Engaging life in two Irish nursing home units for people with dementia: Quantitative comparisons before and after implementing household environments
| Autor: | Marcus Ormerod, Rita Newton, Mark Morgan-Brown |
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| Rok vydání: | 2013 |
| Předmět: |
Gerontology
Activities of daily living Level design Social Environment Open plan Irish Nursing Surveys and Questionnaires Activities of Daily Living Outcome Assessment Health Care Health care medicine Homes for the Aged Humans Dementia Geriatric Assessment Aged business.industry Social environment medicine.disease Social engagement language.human_language Nursing Homes Psychiatry and Mental health language Environment Design Female Geriatrics and Gerontology Pshychiatric Mental Health business Ireland Interior Design and Furnishings |
| Zdroj: | Aging & Mental Health. 17:57-65 |
| ISSN: | 1364-6915 1360-7863 |
| DOI: | 10.1080/13607863.2012.717250 |
| Popis: | This study compares the Social Engagement and Interactive Occupation of residents with dementia in two Irish nursing homes, before and after conversion to a household model environment. The changes were an open plan design and a functioning unit kitchen, supported by a homemaker role and operational policies which reduced task-based work in favour of person-centred care offering choice.\ud METHOD:\ud A snapshot observation method was used to obtain quantitative data of resident activity using the Assessment Tool for Occupation and Social Engagement (ATOSE). Residents were assessed for four hours, on seven different weekdays, over a six-week period both pre- and post-renovation. The exception to this was the assessment of the traditional model unit (TMU) for Nursing Home 1 which was reduced to four days due to the early start of the building work.\ud RESULTS:\ud The results were consistent for both nursing homes and data were aggregated. Residents spent more time in the communal living spaces and were more likely to be active and engaged in the household model units (HMUs) compared to the TMUs. Using the independent t-test, these changes were found to be highly significant (p < 0.001).\ud CONCLUSION:\ud Creating an HMU increased the Interactive Occupation and Social Engagement of residents in the communal areas of the two nursing homes. The physical environment change, in conjunction with supportive staff procedures and organizational initiatives, improved the well-being of residents with dementia. The outcomes must be viewed in context with financial implications. |
| Databáze: | OpenAIRE |
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