2019
DOI: 10.1111/jocn.14978
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Adjusting to life in a residential aged care facility: Perspectives of people with dementia, family members and facility care staff

Abstract: Aims and objectives To determine factors that facilitate or impede adjustment to residential aged care (RAC) from the perspectives of residents with dementia, families of residents with dementia and facility staff. Background The transition to a RAC facility can be highly stressful for people with dementia and their families, but we lack an understanding of how people with dementia experience this transition. Knowledge on adjustment to the new environment is essential in order to develop procedures and interve… Show more

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Cited by 41 publications
(76 citation statements)
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References 30 publications
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“…The relationship between satisfaction of these basic needs and wellbeing has been confirmed in research in RAC settings [13], with additional evidence that depression is associated with low levels of autonomy and environmental mastery (a construct related to competence) [14]. There is a large literature documenting low levels of autonomy and poor social relations among people living in RAC, which are reportedly associated with poor adjustment to the new setting [9,15].…”
Section: Introductionmentioning
confidence: 88%
See 1 more Smart Citation
“…The relationship between satisfaction of these basic needs and wellbeing has been confirmed in research in RAC settings [13], with additional evidence that depression is associated with low levels of autonomy and environmental mastery (a construct related to competence) [14]. There is a large literature documenting low levels of autonomy and poor social relations among people living in RAC, which are reportedly associated with poor adjustment to the new setting [9,15].…”
Section: Introductionmentioning
confidence: 88%
“…In many cases, the older adult is admitted against their wishes, with associated family conflict, and without time to adequately prepare for this major life event. Many residents fail to adjust successfully to their changed circumstances, even several months after the relocation [9]. Depression is often present at the point of entry to care [10] and new cases commonly arise throughout the transition period [11].…”
Section: Introductionmentioning
confidence: 99%
“…Since Hayward's initial pilot study, there appears to be no further published interventions to facilitate resident adjustment [11] but recent research continues to conclude that an intervention of this nature is needed [12]. The main aim of this study was therefore to create a more feasible, enhanced version of SettleIN.…”
Section: Introductionmentioning
confidence: 99%
“…People with dementia require a person-centred, relationship−orientated, humane approach and an environment that helps them to connect to their personhood [4]. However, this is often challenging due to resource constraints [5] even in the domestic setting, because of the demands of caring [6]. As such there are increasing calls for a reorientation of the care for people with dementia, which should focus on the fundamental aspects of care delivery, especially relationships (knowing the person) and providing respectful humane care [7].…”
Section: Introductionmentioning
confidence: 99%
“…As a result, activities are increasingly provided for older people with dementia such as reminiscence therapy, art, gardening music and animal therapy, all with the core aim to provide psychosocial support [8]. However, the experience of dementia can still be very challenging for patients, especially when staff struggle to provide psychosocial support due to resource issues [5]. At the same time, there is increasing recognition of the need to provide spiritual support to patients, particularly to older people whose spiritual beliefs tend to strengthen by a process known as gerotranscendence [9].…”
Section: Introductionmentioning
confidence: 99%