The Effects Of Enhanced Personal Responsibility And Choice

All of the patients on my unit in my former position were in the beginning and mid stages of Alzheimer’s with one or two very alert ones. The challenge was keeping the more alert residents from rapid mental decline. The key in maintaining the resident’s dignity is providing an environment where they can participate in their level of care,

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

The facility that I worked in specialized in dementia care, which means that all of the residents had some form of dementia, the most common type being Alzheimers. In the building that I worked in we had around 30 residents. They were separated into what we called neighborhoods, which were really just hallways. There were approximately 10 residents in each neighborhood and there were always 2 CNA’s for every neighborhood. We had a dining room, and a living area in every neighborhood. There was a neighborhood in each corner of the building. They were joined by larger hallways and two large sitting areas at the front and the back. We called the sitting area in the back the “Great Room”, this was where many residents would spend lots of time playing games, watching movies, singing, and doing various other activities.

There were small sheets of paper in each resident’s room, saying what their favourite things are, what they used to do, about their family and life, which was very touching for me to see the preservation of dignity throughout the facility. Although these write-ups were in everyone’s room it was as if there was not a human laying in that bed. It was like they were all mannequins and there was an indiscernible race, the focus was shifted from the individual to the completion of task at hand. Many care aides would have conversations about their weekend, or talk about the resident right in front of them. Some residents could hear and some could not, never the less,

But this approach can also be negative and this is because someone can feel that they are having a lot of pressure put on them if they have to make a decision and it could lead to them getting stressed out and sometimes people might refuse to make a decisions if care professionals are expecting a decision from the person being asked. But as I have said before everyone takes things differently. This would be applied as well if Frieda was getting care from careers, Frieda could experience the positive effects or she could experience the negative effects depending on how she feels after the fall. Another way to support the independence of a person it let them have control of the things they can in their lives. So this can be from letting someone control their money, letting someone choose what they want to buy when they do food shopping. Another way to support independence is to maintain the person’s dignity, so this can be done like if someone wants to a care professional to go to the toilet with them the care professional could go with them but the maintain their dignity they might not look at the person while they are using the toilet unless they need any help. This approach can be effective because it gives people a sense of control and it gives a person a sense of having control of their life and their ageing. If someone does feel that they are in control of their life they might cooperate with care professionals more and they might even become more involved

3) The three plagues of nursing home as mentioned by Bill Thomas were boredom, loneliness and helplessness. What came to mind when he outlined them was how much I agreed with him. This is what I have experienced firsthand as a nurse working with the elderly. Many of them are placed in front of the nursing station for the whole shift because of the lack of things to entertain them. For many of them, the day only consists of eating, sleeping, and using the bathroom.

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

I have also noticed this is the population who most often isolates themselves from the rest of the residents. They chose to remain in bed, keep to themselves, and not get involved in the activities offered at the facility. It seems they fear being involved in the life of the nursing home means they have accepted their current situation, and they do not want others to think that. I have often heard these residents say things like, “I don’t belong here” or “I don’t want to be around all those old people.”

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

This paper examines the quality of care received by the elderly with an emphasis on measurements for care, recommending additional tools to be adopted to measure the overall well-being for the elderly in order to gain a more comprehensive understanding of the quality of care for those living in senior care facilities.

Assisted Living Homes are designed to provide residents with basic everyday assistance. An important aspect is that assisted care facilities provide a safe and comfortable environment for older adults who need assistance with duties such as bathing, dressing, shopping, cooking, grooming, arranging doctor’s appointments, medication administration and laundry services. These facilities have social and recreational activity programs designed to keep the residents active. The recreation groups provide residents with activities for enjoyment, exercise, and interactions with others to build character. Special activities such as luncheon,

The character Dorothy said in The Wonderful Wizard of Oz, “there is no place like home” (Baum, 1960, p. 45). Sadly, many of our elderly live in Long Term Care Facilities (LTCF). The transition from living in their own homes, to living in a LTCF, can be a traumatic experience. Poor adaptation to a LTCF may cause depression, malnutrition and significantly reduce the lifespan of the elder. Thus, it is imperative, that nurse’s recognize this promptly.

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.

The lack of attention to the aesthetics of the facility not only created a depressive feel, but also created sanitation issues. Caroline described the staff often placing soiled linens and used bed pans out in the hall for hours without being attended to. For Caroline, this exacerbated the painfulness of this already emotional transition for her when she first arrived. And even though Caroline’s room was cleaned by the staff prior to moving in, it still presented as dirty and with a foul order. The food at the nursing home was unappealing and often leads to the decrease in appetite of most of the residents. In addition, the fact that Caroline was the only female client posed a threat to her development of a support system and created an uncomfortable environment.

Design and scope constitute element one. Pertaining to nursing homes, a quality improvement program should take aim at medical care, resident selection, and quality of life (Center for Medicare and Medicaid Services [CMS], n.d.). An initiative was developed to better diabetes care