Nurses' Social Representations about Elderly Suicidality in Long Term Care Facilities

Nurses' Social Representations about Elderly Suicidality in Long Term Care Facilities

Author: Amy L. Serna

Publisher:

Published: 2022

Total Pages: 0

ISBN-13:

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This qualitative study was a modification of a study by Couillet et al. (2017) that explored nurses' social representations of working with suicidal elderly patients in long-term care facilities (LTCs). This study explored the social representations of nurses working with this population in LTCs. Eight nurses participated in the current study, which utilized a semi-structured interview protocol to identify common themes among participants. Four main social representations came out of the responses from participants, including (a) Suicide Risk is Lessened Through Building Relationship and Knowing Patients' Stories; (b) Nurses Have Direct and Indirect Roles to Reduce Risk of Suicide in Elderly Patients; (c) Nurses Respect the Self-Determination of Suicidal Patients; and (d) Risk of Patient Suicide Impacts the Emotional Well-Being of Nurses. Elderly individuals have higher rates of suicide completion (Shah, 2012) and those living in LTCs are not immune. Nurses are frontline caregivers to these individuals and those paying closest attention to what their patients are exhibiting, both verbally and non-verbally. Knowing the social representations nurses hold is important in understanding how their beliefs and attitudes may impact the care provided to elderly patients experiencing suicidal thoughts or intentions. Nurses in this study indicated their support for patients' decisions, while also balancing professional obligations and building relationships with their patients. They described working to intervene and prevent suicide, despite the impact it has on their well-being. Participants expressed that nurses would benefit from further support, including suicide intervention and prevention training, to be better equipped to help their patients.


Suicide Among the Elderly in Long-Term Care Facilities

Suicide Among the Elderly in Long-Term Care Facilities

Author: Nancy Osgood

Publisher: Praeger

Published: 1991

Total Pages: 0

ISBN-13: 0313265224

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This is the first large-scale study of suicide in a population of institutionalized older adults. From their findings, the authors identify the most at risk groups and highlight the major factors contributing to suicide in older adults in institutions. The study described in this work employed a sample survey design. More than 1000 administrators of long-term care facilities in the United States were randomly selected and surveyed about their staff and facilities, and the incidence and type of suicidal behaviors which occurred among residents in 1984 and 1985. Results of the study confirmed that suicidal behavior occurred in approximately 20 percent of the facilities who responded. High risk groups of residents included white males and the old-old (75 years and older). The survey reveals that certain environmental factors such as the size of the facility, staff turnover rate, per diem cost, and auspices (public, private, and religious) were related to the occurrence and outcome of suicidal behavior. Suggestions for suicide prevention, based on these findings, are also presented. The book is divided into three parts. Part One examines various types of long-term care facilities, including skilled nursing facilities, intermediate care facilities, and adult homes. Part Two highlights design, methodology, and findings from the national study of suicide in long-term care facilities. Case profiles of suicidal residents are included to provide a more personal account of suicide behavior, and to illustrate important factors in the older individual's decision to end her/his life. Case profiles of four institutions are also included to highlight environmental factors related to suicidal behavior. Part Three focuses on suicide prevention. Suggestions on the treatment of depression in the elderly, suicide prevention techniques, and the ethics of suicide are discussed in detail. This book makes valuable reading for professionals involved in the care of the elderly.


