Autonomy for Elderly People in Long-term Care
| Autor: | J. C. Brocklehurst, Edward Dickinson |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
Aging Quality Assurance Health Care media_common.quotation_subject Audit Nursing Health care Humans Medicine Geriatric Assessment Unlicensed assistive personnel Primary nursing Aged media_common Aged 80 and over Medical Audit Personal care business.industry General Medicine Long-Term Care United Kingdom Long-term care Team nursing Patient Satisfaction Personal Autonomy Female Patient Participation Geriatrics and Gerontology business Autonomy Forecasting |
| Zdroj: | Age and Ageing. 25:329-332 |
| ISSN: | 1468-2834 0002-0729 |
| DOI: | 10.1093/ageing/25.4.329 |
| Popis: | Summary A cross-sectiona l view of the extent to which residents in long-term care exercise autonomy has been obtained from an audit using the Royal College of Physicians' CARE scheme (Continuous Assessment Review and Evaluation) in 17 long-term care facilities among 298 residents. Most centres have procedures in place to enable residents to exercise choice, on information or services provided and how to complain, but only half provide opportunities to comment on policy and procedures and planned changes. There was a high level of personal care plans but many of these were disappointing in their detailed content; less than half of the residents had a key worker; a series of indicators of choice scored reasonably high in nursing homes but lower in hospitals; independent advocates are in evidence where patients' mental competence is in question. The established use of care plans should provide a foundation for improvements in this aspect of the quality of care. Such audits could form the basis for a national quality system in long-term care. In the past ten years there have been two major developments in long-term care for elderly people. First, the move from the National Health Service hospitals to independent nursing homes (which now have the larger share) and second, an increasing awareness of what constitutes high quality of long-term care. Among many publications concerned with quality of long-term care, one of the earliest—Home Life [1]— stated in the introduction to Principles of Care: 'residents have a fundamental right to self determination and individuality'—that is autonomy. However, there is little published information about the degree to which autonomy is achieved in long-term care. This present report reveals findings from an audit of autonomy which was part of an evaluation research project into the feasibility and effectiveness of the Royal College of Physicians' CARE scheme (Continuous Assessment Review and Evaluation) [2]. This was carried out in 17 long-term care facilities among 298 residents, providing a cross-sectional view of practice in this regard. |
| Databáze: | OpenAIRE |
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