Simon Fraser University Gerontology Research Centre

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Evaluation of the Alzheimer's Disease Society South Cleveland Project

Author: 
Date created: 
1991
Abstract: 

The South Cleveland branch of the Alzheimer's Disease Society (ADS) asked the Institute of Human Ageing of the University of Liverpool to undertake a comprehensive evaluation of their project in South Cleveland. In South Cleveland the ADS has a well-developed programme of day care and carer counselling, together with a range of other support services, such as a sitting service and information service. The evaluation focused on the following issues: What is the impact of the project on the lives of the carers? Are carers coping longer and what is the effect on their quality of life? What aspects of the service have had the most impact? Are the services meeting the needs of all carers? Where could improvements be made? Assessment of the care provided for sufferers: Are sufferers being provided with a high quality of care? What are the implications of different levels of disability? What effect has the project had on other services in South Cleveland? What is the level of I need for services in the local community? Does the ADS project play a significant role within the overall pattern of care in the district?Public awareness of Alzheimer's Disease: Are members of the public aware of AD and its effects? What profile does the ADS have within the local community? Has the ADS had any effect on raising public awareness of AD? The evaluation touched on a wide range of issues, which demanded a range of methodologies. Interviews were conducted with carers, ADS staff and with professionals from other organisations that deal with care of the elderly and the elderly mentally ill. A self-completion questionnaire was also sent to carers, which provided essential background information on their experiences of being a carer and their attitudes towards available services. All the ADS slay centres were visited during the course of the research. On these visits, observational research was undertaken, together with interviews with volunteer workers and sufferers and dependency assessments of clients. Public awareness of AD in South Cleveland was assessed by undertaking a Street survey in Middlesborough, which generated a random sample of some 300 respondents. The field research was undertaken over a 12 month period in 1990 and 1991.

Document type: 
Book
File(s): 

Dementia patients in institutions : a review of recommendations and research concerning their design, staffing and programming needs

Author: 
Date created: 
1989
Abstract: 

Estimates are that today, dementia patients constitute from 40-85% of the population of chronic care facilities. The focus of this paper is on treatment/management and environmental design issues in the institutional setting.

Document type: 
Book
File(s): 

Developing a lifelong learning program for seniors in New Westminster [BC]

Date created: 
1993
Abstract: 

This report contains a case study of a lifelong learning program as an integral part of developing and conducting a needs assessment. This unique experience in educational leadership was designed to increase the role of seniors in building a healthy lifelong learning community and to deepen our understanding of what, where, and how to better serve the learning needs of seniors in New Westminster.

Document type: 
Book
File(s): 

Developing seniors as leaders : final report of a leadership and organizational development program for the Dogwood Pavilion Association, City of Coquitlam

Date created: 
1993
Abstract: 

During recent years, the Dogwood Pavilion Association, like many other seniors centres, has experienced a shortage of trained leaders willing to assist in the delivery of over 100 activities the centre provides to everyone over 50 in the community of Coquitlam (a district which became a city in December of 1993). In consultation with two leadership training consultants, the Coordinator in charge of the centre (Jill Rowledge), Past President (Crosby Johnston), and President (E.T. Cross) brought together a New Horizons Board to secure funding for a project, The Seniors Leadership Initiative, to develop more effective senior leadership at Dogwood Pavilion, the Town Centre Seniors Group, and throughout the City of Coquitlam. The project included two equally important aspects of leadership development: (1) a close examination of leadership in Dogwood Pavilion; and (2) a leadership and personal development program for members. This report includes: (1) Plan and time-frame of the project; (2) Ethnographic study of culture of Dogwood Pavilion; (3) Survey of membership regarding leadership training needs; (4) Description of the leadership and personal development training program for members; (5) Formal evaluation of the leadership training program; (6) Press release to inform the community about the training program and future opportunities for senior leadership; (7) Consultant's recommendations for leadership development; and (8) Final recommendations arising from the Focus Group discussion with members of the New Horizons' Board, the Advisory Board, training program participants, and staff.

