Home First: Exploring the Impact of Community-based Home Care for Older Adults and Their Family Caregivers

Abstract

RÉSUMÉ Avec la croissance rapide de la population plus âgée, il est devenu urgent de trouver des approches en matière de soins de santé qui aident les personnes âgées à vieillir dans le milieu de leur choix, en assurant une réorientation philosophique des services de santé. Nous nous sommes penchés sur le projet Home Care Home First - Quick Response Project, réalisé dans une ville de l’Ouest canadien, afin de comprendre les perceptions de clients âgés de plus de 75 ans et de leurs aidants naturels quant aux services communautaires améliorés offerts par Home First. Le modèle méthodologique utilisé est celui de la description interprétative. Nous avons analysé les expériences de huit personnes âgées et de onze aidants naturels ayant fait appel à Home First. Les personnes âgées s’étaient toutes inscrites à Home First en raison d’un changement majeur dans leur état de santé. Quatre thèmes ont été identifiés : vieillir dans le milieu de son choix avec du soutien, la philosophie de soins, les processus de Home First et l’importance du programme. Dans l’ensemble, les clients et les aidants naturels ont réagi positivement aux services offerts dans le cadre du programme Home First. Les clients ont indiqué qu’ils appréciaient leur indépendance et désiraient vieillir dans les milieux de leur choix, qui reflétaient la communauté dans laquelle ils vivaient depuis de nombreuses années.

The Multi-Subject Cooperation Mechanism of Home Care for the Disabled Elderly in Beijing: A Qualitative Research

“…First, the family and the disabled elderly themselves have a fundamental responsibility for the home care services [43].Traditionally, the individual are mainly responsible for their own health, and family members are the most natural and stable caregivers. However, there are many factors that affect the quality of home care for the disabled elderly, such as the change of family size, the duration of care extend, etc.…”

Re-braiding the Strands of Life through Community Rehabilitation, Home Care, and Informal Support: A Longitudinal Collective Case Study

“…The service users and their informal caregivers felt that they benefited from the intervention, however, some service users identified barriers to independence such as lack of ability either through lack of equipment or transportation to leave their home to engage in social activities and the reablement program did offer to help in realising these goals (Wilde & Glendinning, 2012). A recent Canadian study (Compton et al, 2020) interviewed 8 older adults and 11 family caregivers who were involved in a specific program focused on preventing further hospitalizations in crisis cases by providing home care and rehabilitation services short term. The participants were interviewed once and the following themes were identified: “growing older in chosen places with support”, “philosophy of care”, “processes of Home First”, and “significance of Home First for clients and family caregivers” (Compton et al, 2020, p. 436).…”

“…A recent Canadian study (Compton et al, 2020) interviewed 8 older adults and 11 family caregivers who were involved in a specific program focused on preventing further hospitalizations in crisis cases by providing home care and rehabilitation services short term. The participants were interviewed once and the following themes were identified: “growing older in chosen places with support”, “philosophy of care”, “processes of Home First”, and “significance of Home First for clients and family caregivers” (Compton et al, 2020, p. 436).…”

“You Feel Very Isolated”: Effects of COVID-19 Pandemic on Caregiver Social Connections

“…Numerous programs have emerged in recent years to empower caregivers to feel more prepared and confident to provide care ( AARP, 2020 ). These include education programs, such as those focused on management of patient symptoms ( Fiest et al, 2018 ); support groups, which provide opportunities to connect with and learn from other caregivers ( Zebrak & Campione, 2020 ); and a variety of home and community-based services that provide formal support and services related to nutrition, health, and respite ( Compton et al, 2020 ; Zebrak & Campione, 2020 ).…”