Wie gestalten Menschen im hohen Lebensalter den Übergang ins Altenheim? Welche Rolle spielt dabei das körperlich-leibliche Befinden? Und wie gelingt es, den Verlust der gewohnten räumlichen ...Privatheit zu kompensieren? Ausgehend von diesen Fragestellungen entwickelt Nicole Zielke unter Berücksichtigung materiell-räumlicher und körperlich-leiblicher Aspekte ein Übergangsverständnis, das den Blick für die Lebensbedingungen, Selbstverhältnisse und individuellen Praktiken im hohen Alter weiter öffnet. Damit liefert sie eine innovative und detailreiche Untersuchung, die sowohl inhaltlich als auch methodisch neue Erkenntnisse und Einsichten für die Lebenslauf- und Alternsforschung vermittelt und Anknüpfungspunkte für umziehende Personen, pflegende Angehörige und Praktiker*innen der Altenhilfe bietet.
Zusammenfassung Alte Menschen mit Hilfe- und Pflegebedarf, die in Altenpflegeeinrichtungen leben, haben nicht nur Anspruch auf eine qualitätsvolle medizinisch-pflegerische Versorgung, sondern ...explizit das Recht auf ein selbstbestimmtes Leben, das ihnen gesellschaftliche Teilhabe ermöglicht. Dazu verpflichten nicht zuletzt die Vorgaben der UN-Behindertenrechtskonvention. Das anwendungs-orientierte Forschungsprojekt „Selbstbestimmt teilhaben in Altenpflegeeinrichtungen“ hat Voraussetzungen zur Verwirklichung der selbstbestimmten Teilhabe von Bewohner*innen in stationären Einrichtungen der Altenhilfe analysiert. Im Rahmen einer sequentiellen Mixed-Methods-Studie wurden u. a. Interviews mit Bewohner*innen, Angehörigen und Mitarbeiter*innen sowie teilnehmende Beobachtungen in ausgewählten Einrichtungen und eine NRW-weite Online-Befragung durchgeführt. So konnten erstmals fördernde und hemmende Faktoren auf Ebene der Bewohner*innen, Mitarbeiter*innen und Einrichtung identifiziert und wichtige Anforderungen an die Teilhabeförderung praxisnah in einem Musterrahmenkonzept aufbereitet werden. Abstract Elderly residents of nursing homes do not only have the right to receive high-quality medical and nursing care, but also and explicitly to lead an autonomous life that enables them to partic-ipate in society. This right is not least stipulated in the UN Convention on the Rights of Persons with Disabilities. The application-based research project ‘Autonomous Participation in Residential Care Facilities for the Elderly’ analysed the prerequisites for realising elderly residents’ autonomous participation in their nursing homes. Within the framework of a sequential mixed methods study, the researchers conducted interviews with such residents, their relatives and care home staff, participatory observations in selected nursing homes and an online survey throughout North Rhine-Westphalia. As a result, they were able to identify factors which facilitate and restrict such participation from the perspectives of the residents, staff and the care home itself for the first time, and thus stipulate important requirements for the facilitation and implementation of participation within a framework model.
Early detection and response to influenza and COVID-19 outbreaks in aged care facilities (ACFs) are critical to minimizing health impacts. The Sydney Local Health District (SLHD) Public Health Unit ...(PHU) has developed and implemented a novel web-based app with integrated functions for online line listings, detection algorithms, and automatic notifications to responders, to assist ACFs in outbreak response. The goal of the Influenza Outbreak Communication, Advice and Reporting (FluCARE) app is to reduce time delays to notifications, which we hope will reduce the spread, duration, and health impacts of an influenza or COVID-19 outbreak, as well as ease workload burdens on ACF staff.
The specific aims of the study were to (1) evaluate the acceptability and user satisfaction of the implementation and use of FluCARE in helping ACFs recognize, notify, and manage influenza and COVID-19 outbreaks in their facility; (2) identify the safety of FluCARE and any potential adverse outcomes of using the app; and (3) identify any perceived barriers or facilitators to the implementation and use of FluCARE from the ACF user perspective.
The FluCARE app was piloted from September 2019 to December 2020 in the SLHD. Associated implementation included promotion and engagement, user training, and operational policies. Participating ACF staff were invited to complete a posttraining survey. Staff were also invited to complete a postpilot evaluation survey that included the user Mobile Application Rating Scale (uMARS) measuring app acceptance, utility, and barriers and facilitators to use. An issues log was also prospectively maintained to assess safety. Survey data were analyzed descriptively or via content analysis where appropriate.
