Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study
Abstract Background Long-term care (LTC) residents with dementia can benefit from rehabilitation to improve function and quality of life. However, specific goals for rehabilitation with this population are not always clear. The purpose of this study was to describe the goals for rehabilitation for L...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-024-04674-2 |
| _version_ | 1827326308370087936 |
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| author | Sara Ripley Niousha Alizadehsaravi Rebecca Affoo Susan Hunter Laura E. Middleton Elaine Moody Lori E. Weeks Caitlin McArthur |
| author_facet | Sara Ripley Niousha Alizadehsaravi Rebecca Affoo Susan Hunter Laura E. Middleton Elaine Moody Lori E. Weeks Caitlin McArthur |
| author_sort | Sara Ripley |
| collection | DOAJ |
| description | Abstract Background Long-term care (LTC) residents with dementia can benefit from rehabilitation to improve function and quality of life. However, specific goals for rehabilitation with this population are not always clear. The purpose of this study was to describe the goals for rehabilitation for LTC residents with dementia from the perspective of residents, family, and staff. Methods This was a phenomenological qualitative study. LTC residents with moderate to severe dementia, family members, and staff were recruited from two LTC homes in Halifax, Nova Scotia. Data were collected through semi-structured interviews and field notes from observations with residents while they were being active within the home. Data were analyzed via the principles of thematic content analysis, mapped onto the International Classification of Functioning, Disability, and Health (ICF) Model, and reported by the participant group (i.e., residents, family, or staff). Results The 15 participants were three female residents aged 82 to 98 years, seven predominantly (86%) female family members aged 56 to 74 years, and five staff members (two females, three males, aged 22 to 55 years) who were physiotherapists, a physiotherapy assistant, a healthcare aide, and a registered licenced practical nurse. Most identified goals fell within the activities and participation constructs of the ICF model and focused on maintaining or improving function, mobility, and quality of life. Specific themes included preventing falls, walking or locomoting, stair climbing, maintaining activities of daily living, engaging in enjoyable exercise, maintaining independence and human connections, keeping busy, leaving the home for activities, and participating in group activities. Conclusions Rehabilitation goals for LTC residents living with dementia often focus on quality of life and functional activities and participation in LTC and family activities and events. Function and quality of life are interrelated, whereby functional goals influence quality of life. While some goals focus on improvement in function, maintenance or prevention of decline were also key elements. Future work should ensure rehabilitation interventions are developed relative to individually identified goals, and interventional success is measured in relation to the goal. |
| first_indexed | 2024-03-07T14:42:33Z |
| format | Article |
| id | doaj.art-3ecac30f8d3e4174983907bfaaa40c59 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-07T14:42:33Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-3ecac30f8d3e4174983907bfaaa40c592024-03-05T20:12:03ZengBMCBMC Geriatrics1471-23182024-01-0124111110.1186/s12877-024-04674-2Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative studySara Ripley0Niousha Alizadehsaravi1Rebecca Affoo2Susan Hunter3Laura E. Middleton4Elaine Moody5Lori E. Weeks6Caitlin McArthur7Dalhousie UniversityDalhousie UniversityDalhousie UniversityWestern UniversityUniversity of WaterlooDalhousie UniversityDalhousie UniversityDalhousie UniversityAbstract Background Long-term care (LTC) residents with dementia can benefit from rehabilitation to improve function and quality of life. However, specific goals for rehabilitation with this population are not always clear. The purpose of this study was to describe the goals for rehabilitation for LTC residents with dementia from the perspective of residents, family, and staff. Methods This was a phenomenological qualitative study. LTC residents with moderate to severe dementia, family members, and staff were recruited from two LTC homes in Halifax, Nova Scotia. Data were collected through semi-structured interviews and field notes from observations with residents while they were being active within the home. Data were analyzed via the principles of thematic content analysis, mapped onto the International Classification of Functioning, Disability, and Health (ICF) Model, and reported by the participant group (i.e., residents, family, or staff). Results The 15 participants were three female residents aged 82 to 98 years, seven predominantly (86%) female family members aged 56 to 74 years, and five staff members (two females, three males, aged 22 to 55 years) who were physiotherapists, a physiotherapy assistant, a healthcare aide, and a registered licenced practical nurse. Most identified goals fell within the activities and participation constructs of the ICF model and focused on maintaining or improving function, mobility, and quality of life. Specific themes included preventing falls, walking or locomoting, stair climbing, maintaining activities of daily living, engaging in enjoyable exercise, maintaining independence and human connections, keeping busy, leaving the home for activities, and participating in group activities. Conclusions Rehabilitation goals for LTC residents living with dementia often focus on quality of life and functional activities and participation in LTC and family activities and events. Function and quality of life are interrelated, whereby functional goals influence quality of life. While some goals focus on improvement in function, maintenance or prevention of decline were also key elements. Future work should ensure rehabilitation interventions are developed relative to individually identified goals, and interventional success is measured in relation to the goal.https://doi.org/10.1186/s12877-024-04674-2RehabilitationDementiaLong-term carePhysical therapyOccupational therapyGoals |
| spellingShingle | Sara Ripley Niousha Alizadehsaravi Rebecca Affoo Susan Hunter Laura E. Middleton Elaine Moody Lori E. Weeks Caitlin McArthur Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study BMC Geriatrics Rehabilitation Dementia Long-term care Physical therapy Occupational therapy Goals |
| title | Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study |
| title_full | Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study |
| title_fullStr | Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study |
| title_full_unstemmed | Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study |
| title_short | Resident-, family-, and staff-identified goals for rehabilitation of long-term care residents with dementia: a qualitative study |
| title_sort | resident family and staff identified goals for rehabilitation of long term care residents with dementia a qualitative study |
| topic | Rehabilitation Dementia Long-term care Physical therapy Occupational therapy Goals |
| url | https://doi.org/10.1186/s12877-024-04674-2 |
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