Tag Archives: Elderly Care At Home

PACE Helps Elderly Remain at Home Instead of Moving to a Nursing Home – ElderLawAnswers.com

The little-known Program for All-Inclusive Care of the Elderly (PACE) provides care and services to some nursing home-eligible seniors to enable them to remain in their home far longer than they might otherwise be able to do. To be eligible for PACE …

Palliative Caregivers Who Would Not Take on the Caring Role Again.

J Pain Symptom Manage. 2011 Jan 11;
Currow DC, Burns C, Agar M, Phillips J, McCaffrey N, Abernethy AP

CONTEXT: Health and social services rely heavily on family and friends for caregiving at the end of life. OBJECTIVE: This study sought to determine the prevalence and factors associated with an unwillingness to take on the caregiving role again by interviewing former caregivers of palliative care patients. METHODS: The setting for this study was South Australia, with a population of 1.6 million people (7% of the Australian population) and used the South Australian Health Omnibus, an annual, face-to-face, cross-sectional, whole-of-population, multistage, systematic area sampling survey, which seeks a minimum of 3000 respondents each year statewide. One interview was conducted per household with the person over the age of 15 who most recently had a birthday. Using two years of data (n=8377; 65.4% participation rate), comparisons between those who definitely would care again and those who would not was undertaken. RESULTS: One in 10 people across the community provided hands-on care for someone close to them dying an expected death in the five years before being interviewed. One in 13 (7.4%) former caregivers indicated that they would not provide such care again irrespective of time since the person’s death and despite no reported differences identified in unmet needs between those who would and would not care again. A further one in six (16.5%) would only “probably care again.” The regression model identified that increasing age lessens the willingness to care again (odds ratio [OR] 3.94; 95% confidence interval [CI] 1.56, 9.95) and so does lower levels of education (OR 0.413; 95% CI 0.18, 0.96) controlling for spousal relationship. CONCLUSION: These data suggest that assessment of willingness to care needs to be considered by clinical teams, especially in the elderly. Despite most active caregivers being willing to provide care again, a proportion would not.

Source:Palliative Caregivers Who Would Not Take on the Caring Role Again.

Privatization of social services: Quality differences in Swedish elderly care.

Soc Sci Med. 2010 Nov 24;
Stolt R, Blomqvist P, Winblad U

One of the major policy trends in recent decades has been the privatization of social services. This trend has also reached Sweden, a welfare state with health care and social service sectors that previously had almost no private providers. One of the most affected areas is elderly care, i.e. home-help services and residential care provided to citizens older than 65 years, where the proportion of private providers increased from 1% in 1990 to 16% in 2010. The ongoing privatization in Sweden and many other countries has raised important questions regarding the consequences of this policy transformation. In this paper, we present a cross-sectional study comparing the quality of services in private and public elderly care. Using statistics from 2007 displaying a variety of quality dimensions covering over 99% of all elderly care residents in Sweden, we were able to show that privatization is indeed associated with significant quality differences. Structural quality factors such as the number of employees per resident was significantly smaller (-9%) in private elderly care. On the other hand, the proportion of residents participating in the formulation of their care plan (+7%), the proportion of elderly with a reasonable duration between evening meal and breakfast (+15%), and the proportion of elderly offered different food alternatives (+26%) were significantly in favour of private contractors. Our conclusion is that private care providers seem to emphasize service aspects rather than structural prerequisites for good care.

Relationships between nurses and older people within the home: exploring the boundaries of care.

Int J Older People Nurs. 2010 Dec; 5(4): 265-73
McGarry J

To explore the nature of relationships between nurses and older people within the home and to illuminate the nature and quality of caring boundaries within this setting.Older people are increasingly receiving nursing care in the home. There has been little exploration of the nature of the nurse-older patient relationship within this setting.An ethnographic approach using semi-structured interviews with 16 community nurses and 13 older patients (aged 65 years and over), were undertaken to explore the nature of care relationships within the home setting.The study has highlighted the centrality of the location of care and the concept of ‘the home’ in terms of geographical and metaphorical meanings. Moreover, the study has clearly illuminated the complex nature of relationships and boundary construction from a number of perspectives.As the location of care for older people continues to move closer to home it is crucial that the implicit qualities that are valued within nurse-patient relationships within this context of care, and which contribute to the quality of care, are recognized and made more explicit at the organizational and policy level.For nurses working within the home there is a clear impetus to clearly define and articulate the full breadth of their role, the nature of relationships and issues surrounding professional boundary construction within this environment. There is also a need for the core qualities that underpin the receipt of care within the home and the facets of the nurse-patient relationship valued by older people to be fully recognized and accounted for.