Surveys were completed by 31 consenting users from 27 ACFs. FluCARE was rated 3.91 of 5 overall on the uMARS. Of the 31 users, 25 (80%) would definitely use FluCARE for future outbreaks, and all users agreed that the app was useful for identifying influenza and COVID-19 outbreaks at their facilities. There were no reported critical issues with incorrect or missed outbreak detection. User training, particularly online training modules, and technical support were identified as key facilitators to FluCARE use.
FluCARE is an acceptable, useful, and safe app to assist ACF staff with early detection and response to influenza and COVID-19 outbreaks. This study supports feasibility for ongoing implementation and efficacy evaluation, followed by scale-up into other health districts in New South Wales.
It is important for seniors to engage in positive health behaviors to reduce the incidence of health-related consequences associated with aging. The purpose of this research study was to examine ...self-perceived changes in physical activity, nutrition, and alcohol consumption behaviors of seniors living in a retirement home through consideration of previous behaviors and self-perceptions of behavior changes.
A qualitative research design was used for this study.
Semistructured one-on-one interviews were conducted with 9 Canadian women living in a retirement home.
Two key themes, each with 3 subthemes, highlighted the various factors that influenced changes in health behaviors. The 2 themes consisted of (a) aging and adapting and (b) the transition: give a little to gain a lot.
Participants' insights revealed the importance of maintaining a positive attitude, the influence of the social environment on health behaviors, and the nutritional sacrifices of retirement living. Future research should investigate ways in which nurses can assist seniors in enhancing health behaviors throughout transitions into retirement homes.
Can photography be a source for understanding the interaction between caregiver and patient? Photographing the gestures of care in nursing homes is unusual and raises the delicate question of ...intimacies which take away the daily appearance of the act of substitution. This article invites us to consider the photographic act as a method of ethnographic inquiry in order to (re) mobilize the discussion around a relation excluded from verbalization. The photographic technique here corresponds to the daily gestures in order to reveal the singular interface modalities through images of hands. From this approach emerge additional elements to the immersive investigation, in order to understand what is being done and lived.
Due to demographic ageing and increasing life expectancy, a growing demand for long-term nursing home care can be expected. Stays in nursing homes appear to be more socially determined than hospital ...stays. We therefore looked at the impact of socio-demographic and health care variables on the length of the last nursing home stay.
Nationwide individual data from nursing homes and hospitals in Switzerland were linked with census and mortality records. Gender-specific negative binomial regression models were used to analyze N = 35,739 individuals with an admission age of at least 65 years and deceased in 2007 or 2008 in a nursing home.
Preceding death, men spent on average 790 days and women 1250 days in the respective nursing home. Adjusted for preceding hospitalizations, care level, cause of death and multimorbidity, a low educational level, living alone or being tenant as well as a low care level at the admission time increased the risk for longer terminal stays. Conversely, a high educational level, being homeowner, being married as well as a high care level at the admission time decreased the risk for longer stays.
The length of the last nursing home stay before death was not only dependent on health-related factors alone, but also substantially depended on socio-demographic determinants such as educational level, homeownership or marital status. The support of elderly people at the admission time of a presumably following nursing home stay should be improved and better evaluated in order to reduce unnecessary and undesired long terminal nursing home stays.
Health policy should aim at diminishing the role of situational, non-health-related factors in order to empower people to spend the last years before death according to individual needs and preferences.
Wie gestalten Menschen im hohen Lebensalter den Übergang ins Altenheim? Welche Rolle spielt dabei das körperlich-leibliche Befinden? Und wie gelingt es, den Verlust der gewohnten räumlichen ...Privatheit zu kompensieren? Ausgehend von diesen Fragestellungen entwickelt Nicole Zielke unter Berücksichtigung materiell-räumlicher und körperlich-leiblicher Aspekte ein Übergangsverständnis, das den Blick für die Lebensbedingungen, Selbstverhältnisse und individuellen Praktiken im hohen Alter weiter öffnet. Damit liefert sie eine innovative und detailreiche Untersuchung, die sowohl inhaltlich als auch methodisch neue Erkenntnisse und Einsichten für die Lebenslauf- und Alternsforschung vermittelt und Anknüpfungspunkte für umziehende Personen, pflegende Angehörige und Praktiker*innen der Altenhilfe bietet.
Como fruto secundario del trabajo de campo efectuado para el relevamiento local sobre el cuidado enfermero en el adulto mayor, se obtuvo la detección del problema abordado; un singular vacío estatal ...y una apatía generalizada frente a una necesidad de albergue y cuidado a personas adultas mayores. La reflexión del envejecimiento como un presente continuo en la existencia humana y como una cuestión tan personal como socio-comunitaria, nos ha conducido a señalar esa nefasta situación en nuestra comunidad con el fin de que sea un alerta y un aporte.
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