Dementia Units In Long Term Care
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Dementia Units In Long Term Care
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Author : Philip D. Sloane
language : en
Publisher:
Release Date : 1991
Dementia Units In Long Term Care written by Philip D. Sloane and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Medical categories.
Dementia In Nursing Homes
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Author : Sandra Schüssler
language : en
Publisher: Springer
Release Date : 2017-05-19
Dementia In Nursing Homes written by Sandra Schüssler and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-05-19 with Medical categories.
Written by leading international experts, this book discusses the latest advances in the field of dementia in nursing homes. The topics and findings covered are based on their survey and on a scientific literature review. Dementia is spreading worldwide, placing a growing burden on healthcare systems and caregivers, as well as those affected. With increasing and complex care needs, nursing home admission is often necessary. Globally, over half of nursing home residents suffer from dementia. The book provides essential information on the most important issues in dementia in nursing homes today, including meaningful activities, patient-/person-centered care, psychosocial interventions, challenging behavior, inclusion and support of family members, pain, staff training and education, communication, polypharmacy, quality of life, end-of-life care and advanced care planning, depression, delirium, multidisciplinary approaches, physical restraints and care dependency. Each topic is covered by an international expert in dementia. As such, the book will appeal to professional nurses, nursing scientists, nursing students, other healthcare professionals, and to a broad readership, and will provide a valuable resource for those working in nursing homes, as well as researchers in the field.
Physical Aspects Of Specialized Units For Alzheimer Patients In Long Term Care Facilities
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Author : Oh-Jung Kwon
language : en
Publisher:
Release Date : 1988
Physical Aspects Of Specialized Units For Alzheimer Patients In Long Term Care Facilities written by Oh-Jung Kwon and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1988 with Alzheimer's disease categories.
This exploratory study described the protected living environments of segregated Alzheimer/Dementia Units (ADUs) and compared them to selected physical aspects of the larger institutions in which they were housed. A nonrandom, purposive sample used in this study included 99 nursing homes with ADUs in 34 states. Data were collected using a mail questionnaire developed to obtain data about ADUs and the long term care facilities in which they were located. A 78 percent response rate was achieved. The data were analyzed using frequency distributions, descriptive statistics, and the nonparametric McNemar test. Four null hypotheses with sub-parts were tested. Recommendations reached on the basis of the data analysis and literature reviewed were: 1) To provide a living environment that permits freedom of movement with complete safety and security for dementia patients (and their personal possessions), further research should investigate the provision of the following safety and security features in ADUs: a simple, uncluttered environment with all hazards removed or secured, and outdoor exits that are simultaneously secured (locked or alarmed) and "fire safe"; 2) Furnishings of ADU patients' rooms need not differ significantly from other nursing home residents' rooms in terms of personal furnishings and possessions and privacy arrangements--both should provide a homelike, personalized living environment; 3) To help Alzheimer patients to find their way in an ADU, a personal marker or resident's photo posted near the door of their room is recommended; 4) To provide a quiet, calm atmosphere in an ADU, soundabsorbent ceiling and wall surfaces, and modified public address systems are suggested; 5) Further research should test the effects of the following variables (for which frequencies were significantly different but relatively low in the ADUs) under controlled conditions: lockable storage features in residents' rooms; environmental cueing devices such as landmarks, color-coding, pictograph symbols, or wall hangings; and noise reduction via removal of television sets or radios; and 6) Safe and secure outdoor facilities may be an essential and unique physical feature of the ADU living environment.
End Stage Dementia Care
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Author : C. R. Kovach
language : en
Publisher: Taylor & Francis
Release Date : 2013-01-11
End Stage Dementia Care written by C. R. Kovach and has been published by Taylor & Francis this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-11 with Psychology categories.
People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia end-stage in particular. Other chapters in this section provide background on the hospice movement and hospice concepts; the idea of maintaining personhood; and administration of a late-stage care unit. Part Two focuses on treatment approaches for common needs in end-stage dementia - medical and physical care; a supportive environment; the fundamentals of care; psychopharmacology; and therapeutic activities. Part 3 contains chapters on family-centred care; legal and ethical issues; programme evaluation; and future opportunities.
