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McGrane N, Dunbar P, Keyes LM. Contributing Factors to Adverse Events in Long-Term Care Facilities in Ireland, a Content Analysis. J Am Med Dir Assoc 2024; 25:633-638.e3. [PMID: 38141662 DOI: 10.1016/j.jamda.2023.11.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 11/08/2023] [Accepted: 11/14/2023] [Indexed: 12/25/2023]
Abstract
OBJECTIVES There is substantial research on contributing factors to adverse events (AEs) in acute settings. Little is known about AEs in long-term care facilities (LTCFs). Our aim was to identify contributing factors to AEs from LTCFs for older persons and people with disability to inform quality improvement. DESIGN Content analysis of statutory notifications of AEs from LTCFs using a modified version of the Human Factors Analysis and Classifications System (HFACS) applied to health care. SETTING A sample of high risk-rated notifications of AEs received by the regulator in 2018 and 2019 was drawn from the Database of Statutory Notifications from Social Care in Ireland (n = 156). METHODS Two researchers independently analyzed notifications to identify contributing factors using our modified HFACS. The number of factors identified in each level, subcategory, and nanocode of the HFACS was calculated along with percentage representation of factors within notifications and percentage contribution of individual factors to the total number of factors identified. The number and percentage contributions of factors were also calculated, disaggregated by notification type. RESULTS Contributing factors from all levels of the HFACS were identified. The most common contributing factor was "Resident factors" followed by "Unsafe acts." No contributing factors were attributed to 68 notifications (43.6%). Multiple contributing factors were attributed to 45 notifications (28.8%). The largest percentage of factors was identified in notifications of serious injuries (27.4%). CONCLUSION AND IMPLICATIONS It is the responsibility of LTCFs to account for "Resident factors" in system design, risk management, and care plans. Developing systems and processes that identify where residents have higher risk of harm may reduce the occurrence of high-risk events and thus improve resident safety. The large proportion of notifications where no contributing factors were identified suggests the need for improved reflection and reporting from LTCFs and for more specific questions on notification forms.
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Affiliation(s)
- Niall McGrane
- Health Information and Quality Authority, Cork, Ireland
| | - Paul Dunbar
- Health Information and Quality Authority, Cork, Ireland
| | - Laura M Keyes
- Health Information and Quality Authority, Cork, Ireland.
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Hodge DR, Jiang L, Sun F, Bonifas RP. Identifying and Addressing the Spiritual Needs of Older Adults in Care Facilities: Administrators of Chinese Nursing Homes Relate Their Perspectives. J Appl Gerontol 2024:7334648241242311. [PMID: 38556716 DOI: 10.1177/07334648241242311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2024] Open
Abstract
Addressing the spiritual needs of older adults is a central component of holistic service provision. Using a qualitative description design, this study identified: (1) common spiritual needs among Chinese nursing home residents, including the needs of residents with dementia, (2) the process staff use to identify these needs when residents are unable to verbalize them, and (3) the strategies staff implement to meet the identified needs. Semi-structured interviews were conducted with 21 nursing home administrators. Analysis produced five themes, including the need for older adults to express their faith, receive love and care, have contact with their children, interact with others, and participate in activities. For residents with dementia who are unable to verbalize their concerns, staff used two primary strategies to identify spiritual needs: careful observation and communication with family members. To address the identified spiritual needs, multiple strategies were offered including arranging clergy visits and personalizing care.
