Core studies summary - Langer & Rodin (1976) Aims and context (Put aims of study & background history): Aim: To see whether being given greater personal choice & personal responsibility had a positive effect on older people living in a residential home. To see also if being given greater choice in a care home would affect their alertness & activity. Langer & Rodin aimed to investigate the effects of enhanced personal responsibility and choice in a group of nursing home patients. Specifically if increased control has generalised beneficial effects, which in turn affect physical and mental alertness, activity, sociability and general satisfaction. Bettleheim’s (1943) description of the ‘Muselmanner’, the walking corpses in the …show more content…
• The experimental group was also told they could discuss their complaints and tell a nurse how the home should change. • In the control group, the second floor residents were just given a plant with no choice, were told which night they would see the movie and were told their rooms had been arranged for maximum comfort. Also, they were told about the complaints procedure but were not told they could offer suggestions for improving anything. • 3 days the later both groups were again visited and the same message was repeated. • Patients were given a questionnaire by a research assistant who didn’t know aims/hypothesis etc, about how happy and active they felt and how much control they felt they had over life events. They answered on a scale from 0-8, 0=none & 8=total. • Nurses filled out the 2nd questionnaire that staffed both floors; they were also unaware of the experimental treatments. They were asked about how happy/alert/sociable/active and dependent the residents were. There were also records taken on their participation in competitions, attendance at movie night etc. Also, some of the residents’ wheelchairs wheels were covered in a white tape so researchers could measure how far they had gone in their wheelchairs!! Perspective developmental Method: Field experiment 3 advantages of the methodology: Sample (e.g. representative) Internal & external validity/internal & external reliability/ethics & any other issues: 1.
* Evaluate the effectiveness of a care home for the elderely organizational policy (safe guarding vulnerable individual policy) in supporting elderly people and
“God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference” (Lyubomirsky, 194). There are certain things in life that are uncontrollable and there is nothing anyone can do to change that, however there is a handful of things that are by choice. In her essay, How Happy Are You and Why?, Sonja Lyubomirsky proposes that everyone has a “genetically determined predisposition for happiness (or unhappiness) accounts for the differences between” each person (186). Lyubomirsky theorizes that everyone has a “set point” that is predetermined by genetics which represents the level of happiness a person experiences. In an attempt to offer people a way to gauge their own “set point,” she suggests a questionnaire that she has created to determine this number. The problem with this theory is that the questionnaire is subjective and reliant on circumstances. Her argument is problematic because she does not account for both happiness and
1.2 EVALUATE AGREED WAYS OF WORKING THAT RELATE TO RIGHTS AND CHOICES OF AN INDIVIDUAL WITH DEMENTIA.
Assisted living helps each person value life to its fullest potential. When it comes to making an older individual feel more at home and also be able to focus more on non-stressful activities, they need to be ensured the best care. “Families feel more confident and are less ‘protective’ when there is continuity in staff and they are deemed competent. Staff are more likely to be retained where they feel valued”2 part of the quote which is especially conducive to the argument is, “where they feel valued.” When picking and choosing a nursing home that fits individual the best, and will provide them with the care needed, it is important to make sure that everyone is valued in the process. This quote is important because if the workers are not being taken care of, then they are less enthusiastic and also less likely to give someone’s loved one the care needed and to know what is expected from them. It is assumed that when picking an assisted living home, that the well being of the person and also many other characteristics are taken into
P3: Explain ways in which health and social care workers support the independence and wellbeing of older people. M2: Assess ways in which health and social care workers support the independence and wellbeing of older people. D1: Evaluate ways in which the sectors work together to support the independence and wellbeing of older people. Doris has stayed connected with her friend Frieda who lives on her own independently but recently she has had a fall and she has been referred to the local authorities. P1& M2 When promoting independence and wellbeing in older people it has to be done in a way where the person feels that they are able to do what they are being asked to do and if they say that they don’t
The medical model, which originated in the 1950's, delivered high‐quality, standardized care to a large number of individuals. The care provided in long-term care facilities has traditionally been based on a medical model. This is characterized by nursing units with centralized nursing stations and long, doubly loaded corridors with shared bedrooms and bathrooms. Often, the finishes and ambiance are institutional and bare, and the setting provides few opportunities for residents to personalize their environments. Residents follow a rigid routine that dictates when they eat and when they sleep. The medical model involves the use of medical jargon, which can be problematic for residents and families. The medical model also focused on the individual’s
