Assisted Living Literature Through May 2004: Taking Stock

Kane, Rosalie A.; Chan, Jane W.; Kane, Robert L

doi:10.1093/geront/47.supplement_1.125

Cited by 37 publications

(17 citation statements)

References 28 publications

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“…A noteworthy aspect of our findings is that only five persons had experienced relocation in old age, while all 13 had much to tell about the process going on, in their minds and/or in communication with others. According to a recent literature review on relocation to sheltered housing, or assisted living in US terminology, the literature is not consistent and demonstrates negative as well as positive effects (Kane et al 2007). As demonstrated by our findings, it is necessary to be aware of the heterogeneity among older people and the complexity of their needs and expectations.…”

Section: Discussioncontrasting

confidence: 71%

Negotiating and effectuating relocation to sheltered housing in old age: a Swedish study over 11 years

Nygren

Iwarsson

2009

Eur J Ageing

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The aim of this study was to explore how very old people consider and arrive at decisions on relocation, with specific attention to housing and health relationships during the process of ageing. The sample included 13 very old participants of an 11-year longitudinal study of relationships between housing and health. Applying a mixed-methods approach, data from qualitative interviews and quantitative survey data from three data collection waves were utilised. The quantitative data were interwoven with the qualitative findings into a coherent body of text. The core theme "Negotiating and effectuating relocation is a long process" indicates a non-linear process consisting of five phases constituting the main categories of our findings. In the first phase, some informants considered relocation while others avoided thinking about it. Next, relations between health and home changed and led to turning points triggering relocation, i.e. when dependence in everyday activities reached critical points or when sudden illness forced an involuntary move. In the third phase, once the decision to relocate was made it was set in stone by the individual, but often questioned by the authorities, leading to a situation causing much frustration. While waiting for the relocation, doubts as well as expectations about the new home were expressed. Finally, even though the actual move caused different feelings, it was most often a positive experience and resulted in subjective health improvement and increased social contacts. The results can be used for the development of positive, proactive strategies for improved housing provision along the ageing process.

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Section: Discussioncontrasting

confidence: 71%

Negotiating and effectuating relocation to sheltered housing in old age: a Swedish study over 11 years

Nygren

Iwarsson

2009

Eur J Ageing

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“…We feel it is important to explain our decision to combine assisted living entry with nursing home admission as a global "residential care placement" outcome. Due to its emphasis on choice, control, and autonomy, assisted living was formerly positioned as either an appealing alternative to the more hospital style, institutional milieus of nursing homes or as a bridge between home health care and nursing homes (Kane, Chan, & Kane, 2007). Assisted living is often thought of as a care option that is located on a different point of the "long-term care continuum" than nursing homes.…”

Section: Residential Care Placement and Its Implications For Caregiversmentioning

confidence: 99%

Effects of the NYU Caregiver Intervention-Adult Child on Residential Care Placement

Gaugler¹,

2013

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“…Currently, AL residences serve more than 1 million older adults, and that number is expected to continue to increase (Arehart-Treichel, 2003). During the past 10 years, an increasing body of AL research has identified a number of issues and concerns related to the care of older adults with dementia in this setting (Hawes, Rose, & Phillips, 1999;R.A. Kane, Chan, & R.L.…”

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confidence: 99%

Anxiety, Depression, and Cognitive Impairment in Dementia-Specific and Traditional Assisted Living

Kang¹,

Smith²,

Buckwalter³

et al. 2010

J Gerontol Nurs

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With the rapid growth of the assisted living (AL) industry, the number of AL residences providing dementia care continues to increase. The purpose of this article is to describe and compare demographic characteristics; frequency and type of psychiatric diagnoses; level of cognition, depression, and anxiety symptoms; and use of psychotropic medication among older adults in dementia-specific assisted living (DSAL) and traditional assisted living (TAL) residences. Secondary analysis of screening data collected during a cross-sectional, descriptive pilot project compared 18 participants from two DSAL facilities and 28 participants from three TAL facilities. DSAL participants with dementia were more cognitively impaired than TAL participants with dementia (p < 0.001) and used more antipsychotic (67%), anxiolytic (60%), antidepressant (53%), and cognitive-enhancing (87%) medications. No statistically significant differences in demographic factors or levels of anxiety or depression were observed among residents in either setting.Address correspondence to Hyunwook Kang, PhD, RN, The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52242; hyunwook-kang@uiowa.edu. The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity. NIH Public AccessAuthor Manuscript J Gerontol Nurs. Author manuscript; available in PMC 2010 December 21. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptAssisted living (AL) residences are a rapidly growing segment of the long-term care (LTC) continuum selected by older adults and their families. Currently, AL residences serve more than 1 million older adults, and that number is expected to continue to increase (ArehartTreichel, 2003). During the past 10 years, an increasing body of AL research has identified a number of issues and concerns related to the care of older adults with dementia in this setting (Hawes, Rose, & Phillips, 1999;R.A. Kane, Chan, & R.L. Kane, 2007;Lewin-VHI, Inc., 1996;Rosenblatt et al., 2004;Schulz, 2005;. Ironically, many of the same features that make AL attractive to older adults, including increased privacy, choice, and the absence of federally determined care policies that permit a more homelike and less "institutional" climate, have raised important questions about the adequacy of AL care for those with cognitive impairment and/or dementia diagnoses.Perhaps the most important issue is that individuals with dementia regularly seek AL as a housing alternative, whether or not dementia-specific services are in place. Estimates of dementia among AL residents range from 34% to 68% (Hawes, Phillips, Rose, Holan, & Sherman, 2003;Rosenblatt et al., 2004). The variability in rates is often attributed to the method used to identify dementia, which has included surveys of AL administrators who estimate rates (Hawes et al., 1999), direct assessment by researchers using the Mini-Mental State Examination (MMSE) (Folstein, Folstein, & McHu...

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Assisted Living Literature Through May 2004: Taking Stock

Cited by 37 publications

References 28 publications

Negotiating and effectuating relocation to sheltered housing in old age: a Swedish study over 11 years

Negotiating and effectuating relocation to sheltered housing in old age: a Swedish study over 11 years

Effects of the NYU Caregiver Intervention-Adult Child on Residential Care Placement

Anxiety, Depression, and Cognitive Impairment in Dementia-Specific and Traditional Assisted Living

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