June 21, 2016

resources for the healthcare professional

to borrow any of these members email nsw.library@alzheimers.org.au

Providing good care -  must reads!

Night time care : a practice guide
This accompanying practice guide supports staff through implementing changes that will improve the lives of people with dementia and those who care for them at night.

Providing good care at night for older people : practical approaches for use in nursing and care homes
"Night staff have to provide the same level of person centred, individualised care as day staff. Their primary task is seen as the promotion of sleep. This can often mean that they feel compelled to get people back to bed as quickly as possible. Often, however, residents need, time, food, activity, and TLC as well as an opportunity to talk and discuss, particularly their fears and worries."
Night time activities include --  calm gentle nights by the radio  --  a walk in the evening air --  having a snack/ nightcap --  reading aloud

The experiences and needs of residents and patients in nursing and care homes are very different at night, and this is particularly true for those with dementia.

The authors look at all of the issues that are particularly pertinent in caring for older people at night, including nutrition and hydration, continence, challenging behaviour, medication, night time checking, pain management and end of life care. They also look at the impact that working at night has on care staff, and offer practical suggestions to help them to safeguard their own health. The final chapter provides a set of night time care guidelines for inspectors that can also be used by managers to evaluate night time practices in their homes.

This book is essential reading for night staff and their managers and employers, as well as inspectors of services, policy makers, and anyone else with an interest in the provision of care for older people.
Designing for Dementia: An Assessment of the Impact of the Physical Environment on Wayfinding Success for Residents in Long Term Care Settings
Dementia affects visuo-spatial perception, causing difficulty with wayfinding, even during the early stages of the disease. The literature widely recognises the physical environment’s role in alleviating symptoms of dementia and improving quality of life for residents. It also identifies the lack of available housing options for older people with dementia and consequently the current stock is ill-equipped to provide adequate support.
Recent statistics indicate that 80% of those residing in nursing or residential care homes have some form of dementia or severe memory problems. The shift towards institutional care settings, the need for specialist support and care, places a greater impetus on the need for a person-centred approach to tackle issues related to wayfinding and dementia.
This thesis therefore aims to improve design for dementia in nursing and residential care settings in the context of Northern Ireland. This will be undertaken in order to provide a better understanding of how people with dementia experience the physical environment and to highlight features of the design that assist with wayfinding. Currently there are limited guidelines on design for dementia, meaning that many of these are theoretical, anecdotal and not definitive. Hence a greater verification to address the less recognised design issues is required. This is intended to ultimately improve quality of life, wellbeing, independence and uphold the dignity of people with dementia living in nursing or residential care homes.

Frontline workers in assisted living

Increasing numbers of frail older persons choosing assisted living as a means of maintaining independence and delaying or avoiding admission to a nursing home - but assisted living workers—mostly women and minorities—are already in short supply and their numbers are shrinking. The work generally pays substandard wages. It is physically hard, dirty, and mentally and emotionally challenging.

This book uses qualitative methods and multilevel statistical modeling techniques to examine individual- and community-level factors that influence the experiences and work conditions of direct care workers in assisted living. It explores how and why they selected this type of employment, shows what the job entails, highlights the importance of these workers to the people they care for daily, and gives important new information about the interrelationships among issues that affect worker satisfaction and turnover in assisted living. In doing so, it reveals the reasons for the inherent tensions among frontline workers, facilities operators, and residents and their families and loved ones, and it offers practical strategies for attracting and retaining top-notch direct care workers.

"...An extraordinarily comprehensive and thoughtful analysis of the issues involving direct care workers. This is an excellent resource for scholars and researchers studying any type of residential long-term care, as well as for administrators of long-term care facilities and policy experts who deal with assisted living..."

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