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Affiliation(s)
- David R Hodge
- School of Social Work, Arizona State University, Phoenix, AZ, USA
- Program for Research on Religion and Urban Civil Society, University of Pennsylvania, Philadelphia, PA, USA
| | - Lin Jiang
- School of Social Work, University of Texas Rio Grande Valley, Brownsville, TX, USA
| | - Fei Sun
- School of Social Work, Michigan State University, East Lansing, MI, USA
| | - Robin P Bonifas
- Department of Social Work, Indiana State University, Terre Haute, IN, USA
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Wang J, Wang Z, Niu B. Empirical Analysis of Preferences of Older Adults for Care Facilities in Japan: Focusing on Household Structure and Economic Status. Healthcare (Basel) 2023; 11:1843. [PMID: 37444677 DOI: 10.3390/healthcare11131843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 06/16/2023] [Accepted: 06/23/2023] [Indexed: 07/15/2023] Open
Abstract
Japan is advancing into a super-aged society at an unprecedented speed, and the proportion of the elderly population will continue to rise. The number of older adults needing nursing care will also increase with the aging population. We used a cross-sectional dataset of older Japanese adults to examine their future preferences for care facilities and their relationship with individual characteristics, household structure, and economic status. We further focused on a subgroup of those who lived alone and were experiencing poverty and examined their care needs through their choice of care facilities. We found the following results from multinomial logit and probit regressions. First, compared with living alone, older adults who live with their spouses or other members prefer to live in their own houses. Second, older adults experiencing poverty preferred to choose facilities geared towards low-income groups, while wealthy older adults preferred to choose fee-based nursing homes/nursing homes with diverse services and high costs. Third, single older adults in poverty were less likely to choose to live in facilities. Covariates such as sex, age, and health status also mattered in their choices. Therefore, tailoring the formal care services to the preferences and actual needs of older adults is imperative.
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Affiliation(s)
- Jinhan Wang
- Graduate School of Economics, Osaka Metropolitan University, Osaka 599-8531, Japan
| | - Ziyan Wang
- Graduate School of Economics, Osaka Metropolitan University, Osaka 599-8531, Japan
| | - Bing Niu
- Graduate School of Economics, Osaka Metropolitan University, Osaka 599-8531, Japan
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4
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Mu J, Kang J. Dining comfort in elderly care facility dining rooms and influencing factors before and after the outbreak of the COVID-19 pandemic. Front Psychol 2023; 14:1106741. [PMID: 36935961 PMCID: PMC10022735 DOI: 10.3389/fpsyg.2023.1106741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 02/06/2023] [Indexed: 03/06/2023] Open
Abstract
Introduction The COVID-19 pandemic has changed dining modes in elderly care facilities. This study explores the relationship between the dining environment of four elderly care facilities and the sensitivity of the elderly residents to it before and after the outbreak of the COVID-19 pandemic. Methods The study examined differences in subjective comfort levels by measuring the facilities' physical environment, analysing dining behavior, and surveying the elderly residents. And the study examined how the interaction between the physical environment factors, demographic factors, and dining mode affected the residents' evaluation of their dining comfort. Results (1) The physical environmental parameters of the four dining rooms differed between the pre- and post-epidemic periods, as shown by increased Sound Pressure Level (SPL), humidity, and temperature levels. (2) The residents' evaluations of physical environment comfort also changed after the outbreak of the COVID-19 pandemic. The subjective comfort levels of the 'dining with baffle' and 'dining across a seat' modes decreased, though the level of the former was slightly higher than that of the latter. The elderly had stronger SPL tolerance in the dining with baffle mode and dining across a seat mode, and their subjective comfort levels for thermal environment and air quality were higher in the dining across a seat mode. (3) When dining time, crowd density, and communication frequency were kept equal, the subjective comfort level of the elderly in the dining with baffle mode and dining across a seat mode was lower than that in the 'normal' dining mode, when the level in the dining with baffle mode was lower than that in the dining across a seat mode. (4) Differences were observed in subjective comfort levels according to age, education level, and residence duration across the dining modes. Discussion The need for changes in dining modes during the COVID-19 isolation period require dining rooms in elderly care facilities to design their physical environments in a way that improves dining comfort for the elderly.
