Skip to main content Accessibility help
×
×
Home

Rehabilitation in Residential Aged Care Facilities: Barriers and Facilitators in a Dementia Context

  • Leander K. Mitchell (a1) and Nancy A. Pachana (a1)

Abstract

This review of the literature sought to highlight key barriers to the implementation of rehabilitation-based interventions in an aged care facility context. It then identifies how such barriers might be actively countered with a view to facilitating rehabilitation-based strategies within such contexts. Key barriers identified included staffing issues, heterogeneity of residents, and the potential complexity behind establishing appropriate forms of rehabilitation for the residents. The most successful facilitators identified included training, the provision of appropriate support, and an open communication process. Having an awareness and an appreciation of potential barriers to the use of rehabilitation interventions in aged care facilities provides the opportunity to actively plan around them, thereby increasing and improving their use.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Rehabilitation in Residential Aged Care Facilities: Barriers and Facilitators in a Dementia Context
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Rehabilitation in Residential Aged Care Facilities: Barriers and Facilitators in a Dementia Context
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Rehabilitation in Residential Aged Care Facilities: Barriers and Facilitators in a Dementia Context
      Available formats
      ×

Copyright

Corresponding author

Correspondence may be sent to: Dr Leander Mitchell, School of Psychology McElwain Building, The University of Queensland, St Lucia Qld 4072. E-mail: leander.mitchell@uqconnect.edu.au

