{"title":"Five sources of hope for the deeply forgetful: Dementia in the twenty-first century","authors":"S. Post","doi":"10.1179/175016811X13020827976807","DOIUrl":"https://doi.org/10.1179/175016811X13020827976807","url":null,"abstract":"At this point of time, two decades after intense biological research into dementia began, we need to reassess our perspective on hope, and understand the need for some redirection toward the larger questions of care when no cure is in sight. It does seem appropriate to focus more of our hope and possibly resources on care itself, and on the creation of attitudinal shifts toward the affirmation of the deeply forgetful. There is no compound available yet that promised to slow or cure dementia. We can have hope in dietary modifications that may delay onset; compassionate carers who manifest our deepest sense of a shared humanity despite cognitive decline; the increasing evidence for enduring selves beneath the chaos of neurological devastation; and the possibilities of a spiritual–cultural evolution toward acceptance, affirmation, and connection with the deeply forgetful. This paper will discuss and critically assess these sources of hope in the world of the deeply forgetful.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"160-167"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652771","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":"Dementia care environments: Physical design, direct care delivery, and the wider context of care","authors":"A. Innes","doi":"10.1179/175016811X13020827976591","DOIUrl":"https://doi.org/10.1179/175016811X13020827976591","url":null,"abstract":"","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"125-127"},"PeriodicalIF":0.0,"publicationDate":"2011-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X13020827976591","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652514","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":"Learning and development in care homes: The picture in the UK","authors":"Amelia Rout, A. Longbottom, Jennifer Titley","doi":"10.1179/175016811X12955443670383","DOIUrl":"https://doi.org/10.1179/175016811X12955443670383","url":null,"abstract":"AbstractA systematic literature review of peer reviewed journal articles was carried out to explore learning and development in nursing and residential care homes nationally. A comprehensive search of databases identified 29 articles that met the inclusion and exclusion criteria. The articles were reviewed to identify the main themes, and a random sample of papers was reviewed by a second reviewer; this showed good inter-rater reliability (agreement among them). The articles included one literature review, 16 articles about specific courses, and 12 on issues focusing on learning and development. A number of details were collected from each article where available (i.e. background, main aims, and main findings). The review highlights a number of issues. Firstly, there is a large amount of information missing, including information about ethics, piloting, and sampling methods. Furthermore, there is a lack of user and carer involvement both as researchers and participants. Additionally, there is virtually no...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"115-124"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12955443670383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652254","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}
M. Cornes, Lesley Gill, Sandy Armstrong, J. Manthorpe, M. Bowes
{"title":"Can emotional loyalty training improve workforce retention rates in social care? A case study of four provider organizations in rural Cumbria","authors":"M. Cornes, Lesley Gill, Sandy Armstrong, J. Manthorpe, M. Bowes","doi":"10.1179/175016811X12966397673713","DOIUrl":"https://doi.org/10.1179/175016811X12966397673713","url":null,"abstract":"This article describes what progress is being made in rural Cumbria to tackle the recruitment and retention crises in social care, focusing on the delivery of a leadership training programme that aimed at informing social care managers about the ways in which they might engender ‘emotional loyalty’ among front-line staff. We draw on the findings of a small-scale evaluation of the training scheme and its subsequent implementation within four provider organizations to describe some of the difficulties associated with transporting the emotional loyalty process from marketing to social care. We conclude that any future management training targeted at improving retention rates should look towards developing more mainstream approaches to staff supervision and appraisal, acknowledging the potential therein for a much greater focus on relationship and emotional competency issues.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"97-104"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12966397673713","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652407","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":"Learning and development in care homes: A regional approach","authors":"Amelia Rout, A. Longbottom, Jennifer Titley","doi":"10.1179/175016811X12955443670266","DOIUrl":"https://doi.org/10.1179/175016811X12955443670266","url":null,"abstract":"AbstractThis project explored higher education learning and development in the Shropshire care home sector. The overall research question was:What are the challenges, barriers, opportunities, and successes both internally and externally which influence learning and development in Shropshire nursing and residential homes?This question was explored using a variety of methods: •. literature review (published within this issue of the journal);•. staff questionnaires (open and closed questions) to evaluate the last course attended, what courses staff would like to attend, whether staff would consider progressing to higher education and whether staff perceive any barriers to learning;•. semi-structured telephone interviews with training providers, key local authority staff, care home managers, care home staff, and family carers. All relevant data protection and ethical approvals were out in place prior to the beginning of data collection. The quantitative data from questionnaires (n = 15) were analysed using de...