Rosenhan mentioned that the staff members occasionally shouted at and sometimes hit mental patients who would attempt to make contact with them too often. Those occasions mentioned in the study were recorded from other hospitals and did not appear to occur within either the first or second experiment, however, the pseudopatients did report that they were ignored resolutely by the staff members and only had the other patients to interact with. Aside from being ignored by the authority figures in the building there was also little to no stimulation, patients would apparently wait outside the cafeteria for lunch simply because meals were one of the few things that patients had to look forward to. Most pseudopatients were bored enough to give actual patients psychological help, ask their relatives to bring them missed classwork, and a variety of other things to pass the time. On top of this they were under constant surveillance with only minor privacy in certain places, such as the bathroom. All of this cumulates into a very stressful situation that the pseudopatients endured for an average of nineteen days. However, no damage was reported in the study, all pseudopatients volunteered to act in the experiment, and it yielded important data that reveals quite a bit about psychiatric wards and the changes that should be implemented to make them better. Overall, it was worth the potential
Davies (2008:309) states ‘Self-determination is the ethical principle in which persons should be permitted, enabled and encouraged to make their own informed decisions about the course of their lives’. He would argue that people with cognitive impairments could be perceived as vulnerable or at risk, which in turn can lead to professionals being over protective, shielding them from some minor or unlikely risks. It is vital to recognise this and understand how it has the potential to restrict individuals; however, family members do not always agree and in this instance their views and opinions differed. Although family members felt this lady should be considering the option of moving into residential care, the lady herself dismissed this idea, as she was happy living at home in her bungalow. Blackburn (2001:80) states ‘we don’t want to suffer from domination by others, or powerlessness, lack of opportunity, lack of capability, [or] ignorance’. With this in mind, it was important for me to recognise that in order to proceed and protect this older lady’s rights as a potentially vulnerable person, she should be supported in line with the Mental Capacity Act (MCA, 2005) which sets out principles about decision making and exercising control in order to encourage people’s empowerment. .
This essay will discuss the concept of person centred care, why ser-vice users are at the centre of any decisions made. The importance of this when developing a plan of care to an individual with dementia within a community care setting with limited mobility. What the structure of the mutli disciplinary is when involved in delivering a package of care and how the different roles involved contribute to the positive outcomes
They a variety practical changes which can be made in a work setting to improve individuals ‘ independence ,informed choice and quality of life. Informed choice is a choice you make when you are fully aware of what you are choosing. In a care setting individuals have rights to make choices and leading a quality fulfilling life. For a setting to achieve this, the care plans are to be made with the contribution of the individual under care. Where the individual is not able to make a choice the best interest is applied, their advocate or LPA can help make a decision. A care setting is to create and use ways that encourage and support individuals to take on activities that are designed to meet the interests and physical, intellectual, social well-being
In a care home generally most general day to day tasks are provided for the residents living there i.e. cooking, making tea and making the bed. Positive outcomes can be seen in individuals however who seek to take out their own responsibilities by engaging themselves in outdoor activities instead of depending on their children or health and social care professionals. By doing so, they can live longer and keep physically active as a result.
In Being Mortal, Atul Gawande painted a little depressing picture of the realities faced by the elderly in the US nowadays: declining health status, economic insecurity, and loss of independence. It seems once the older people move into nursing homes or assisted living facilities, they lose autonomy, dignity and privacy as the institutions are not able to fully individualize care. Even though the situation has been improving, it still shocks me to see how unhappy some of the elderly are in these circumstances. Realizing senior care facilities often fail to address all aspects of well-being, I would like to explore the issues of promoting both objective and subjective component in quality of care for the older people.
Canadian Home Care Association, “Home Care 2020: A Vision of Health, Independence & Dignity,” available at
According to the comments, visitors and family had issues with the space, furniture, and comfort of the room. In addition, the visitors made loud noises making the roommate unable to rest comfortably. Although changing the size or spaces in the rooms is a long term process, it is possible to limit the amount of noises which visitors make. Moreover, patients are not satisfied with the discharge process as they are often not provided with enough information and ended up waiting longer.
In the care home for adults there are different principle in health and social care practise which we applies irrespective of gender, race, disability, age, sexual orientation, religion, belief.