Effective Management Of Long Term Care Facilities
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Author : Douglas A. Singh
language : en
Publisher: Jones & Bartlett Publishers
Release Date : 2014-10-30
Effective Management Of Long Term Care Facilities written by Douglas A. Singh and has been published by Jones & Bartlett Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-30 with Business & Economics categories.
Effective Management of Long-Term Care Facilities, Third Edition examines the complex operations of the long-term care facility and offers critical skills to current and future long-term care administrators for delivering quality, cost-effective services. Comprehensive, yet concise, the Third Edition explores the necessary skills and tools for creating a person-centered environment. Topics covered include: how to adapt an existing nursing facility, the growing culture change movement, and the laws, regulations, and financing of the long-term care industry, as well as its organization and delivery. Finally, this book offers extensive coverage of the essential skills necessary to manage it all.
Comparison Of Characteristics Of Nursing Homes And Other Residential Long Term Care Settings For People With Dementia
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Author : U. S. Department of Health and Human Services
language : en
Publisher: Createspace Independent Pub
Release Date : 2013-03-20
Comparison Of Characteristics Of Nursing Homes And Other Residential Long Term Care Settings For People With Dementia written by U. S. Department of Health and Human Services and has been published by Createspace Independent Pub this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-03-20 with Medical categories.
Dementia is a group of neurological conditions that lead to gradual decline in mental function. It is the most common reason for entry into long-term care settings such as nursing homes and residential care/assisted living. The majority of care for people with dementia is provided in the community by family members; however, increasing care needs in later stages of the illness often lead to placement in a long-term care setting. Because long-term care settings are highly varied, people with dementia and their families would benefit from evidence-based guidance on what to choose from the available options. Dementia is a syndrome with multiple causes characterized by a decline in mental function, marked most commonly by memory impairment and a reduction in at least one other area of cognitive function, such as reasoning, judgment, abstract thought, comprehension, learning, task execution, and use of language. The most common type of dementia is Alzheimer's disease; other types include vascular dementia, mixed dementia, dementia with Lewy bodies, and frontotemporal dementia. Dementia causes significant morbidity and mortality and creates a substantial burden on the people affected, as well as on caregivers, health systems, and society. Dementia gradually erodes the individual's ability to make decisions; manage personal affairs; and eventually do even simple tasks. Late stages of dementia are characterized by weight loss, limited mobility, and frequent infections so that, unless some other illness is fatal sooner, dementia will lead to death. The course of dementia from diagnosis to death is variable but typically 8 to 12 years. Costs of dementia care, including both medical care and informal caregiver time, are estimated at more than $148 billion in the U.S annually. One relevant question to ask is whether one type of long-term care setting is superior to another for dementia overall or for certain subgroups of people with dementia. Considering the central role of family caregivers in deciding which NH or other residential long-term care setting to choose when home care is no longer feasible, information on which components of these settings relate to better outcomes would be very helpful. Different long-term care settings offer different care and services, and no comprehensive evidence-based guidance exists that identifies which characteristics or settings are best for which type of person based on age, symptom severity, or other characteristics. The objective of this review is to provide information that would help families who are trying to decide where to place a family member who has dementia and who can no longer be cared for at home. This review sought to address the following Key Questions: KQ 1. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving health outcomes for people with dementia? KQ 2. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving psychosocial outcomes for people with dementia? KQ 3. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving health outcomes for informal caregivers of people with dementia? KQ 4. What is the effectiveness of organizational characteristics, structures, or processes of care in nursing homes and other residential long-term care settings for improving psychosocial outcomes for informal caregivers of people with dementia? KQ 5. Does the effect of organizational characteristics, structures, or processes of care on health and psychosocial outcomes vary by the characteristics of the person with dementia (e.g., severity of dementia, functional status) or of the informal caregiver (e.g., age, relationship, health status)?
Quality Of Life In Long Term Care
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Author : Dorothy H. Coons
language : en
Publisher: Routledge
Release Date : 1996
Quality Of Life In Long Term Care written by Dorothy H. Coons and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996 with Health & Fitness categories.