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Affiliation(s)
- Jingyi Mu
- Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, School of Architecture, Ministry of Industry and Information Technology, Harbin Institute of Technology, Harbin, China
| | - Jian Kang
- Institute for Environmental Design and Engineering, The Bartlett, University College London, London, United Kingdom
- *Correspondence: Jian Kang,
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5
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Phan J, Vander Haegen M, Karsenti L, Laurence V, Marec-Berard P, Cordero C, Thisse A, Riberon C, Flahault C. Psychological Adjustment, Adaptation, and Perception of Social Support in French Adolescents and Young Adults After the Diagnosis of Cancer. J Adolesc Young Adult Oncol 2022. [PMID: 36067271 DOI: 10.1089/jayao.2022.0034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Purpose: The third Cancer Plan (2014-2019) has helped with the recognition of adolescents and young adults (AYAs) with cancer's medical and psychosocial specificities and has enabled the creation of dedicated structures in France. Methods: The study involved 43 AYA patients (Nmen = 21; Nwomen = 22) between 15 and 27 years old (Mage = 19.9), diagnosed with all types of cancer, and were recruited in two French cancer centers. Online questionnaires were filled in 2 months after the beginning of treatment. AYAs completed measures of depressive and anxiety symptoms, perceived social support, and coping strategies. Results: Results demonstrated moderate depressive symptoms (M = 10.7, standard deviation [SD] = 7.0) and suggested a good satisfaction (M = 30, SD = 9.5) and a mild availability (M = 27, SD = 10.3) of the social support. Spearman's correlations demonstrated that coping strategies are related to depressive symptoms, for which acceptance (p < 0.01) of the disease played a key role in their psychological adjustment. Perceived social support subscales were positively correlated with the use of distraction as a coping strategy (p < 0.05). Kruskal-Wallis test demonstrated the preferential use of instrumental (p < 0.05) and emotional support (p < 0.01), denial (p < 0.01), and self-blame (p < 0.01) for women and the use of acceptance (p < 0.05) and humor (p < 0.05) for men; and there were no significant differences between patients hospitalized in the two cancer center facilities. Conclusion: Finally, a better understanding of the psychological adjustment and processes among French AYAs with cancer will help families and processionals to better adjust AYA-specific needs at the beginning of cancer treatment. ClinicalTrials.gov.: NCT03964116.
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Affiliation(s)
- Jeff Phan
- Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France.,Adolescents and Young Adults Unit, Curie Institute, Paris, France
| | - Marie Vander Haegen
- Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France.,Unit of Research: Health and Society Interfaculty, Liège University, Liège, Belgium.,Haute École Léonard de Vinci, Brussels, Belgium
| | - Lucille Karsenti
- Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France.,Adolescents and Young Adults Unit, Curie Institute, Paris, France.,Psycho-Oncology Unit, Gustave Roussy Hospital, Villejuif, France
| | - Valérie Laurence
- Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France.,Adolescents and Young Adults Unit, Medical Oncology and SIREDO (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer) Departments, Curie Institute, Paris, France
| | - Perrine Marec-Berard
- Pediatrics and Adolescents and Young Adults Oncology Department, Institute of Hematology and Pediatric Oncology, Lyon, France
| | - Camille Cordero
- Adolescents and Young Adults Unit, Medical Oncology and SIREDO (Care, Innovation and Research for Children, Adolescents and Young Adults with Cancer) Departments, Curie Institute, Paris, France
| | - Audrey Thisse
- Pediatrics and Adolescents and Young Adults Oncology Department, Institute of Hematology and Pediatric Oncology, Lyon, France
| | - Christèle Riberon
- Pediatrics and Adolescents and Young Adults Oncology Department, Institute of Hematology and Pediatric Oncology, Lyon, France
| | - Cécile Flahault
- Psychopathology and Health Processes Laboratory, UR 4057, Paris Cité University, Boulogne Billancourt, France.,Psycho-Oncology Unit, Gustave Roussy Hospital, Villejuif, France.,Functional Unit of Psychology and Liaison Psychiatry and Emergency, Adult and Elderly Psychiatry Service, George Pompidou European Hospital, Paris, France
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Abstract
Melatonin plays an important role in regulation and maintaining of the circadian rhythm. In the elderly population, an array of disturbances of circadian rhythm and sleep can be observed; however the current knowledge within the group of healthy, elderly is scarce. This systematic literature review of studies on the melatonin profile measured in the blood of healthy, elderly individuals included 519 studies, found in the primary search on PubMed. After reviewing the title and abstract, 47 studies were found eligible for full text review. The inclusion criteria were defined as follows: healthy, elderly individuals, with a mean or average age over 65 years and analysis done in blood or plasma. In addition to the primary search, three studies were directly identified by the reference lists of already included studies. A final total of 23 studies were included in the systematic literature review. In reviewing the literature, a clear circadian melatonin profile with a nocturnal peak at 3 am and lower daytime levels was observed in the healthy, elderly population. In elderly over 75 years of age, the nocturnal level of melatonin may be lower; however, the circadian rhythmicity is maintained. In the comparison of elderly, independently living individuals and individuals living in care facilities, the latter group had lower levels of nocturnal melatonin peak as well as higher daytime levels; however one can wonder if elderly in care facilities are healthy. The 23 included studies in the systematic literature review had varying primary objectives and generally the term "healthy" within this population group proves difficult to clearly define. As a result of this, an obvious interstudy variability existed, which is a limitation of this systematic literature review. However, the graphs depicted represent the best possible estimation of the melatonin profile in a healthy, elderly population. Future research in the melatonin profile within this population should focus on clearly defined healthy elderly to ensure a valid normal material in this age group.