Document type: 
Book
File(s): 

Diminishing returns : an examination of financial responsibility, decision-making and financial abuse among older adults in British Columbia

Author: 
Date created: 
1996
Abstract: 

This study involved personal interviews with 200 seniors, aged 60 and over, from across BC. The purpose of this study was to explore: 1) the extent of financial abuse of older adults in BC; 2) the nature and dynamics of the abuse; 3) older adults' experience with various financial and legal documents; and 4) the extent to which older adults financially assist their grown children and visa versa.

Document type: 
Book
File(s): 

Adult day care centres in British Columbia : their operating characteristics, activities and services, clients, and interface with the long term care program. Final report.

Date created: 
1991
Abstract: 

Previews the literature concerning the objectives, models of service delivery, operating characteristics, activities, services and clients of Adult Day Care (ADC) Centres. Presents findings from a 3-phase study conducted in British Columbia. In phase 1, a 100% sample of B.C. ADCs provided information on their operating characteristics, activities and services. In phase 2, the characteristics of 479 new admissions to 22 ADCs were determined. Phase 3 focused on reasons for referring clients to ADC, why some referred clients do not attend and on the interface between ADCs and the province's Continuing Care Program.

Document type: 
Book
File(s): 

Concepts of good practice in residential and nursing homes for elderly people

Date created: 
1995
Abstract: 

This unit has the following aims: 1. To help students get a better understanding of old age; 2. To show that old age is not just about physical changes to the body, but about other factors, such as people's attitudes and ageism; and 3. To see how ageism can affect the services we provide to older people.

Document type: 
Book
File(s): 

Towards more elder friendly hospitals : final report - studies 3b and 3c

Peer reviewed: 
No, item is not peer reviewed.
Date created: 
2008
Abstract: 

Deconditioning and loss of functional status occurs at high rates among elderly persons admitted to hospitals, independent of their medical condition. Design of the physical environment is one of several explanations as to why this may occur. The two pilot studies described in this report tested selected environmental modifications designed to overcome some of the physical barriers to safe independent transfer, mobility, and toileting identified in Studies 1 and 2 of the Towards More Elder Friendly Acute Hospitals Research Project. One pilot study (Study 3b) took place in two originally identical bedrooms at Burnaby Hospital, a community hospital located in Burnaby, British Columbia. The second (Study 3c) took place in two adjacent bathrooms. In both Studies 3b and 3c, one room remained "as is " and the other was modified; 36 community-dwelling volunteers aged 75+ performed a series of tasks in both the original and the modified bedrooms and the two toilet areas. Order of exposure to the "typical" and modified rooms was counterbalanced. Three types of data were collected: subjective, physiological and video. The environment modifications of interest were rated by participants for ease of use, for helpfulness, and/or for appeal and they were asked to respond to questions such as "what did you like most/least about the rooms and why"? Heart rate was measured as participants rested in each bedroom and postural sway was recorded as they transferred from the bedroom to the bathroom and while they pretended to use the toilet and "freshen up" at the sink. To document gross movement, gestures, coping actions and facial expressions, high resolution webcams were mounted in the bedrooms and bathrooms and a camcorder followed the participants throughout the study. A number of lessons were learned from the study about relatively inexpensive design features that if implemented in new construction and retrofitting, have the potential to increase the elder friendliness of FH hospitals (e.g. movement activated lighting at the entrance to the bathroom). A number of useful lessons were also learned concerning equipment and procedures for remote monitoring of physiological functioning and stress. The report ends with a series of recommendations that include recognizing the diversity of the frail elder population of British Columbia and designing physical space in hospitals to meet the needs of patients with multiple chronic physical and/or cognitive impairments. NOTE: The following thesis constitutes Study 3a of this report series: Love, T. (2007). Modifications to the hospital physical environment: Effect on older adults' retention of post-discharge instructions. M.A. Thesis, Department of Gerontology (Supervisor: G. Gutman).

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