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"87-96"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12955443670266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652111","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":"Personalization and sustainable care","authors":"J. Powell, T. Gilbert","doi":"10.1179/175016811X12966389037718","DOIUrl":"https://doi.org/10.1179/175016811X12966389037718","url":null,"abstract":"Personalized services are developing across the western world as a social policy response to user demands for more tailored, effective, and flexible forms of health and social care support. In the UK this process is being implemented under the ‘mantra’ of personalization that is also seen as a vehicle for promoting civil rights through increasing participation, empowerment, and control while also promoting self-restraint by having users manage the costs of their health and social care. This paper reviews the existing research evidence for personalization albeit limited and identifies themes for future research within a framework related to sustainable care.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"79-86"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12966389037718","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651950","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":"Rethinking the experiences and entitlements of people with dementia: Taking vision into account","authors":"R. Bartlett, D. McKeefry","doi":"10.1179/175016811X12966389037637","DOIUrl":"https://doi.org/10.1179/175016811X12966389037637","url":null,"abstract":"A large proportion of people with dementia will have some kind of problem with their vision. Such problems may be the result of disturbances to low-level visual functions such as contrast sensitivity, colour vision, or visual acuity, for example. In addition, dementia can have detrimental effects on higher cognitive aspects of visual function such as visual attention, spatial localization, object recognition, facial recognition, and visual memory. The underlying cause of these visual problems is likely to be a result of a combination of a number of different factors (it is recognized that medication can also affect vision, but this will not be discussed here): (1) the direct patho-physiological effects of dementia on the brain and visual system, (2) the losses in visual function that occur as part and parcel of the normal ageing process, and (3) the losses in visual function that are a consequence of ocular diseases, such as age-related macular degeneration, glaucoma, or cataracts, which are more common i...","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"105-114"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12966389037637","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652321","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":"New and innovative ways of working in health and social care","authors":"Chris Pearson","doi":"10.1179/175016811X12966389037673","DOIUrl":"https://doi.org/10.1179/175016811X12966389037673","url":null,"abstract":"This paper is based on a keynote presentation given at the Skills for Health/Skills for Care New Ways of Working conference held in London in 2010. It discusses how new ways of working have been deployed in health and social care to achieve productive workforce change through optimizing skills and the skills mix. Examples of recent productive workforce changes facilitated by Skills for Health are considered.","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12966389037673","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65651928","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":"Will this be a make-or-break year for social care reform?","authors":"P. Roberts","doi":"10.1179/175016811X12955443670068","DOIUrl":"https://doi.org/10.1179/175016811X12955443670068","url":null,"abstract":"This year heralds the dawn of a new era of critical change for health and social care in Britain. The first steps towards achieving the most important reforms for more than 60 years will be taken in the next few months. This is a watershed for us all— an opportunity to be part of a process that will shape our care services for the next generation. The cynics among us will no doubt question the coalition government’s ability — or will — to bring about significant transformation. Some, with good reason, will argue that we have reached this point in the very recent past and accomplished nothing but inaction, indecision, and a trail of broken promises and infantile disagreements. When Gordon Brown unveiled a white paper in March last year outlining plans for a national care service for England there was little prospect of the proposed reforms becoming reality. His party was in disarray as a general election approached and the pledges of historic change became lost in the wreckage of election defeat. Significantly, the coalition government has announced a timetable for revolutionizing care early in its prospective 5 years in power. Whatever we think of its radical, ground breaking, controversial, and, many would argue, over-ambitious plans, it has given itself time to define a blueprint for genuine change. Having said this, the path ahead is going to be immensely difficult. There is no quick fix; there will be opposition to many proposals being put forward and uncomfortable compromises will need to be considered, particularly in these tough and uncertain times with businesses going to the wall and more people losing their jobs and homes. We are being bombarded with white and green papers for reforming virtually every nook and cranny of health and social care. In fact, I observed in jest recently that so many documents outlining proposals for change have been revealed in the run up to and start of 2011; we may soon be able to see them from outer space! It is worth reminding ourselves of the coalition government’s daunting programme for health and social care reform:","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"63-64"},"PeriodicalIF":0.0,"publicationDate":"2011-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12955443670068","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652024","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":"UK still facing acute shortages of health and social care professionals","authors":"P. Marriott","doi":"10.1179/175016811X12883685967133","DOIUrl":"https://doi.org/10.1179/175016811X12883685967133","url":null,"abstract":"","PeriodicalId":89406,"journal":{"name":"Journal of care services management","volume":"5 1","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1179/175016811X12883685967133","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65652004","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}