Inappropriate treatment of people with dementia in residential and day care

Sormunen, Saila; Topo, Päivi; Eloniemi‐Sulkava, Ulla; Räikkönen, Outi; Sarvimäki, Anneli

doi:10.1080/13607860600963539

Cited by 12 publications

(11 citation statements)

References 19 publications

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“…In a study by Winslow [30], in which 21 dementia family caregivers were asked in an open question about the quality of various community services on offer, including day care, the utilisation of day care was in second place. Sormunen et al [31] observed quality aspects using Dementia Care Mapping of 85 dementia patients in either residential or day care units.…”

Section: Discussionmentioning

confidence: 99%

Day care for dementia patients from a family caregiver's point of view: A questionnaire study on expected quality and predictors of utilisation - Part II

Donath

Winkler²,

Graessel

et al. 2011

BMC Health Serv Res

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BackgroundThe investigation of the predictive variables for utilisation of day care and the views of family caregivers of dementia patients about quality of day care are the goals of this work.MethodsThe cross-sectional study was carried out as an anonymous written survey of family caregivers of dementia patients in Germany. Participants were 404 family caregivers of dementia patients, of these 128 were users of day care, 269 were non-users and 7 gave no details about utilisation. Qualitative and quantitative data were analysed using qualitative content analysis and binary logistic regression analysis.ResultsThe assessment of how helpful day care is for the individual care situation and the age of the family caregiver are significant predictors for utilisation of day care. Caregivers most frequently cited a programme of activities suited to the abilities of the dementia patients as quality criterion.ConclusionsIn order to reduce the number of those caregivers who think they don't need day care compared with the number who really don't need it, caregivers should be transparently informed of the relevant advantages and quality principles of using day care. According to caregivers' wishes, the organisation of day care centres must include activities suited for dementia patients.

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Section: Discussionmentioning

confidence: 99%

Day care for dementia patients from a family caregiver's point of view: A questionnaire study on expected quality and predictors of utilisation - Part II

Donath

Winkler²,

Graessel

et al. 2011

BMC Health Serv Res

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“…The demanding workloads of staff caring for people with dementia are commonly viewed as leading to higher levels of strain and lower levels of satisfaction than staff in mainstream LTC settings (Brodaty et al, 2003). Work pressures have also been shown to result in a more detached way of working whereby the psychological needs of residents are not recognised or permitted to impede staff members' ability to complete their allocated tasks (Sormunen et al, 2007). Within the three units it was evident that routine practice dominated and residents were afforded few opportunities to influence the routine.…”

Section: Workloadsmentioning

confidence: 99%

“…This skill mix is reflected in the facilities from which the study sample was drawn. The importance of well trained and supported LTC staff is constantly reiterated in the literature and is seen as an essential component in attaining good quality dementia specific care (Alzheimer's Australia, 2010;Lai et al, 2007;Sormunen et al, 2007). The staff rated their ability to manage their daily resident interactions highly in stark contrast to the practical examples they gave of their day-to-day work practice.…”

Section: Proficiency and Quality Of Carementioning

confidence: 99%

“…It has been noted that staff members belief in their abilities is not always reflected in their objective performance in a challenging situation (MacKenzie & Peragine, 2003;Moniz-Cook et al, 2000). This has been linked to staff members' limited capacity to reflect on their own practice or may be related organisational standards of care resulting in staff modifying their practice to align with that of other staff members (Moniz-Cook et al, 2000;Sormunen et al, 2007).…”

Section: Proficiency and Quality Of Carementioning

confidence: 99%

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‘You’ve got to keep account of heads all the time’: staff perceptions of caring for people with dementia

Stockwell‐Smith

Jones

Moyle

2011

Journal of Research in Nursing

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Research Aim: Little is known regarding the pressures of working within dementia care units as the majority of literature has focused broadly on long-term care (LTC) rather than the provision of specialised dementia care. This study aimed to explore the perceptions of staff in relation to their capacity to manage behaviour and care needs of people with dementia living within the dementia-specific environment. Individual interviews were conducted with 35 care staff from three dementia care units in Brisbane, Australia. Major Findings: Four themes were identified: role definition, relationships, workplace environment and workforce issues. Although the findings highlight the importance of Page 2 peer support for staff when managing difficult situations, questions regarding the quality of peer support and its impact on care provision were raised. Conclusions: Dementia units are complex systems with well-motivated and educated staff contributing to the effectiveness of the care. An understanding of care staff perceptions of their role and its effects on care practices can help to identify appropriate support structures and training strategies thereby improving job satisfaction for staff and quality of life for the residents with dementia.

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“…In this way, clothes play a role in preserving continuity of the self. Ugly clothing is associated with the risk that the wearer will be poorly viewed and treated [12], but it may also mean that the bearer might feel being unworthy. Forced use of institutional clothing is likely to affect the self.…”

Section: Photomentioning

confidence: 99%

Patient Clothing – Practical Solution or Means of Imposing Anonymity?

Bergbom¹,

Pettersson²,

Mattsson³

2017

J Hosp Med Manage

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Hospital clothing for both patients and staff can be seen as a part of the environment due to cover requirements for good hygiene, procedures, and treatments including the care of the patient. Another reason for patient clothing is to signal equality in relation to care needs and to represent a basis for equivalent treatment. The clothing also facilitates control within the healthcare system since patients, visitors and staff can all be readily identified. From this point of view, patient clothing can contribute to objectification with a focus on disease and symptoms, and by doing so also contributes to optimal treatment of ill health.In general, clothing can be viewed as an embodiment of the self, closely associated with the individual's identity, personality, self-esteem and self-confidence. Selfperception is usually rooted in a healthy existence. In contrast, wearing hospital clothing may diminish personal identity and may contribute to the adoption of passive and dependent patient and illness-related behavior. Such a self-image may lead to an attitude that may impede well-being and the healing process. Patient clothing may also impact the relationship between patients, doctors and nursing staff.How and to what extent patient clothing affects the healing process and care and treatment relationships is unclear. The overarching purpose of this article is to discuss the relationships and role allocation created between patients and hospital staff when patients wear hospital clothing and by extension, the type of care provided and whether the potential for recovery of health is affected.

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Inappropriate treatment of people with dementia in residential and day care

Cited by 12 publications

References 19 publications

Day care for dementia patients from a family caregiver's point of view: A questionnaire study on expected quality and predictors of utilisation - Part II

Day care for dementia patients from a family caregiver's point of view: A questionnaire study on expected quality and predictors of utilisation - Part II

‘You’ve got to keep account of heads all the time’: staff perceptions of caring for people with dementia

Patient Clothing – Practical Solution or Means of Imposing Anonymity?

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