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Affiliation(s)
- Sara Godfrey
- Department of Neurology, Stroke Centre Rigshospitalet, Copenhagen, Denmark.,Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Helle K Iversen
- Department of Neurology, Stroke Centre Rigshospitalet, Copenhagen, Denmark.,Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Anders Sode West
- Department of Neurology, Stroke Centre Rigshospitalet, Copenhagen, Denmark
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Emiliussen J, Engelsen S, Christiansen R, Nielsen AS, Klausen SH. Alcohol in long-term care homes: A qualitative investigation with residents, relatives, care workers and managers. Nordisk Alkohol Nark 2022; 38:414-433. [PMID: 35308816 PMCID: PMC8900185 DOI: 10.1177/14550725211018113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 04/28/2021] [Indexed: 11/15/2022] Open
Abstract
Introduction Western societies are aging rapidly, and habitual use of alcohol is changing among older adults. Hence, care facilities are facing novel challenges regarding alcohol use. This pioneering qualitative study seeks to investigate the role of alcohol in care homes, as seen from the perspectives of residents, care workers, relatives, and institution management simultaneously. Method Five residents, four care workers, three relatives, and two care home managers participated in semi-structured interviews lasting 60 minutes maximum. An interpretative phenomenological analysis framework were utilised for the analysis. Results It seems that there is a positive attitude towards the use of alcohol in care homes across the four groups of participants. They find that the use of alcohol is presently low among the residents. Importantly there appears to be an important symbolic value in the rituals surrounding alcohol which is upheld by all four groups. Conclusion While experiences between the four groups seem to converge regarding the use of alcohol, there are still some important differences. Importantly, we suggest that these unique views be utilised in developing methods for handling alcohol use in care homes in the future.
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Affiliation(s)
- Jakob Emiliussen
- University of Southern Denmark, Odense, Denmark; Department of Psychiatry, Region of Southern Denmark, Odense, Denmark; and Odense University Hospital, Odense, Denmark
| | | | | | - Anette Søgaard Nielsen
- University of Southern Denmark, Odense, Denmark; and Department of Psychiatry, Region of Southern Denmark, Odense, Denmark
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8
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Le Conte P, Texier C, Sicot R, Martinez M, Lefort H. [Reception of a patient suspected of having a psychiatric condition in an emergency department]. Soins Psychiatr 2021; 42:16-18. [PMID: 34763759 DOI: 10.1016/j.spsy.2021.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Many emergency patients have pre-existing psychiatric conditions. They may also present a symptomatology likely to evoke this type of psychiatric pathology. The way in which these patients are received and managed is of prime importance, as it determines the subsequent treatment. It is therefore essential that the emergency services organise a specific pathway for these patients.
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Affiliation(s)
- Philippe Le Conte
- Structure des urgences, centre hospitalier universitaire de Nantes, 1 place Alexis-Ricordeau, 44093 Nantes cedex, France; Faculté de médecine, université de Nantes, 1 rue Gaston-Veil, 44000 Nantes, France.
