Manager Essay

29366 Words Nov 12th, 2012 118 Pages
ENVIRONMENTAL CHARACTERISTICS AND STAFF RATINGS OF NEWER AND OLDER SPECIAL CARE UNITS FOR DEMENTIA IN BRITISH COLUMBIA

by Annie Murray B.A. St. Thomas University 1998

A PROJECT SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN THE GERONTOLOGY PROGRAM

 Annie Murray 2001 SIMON FRASER UNIVERSITY JUNE 2001

All rights reserved. This work may not be Reproduced in whole or in part, by photocopy Or other means, without the permission of the author.

ii APPROVAL Name: Degree: Title of Project: Annie Murray Master of Arts Environmental characteristics and staff ratings of newer and older special care units for dementia in British Columbia

Examining Committee: Chair: Dr. Barbara Mitchell
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The therapeutic goals for the PEAP are: maximizing awareness and orientation; maximizing safety and security; providing privacy; regulating stimulation; providing good quality stimulation; supporting functional abilities; providing opportunities for personal control; supporting the continuity of the self; and facilitating social contact. The PEAP was also chosen for use in this study because its dimensions approximate six of the seven guidelines for SCUs frequently recommended in the literature. These include: maximizing awareness and orientation; maximizing safety and security; providing privacy; regulating stimulation; providing opportunities for personal control; and facilitating social contact.

iv Results indicated that SCUs built before 1995 were more likely to be purpose built than SCUs built after 1995. Newer facilities, on the other hand, were more likely to be home-like and were less institutional looking than SCUs built before 1995. A third finding was that SCUs in operation 6 years or more had more special structural characteristics such as wandering loops and railings in hallways than SCUs in operation for 5 years or less. SCUs in operation for 5 years or less had more wayfinding aids such as orientation cues than SCUs in operation 6 years or more. A fourth result indicated that newer SCUs in this sample were more likely to have a smaller number of residents living on the unit than older SCUs. Staff to resident ratios

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