A Guide for Nursing Home Social Workers

A Guide for Nursing Home Social Workers

Author: Elise M. Beaulieu, PhD, MSW, LICSW

Publisher: Springer Publishing Company

Published: 2012-06-21

Total Pages: 408

ISBN-13: 0826193498

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ìBeaulieuís decades of social work practice illuminate every chapter, her years of networking with colleagues in Massachusetts and nationwide enhance every paragraph, and nuggets of insight earned through successfully establishing meaningful relationships with residents and families are reflected in every word. She knows her stuff and through this book shares it with others who are committed to enhancing the quality of life of nursing home residents through excellent social work services.î From the Foreword by Mercedes Bern-Klug, PhD, MSW, MA The University of Iowa School of Social Work "Beaulieu's book... clearly articulates what on-the-ground nursing home social work practice involves... These resources are useful as it is rare to be exposed to this type of information or detail during one's educational training... Beaulieu reveals layer upon layer of social worker roles, responsibilities, and important tools. This is a comprehensive guide for social workers."--The Gerontologist This completely updated guide for nursing home social workers reflects the latest political, economic, and cultural trends and requirements for nursing home facilities and how they impact social workers. It is the most comprehensive guide to nursing home social work available and includes new chapters on changing expectations and new models for nursing home facilities (including the patient-centered facility), disaster planning, pain in older adults, and families and next of kin as legal representatives. Also included are policies that have been revised or added since the previous edition was published, including information about the new Minimum Data Set (MDS 3.0) and the Health Insurance Portability and Accountability Act (HIPAA), and updated content on dementia, depression, elder abuse, and more. Key Features: Comprises the most comprehensive guide to nursing home social work available Includes new chapters on culture and diversity; spirituality; disaster planning; pain in older adults; new models for nursing homes; and families as legal representatives Provides new information about MDS 3.0 and HIPAA Contains helpful forms for assessments, screenings, transfer/discharge notes, new HIPAA forms, and many others


Reducing Suicide

Reducing Suicide

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2002-10-01

Total Pages: 512

ISBN-13: 0309169437

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Every year, about 30,000 people die by suicide in the U.S., and some 650,000 receive emergency treatment after a suicide attempt. Often, those most at risk are the least able to access professional help. Reducing Suicide provides a blueprint for addressing this tragic and costly problem: how we can build an appropriate infrastructure, conduct needed research, and improve our ability to recognize suicide risk and effectively intervene. Rich in data, the book also strikes an intensely personal chord, featuring compelling quotes about people's experience with suicide. The book explores the factors that raise a person's risk of suicide: psychological and biological factors including substance abuse, the link between childhood trauma and later suicide, and the impact of family life, economic status, religion, and other social and cultural conditions. The authors review the effectiveness of existing interventions, including mental health practitioners' ability to assess suicide risk among patients. They present lessons learned from the Air Force suicide prevention program and other prevention initiatives. And they identify barriers to effective research and treatment. This new volume will be of special interest to policy makers, administrators, researchers, practitioners, and journalists working in the field of mental health.


Sociological Abstracts

Sociological Abstracts

Author:

Publisher:

Published: 2003

Total Pages: 534

ISBN-13:

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CSA Sociological Abstracts abstracts and indexes the international literature in sociology and related disciplines in the social and behavioral sciences. The database provides abstracts of journal articles and citations to book reviews drawn from over 1,800+ serials publications, and also provides abstracts of books, book chapters, dissertations, and conference papers.


Nursing Care of Older People

Nursing Care of Older People

Author: Andrew Hindle

Publisher: Oxford University Press, USA

Published: 2011-02-10

Total Pages: 286

ISBN-13: 019956311X

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Nursing care of older people provides a new, contemporary, evidence based and practical guide to meeting the holistic health needs of older patients. With a clear and engaging style, the authors outline a rigorous and robust account of underlying principles and evidence with tools and tips for best nursing practice. This comprehensive textbook examines the changes brought about by the ageing process to both physical and mental health as well as learning disabilities. Providing essential insights necessary to deliver high quality nursing in primary and hospital care, this text covers a wide range of issues and clinical topics. Learning is aided by case studies, nursing insights, activities, and reflection enabling readers to apply theory to practice. This text is particularly useful for pre and post registration student nurses, qualified nursing staff, and other healthcare professionals working alongside nurses to deliver care to older people. The online resource centre to accompany Nursing care of older people features: For students and lecturers · Additional interactive case studies. · National policy links. · Website links to national older people organizations, charities and support groups and links to journals on older patients in health care. · Audio podcasts on the nursing care of older people.


Geropsychiatric Nursing

Geropsychiatric Nursing

Author: Mildred O. Hogstel

Publisher:

Published: 1995

Total Pages: 454

ISBN-13:

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This timely reference provides a comprehensive overview of geropsychiatric nursing focusing on the mental health problems, needs, and special care of clients age 65 and older. While presenting an essential theoretical base, the book also emphasizes wellness and focuses on assessment and intervention strategies needed by nurses who care for older adults with mental disorders in acute care, home, and long-term care settings.


Social Isolation and Loneliness in Older Adults

Social Isolation and Loneliness in Older Adults

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-05-14

Total Pages: 317

ISBN-13: 0309671035

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Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.