Tuesday 15 August 2017

AT LEAST ONE SOCIAL HOUR EVERY WEEK IN DEMENTIA CARE HELPS LIVES AND EVEN WILL SAVE FUNDING

Person-centred fun-filled activities joined with a single hour a week of social conversation could enhance standard of living and minimize irritation for people who have dementia currently in residential care, whilst lowering costs.

These are the final thoughts from a sizeable research project directed by the University of Exeter, King’s College London and Oxford Health NHS Foundation Trust. These outcomes were exposed this week at the Alzheimer’s Association International Conference 2017 (AAIC).

The research project concerned greater than 800 people who have dementia over 69 care homes in South London, North London and even Buckinghamshire. Two ‘care staff champions’ at each care home were trained across four day-long sessions, to try basic measures for example involve talking to people about their pastimes and choices about their own care. When accompanied by one hour in one week of social connections, it really improved standard of living and reduced irritation.

Importantly, the tactic also ended up saving money in comparison to regular care. Experts suggest the next critical problem is to roll the plan to the 28,000 care homes throughout the UK to help the lives of the 300,000 people who have dementia located in these types of residenital care homes.

Professor Clive Ballard, of the University of Exeter Medical School, who brought about the sessions, explained: “Individuals with dementia who are dwelling in care homes are among the most vulnerable in today's world. Incredibly, of 170 carer training guides in the marketplace, merely four provide evidence that they actually work. Our end results indicate that good employees guidance and simply one hour per week of sociable conversation tremendously betters quality of life for a group of people who can often be unconsidered by society.”

Dr Jane Fossey from the Oxford Health NHS Foundation Trust, claimed: “Taking a person-centred method is about really becoming acquainted with the resident as an individual - being aware of their likes and dislikes and talking to them while you provide all aspects of care. This makes a tremendous difference to the individual themselves as well as their carers. We’ve shown this approach noticeably boosts lifestyles, minimizes agitation and also will save cash also. This specific guidance must now be rolled out countrywide so other individuals can reap some benefits.”

The results are the conclusions of the Improving Wellbeing and Health for People with Dementia (WHELD) trial, the biggest non-pharmacological randomised control research project in individuals with dementia living in residential care homes thus far.



The undertaking integrated collaboration from University College London, the Universities of Hull and Bangor, and Alzheimer’s Society.

Doug Brown, Director of Research for Alzheimer’s Society, expressed: “70% of persons dwelling in residential care homes have dementia, so it is crucial that employees have the appropriate coaching to supply good quality dementia care."

“We know that a person-centred strategy that takes everyone's distinctive qualities, skills, motivations, personal preferences and needs into account can certainly improve care. This study shows that training to deliver this sort of individualised residential care, in conjunction with physical activities and social communications, has a vital impact on the well-being of people living with dementia in residential care homes. It also demonstrates that productive residential care can aid in reducing expenses, which the stretched social care system desperately demands."

“Alzheimer’s Society is invested in increasing dementia care by means of investigation. We wish to discover interventions like this put into practice, and can continue to fund further more study to raise the standard of living for individuals with dementia inside of their houses, dementia care homes and even hospitals. However investment in researching solely cannot rescue the broken system. The government ought to use the consultation on social care reform to supply a long-term solution that handles the desperate funding crisis within our latest method and shares the price of dementia care across society.”

Thursday 10 August 2017

What To Think About When Choosing A Nursing Home

Nursing homes have transformed drastically within the last several decades. These kinds of changes have been powered by government polices as well as customer demands. Today’s nursing homes tend to be highly regulated, high-quality organizations for the care and treatment associated with older adults who have severe physical health and/or psychological disabilities. Assisted-living amenities do not possess the same laws that guide care in nursing homes.


Who resides in nursing homes?

Nearly half of all people that reside in nursing homes tend to be 85 years or even older. Fairly few occupants are younger than 65 years. Most are females (72%), many of whom are without a partner (nearly 70% are generally widowed, separated, or never married) and with only a small group of family members and friends for help.


The Most Commonly Encountered Reason Behind Living in A Nursing Home

Some type of disability with activities of daily living (ADLs) is among the most common reason why older people reside in nursing homes. Unsurprisingly, people residing in nursing homes usually have more incapability than people living at home. More than 80% of nursing home residents require assistance with 3 or more ADLs (including dressing and washing). 90% of residents who are able to walk require assistance or supervision. More than 50 % of residents have urinary incontinence (possibly bowel or bladder), and more than 1 / 3 have difficulty with listening or seeing.

