Maintaining independence in the cognitively intact elderly care home population: a systematic review of intervention trials

Abstract

Over the last two decades, the care home sector has been a significant provider of long-term care for older people, with 11 500 homes providing care for 236 700 people across England and Wales. New admissions to residential care homes are increasingly older, aged 80 and over and have high levels of physical dependency, cognitive impairment and behavioural problems.

Akti̇f Yaşlanma İçi̇n “Ulusal Evde Bakim Si̇stemi̇”

“…Evde bakım hizmeti alan yaşlıların, yakınları ve onları takip eden meslek elemanları tarafından anlık takibini sağlayan elektronik sistemler de uygulamanın etkinliğini artırır (Nachabe, Girod-Genet, ElHassan ve Khawaja, 2016). Evde bakım uygulaması yapan hemşirelerin (ve elbette diğer meslek elemanlarının), yaşlının konumunu, ihtiyaçlarını, mental ve fiziksel olanaklarını tümüyle kavrayan ve destekleyen bir bakımı uygulayabilecek yetkinliğe sahip olabileceği eğitim programlarından geçmesi temel bir gerekliliktir (Evans, Goodman ve Redfern, 2003). Evde bakım yapan meslek elemanlarının iş yükleri onları strese, hatta depresyona sokabilir (Kesselring, Krulik, Bichsel, Minder, Beck, ve Stuck, 2001).…”

International Policy Perspectives on Independence in Old Age

“…Within the health sciences, the study of independence has focused on the development of scales of functional capacity that may be used to assess eligibility for support services or measure the effectiveness of therapeutic interventions (Evans, Goodman, & Redfern, 2003;Rickwood, 1994). Such scales have been criticized for failing to recognize the social dimension of independence and interdependence (Dant, 1988;Russell & Sauran, 1991a;Wenger, 1986).…”

A nurse‐led program of functional activities did not reduce falls, improve quality of life nor improve function for people living in residential care

“…To counteract this deterioration and poor quality of life, trials have examined the efficacy of behavioural interventions to reduce immobility, incontinence, depression and inactivity. However, the results have been inconclusive and have highlighted the shortcomings in design, such as the sample size and the appropriateness of outcome measures (Evans, Goodman & Redfern, 2003).…”