactivityCue question/promptsIs it comfortable here? Noise, temperature, food.Do you feel cared for here?Do you feel safe here?Can you get help (nurse) quickly if you need it?Are you ever afraid?If yes, try to elicit what frightens him/her: getting sick and not beingable to tell anyone, falling or slipping and not being able to get help,other residents e.g. residents with dementia.How staff treat him/her or others.Do staff treat you with respect?Are staff gentle, for example, when lifting you?Do staff protect your modesty? Examples: close the curtains,knock on the door before entering.Are staff friendly?Overall, are you satisfied with the care provided?Do you feel the staff know you well?Do staff know your likes and dislikes?Do staff respect your wishes? Examples: respect choices,respond to likes and dislikes.Are you able to/helped to do the things that are important to you?Examples: favourite TV programme, read newspapers etc.Do staff take time to listen to you?Do staff take time to chat to you?Have you opportunities to influence your care?Do you feel you can say no? When you say no does it count?Do you feel at home here?Do you take part in the social/recreational activities available here?Examples.If yes: do you enjoy them?Is it important to you to get outdoors?Do you get outdoors as much as you’d like? Examples: visits/trips,the garden.If yes: who takes you? Family, friend, staff, volunteers.Are there things you’d like to do that are not available to you here?Do you get bored?265
266DomainCompanionshipRelationshipsContinuitywith old life/communityIndependenceSpiritualityCue question/promptsHave you made friends here?Do you enjoy the others (residents) company?Are you near your own home here?If yes: are some of the other (residents) neighboursor from your parish?Does that make it easier to make friends?Is it sometimes difficult living with some of the other residents?If yes: what makes it difficult? Try to elicit what makes it difficultpossible: e.g. some are confused and they don’t make muchsenses or do odd things, some are aggressive and they frightenme, they don’t include me, they don’t talk to me.Do you still have contact with your family and friends from home?Do you have visitors from home?Is it important to you that you keep in touch with what’s happeningat home?If yes: are you able to keep in touch with what’s happening inyour old home (community) or (if more appropriate) current affairsin general?If yes, try to elicit how the person keeps in touch: my family/friends keep me up to date, the staff keep me up to date, I readthe newspaper, I look at the news on the television, I listen to thenews on the radio.If no, try to elicit what the cause is: would like to hear/see the newsbut doesn’t get a chance to, the staff are too busy to talk, doesn’tget to see family/friends very often, not able to read the newspaper.If appropriate: I’m interested in how the building affects your care.Is it easy to get around? (in your wheelchair, on your frame etc.)If no: what would make it easier? Examples: more ramps, moregrab rails, a better wheelchair e.g. an electric wheelchair.Is it easy to take a bath/shower?Is it easy to use the toilet?Are there religious services held here?Do you get an opportunity to attend?Does this meet your needs?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
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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
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 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 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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