Long Term Care

A Haven of Last Resort: The consequences of evacuating Florida nursing home residents to non-clinical buildings

by Janelle Christensen

Co-authored with Lisa M. Brown and Kathryn Hyer in Geriatric Nursing.  In press.

Nursing home administrators (n=15) and directors of nursing (n=15) who worked in nursing homes during the 2004-2005... more Nursing home administrators (n=15) and directors of nursing (n=15) who worked in nursing homes during the 2004-2005 Florida hurricane season participated in a series of six focus groups. The purpose of the focus groups was to explore issues faced by nursing home administrators, nurses, and residents during hurricane evacuations. A primary finding was that evacuating nursing home residents to buildings that are not designed to support nursing activities (e.g., a school gymnasium or a church) adversely affected resident feeding, sleeping, movement, and security. These non-clinical buildings also presented serious occupational health concerns for nursing staff members who provided care during emergencies. Recommendations for reducing patient and nursing staff injuries for those forced to evacuate to a non-clinical building as the result of an emergency event are provided.

Relying on informal care in the new century? Informal care for elderly people in England to 2031

by Adelina Comas-Herrera

Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom

by Adelina Comas-Herrera

The Long Road to Universalism? Recent Developments in the Financing of Long‐term Care in England

by Adelina Comas-Herrera

Disability, dementia and the future costs of long-term care

by Adelina Comas-Herrera

Future costs of dementia-related long-term care: exploring future scenarios

by Adelina Comas-Herrera

The English Long-term Care System. ENEPRI Research Report No. 74, 28 May 2010

by Adelina Comas-Herrera

The ethical politics of well-being in English care homes for adults with intellectual disabilities

by Michael Dunn

Dunn, M., Clegg, J., Clare, I. and Holland, A. (under review) 'The ethical politics of well-being in English care homes for adults with intellectual disabilities'.

ABSTRACT

Contemporary approaches to conceptualising good practice in residential care settings in England... more ABSTRACT

Contemporary approaches to conceptualising good practice in residential care settings in England have focused on how the support environment functions to respect residents’ autonomy and to improve their quality of life. Increasingly, empirical and theoretical enquiry is exposing how the everyday practices of care work render problematic the ways in which this focus has been operationalised in practice, particularly with regards to autonomy-related considerations. This paper develops this emerging strand of research, exploring how support worker providing residential care to adults with intellectual disabilities make sense of the ethical dimensions of their support role. Drawing on a qualitative analysis of twenty-one interviews with support workers employed in residential care homes, and extended observations of care practices in these settings, it is shown how support workers identify, and negotiate, a particular account of good care. It is argued that day-to-day life in care homes is characterised by an ‘ethical politics of well-being’ as support workers define, defend, and seek to enact strategies for enhancing the quality of residents’ everyday lives in ways that are subject to continual challenge within the care home environment. These findings provide an insight into the complex ethical character of long-term care, and pose a number of challenges to contemporary political and regulatory frameworks of good practice across a range of health and social care settings.

Migrants Workers in the Long-Term Care Sector: Lessons from Italy

by Mirko Di Rosa

Lamura G., Chiatti C., Di Rosa M., Melchiorre M.G., Barbabella F., Greco C., Principi A., Santini S. (2010). Migrants Workers in the Long-Term Care Sector: Lessons from Italy. Geneva Association Information Newsletter, Health and Ageing, 22nd April 2010, Invited Article II: 8-12.

Will You Still Need Me, Will You Still Feed Me?—Paying for Care in Old Age

by Harriet Clarke

The Development of Long-term Care Insurance in Britain

by Harriet Clarke

The ethics of long-term care practice: A global call to arms

by Michael Dunn

Hope, T. and Dunn, M. (under review). 'The ethics of long-term care practice: A global call to arms'.

SUMMARY

A paper that describes the different types of ethical issues that arise in the day-to-day... more SUMMARY

A paper that describes the different types of ethical issues that arise in the day-to-day activities that constitute long-term care, and that argues that there need to be processes and interventions established at the local, national and international level to enable these issues to be addressed appropriately.

ABSTRACT

This chapter examines the practical ethical issues that arise in long-term care settings. Our attention focuses predominantly on the care provided to people with dementia, a condition which is expected to present a major challenge to countries around the world over the next few decades. By providing specific examples, we show how the bulk of problematic ethical issues arise in the context of day-to-day care practices, and consider how these issues become even more problematic when recent developments in transnational migration for the purposes of providing and receiving long-term care are taken into account. We argue, first, that that these ethical issues need to be addressed in ways that can command broad agreement across different cultures and, second, that whilst contemporary approaches to identify universal principles ought to be part of this process, these principles alone will be insufficient to foster ethical practice. Our claim is that there need to be processes at both the macro and micro level that can facilitate discussion around, and enable the resolution of, context-specific ethical challenges. Such processes will require international collaboration between academic, policy-makers and care providers, and will involve new interventions in practical settings.

Mantenere dritto il timone del quotidiano:«caregiving» e riorientamenti di senso= Mantaining the Everyday Life Helm Straight: Caregiving and Meaning Re- …

by Giuliana Costa

Weathering the Storm: challenges to nurses providing care to residents during a hurricane

by Janelle Christensen

Kathryn Hyer, Lisa M. Brown, Janelle J. Christensen, Kali S. Thomas  Applied Nursing Research

This article documents the experience of 291 Florida nursing homes during the 2004 hurricane season. Using... more This article documents the experience of 291 Florida nursing homes during the 2004 hurricane season. Using quantitative and qualitative methods, the authors described and compared the challenges nurses encountered when evacuating residents with their experiences assisting residents of facilities that sheltered in place. The primary concerns for evacuating facilities were accessing appropriate evacuation sites for residents and having ambulance transportation contracts honored. The main issue for facilities that sheltered in place was the length of time it took for power to be restored. Barriers to maintaining resident health during disasters for those who evacuated or sheltered in place are identified.

Envejecimiento y cuidados

by Lorena Moscovich

Colaboración