Quality of Life in Long-Term Care provides long-term care professionals and persons responsible for training staff at long-term care facilities with guidelines for developing a quality of life that enables elderly persons, even those physically or mentally challenged, to achieve life satisfaction and to live with dignity. Readers learn of concepts and methods for implementing change through staff training, a supportive management style, the development of appropriate activities, and the ongoing evaluation of outcomes. While the focus of Quality of Life in Long-Term Care is on the psychosocial aspects of long-term care, Authors Dorothy Coons and Nancy Mace also recognize and emphasize the need for excellent medical care and a therapeutic physical environment. They give administrators very specific examples of ways to develop a quality of life that enables even the very impaired to live with dignity. In helping long-term care facility administrators and staff trainers, the authors show how to support staff development so the staff becomes friends and therapists, rather than simply caretakers. The training methods presented provide ways to help staff better understand and empathize with elderly residents. Readers will find that these effective staff training and management practices help to greatly reduce staff turnover. Chapters in Quality of Life in Long-Term Care describe facilities which provide individuality, opportunities for choice, social stimulation, and continuity of lifestyle for elderly people who live in retirement homes, nursing homes, or special dementia units. These examples are from facilities which have brought about change despite limitations including financial problems, structural restrictions, and staffing problems. Other topics covered which help long-term care facility administration and staff provide a superior quality of life for their residents include: criteria for creating a health fostering and therapeutic environment in long-term care settings management styles and methods that help staff achieve success specific training topics and methods to help staff understand the needs of the elderly activities and opportunities that can enrich long-term care environments an instrument designed to measure quality of life Health care specialists; long-term care facility administrators; nurses; occupational, activity, and recreational therapists; designers and developers of special dementia units; policy planners in long-term care; and academicians in gerontology and long-term care will refer to Quality of Life in Long-Term Care repeatedly as they strive to provide residents with a good quality of life and a nurturing environment.
The Harsh Realities Of Alzheimer S Care
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Author : Andrew Seth Rosenzweig MD
language : en
Publisher: Bloomsbury Publishing USA
Release Date : 2012-07-06
The Harsh Realities Of Alzheimer S Care written by Andrew Seth Rosenzweig MD and has been published by Bloomsbury Publishing USA this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-07-06 with Psychology categories.
A prominent geriatric psychiatrist details the good, the bad, and the ugly aspects of places where those with dementia are treated—from emergency rooms and psychiatric hospitals to assisted living facilities and nursing homes. The Harsh Realities of Alzheimer's Care: An Insider's View of How People with Dementia Are Treated in Institutions is the first book of its kind. Written by an eminent geriatric psychiatrist who has worked with dementia patients in more than 70 facilities, the book distills all he has learned about dementia care, for better and, more often, for worse. Both a shocking exposé and a practical guide, the book takes readers into nursing homes, assisted living facilities, and hospitals. It reveals the inadequacies and dangers of these institutions, detailing issues that result in poor care including federal standards for minimum staff training that are, in some cases, lower than those established for dog groomers. The author cites improvements that must be made in emergency rooms and inpatient psychiatric facilities treating victims of dementia, and he documents the downside of memory clinics. But there are steps caregivers can take to protect their loved ones—and themselves. Each chapter concludes with "reality lessons" that offer practical, affordable strategies for coping with dementia's many challenges.
Physical And Social Influences On People With Senile Dementia In Residential Care
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Author : Ann Netten
language : en
Publisher: Routledge
Release Date : 2018-12-12
Physical And Social Influences On People With Senile Dementia In Residential Care written by Ann Netten and has been published by Routledge this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-12-12 with Social Science categories.
Published in 1993. The Increasing numbers of very elderly people in the population and the decreased use of long-stay hospitals are leading to pressure for services in the community for people with dementia. Residential care plays an important role in the care of such people, and developing new, innovative services and monitoring the quality of care in existing institutions are important policy issues. The book describes an investigation into the relationship between the residential care environment and the welfare of residents with senile dementia. Unlike many studies of residential care, the study included aspects of both the physical and social environment and examined the impact on residents over time. The study used some innovative approaches to assessing the impact of the environment of residents and the book describes a model using quantitative techniques to analyse outcomes for residents. The policy issues and provide pointers for specifying standards for the care of residents with senile dementia. The potential for innovative schemes building on the results of the study is discussed, and the concept of ‘informal care homes’ is introduced.
Advances In Long Term Care
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Author : Paul Richard Katz
language : en
Publisher: Springer Publishing Company
Release Date : 1991
Advances In Long Term Care written by Paul Richard Katz and has been published by Springer Publishing Company this book supported file pdf, txt, epub, kindle and other format this book has been release on 1991 with Aging categories.