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Client-centred, community-based care for frail seniors
Author(s)Sherry Anne Chapman, Norah Keating, Jacquie Eales
Journal titleHealth & Social Care in the Community, vol 11, no 3, May 2003
Pagespp 253-261
KeywordsCommunity care ; Care homes ; Consumer ; Needs [elderly] ; Canada.
AnnotationCompared with nursing home care, community care is often viewed in Canada as care at home, and is assumed to be best for older people with chronic disease or disabilities, since it is seen as client-focused and less costly. The present study is part of a demonstration project conducted in western Canada to evaluate the implementation of client-centred, community-based residential care with older people needing nursing home level care. Focus groups were conducted with two key stakeholder groups with varying informal (family members), and formal (programme staff) relationships with residents living in three new programmes. From content analysis, the programmes appeared successful in conveying the importance of recognising residents as individuals and keeping them connected to the community, but fell short of implementation expectations. Three themes illustrate the challenges: engaging with others in a care partnership; responding to residents' preferences and care needs with limited resources; and maintaining residents' connections with the community. Moderating funding to bring it closer to nursing home levels could support the sustainability of community-situated programmes for frail older people. (RH).
Accession NumberCPA-030516230 A
ClassmarkPA: KW: WY: IK: 7S

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