Journal of Housing for the Elderly最新文献

{"title":"Leon A. Pastalan (1930–2018)","authors":"Benyamin Schwarz","doi":"10.1080/02763893.2018.1505457","DOIUrl":"https://doi.org/10.1080/02763893.2018.1505457","url":null,"abstract":"","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"263 - 264"},"PeriodicalIF":0.0,"publicationDate":"2018-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1505457","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49279819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Last Habitat: Living and Dying in Residential Care Facility","authors":"Benyamin Schwarz, R. Molnar, J. Benson, R. Tofle","doi":"10.1080/02763893.2018.1505461","DOIUrl":"https://doi.org/10.1080/02763893.2018.1505461","url":null,"abstract":"Abstract This article is a part of a larger study regarding the place of dying. Through narrative analysis methods, we strived to obtain rich descriptions and idiosyncratic accounts of the experience of dying in institutional settings, predominately in the nursing home. The quality of the physical environment can impede or greatly enhance the extent to which a disabled older person can remain in his or her own home. Most of long-term care is provided by family members. However, as the condition of the care recipient deteriorates and the stress level of the caregiver increases, the need to supplement the informal care with formal care resources grows. Consequently, frail older adults may be relocated to a residential care facility. In other cases they may be discharged from a hospital to these institutional settings. Nursing homes are considered the last resort for frail, old people. Despite attempts to improve the environment of long-term care settings through “cultural change,” the overriding theme of much of the literature about the nursing home experience is one of rejection, loss, and in some extreme accounts, a “double burial” that equates relocation to a nursing home with a person’s final terminus of life.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"337 - 378"},"PeriodicalIF":0.0,"publicationDate":"2018-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1505461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47539325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environments of Dying, Death, and Caregiving at End-of-Life","authors":"J. Benson, Benyamin Schwarz","doi":"10.1080/02763893.2018.1505458","DOIUrl":"https://doi.org/10.1080/02763893.2018.1505458","url":null,"abstract":"The process of dying, the provision of care associated with the end of life, and rituals of mourning and memorialization are all profoundly shaped by the physical places and social environments in which death occurs. Matters of dying are not only physical, emotional or spiritual, they are also relational, cultural, and political. Decision making about medical interventions, caregiving, location of death, and burial are complicated by numerous factors. For example, diagnosis and life stage of the dying, patient/caregiver family dynamics, relationships with physicians and nurses, personal beliefs about death and dying, and the ethos of end-of-life care espoused by varying health care systems influence our evaluations of what it means to experience a “good death,” and our bereavement. This special issue of the Journal of Housing for the Elderly includes six empirical articles focused on the environments of dying, death, and caregiving at end-of-life for older adults. The first four articles constitute a collection of papers by researchers at the University of Missouri that are derived from a larger, narrative project addressing older patients’, family caregivers’, and physicians’ perspectives about the process of dying in three different environments: home, nursing home, and hospital. A broad introduction entitled “Place of Death and Dying: Introduction” precedes the four empirical articles that developed from this project. The fifth and sixth articles in this issue constitute original research from others that address dying in residential hospice facilities, and places of burial and memorialization practices, respectively. In the first empirical article, “The Motivations and Consequences of Dying at Home: Family Caregiver Perspectives,” the authors present a rich understanding about the meaning of home in the context of dying. Relational aspects of death and dying, especially relating to family and the co-conspiratorship between family, home, and experiencing a “good death,” are major themes derived from this study. The authors challenge the notion that dying at home is synonymous with dying well, and recommend that practitioners and caregiving families focus less on controlling the physical location of death and instead focus on evoking the “essence of home” regardless of location. The second article, “The Last Habitat: Living and Dying in a Residential Care Facility,” addresses patient and family caregiver perspectives about the phenomenon of dying in a residential care facility or nursing home. Based on the findings, the authors suggest that dying in a nursing home is arguably less dignified and more isolating than dying at home or in a hospital due to the chronic health conditions that typify nursing home residents and the ways nursing homes are physically, financially, and operationally structured. In the next article, “The ‘Medicalized Death’: Dying in the Hospital,” the authors present four cases of caregiver perspectives on dying in the hos","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"265 - 266"},"PeriodicalIF":0.0,"publicationDate":"2018-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1505458","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45932514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examining the Nursing Home Physical Environment Through Policy-Driven Culture Change","authors":"Emily Roberts, Alana Pulay","doi":"10.1080/02763893.2018.1431586","DOIUrl":"https://doi.org/10.1080/02763893.2018.1431586","url":null,"abstract":"ABSTRACT A critical need exists to challenge approaches to nursing home care due to rigid organizational factors and hospital-like culture. It has been argued that resident care needs to move toward a person-centered approach by addressing the organizational, social, and physical environments in nursing home facilities, a process often known as culture change. In response to this need, the Centers for Medicare & Medicaid Services (CMS) has created funding for pay for performance (P4P) nursing home incentive programs to allow nursing home providers to receive CMS reimbursements for culture change in the facilities. Through care staff interviews, site observations, and a document review, this qualitative study assesses the impact of a Midwestern state P4P incentive program in three participating nursing homes. Using an environment and behavior (E-B) policy orientation framework, this study examines culture change through a focus on policy, the physical environment, place attachment, and social and psychological processes in the study settings.