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

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On behalf of the Council, I would like to thank the residents and staff whowere interviewed for this study, as well as all the staff who kindly completedand returned postal questionnaires to the research team.I would like to thank sincerely the excellent research team and authors:Dr Kathy Murphy, Prof. Eamon O’Shea, Adeline Cooney, Prof. Agnes Shieland Dr Margaret Hodgins.Finally, I would like to thank Dr Ciaran Donegan who chaired the CouncilConsultative Committee that advised on the progress of the research andoversaw the preparation of the report. Thanks are also due to members of theCommittee: Julie Ling, Ann Ryan, Rosemary Nolan, Pat Durcan, Ellen B. Dillon,Bridie McGroarty Fletcher, Angela Keegan, Ann Coyle, Mary Prendergast,Breda Hayes, Jim Cousins and Mary Nally.Cllr Éibhlin ByrneChairpersonImproving Quality of Life for Older People in Long-Stay Care Settings in Ireland
Page 1 and 2: ImprovingQuality of Lifefor Older P
Page 3: National Council on Ageing and Olde
Page 7 and 8: Improving Quality of Life for Older
Page 9 and 10: 4.5 Resident, Staff and Relative In
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
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The establishment of the Health Inf
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7. Independence - develop support s
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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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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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Page 233 and 234:
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
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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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