As well as physical difficulties, psychological illnesses tend to be frequent in nursing home residents. In reality, dementia remains the most common issue, and has an effect on an estimated 50-70% of residents. More than three fourths of nursing-home occupants have issues making day-to-day choices, and 2 thirds experience problems with memory or figuring out exactly where they are from time to time.

At least one-third of nursing home occupants have problematic actions. These actions might include spoken and also actual physical abuse, behaving inappropriately in public, fighting off essential attention, as well as wandering. Communication troubles are also common-almost half of nursing home residents have a problem both being understood and understanding other people. Depression is an additional problem which has an effect on nursing home occupants. Research has shown it may take place a lot more within nursing home occupants than in folks living in the town.


Length of Stay

Period of stay differs a lot within nursing homes. Twenty-five percent of people admitted stay only a short time (Three months or fewer). Lots of people whom remain for a short period of time are admitted for rehabilitation or for critical (end-of-life) health care. About 50 % of occupants spend a minimum of 12 months within the nursing home, and 21% live there for almost Five years. Interestingly, function usually improves in numerous residents who stay for a longer time.


Risk Factors for Admission



There are numerous risks with regard to admittance to a nursing home:
Age. The chance of being admitted to a nursing home increases with age. For example, about 15% of people 85 years and older live in nursing homes, compared with just 1.1% of people 65-74 years of age.

  • Low income.

  • Below average family support, especially in cases where the older adult lacks a spouse or children.

  • Low social activity.

  • Functional or mental difficulties.

  • Caucasian race/ethnicity.


Characteristics of Nursing Homes
Nursing homes frequently offer you medical solutions similar to those offered in hospitals following surgery, sickness, or any other sudden medical problems. Older adults require a more impressive range of care, and hospital stays are shorter than they used to be. Medical services vary a lot among nursing homes, but include:

  • skilled nursing care

  • orthopedic care (care for muscle, joint, and bone problems)

  • breathing treatments

  • support after surgery
  • physical, occupational, and speech therapy
  • intravenous therapy and antibiotics
  • wound care

Nursing homes provide nutritional counseling, social work services and recreational activities, as well as respite care, hospice care, and end-of-life care.


Choosing a Nursing Home

Your health care provider or other healthcare professional (such as a home health nurse or social worker) can provide recommendations for nursing homes. In addition, the Centers for Medicare and Medicaid Services provides detailed information that can help you compare different nursing homes.

Elderly adults and/or family members need to try to visit as many homes as they can to acquire a feeling of the general feeling and excellence of attention. Utilizing a checklist can help you evaluate quality, the range of solutions, convenience, and costs. Your visit may last an hour or two so that you can meet and talk with the admissions officer, nursing home administrator, director of nursing, and social worker. Remember that no nursing home is perfect, and all will likely be very different from the current living situation.

Suggested Questions to Ask When Visiting a Nursing Home

Is the nursing home clean?

Are there any unpleasant smells?

Is it well maintained?

Do the residents look well cared for?

Are the rooms adequate?

What recreational and private space is available?

Are there safety features, such as railings and grab bars?

Is the home licensed by the state and certified by Medicaid?

How many nurses and nursing assistants are there compared with how many residents?

Do the administrators and medical professionals have special training in geriatrics or long-term care?

Are key professionals full-time or part-time?

How long have the managers and medical professionals worked at the nursing home?

Is vaccination against influenza required for all staff members?

Who will be the physician or nurse practitioner that will be following the resident, and how accessible are they?

How close is the nursing home to family members?

How close is it to the nearest hospital?

What is the food like?

How much do basic services cost? What services are covered?

What additional services are available? How much do they cost?

What happens if a person runs out of money and needs medical aid?

The Centers with regard to Medicare and Medicaid Services (CMS) uses various quality measures to rate nursing homes. For example, CMS reports the percent of residents who:
receive seasonal flu vaccines and the pneumococcal (pneumonia) vaccine

were physically restrained

had one or more falls with major injury

have pressure ulcers

lose too much weight


Nursing homes may often seem scary and depressing, and moving into one can fill people with a sense of betrayal and failure. Family involvement is important in helping the older person make the transition to a new living arrangement.

Contrary to the stereotype, families do not abandon their loved ones by placing them in a nursing home. In fact, only a few nursing home residents are truly without any family. Family
members are encouraged to visit residents regularly and to be involved in the total care of their older relative. Family members can offer company and help with the basic activities of daily living, and they may be better able to communicate the needs of the resident.