| | - Cédric Texier
- Secteur des urgences psychiatriques, service d'urgence, centre hospitalier universitaire de Nantes, 1 place Alexis-Ricordeau, 44093 Nantes cedex, France
| | - Romain Sicot
- Unité de liaison et d'urgence de psychiatrie et d'addictologie, hôpitaux universitaires Saint-Louis, Lariboisière, Fernand-Widal, Assistance publique-Hôpitaux de Paris, 2 rue Ambroise-Paré, 75475 Paris cedex 10, France
| | - Mikaël Martinez
- Pôle urgences, centre hospitalier du Forez, avenue des Monts-du-Soir, 42600 Montbrison, France; Réseau d'urgence ligérien Ardèche Nord (Reulian), centre hospitalier Le Corbusier, 2 rue Robert-Ploton, 42700 Firminy, France
| | - Hugues Lefort
- Structure des urgences, hôpital d'instruction des armées Laveran, 4 boulevard Laveran, 13384 Marseille, France
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Ikeda‐Sonoda S, Okochi J, Ichihara N, Miyata H. The effectiveness of care manager training in a multidisciplinary plan-do-check-adjust cycle on prevention of undesirable events among residents of geriatric care facilities. Geriatr Gerontol Int 2021; 21:842-848. [PMID: 34233381 PMCID: PMC8457073 DOI: 10.1111/ggi.14228] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2020] [Revised: 06/03/2021] [Accepted: 06/09/2021] [Indexed: 12/01/2022]
Abstract
AIM Undesirable events, such as falls, aspiration, and pressure ulcers, are associated with functional decline and lower quality of life among older adults. This study describes the frequency of such events among residents of geriatric care facilities and assesses the effect of training care managers in a multidisciplinary plan-do-check-adjust cycle on preventing such events. METHODS This was a Japan-based, non-randomized cluster intervention study. The intervention group comprised geriatric care facilities from which care managers had attended a training course, while the control group comprised facilities with care managers who did not receive this training. Six-month pre-admission and 3-month post-admission incidences of undesirable events were collected from both groups, and the two groups were compared. RESULTS Valid data were collected from 862 residents (416 and 446 from the intervention and control groups, respectively) from 130 facilities (60 and 70, respectively). Three-month post-admission incidences were 27.8%, 20.0%, and 11.3% for falls, fever, and pressure ulcers, respectively. There was no difference between the groups regarding post-admission incidence for any event type. Training care managers reduced the post-admission incidence of pressure ulcers among residents with a history of such ulcers. CONCLUSIONS The training of care managers in a multidisciplinary risk-management cycle was not effective for preventing falls, fever, or pressure ulcers. Results underscore the difficulty of preventing risk events in geriatric care facility residents even with organizational training efforts. The authors believe it is important to share such risks with residents and their families. Geriatr Gerontol Int 2021; 21: 842-848.
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Affiliation(s)
- Shino Ikeda‐Sonoda
- Department of Health Policy and Management, Graduate School of MedicineKeio UniversityTokyoJapan
| | - Jiro Okochi
- Geriatric Health Services Facility of TatsumanosatoOsakaJapan
- Department of Home Care Medicine, Graduate School of MedicineUniversity of TokyoTokyoJapan
- Japan Association of Geriatric Health Service FacilityTokyoJapan
| | - Nao Ichihara
- Department of Health Policy and Management, Graduate School of MedicineKeio UniversityTokyoJapan
- Department of Healthcare Quality AssessmentGraduate School of Medicine, The University of TokyoTokyoJapan
| | - Hiroaki Miyata
- Department of Health Policy and Management, Graduate School of MedicineKeio UniversityTokyoJapan
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10
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Thomas P, Hazif-Thomas C. [Psychogeriatry in the epidemic context]. Soins Gerontol 2020; 25:30-33. [PMID: 33276903 DOI: 10.1016/j.sger.2020.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The development of the coronavirus epidemic is disrupting the organization of medical units and increasing the burden of care for nursing staff. Care facilities for the elderly are particularly exposed. Staff express legitimate fears about this, especially since they are particularly at risk of contracting the virus. Their elderly residents develop severe forms of the disease. To the anxiety generated by the risk of being contaminated, is added the one linked to the physical distancing of visitors made necessary to protect them.