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"241 - 262"},"PeriodicalIF":0.0,"publicationDate":"2018-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1431586","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49531970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of a Mass Interinstitutional Relocation for Long-Term Care Staff","authors":"S. Canham, M. Wada, L. Battersby, M. Fang, A. Sixsmith","doi":"10.1080/02763893.2018.1431582","DOIUrl":"https://doi.org/10.1080/02763893.2018.1431582","url":null,"abstract":"ABSTRACT This research explored long-term care (LTC) staff perceptions and experiences of working in LTC and providing care to residents following a mass interinstitutional relocation. In-depth, semistructured interviews were conducted with 63 LTC workers. Thematic analyses revealed three overarching themes related to how staff members perceived their relationships with other staff members following relocation. The first theme, post-relocation relationships between staff members, included the subthemes “Staff are segregated from each other” (physical distance) and “We were a family” to “barely say hi” (psychological distance). The second theme, post-relocation stress, has two subthemes: “Staffing is our big issue” and consequences of stress: absenteeism and leave. The third theme is recommendations for improving and managing staff relationships post-relocation. Relationships among staff members are integral to working in LTC and providing care to residents following a mass interinstitutional relocation. Recommendations for improving staff relationships and morale are suggested.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"160 - 175"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1431582","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41313708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vulnerable African American Seniors: The Challenges of Aging in Place","authors":"James H. Johnson, Jr., Huan Lian","doi":"10.1080/02763893.2018.1431581","DOIUrl":"https://doi.org/10.1080/02763893.2018.1431581","url":null,"abstract":"ABSTRACT American Community Survey data are used to develop typologies of the generational dynamics and living arrangements of the estimated 1.6 million African American older adult households who will likely encounter the most difficulty aging in place. Policy recommendations and strategies are offered to address the specific barriers and challenges that must be overcome in order for these older adults to successfully live out their lives in their homes and community.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"135 - 159"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1431581","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43651485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions about Compliant Flooring from Senior Managers in Long-Term Care","authors":"C. Lachance, V. Zaborska, P. Leung, F. Feldman, S. Robinovitch, D. Mackey","doi":"10.1080/02763893.2018.1431584","DOIUrl":"https://doi.org/10.1080/02763893.2018.1431584","url":null,"abstract":"ABSTRACT This study explored barriers and facilitators to adoption of compliant flooring as a fall injury prevention strategy within long-term care from the perspective of 18 long-term care senior managers. In-depth interviews were recorded, transcribed, and analyzed using the Framework Method. The most important organizational facilitators to adoption were potential for injury prevention and long-term care staff's openness to change. The most important organizational barriers to adoption were negative effects to long-term care staff and financial considerations (i.e., cost and lack of funding). The most important general organizational considerations were uncertainties about clinical effectiveness, effects on long-term care staff, and flooring performance. Overall, compliant flooring was viewed positively for long-term care. The findings also suggest an opportunity for knowledge translation to inform long-term care senior managers about the existing evidence on compliant flooring.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"194 - 210"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1431584","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46015223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can a Virtual Nature Experience Reduce Anxiety and Agitation in People With Dementia?","authors":"Lori Reynolds, Susan D. Rodiek, M. Lininger, Ms Aubrey McCulley","doi":"10.1080/02763893.2018.1431583","DOIUrl":"https://doi.org/10.1080/02763893.2018.1431583","url":null,"abstract":"ABSTRACT Research has found that viewing nature reduces stress and improves mood, but few studies have focused on the potential of viewing nature to reduce negative emotions associated with dementia. Using a counterbalanced design, 14 memory care residents were alternately exposed to a virtual nature experience (treatment) and a generational movie (control). Before and after each exposure, heart rate was measured, and emotions were assessed with the Observed Emotion Rating Scale and the Agitated Behavior Scale. Results are that heart rate declined significantly compared with the generational movie, and anxiety and pleasure showed greater improvements during the nature intervention, although the difference was not significant.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"176 - 193"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1431583","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46649565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Listen to the Elders: Design Guidelines for Affordable Multifamily Housing for the Elderly Based on Their Experiences","authors":"Jung-hye Shin","doi":"10.1080/02763893.2018.1431585","DOIUrl":"https://doi.org/10.1080/02763893.2018.1431585","url":null,"abstract":"ABSTRACT There is an increasing demand for affordable multifamily housing for a rapidly growing population of ethnic elders. Using the lived experiences of Korean American elders currently residing in affordable housing in the Midwest as one such example, this study seeks to develop design guidelines to meet the specific living needs and desires of this aging population. Verified against well-established building standards and accepted guidelines, these design recommendations lay the groundwork for multifamily housing that will assist elders to age in place in safer, healthier and happier environments.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"211 - 240"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2018.1431585","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41918834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attitudes Toward Aging and Retirement Homes Before and After Entry Into a Retirement Home","authors":"A. Seifert, H. R. Schelling","doi":"10.1080/02763893.2017.1393484","DOIUrl":"https://doi.org/10.1080/02763893.2017.1393484","url":null,"abstract":"ABSTRACT The change of one's habitual living conditions in favor of institutionalized living in a retirement home can be a stressful event. Therefore, the question arises: How does entry into a retirement home affect attitudes toward one's life and aging and toward retirement homes? In order to answer this question, we used longitudinal data from 53 older individuals who were surveyed before and after entry into a retirement home. The data revealed that attitudes toward one's life and aging changed negatively and attitudes toward retirement homes changed positively; however, there are gains and losses in both attitudes.","PeriodicalId":46221,"journal":{"name":"Journal of Housing for the Elderly","volume":"32 1","pages":"12 - 25"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02763893.2017.1393484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43469978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}