2.50
Hdl Handle:
http://hdl.handle.net/10755/211506
Type:
Research Study
Title:
DEMENTIA CARE in RURAL ASSISTED LIVING: AN ECOLOGICAL PERSPECTIVE
Abstract:
Purpose/Aims: The purpose of this study was to explore care practices in rural assisted living facilities (ALF’s) related to the identification and management dementia-related behaviors. Background: The number of older adults with dementia who live in assisted living facilities (ALFs) is increasing. Psychological and behavioral symptoms of dementia are prevalent in ALFs and gaps in identification and management of dementia and related symptoms are associated with increased morbidity and mortality, decreased quality of life, earlier discharge to nursing home and increased costs. Methods: A qualitative descriptive study was conducted in three rural ALF’s providing dementia-specific care. Interview questions explored current facility practices and systems related to identification and management of psychological and behavioral symptoms of dementia.  Because care delivery for this at-risk population is a function of individual, family, facility, community and policy factors an ecological perspective was used to guide data interpretation of 21 individual in-depth interviews. Results:  Facilitators and barriers to identifying and managing dementia-related behaviors were evident at all four levels of the ecological model: microsystem (resident, family and staff characteristics and roles), mesosystem (physical environment, documentation, resident acuity), exosystem (rural community, funding, resources) and macrosystem (regulation, workforce development, resource planning). Implications: This study is addressing timely issues: care practices in an understudied and growing practice area (dementia care in ALF) and with underserved populations (older adults with dementia and their ALF caregivers in rural settings). The findings from this study will inform policy makers and industry leaders (including AL nurses) when addressing the challenges of enhancing the quality of care delivered to individuals with dementia in settings such as rural ALF’s.
Keywords:
Assisted living facilities; Care practices; Dementia
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5331
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleDEMENTIA CARE in RURAL ASSISTED LIVING: AN ECOLOGICAL PERSPECTIVEen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211506-
dc.description.abstractPurpose/Aims: The purpose of this study was to explore care practices in rural assisted living facilities (ALF’s) related to the identification and management dementia-related behaviors. Background: The number of older adults with dementia who live in assisted living facilities (ALFs) is increasing. Psychological and behavioral symptoms of dementia are prevalent in ALFs and gaps in identification and management of dementia and related symptoms are associated with increased morbidity and mortality, decreased quality of life, earlier discharge to nursing home and increased costs. Methods: A qualitative descriptive study was conducted in three rural ALF’s providing dementia-specific care. Interview questions explored current facility practices and systems related to identification and management of psychological and behavioral symptoms of dementia.  Because care delivery for this at-risk population is a function of individual, family, facility, community and policy factors an ecological perspective was used to guide data interpretation of 21 individual in-depth interviews. Results:  Facilitators and barriers to identifying and managing dementia-related behaviors were evident at all four levels of the ecological model: microsystem (resident, family and staff characteristics and roles), mesosystem (physical environment, documentation, resident acuity), exosystem (rural community, funding, resources) and macrosystem (regulation, workforce development, resource planning). Implications: This study is addressing timely issues: care practices in an understudied and growing practice area (dementia care in ALF) and with underserved populations (older adults with dementia and their ALF caregivers in rural settings). The findings from this study will inform policy makers and industry leaders (including AL nurses) when addressing the challenges of enhancing the quality of care delivered to individuals with dementia in settings such as rural ALF’s.en_GB
dc.subjectAssisted living facilitiesen_GB
dc.subjectCare practicesen_GB
dc.subjectDementiaen_GB
dc.date.available2012-02-20T11:59:07Z-
dc.date.issued2012-02-20T11:59:07Z-
dc.date.accessioned2012-02-20T11:59:07Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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