References

Hide All
Baltes, M. (1995). Dependency in old age: Gains and losses. Current Directions in Psychological Science, 4 (1), 1419. doi: 10.1111/1467-8721.ep10770949
Baltes, M.M., Neumann, E., & Zank, S. (1994). Maintenance and rehabilitation of independence in old age: An intervention program for staff. Psychology and Aging, 9 (2), 179188. doi: 10.1037/0882-7974.9.2.179
Bird, M. (2003). Dementia and suffering in nursing homes. Journal of Religious Gerontology, 13, 4968. doi: 10.1300/J078v13n03_04
Blackford, J., Strickland, E., & Morris, B. (2007). Advance care planning in residential aged care facilities. Contemporary Nurse, 27, 141151. Retrieved from http://www.bradford.nhs.uk/
Bland, R. (1999). Independence, privacy and risk: Two contrasting approaches to residential care for older people. Ageing & Society, 19, 539560. doi: 10.1017/S0144686X99007497
Bowers, B.J., Esmond, S., & Jacobson, N. (2000). The relationship between staffing and quality in long-term care facilities: Exploring the views of nurse aides. Journal of Nursing Care Quality, 14, 5564. Retrieved from http://journals.lww.com/jncqjournal/
Brennan, L., Giovannetti, T., Libon, D.J., Bettcher, B.M., & Duey, K. (2009). The impact of goal cues on everyday action performance in dementia. Neuropsychological Rehabilitation, 19 (4), 562582. doi: 10.1080/09602010802405623
Bytheway, B. (1995). Ageism. Buckingham, UK: Open University Press.
Charness, N., & Holley, P. (2001). Human factors and environmental support in Alzheimer's disease. Aging & Mental Health, 5, S65S73. doi: 10.1080/13607860120044837
Cheek, J., Ballantyne, A., Jones, J., Roder-Allen, G., & Kitto, S. (2003). Ensuring excellence: An investigation of the issues that impact on the registered nurse providing residential care to older Australians. International Journal of Nursing Practice, 9, 103111. doi: 10.1046/j.1322-7114.2003.00408.x
Clare, L., Wilson, B.A., Carter, G., Breen, K., Gosses, A., & Hodges, J.R. (2000). Intervening with everyday memory problems in dementia of Alzheimer type: An errorless learning approach. Journal of Clinical and Experimental Neuropsychology, 22, 132146. doi: 10.1076/1380-3395(200002)22:1;1-8;FT132
Cohen-Mansfield, J., Werner, P., Culpepper, W., & Barkley, D. (1997). Evaluation of an in-service training program on dementia and wandering. Journal of Gerontological Nursing, 23, 4047.
Coyne, M.L., & Hoskins, L. (1997). Improving eating behaviors in dementia using behavioral strategies. Clinical Nursing Research, 6, 275290. doi: 10.1177/105477389700600307
Doyle, C., & Ward, S. (1998). Education and training in residential dementia care in Australia: Needs, provision and directions. Australia New Zealand Journal of Public Health, 22, 589597. doi: 10.1111/j.1467-842X.1998.tb01444.x
Edwards, D., & Burnard, P. (2003). A systematic review of stress and stress management interventions for mental health nurses. Journal of Advanced Nursing, 42 (2), 169200. doi: 10.1046/j.1365-2648.2003.02600.x
Engelman, K.K., Mathews, R.M., & Altus, D.E. (2002). Restoring dressing independence in persons with Alzheimer's disease: A pilot study. American Journal of Alzheimer's Disease and Other Dementias, 17, 3743. doi: 10.1177/153331750201700102
Fisk, M.J. (1986). Independence and the Elderly. London: Croom-Helm.
Janes, N., Sidani, S., Cott, C., & Rappolt, S. (2008). Figuring it out in the moment: A theory of unregulated care providers’ knowledge utilization in dementia care settings. Worldviews on Evidence-Based Nursing, 5 (1), 1324. doi: 10.1111/j.1741-6787.2008.00114.x
Kolanowski, A., Buettner, L., & Moeller, J. (2006). Treatment fidelity plan for an activity intervention designed for persons with dementia. American Journal of Alzheimer's Disease and Other Dementias, 21 (5), 326332. doi: 10.1177/1533317506291074
Martin, B., & King, D. (2008). Who cares for older Australians? A picture of the residential and community based aged care workforce 2007. Flinders University, South Australia: National Institute of Labour Studies.
Maas, M.L., Kelley, L.S., Park, M., & Specht, J.P. (2002). Issues in conducting research in nursing homes. Western Journal of Nursing Research, 24, 373389. doi: 10.1177/01945902024004006
Mentes, J.C., & Tripp-Reimer, T. (2002). Barriers and facilitators in nursing home intervention research. Western Journal of Nursing Research, 24 (8), 918936. doi: 10.1177/019394502237702
Nomura, M., Makimoto, K., Kato, M., Shiba, T., Matsuura, C., Shigenobu, K., . . . Ikeda, M. (2009). Empowering older people with early dementia and family caregivers: A participatory action research study. International Journal of Nursing Studies, 46, 431441. doi: 10.1016/j.ijnurstu.2007.09.009
Phillips, L.R., & Van Ort, S. (1995). Issues in conducting intervention research in long-term care settings. Nursing Outlook, 43, 249253. doi: 10.1016/S0029-6554(95)80089-1
Resnick, B., & Remsburg, R.E. (2004). Overview of restorative care. In Resnick, B. (ed.) Restorative Care Nursing for Older Adults: A Guide for all Care Settings (pp. 112). New York: Springer Publishing Company.
Rogers, J.C., Holm, M.B., Burgio, L.D., Hsu, C., Hardin, J.M., & McDowell, B.J. (2000). Excess disability during morning care in nursing home residents with dementia. International Psychogeriatrics, 12 (2), 267282. doi: 10.1017/S1041610200006372
Secker, J., Hill, R., Villeneau, L., & Parkman, S. (2003). Promoting independence: But promoting what and how? Ageing & Society, 23, 375391. doi: 10.1017/S0144686X03001193
Simmons, S.F., & Schnelle, J.F. (2004). Individualised feeding assistance care for nursing home residents: Staffing requirements to implement two interventions. Journal of Gerontology: Medical Sciences, 59A (9), 966973.
Tilly, J., & Reed, P. (2008). Intervention research on caring for people with demenita in assisted living and nursing homes. Alzheimer's Care Today, 9 (1), 2432.
Train, G.H., Nurock, S.A., Manela, M., Kitchen, G., & Livingston, G.A. (2005). A qualitative study of the experiences of long-term care for residents with dementia, their relatives and staff. Aging & Mental Health, 9 (2), 119128.
Woods, B. (1999). Promoting well-being and independence for people with dementia. International Journal of Geriatric Psychiatry, 14, 97109. doi: 10.1002/(SICI)1099-1166(199902)14:2<97::AID-GPS941>3.0.CO;2-X
Younger, D., & Martin, G.W. (2000). Dementia care mapping: An approach to quality audit of services for people with dementia in two health districts. Journal of Advanced Nursing, 32 (5), 12061212. doi: 10.1046/j.1365-2648.2000.01591.x
Zimmerman, S., Williams, C.S., Reed, P.S., Boustani, M., Preisser, J. S., Heck, E., & Sloane, P.D. (2005). Attitudes, stress, and satisfaction of staff who care for residents with dementia. The Gerontologist, 45, 96105.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Australian Journal of Rehabilitation Counselling
  • ISSN: 1323-8922
  • EISSN: 1838-6059
  • URL: /core/journals/australian-journal-of-rehabilitation-counselling
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed