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Bathing in residential care
 — understanding the experiences of residents and their care providers
Author(s)Ann Holroyd, Heather Holroyd
Journal titleQuality in Ageing and Older Adults, vol 16, no 2, 2015
PublisherEmerald, 2015
Pagespp 106-117
Sourcewww.emeraldgrouppublishing.com/qaoa.htm
KeywordsBathing capacity ; Self care capacity ; Residents [care homes] ; Cognitive impairment ; Care home staff ; Care homes ; Canada.
AnnotationThis paper considers our understanding of how changes in an older adult's physical capacity alter their bathing preferences, how the care environment incorporates residents' values and beliefs around bathing to fulfil these changing care needs, and how institutional factors, such as staff scheduling and communication processes, influence Resident Care Aides' (RCAs) bathing practices. A multiple methods approach involving surveys and semi-structured, qualitative interviews with 9 older adult residents (Mini Mental Status Exam (MMSE) scores > 15) and 10 RCAs in two nursing units offering different bathing options in a Canadian residential care facility. Decreasing energy levels and physical decline were commonly cited reasons for residents' changing bathing preferences. Residents were overall very appreciative of the bathing care they received in residential care, and identified the weekly tub bath as an anticipated encounter where they experienced a valued social interaction with their assigned RCA. While identifying bathing as an occasionally stressful aspect of their work, RCAs also described the bathing experience as an intimate bonding activity. The study identified bathing as an important activity in residential care. Previous studies have focused on moderate to severely cognitively impaired older adults' and their demonstration of agitated behaviours during bathing. Most participants in this study had only minor cognitive impairment, as measured by MMSE scores (average score=20.6). Therefore, this study provides insight into the experiences and needs of older adults whose perspective is not generally reflected in the literature. (RH).
Accession NumberCPA-170519222 A
ClassmarkCAE: CA: KX: E4: QRM: KW: 7S

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