The relationship between small-scale care and activity involvement of residents with dementia

Smit, Dieneke; Lange, J. de; Willemse, Bernadette; Pot, Anne Margriet

doi:10.1017/s1041610211002377

Cited by 39 publications

(40 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Within the cottages, CRs could choose to engage in social or functional activities with others (such as helping with meal preparation), enjoy spending time in the garden or simply relax in their rooms. This aligns with previous studies highlighting the benefits of smaller settings to promote CR engagement and foster activity (Gnanamanickam et al, ; Kuhn, Fulton, & Edelman, ; Smit, de Lange, Willemse, & Pot, ). The cottages were renovated homes located in the types of neighbourhoods that would have been very familiar to many of the dyads (Poulos et al, ).…”

Section: Discussionsupporting

confidence: 90%

Perspectives of Australian family carers of people with dementia on the 'cottage' model of respite: Compared to traditional models of residential respite provided in aged care facilities

Harkin¹,

O'Connor

Birch³

et al. 2020

Health Soc Care Community

View full text Add to dashboard Cite

The majority of people living with dementia reside in the community and are often reliant on the support of informal carers to do so. Family carers face many challenges in supporting the person with dementia to remain at home, and short‐term respite care is a valued service that offers a temporary break from the role. Respite cottages provide short‐term care in a residential home‐like setting with a limited number of clients and is a more flexible approach to accessing the service. Disproportionate use of cottage respite in Australia suggests this model is preferred over traditional respite within residential aged care facility (RACF) settings, yet limited research exists to compare these models. This study sought to understand the perceptions of carers who had used cottage respite in comparison to other models, and explore the contribution of cottage respite for supporting carers to continue in their role and maintain their care recipient (CR) living at home. Semi‐structured interviews were conducted with 126 family carers who had used one of two New South Wales‐based respite cottages within a 2‐year period; 67 of whom had also used RACF respite. Thematic analysis revealed four main themes around the benefits of cottage respite: (a) an effective essential service, (b) flexibility, (c) familiarity and (d) appropriateness, especially for early stage or younger onset dementia. Carers indicated that the more homely, familiar and intimate cottage model of respite care was preferential to that of the larger, institutional‐style RACF respite setting. Carers credited the cottage model of respite service with delaying their need for permanent residential placement by over 12 months. The cottage respite model provides an important avenue to supporting the individual needs of dementia dyads, with potential to delay permanent placement, and should be offered more broadly to provide people with more choice about their care.

show abstract

Section: Discussionsupporting

confidence: 90%

Perspectives of Australian family carers of people with dementia on the 'cottage' model of respite: Compared to traditional models of residential respite provided in aged care facilities

Harkin¹,

O'Connor

Birch³

et al. 2020

Health Soc Care Community

View full text Add to dashboard Cite

show abstract

“…This discrepancy was not related to differences in cognition at enrolment of the study. The most plausible explanation for this finding is the higher involvement in social activities at SCUs [48]. …”

Section: Discussionmentioning

confidence: 99%

Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review

Kok

Berg

Scherder

2013

Dement Geriatr Cogn Disord Extra

13,985

View full text Add to dashboard Cite

Background: Special care facilities for patients with dementia gain increasing attention. However, an overview of studies examining the differences between care facilities with respect to their effects on behavior, cognition, functional status and quality of life is lacking. Results: Our literature search resulted in 32 studies published until October 2012. Overall, patients with dementia who lived at special care units (SCUs) showed a significantly more challenging behavior, more agitation/aggression, more depression and anxiety, more cases of global cognitive impairment and a better psychosocial functioning. There was a tendency towards a better functional status in specialized care facilities, and a better quality of life was found in favor of the SCU group compared to the traditional nursing home (n-SCU) group. Longitudinal studies showed an increased number of neuropsychiatric cases, more patients displaying deteriorating behavior and resistance to care as well as less decline in activities of daily living (ADL) in the SCU group compared to the n-SCU group. Patients in small-scale, homelike SCUs showed more agitation and less ADL decline compared to SCU patients. Conclusion: This review shows that the patient characteristics in SCU and n-SCU settings and, to a minor extent, in SCU and small-scale, homelike SCU settings are different. Over time, there are differences between n-SCU, SCU and small-scale, homelike SCU facilities for some variables.

show abstract

“…A large study by Smit, de Lange, Willemse and Pot (2012) compared 136 facilities and found smaller settings with more group living/homelike characteristics were associated with significantly higher involvement in activities among residents with dementia and perhaps more importantly, involvement in preferred activities based on staff feedback. Another large study ( Verbeek et al., 2010 ) also found living in a smaller facility was associated with higher functioning in ADLs.…”

Section: Resultsmentioning

confidence: 99%

“…Large-scale studies examining the effects of multiple changes in the environment or comparing multiple buildings to overall ADL performance (e.g. Fleming et al., 2016 ; Smit et al., 2012 ; Verbeek et al., 2010 ) provide strong evidence that the holistic environment does impact performance of daily activities for people with dementia. Longitudinal research even suggests the holistic environment may be protective in terms of slowing decline in everyday functioning for people with dementia ( Reimer et al., 2004 ; te Boekhort et al., 2009 ) highlighting the importance of research into the physical environment.…”

Section: Discussionmentioning

confidence: 99%

Use of the physical environment to support everyday activities for people with dementia: A systematic review

Woodbridge

Sullivan

Harding³

et al. 2016

Dementia

View full text Add to dashboard Cite

Difficulty with everyday activities is a key symptom and defining feature of dementia, relating to subjective reports of well-being and overall quality of life. One way to support individuals in their daily activities is by modifying the physical environment to make it easier to interact with during activity performance. This systematic review explores the range of studies available using physical environmental strategies to support performance in everyday activities for people with dementia. Seventy-two relevant studies were identified by the search. Physical environmental strategies included changes to the global environment and to architectural features, use of moveable environmental aids and tailored individual approaches. Strategies supported general everyday activity functioning (N = 19), as well as specific activities, particularly mealtimes (N = 15) and orientation in space (N = 16); however, few studies were found that focused on aspects of personal care such as dressing (N = 1) and showering or the preferred hobbies of individuals (N = 0). Overall, there appeared to be a lack of research within private home environments, and of studies which specify the dementia syndrome or the whole neuropsychological profile of people with dementia. More work is needed to extend theoretical understandings of how people with dementia interact with their environments so that these spaces can be designed to further support activities of daily living performance. Future work in this field could also incorporate the perspectives and preferences of those living with dementia.

show abstract

The relationship between small-scale care and activity involvement of residents with dementia

Cited by 39 publications

References 27 publications

Perspectives of Australian family carers of people with dementia on the 'cottage' model of respite: Compared to traditional models of residential respite provided in aged care facilities

Perspectives of Australian family carers of people with dementia on the 'cottage' model of respite: Compared to traditional models of residential respite provided in aged care facilities

Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review

Use of the physical environment to support everyday activities for people with dementia: A systematic review

Contact Info

Product

Resources

About