Aim: To explore the value of a café at an aged care facility from staff members' perspectives.Background: A contemporary approach in residential aged care known as 'person centered care', acknowledges the resident as a person who has individual needs, desires, interests and values who is part of a family and wider social network. At the heart of 'person centered care' is the relationship between the staff member and the resident which is encouraged to be meaningful, empathetic and reciprocal. A focus on the relational aspects of care indicates that the environment of residential aged care facilities needs to offer social and interactive spaces designed to provide a more homelike environment and facilitate the development of meaningful relationships. A café environment and the activity of going to a café are inherently social and have the potential to contribute to the fulfilment of 'person centered care' where relationships are valued. The café, which was the subject of this research, is part of a large aged care facility and was established during a process of major renovation. The café was designed to be used by residents, their family and friends, the staff and the public.Methods: Semi-structured interviews were conducted with nine staff members from a variety of work roles in 2015. The study employed qualitative descriptive methodology and data was analyzed using thematic analysis. Result:The findings of the participants' narratives illustrated that the café has become an integral part of their daily lives at work. Three key themes were established; "Creating and supporting relationships". "Space and place", and "Staff celebrations and functions". The relational aspects of care are fostered and enhanced by the social opportunities facilitated by the café. Staff meet with residents, families and other staff to carry out work responsibilities as well as taking the opportunity to socialize informally. The physical and social environment of the café generates an atmosphere which provides opportunities for staff to experience relaxation, rejuvenation and feel a sense of belonging. Staff lives are valued when events to celebrate achievements and milestones are held. Conclusion:The inclusion of a café in an aged care facility has the potential to facilitate positive benefits for the staff that work there and therefore improve their experience of work and sense of job satisfaction.
Multiple medical co morbid conditions are common in older adults. Patients with dementia and high comorbidity are characterized by the most compromised health status. This study aims to assess the correlation of Magnetic Resonance Imaging (MRI) data and medical co morbidity in patients with Alzheimer's disease (AD). The study is based on data collected from the European Study Innomed. Clinical and MRI data were collected from six European sites. Patients had to meet the ADRDA/NINCDS and DSM -IV criteria, and the MMSE score was ≤23. A total of 61 AD patients' data, were analyzed. The Cumulative Illness Rating Scale for Geriatrics (CIRS-G) was used to calculate the co morbidity burden. MRI volume of 14-brain regions of interest, mostly mentioned as affected by AD in literature, were analyzed. The impact of co morbidity, on the volume of the selected MRI areas of the 61 patients with AD, was assessed via Spearman correlation coefficient. The correlation of CIRS-G with the volume of the brain areas of interest showed that there was no statistically significant correlation. Co morbidities, based on our results, do not largely influence the brain volume of the investigated areas, additionally to the neurodegenerative disease. Age and gender are confounders regarding the brain atrophy in AD.
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