Long Term Care and Quality of Life

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Long Term Care and Quality of Life

• Cathy Auerbach, Amanda Dam, Danica Croucher,
  Alexis Seaman, Sandeep Marwaha, Daniel Zimmerman,
  Jennifer Holmes

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Topic

• Recent research on services provided in licensed
  nursing homes in three regions in Ontario
  indicates that most residents experience optimal
  health but endure a low quality of life.
• Your response to this research provides an
  explanation for nursing home residents quality
  of life through an occupational analysis of their
  daily routines

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Introduction

• Scope
• Relevance
• Position statement
• Definition of quality of life
• Policy
• Nursing home routines
• Problems/Solutions
• Facilitated discussion

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Introduction (Cont)

• Relevance to Audience
• Yesterdays child is todays adult and
  tomorrows grandmother or grandfather
• As future Occupational Therapists
• Better understanding of QofL ?enable and advocate
  for change

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Position Statement

• Residents have a low quality of life because
  their daily routines are based on a model that
  does not fully incorporate the QofL concepts that
  residents deem important, which are necessary to
  ensure mental and social well-being

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Definition of Quality of Life

• Choosing and participating in occupations that
  foster hope, generate motivation, offer meaning
  and satisfaction, create a driving vision of
  life, promote health, enable empowerment (CAOT,
  2002, p. 182)

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How do Older Adults define Q of L?

• From Ball et al. (2000), Bryant et al. (2004),
  and Sparks et al. (2004)
• Independence/Individuality
• Autonomy/perceived control
• Social interaction
• Meaningful activities
• Care from staff
• Health
• All enable occupations or are occupations

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Policy

• Policy is very important because it determines
  how we, our children, and our grandchildren
  experience older life
• Nursing Home Act Regulation 832
• Active Aging the process of optimizing
  opportunities for health, participation and
  security in order to enhance quality of life as
  people age

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Nursing Home Routines

• Self-care
• Productivity
• Leisure
• The Empire Living Centre North Bay, ON
• Leisureworld North Bay, ON
• Preircy Manor Dear Lake, NL
• Belvadere Heights Parry Sound, ON
• Shalom Manor Grimsby, ON
• Albright Manor Beamsville, ON
• Maynard Nursing Home Toronto, ON

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Problems and Solutions

• Lack of autonomy
• Lack of individuality
• Lack of meaningful activities
• Lack of independence
• Lack of relationships

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Occupational Concepts

• Occupational deprivation A state of prolonged
  preclusion from engagement in occupations of
  necessity or meaning due to factors outside the
  control of the individual
• Occupational Alienation Experiences of
  meaninglessness or purposelessness, a sense of
  isolation, powerlessness, frustration, loss of
  control or estrangement from the self or society
  which results from engaging in occupations that
  do not satisfy inner needs

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Summary

• Older people want recognition- for what they can
  do mentally and manually, for their capacity to
  make a contribution to their community, country
  and world, for social and political
  consciousness, and their ability to plan for
  themselves.
• Older people want response to be liked for who
  they are, to hold friends and to make new
  acquaintances. And, older people want to continue
  to grow and to learn and to develop. They need
  freedom, dignity and respect.

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Conclusion

• To deal with the issues prevalent in nursing
  homes, we need to
• develop a clear and holistic definition of
  quality of life for seniors
• advocate for older adults
• create programs that reflect what residents want
  to do

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Facilitated Discussion

• From your personal experiences can you identify
  any issues with daily routines in nursing homes
  that may lead to low QofL
• What is our role as future OTs?