• Title/Summary/Keyword: long-term care facility

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Comparison of Frequency and Difficulty of Care Helper Jobs in Long Term Care Facilities and Client Homes (요양시설과 재가의 요양보호사 직무비교)

  • Hwang, Eun-Hee;Jung, Duk-Yoo;Kim, Mi-Jung;Kim, Kon-Hee;Shin, Su-Jin
    • Journal of Korean Public Health Nursing
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    • v.26 no.1
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    • pp.101-112
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    • 2012
  • Purpose: The purposes of this study were to identify differences of duties, tasks, and task elements of care helpers between long term care (LTC) facilities and client's home (CH), and to provide data for the development of educational programs and policies. Methods: This study was a descriptive investigation; the subjects of the study were 418 care helpers. Duties, tasks, and task elements were measured using the framework proposed by Shin et al. (2012). Data were analyzed by t-test using PASW 18.0. Results: All of the jobs were statistically significant differences between LTC and CH. Dietary assistance and Daily work assistance were more frequently in CH, and the frequency of other tasks was higher in LTC than CH. Tasks with higher-reported difficulty by those who worked in LTC were as follows: personal hygiene, position change and movement, exercise and activity assistance, safety care, communication assistance, dietary assistance, environment management, daily work assistance, emergency prevention, early detection and speedy reporting, and dementia patient care. Conclusion: These findings suggest that training for care helpers of each facility type will be differentiated. Tasks and task elements reported by care helpers were modified and added to the standard textbook.

Effects of Physical Environment on Quality of Life among Residents with Dementia in Long-Term Care Facilities in Canada and Sweden: A longitudinal study in a large-scale institutional setting versus a small-scale homelike setting

  • Lee, Sook Young;Hung, Lillian;Chaudhury, Habib;Morelli, Agneta
    • Architectural research
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    • v.23 no.2
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    • pp.19-28
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    • 2021
  • Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N= 11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping tool three times over one year for the reliability of data. The results of the study demonstrated that the residents with dementia living in a homelike and positive stimulating setting showed less withdrawn behaviors and a higher level of well-being compared to those in a large-scale institutional setting. This study also found that the residents living in a large-scale institutional environment spent more monotonous times than the other groups, which may be to provision of fewer structured activity programs or less social interaction with neighbors or staff members. Residents living in a large-scale institutional setting in Canada showed so far as five times more agitated/ distressed behaviors and twice more withdrawal compared to the ones living in a small-scale homelike setting in Sweden. The study supports that the large-scale institutional environment was considerably associated with levels of lower quality of life among the residents with dementia.

Characteristics of Continuing Care Retirement Communities in U.S.A. (미국의 연속 보호은퇴주거단지의 특성에 관한 연구)

  • 곽인숙
    • Journal of the Korean Home Economics Association
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    • v.39 no.12
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    • pp.91-106
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    • 2001
  • The purpose of this study was to examine the possibility of application of Continuing Care Retirement Community concepts for the development of elderly housing in Korea. The data was collected from 28 CCRC models in "Design", an Annual Publication of Nursing Homes Long Term Care Management, from 1999 to 2001. This paper comers the potential benefits of CCRC ; provide support services, prepare appropriate environment and promote social interactions. The further research about how to develop and manage CCRC will be necessary in the future.

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Workplace Violence and Safety Issues in Long-Term Medical Care Facilities: Nurses' Perspectives

  • Fasanya, Bankole K.;Dada, Emmanuel A.
    • Safety and Health at Work
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    • v.7 no.2
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    • pp.97-101
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    • 2016
  • Background: Workplace violence (WPV) is becoming an issue that needs immediate attention in the United States, especially during this period as more states are adopting the "stand your ground laws to promote worker protection." This study was conducted to investigate how WPV has contributed to an unsafe environment for nurses and nursing assistants who work in long-term medical care facilities. Methods: A structure questionnaire was used to collect data for the study. Three facilities were sampled and 80 nurses and certified nursing assistants participated in the study. Ninety-two percent (n = 74) were female and 8% (n = 6) were male. Approximately 62% were black or African American, approximately 33% were Caucasians, and only 2% were from other ethnicities. Results: We found that 65% of the participants had experienced WPV while 41% believed that management shows little or no concern for their safety. Approximately 23% of respondents believed that reporting supervisor's WPV act is an unsafe action. In addition, 22% of those who reported that they have experienced WPV believed that the work environment is not safe to perform their duties. This significant difference in perception of workplace safety between those who had experienced WPV and those who had not was significant (t = 3.95, df = 158, p < 0.0001). Conclusion: WPV is an epidemic problem that affects all health-care professionals. The findings of this study could help long-term medical care facilities' management identify the areas to focus on mitigating, controlling, and/or eliminating incidents of WPV.

Development of Daycare Center for Senior Users as Community-Cohesive Facility (노인데이케어센터의 지역융합형 발전방향)

  • Han, Jeong-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.3
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    • pp.1489-1495
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    • 2014
  • Facing aged society, long-term care insurance for senior citizen has been introduced in Korea since 2008 in order to take away care burden from family. Daycare Center is one of the institutions developed by the idea of social care. Noticing many problems around adult day services (ADS) such as low quality of services and lack of running sources, this paper would suggest the norm of day care center in terms of community cohesive facilities. In addition, to find out the future vision of ADS, interviews with 10 experts are also analyzed. The result is that new health care program would be community-friendly, tailor-made, communication-based and intergenerational one.

The Impacts of Daily Stress, Ego Resilience, and Quality of Life of the Elderly in Long-term Care Institutions (장기요양기관 노인의 일상스트레스, 자아탄력성이 삶의 질에 미치는 영향)

  • Lee, kang il;Lee, Jong Hun
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.325-336
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    • 2017
  • In this study to identify a causal relationship between daily stress, ego-resilience and the quality of life of the elderly in long-term care facility, a causal relationship model was set up and path analysis was performed. The data collected from 380 elderly users in private long-term care facilities in Greater Seoul Metropolitan area were analyzed using SPSS 22.0 and AMOS 22.0 to analyze the correlation between daily stress, ego-resilience, and the quality of life of the elderly. The results of this study are as follows; First, daily stress of the elderly showed a negative (-) direct effect on the quality of life. Second, the ego-resilience of the elderly had a positive (+) direct effect on the quality of life. Third, daily stress of the elderly showed a positive (+) direct effect on ego-resilience. Fourth, daily stress of the elderly showed indirect effect and partial mediating effect on the quality of life through ego-resilience. Therefore, in order to improve the quality of life of the elderly, it is necessary to develop programs and institutional support to reduce daily stress and increase ego-resilience.

Comparison of the Cognitive Function and Nutrient Intakes of Elderly Women with Dementia in a Long-Term Care Facility and a Day-Time Care Facility in Incheon (인천지역 장기요양시설과 주간보호시설 여성치매노인의 인지기능 및 영양섭취 비교)

  • Bae, Mi Ae;Lee, Young Whee;Kim, Hwa Soon;You, Jeong Soon;Chang, Kyung Ja
    • Journal of the Korean Society of Food Culture
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    • v.34 no.4
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    • pp.389-400
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    • 2019
  • In this study we compared the cognitive function (Mini-Mental State Examination for Dementia Screening: MMSE-DS) and nutrient intake of elderly women with dementia in a long-term care facility (EW-LCF) and a day-time care facility (EW-DCF). This survey was conducted from July 2015 to May 2017 on 73 elderly women with dementia (47 women in LCF and 26 women in DCF) in the city of Incheon. The data obtained from interviews with the subjects and caregivers were analyzed using the SPSS 20.0. The total score of the MMSE-DS and intakes of most nutrients in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). The nutrient adequacy ratios (NAR) of protein, vitamin A, C, $B_6$, $B_{12}$, thiamin, riboflavin, niacin, folic acid, calcium and phosphorus in the EW-LCF were significantly lower compared to the EW-DCF (p<0.05). However, the indexes of nutritional quality (INQ) of vitamin C, $B_6$, thiamine, niacin, calcium, magnesium, and iron in the EW-LCF were significantly higher compared to the EW-DCF (p<0.05). As a result, the subjects showed an unbalanced and insufficient nutrition intake status regardless of the type of care facility. Most nutrient intakes of the EW-LCF with lower cognitive function were very significantly lower compared to the EW-DCF (p<0.001). Therefore, it is necessary to assess the cognitive function and nutritional status regularly at care facilities for the elderly women suffering with dementia and to provide specialized individual nutritional management.

Convergence study of long-term care insurance system for elderly of awareness of middle-aged people and demand for dental services in the system (한국 중년층의 노인장기요양보험제도에 대한 인식과 구강보건진료에 대한 요구의 융합 연구)

  • Park, Jeong-Ran;Youn, Mi-Sun;Choi, Yu-Ri
    • Journal of the Korea Convergence Society
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    • v.9 no.7
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    • pp.95-103
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    • 2018
  • The purpose of this study was to awareness of dental care services in the elderly long-term care insurance system and retirement preparation of middle-aged people. The survey respondents had a 56.1% saving for old age life, And showed a tendency to they don't like depend on one's family(41.8%), elderly care was intended to use facility services and nursing care. 36.7% of respondents answered "I know a little" about the system. Also, the need for dental care services within the system was high (98.5%), If the service is provided, 92.3% of the respondents said that they would participate, otherwise unrecognized rate of dental care services in long-term care insurance was 85.2%. Therefore, it is necessary to expand the awareness of the part of dental care service in the system. The results of this study can be used as basic data for the improvement of the system of dental care services in long-term care insurance for elderly.

Effect of Muscle Strength Training on Urinary Incontinence and Physical Function: A Randomized Controlled Trial in Long-term Care Facilities (시설거주 노인여성을 위한 근력강화 훈련이 요실금과 신체기능에 미치는 효과)

  • Kang, Hyekyung;HongSon, Gwi-Ryung
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.35-45
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    • 2015
  • Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

Effects on Job Satisfactions by an emotional Intelligence and Conflict-relations of Social Workers in a Long-term care Facilities : focused on the moderating effects of communications (노인요양시설 종사자의 감성지능과 갈등관계가 직무만족에 미치는 영향 : 소통의 조절효과 연구)

  • Park, Yae-Hyun;Ha, Kyu-Soo
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.246-260
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    • 2013
  • The purpose of this study is to demonstrate moderating effect of communications on job satisfactions by an emotional intelligence and conflict-relations of employees and to investigate the influence on job satisfactions by an emotional intelligence and conflict-relations of employees in a long-term care facilities. The results were analyzed from the final responses of 379 employees who are working in a long-term care facilities in Gyeong-Gi Province by SPSS 18.0. The method used in this study were factor analysis, t-test, ANOVA, hierarchical regression analysis, moderated regression analysis. The results of this study are as in the following. First, these consequences showed that an emotional intelligence is positively related with job satisfaction among others' emotional appraisal, use of emotion, regulation of emotion and self emotional appraisal. Second, these results are observed that the conflicts of client's protector and superior is negatively related with job satisfaction. Third, these data are convinced that the communications have a partial effects among conflict, relationship and compensation.