‘Making the best of what we have’: The lived experiences of community psychiatric nurses, day centre managers, and social workers supporting clients with dementia attending a generic day care service

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Abstract

Background.In light of international ageing demographics and strategy towards social inclusion, it is anticipated that demand for generic day care services for clients living with and without dementia will increase. Aim and Objectives. This study explored the experiences and perspectives of community psychiatric nurses, day centre managers and social workers about supporting clients living with and without dementia attending a generic day care service. The purpose of the study was to elucidate approaches that enable clients living with dementia to access and derive benefit from the service.Design and Methods. A descriptive qualitative design utilised three focus groups for data collection. Community psychiatric nurses (n = 4), day centre mangers (n = 4) and social workers (n=12) participated in the study. Data analysis informed a narrative description of the approaches that support adults living with dementia in day care. Findings. An exhaustive description is encapsulated in five key themes. These are ‘easing the transition to day care’, ‘proactively managing supervision and complexity of need’, ‘sustaining the person and family carer’, making the best of what we have’ and ‘encountering a need for change’. The data conveyed a sensitivity to the life story and needs of clients with dementia. Whilst the data revealed deficits in the physical environment of the centres, there were indications of the generation of a positive social environment. Conclusions. A generic day care service that provides an integrated blend of care and treatment and social and recreational support to older adults, irrespective of whether they have or have not dementia, is realistic and manageable. The routine of day centre attendance may have value in sustaining clients with dementia and family care-giving relationships. Implications for practice. Approaches to support the attendance of clients with dementia at day care include home visits, life story work, pro-active supervision and careful planning of social groupings and recreational activities.
LanguageEnglish
Pages1-9
JournalInternational Journal of Older People Nursing
Volume0
Early online date29 Jun 2017
DOIs
Publication statusE-pub ahead of print - 29 Jun 2017

Fingerprint

Community Psychiatry
Dementia
House Calls
Social Environment
Social Workers
acetaminophen, pholcodine, pseudoephedrine drug combination
Population Dynamics
Focus Groups
Caregivers
Nurses

Keywords

  • Day care
  • dementia
  • family carers
  • social inclusion

Cite this

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title = "‘Making the best of what we have’: The lived experiences of community psychiatric nurses, day centre managers, and social workers supporting clients with dementia attending a generic day care service",
abstract = "Background.In light of international ageing demographics and strategy towards social inclusion, it is anticipated that demand for generic day care services for clients living with and without dementia will increase. Aim and Objectives. This study explored the experiences and perspectives of community psychiatric nurses, day centre managers and social workers about supporting clients living with and without dementia attending a generic day care service. The purpose of the study was to elucidate approaches that enable clients living with dementia to access and derive benefit from the service.Design and Methods. A descriptive qualitative design utilised three focus groups for data collection. Community psychiatric nurses (n = 4), day centre mangers (n = 4) and social workers (n=12) participated in the study. Data analysis informed a narrative description of the approaches that support adults living with dementia in day care. Findings. An exhaustive description is encapsulated in five key themes. These are ‘easing the transition to day care’, ‘proactively managing supervision and complexity of need’, ‘sustaining the person and family carer’, making the best of what we have’ and ‘encountering a need for change’. The data conveyed a sensitivity to the life story and needs of clients with dementia. Whilst the data revealed deficits in the physical environment of the centres, there were indications of the generation of a positive social environment. Conclusions. A generic day care service that provides an integrated blend of care and treatment and social and recreational support to older adults, irrespective of whether they have or have not dementia, is realistic and manageable. The routine of day centre attendance may have value in sustaining clients with dementia and family care-giving relationships. Implications for practice. Approaches to support the attendance of clients with dementia at day care include home visits, life story work, pro-active supervision and careful planning of social groupings and recreational activities.",
keywords = "Day care, dementia, family carers, social inclusion",
author = "Laird, {Liz/ EA} and Phyllis McGurk and Bernie Reid and Assumpta Ryan",
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AU - Reid, Bernie

AU - Ryan, Assumpta

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N2 - Background.In light of international ageing demographics and strategy towards social inclusion, it is anticipated that demand for generic day care services for clients living with and without dementia will increase. Aim and Objectives. This study explored the experiences and perspectives of community psychiatric nurses, day centre managers and social workers about supporting clients living with and without dementia attending a generic day care service. The purpose of the study was to elucidate approaches that enable clients living with dementia to access and derive benefit from the service.Design and Methods. A descriptive qualitative design utilised three focus groups for data collection. Community psychiatric nurses (n = 4), day centre mangers (n = 4) and social workers (n=12) participated in the study. Data analysis informed a narrative description of the approaches that support adults living with dementia in day care. Findings. An exhaustive description is encapsulated in five key themes. These are ‘easing the transition to day care’, ‘proactively managing supervision and complexity of need’, ‘sustaining the person and family carer’, making the best of what we have’ and ‘encountering a need for change’. The data conveyed a sensitivity to the life story and needs of clients with dementia. Whilst the data revealed deficits in the physical environment of the centres, there were indications of the generation of a positive social environment. Conclusions. A generic day care service that provides an integrated blend of care and treatment and social and recreational support to older adults, irrespective of whether they have or have not dementia, is realistic and manageable. The routine of day centre attendance may have value in sustaining clients with dementia and family care-giving relationships. Implications for practice. Approaches to support the attendance of clients with dementia at day care include home visits, life story work, pro-active supervision and careful planning of social groupings and recreational activities.

AB - Background.In light of international ageing demographics and strategy towards social inclusion, it is anticipated that demand for generic day care services for clients living with and without dementia will increase. Aim and Objectives. This study explored the experiences and perspectives of community psychiatric nurses, day centre managers and social workers about supporting clients living with and without dementia attending a generic day care service. The purpose of the study was to elucidate approaches that enable clients living with dementia to access and derive benefit from the service.Design and Methods. A descriptive qualitative design utilised three focus groups for data collection. Community psychiatric nurses (n = 4), day centre mangers (n = 4) and social workers (n=12) participated in the study. Data analysis informed a narrative description of the approaches that support adults living with dementia in day care. Findings. An exhaustive description is encapsulated in five key themes. These are ‘easing the transition to day care’, ‘proactively managing supervision and complexity of need’, ‘sustaining the person and family carer’, making the best of what we have’ and ‘encountering a need for change’. The data conveyed a sensitivity to the life story and needs of clients with dementia. Whilst the data revealed deficits in the physical environment of the centres, there were indications of the generation of a positive social environment. Conclusions. A generic day care service that provides an integrated blend of care and treatment and social and recreational support to older adults, irrespective of whether they have or have not dementia, is realistic and manageable. The routine of day centre attendance may have value in sustaining clients with dementia and family care-giving relationships. Implications for practice. Approaches to support the attendance of clients with dementia at day care include home visits, life story work, pro-active supervision and careful planning of social groupings and recreational activities.

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KW - family carers

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