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Affiliation(s)
- Philippe Thomas
- Centre de recherches sémiotiques, EA 3648, université de Limoges, 39 rue Camille-Guérin, 87000 Limoges, France.
| | - Cyril Hazif-Thomas
- Service de psychiatrie du sujet âgé, Soins primaires, santé publique, registre des cancers de Bretagne occidentale, EA 7479, centre hospitalier régional universitaire de Brest, route de Ploudalmézeau, 29820 Bohars, France
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11
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Jellema P, Annemans M, Heylighen A. Foregrounding the built environment in the experience of cancer care: A qualitative study of autobiographical cancer narratives. Eur J Cancer Care (Engl) 2019; 28:e13156. [PMID: 31436912 DOI: 10.1111/ecc.13156] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Revised: 04/25/2019] [Accepted: 08/01/2019] [Indexed: 11/30/2022]
Abstract
BACKGROUND For cancer patients, exposure to cancer care facilities entails confrontation in multiple ways. The value ascribed to these places grows over time and can be expected to affect the experience of care. OBJECTIVE The purpose of this study was to foreground the role of the built environment in this experience. METHODS This qualitative study is based on seven autobiographical narratives written by cancer patients being treated in Belgium or in neighbouring countries. RESULTS The thematic analysis of these accounts raises awareness of architecture's role in the experience of cancer patients. Their radius of action is typified by the contrasting adventurous undertakings and shrinking lifeworlds. The built environment furthermore provides leads to metaphors for patients to reformulate their experiences of illness and care. CONCLUSIONS Deterritorialised landscapes of cancer care include multiple, geographically dispersed places of care, rather than a single prominent care facility. Simultaneously, exposure to buildings where formal cancer care takes place is intense and meaningful. Metaphors are linked to the built environment and can be seen, through their use in the narratives, to support coping. Further research could look into the potential of metaphors to enhance understanding between stakeholders collaborating around design for cancer care.
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Affiliation(s)
- Pleuntje Jellema
- Department of Architecture, Research Design, KU Leuven, Leuven, Belgium
| | - Margo Annemans
- Department of Architecture, Research Design, KU Leuven, Leuven, Belgium
| | - Ann Heylighen
- Department of Architecture, Research Design, KU Leuven, Leuven, Belgium
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12
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Peoples H, Pedersen LF, Moestrup L. Creating a meaningful everyday life: Perceptions of relatives of people with dementia and healthcare professionals in the context of a Danish dementia village. Dementia (London) 2018; 19:2314-2331. [PMID: 30582716 DOI: 10.1177/1471301218820480] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The world's aging population contributes to an increase in people living with dementia, which is perceived as one of the main causes of disability and dependency for older people. The first dementia village in Denmark was established in 2015, with the intention of providing a safe and meaningful everyday life for people with dementia. The purpose of the study was to explore the way in which relatives of people with dementia and healthcare professionals create and maintain a meaningful everyday life for the residents in a Danish dementia village. METHODS A methodology for user involvement in public service development and evaluation called 'The BIKVA methodology' was used followed by a thematic analysis. A purposive sample of 32 participants took part in the study. RESULTS The analysis revealed one main theme, 'Enabling a familiar and meaningful everyday life in the dementia village', with three corresponding subthemes, reflecting the way in which relatives of people with dementia and healthcare professionals create and maintain a meaningful everyday life for the residents in a Danish dementia village. CONCLUSION The findings showed that relatives of people with dementia and healthcare professionals were committed to creating and maintaining a meaningful everyday life for the residents, but also revealed different understandings of when, where, and how this could be understood and best be achieved. Furthermore, people with advanced dementia may not be able to benefit from the activities and possibilities provided by the dementia village, since this required resources beyond what could be provided.
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Affiliation(s)
- Hanne Peoples
- Faculty of Health Sciences, Health Sciences Research Centre, UCL and University College, Odense, Denmark
| | | | - Lene Moestrup
- Faculty of Health Sciences, Health Sciences Research Centre, UCL and University College, Odense, Denmark; Nursing Education, UCL and University College, Svendborg, Denmark
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13
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Abstract
Most available data about perpetrators of elder abuse are included as part of the description of abuse experienced by older adults. Embedded within this literature is some evidence that perpetrators of elder abuse are involved in polyvictimization. Drawing upon prior empirical research of apparent cases of polyvictimization, this article focuses on what is known about the personal characteristics of perpetrators of polyvictimization, highlights the context of the relationship between perpetrators of polyvictimization and their older adult victims, addresses the potential consequences for perpetrators of polyvictimization, and provides recommendations for future research and practice. Findings elucidate characteristics of and potential outcomes for perpetrators of late life polyvictimization.
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Affiliation(s)
- Karen A Roberto
- a Center for Gerontology and Institute for Society, Culture and Environment , Virginia Tech , Blacksburg , VA, USA
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