Involving Families In Care Homes

Outlines ways in which care homes can help families to become partners in the caring process.

Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.

"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Put an end to tension-filled interactions between long-term care staff and residents' families with Promoting Family Involvement in Long-Term Care Settings. This innovative new book offers strategies and programs designed to get families involved in formal care settings in constructive, cooperative ways that complement staff and support residents. Nine intervention strategies are described in detail from inception to evaluation. Designed and implemented in nursing facilities across the United States, these model programs are replicable and will help facilities improve residents' quality of life increase effective communication with families personalize care maintain connections between residents and families reduce staff stress levels boost overall facility morale Written by the programs' creators and facilitators, each chapter functions as a guide to implementation and includes relevant forms, guidelines, and protocols. Challenges of program implementation are discussed and practical recommendations for overcoming obstacles are provided. Widely versatile, these nine programs can be successfully implemented in adult day services, assisted living facilities, and long-term residential care settings. Useful for direct care staff, supervisors, and administrators, Promoting Family Involvement in Long-Term Care Settings is an invaluable resource for strengthening current relationships between staff, residents, and family members. The book is also equally beneficial in facilitating residents' transitions to long-term care. Model programs highlighted include The Family Stories Workshop The Eden Alternative(TM) Web-based family interactions The Family Visitation Education Program Using family councils in residential long-term care Partners in Caregiving communication program And more

Health care providers and social workers at nursing homes may feel they have little time to design programs for the family members of their residents, yet you will learn in How to Get Families More Involved in the Nursing Home that the benefits of such programs are immense and the time investment will pay off. You learn of four family programs that can be put into use immediately or can be changed or expanded to fit the needs of an individual setting. In addition, you will witness how educational workshops, support groups, family councils, and holiday socials increase family involvement in the nursing home, which in turn improves the quality of care and life that long-term residents experience. In the daily bustle of trying to meet the needs of all residents, staff members do not generally have time to devote to family members who often feel awkward during their visits and do not realize their help would be welcomed. Nursing home coordinators and social workers can use the model support groups and workshops this book provides to open the lines of communication between staff and families and enable them to work together to assess and meet residents’ needs. Implementation of these programs encourages families to take an active role in the operation of the nursing home and to participate in the decisions and events that affect the residents’ lives. How to Get Families More Involved in the Nursing Home provides easy, step-by-step procedures for the installation of family programs without overtaxing social workers and directors already under pressure. In addition to the four model programs developed and presented by author Tammy LaBrake, a Public Health Social Work Consultant, this book examines research findings on the lack of family participation in nursing homes despite the offering of family programs. You learn how to overcome barriers to communication and collaboration between staff members and family members and capitalize on the amount of participation that does exist within a nursing home. You also learn how to convey to families that they are equally responsible for the well-being of their resident and that their input and assistance are necessary to correct problems that cannot be remedied by staff members alone. Finally, How to Get Families More Involved in the Nursing Home demonstrates that workshops, social gatherings, and councils do contribute to the formation of a community where family members and staffers find the mutual support necessary to provide excellent health care and soften the institutional atmosphere.

Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Nursing in Care Homes is a practical guide for nurses of all levels working in care homes. It is directly relevant to everyday practice and covers clinical issues such as continence care, wound care, infection control, and nutrition, as well as information on a wide range of issues including legal requirements, care home standards, and liasing with social and health care services. The revised and updated second edition includes new chapters on maximising abilities, risk management, stroke, and diabetes and calls upon the recommendations of the National Service Framework for Older People and the requirements of the Care Standards Act (2002). Concise and easy to follow, Nursing in Care Homes is an essential guide to skilled professional care for all nurses in care homes. It will also be invaluable to nursing students undertaking their placements in care homes.