‘The time has come’: reflections on the ‘tipping point’ in deciding on a care home move

Samsi, Kritika, Cole, Laura ORCID: https://orcid.org/0000-0001-7194-5616 and Manthorpe, Jill (2021) ‘The time has come’: reflections on the ‘tipping point’ in deciding on a care home move. Aging & Mental Health. ISSN 1360-7863

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Abstract

Objectives
Often perceived as a last resort, a care home move for a person living with dementia is often undertaken when all other options have been exhausted. Deciding the right or optimal time is to move remains an important question for many families.

To investigate factors that are weighed up in deciding to make a care home move.

Method
Qualitative in-depth interviews with 21 family carers and 5 care home residents living with dementia in England. Thematic analysis was applied to all transcripts to extract key themes and sub-themes; a summation is provided here.

Results
Participants emotionally recollected an accumulation of stressors, exhausting other options of care, a risk/benefit analysis, wishes of person living with dementia, and a readiness to move as indicators of when a ‘tipping point’ was reached. They also felt strongly that early planning, prior experience of care homes, understanding funding arrangements and having support with decision-making would help.

Conclusion
Deciding to move to a care home is complex, contextual and deeply personal. Early planning in the form of joining waiting lists, using day centres and respite services may help in creating relationships with intended care homes for the future. There is growing need for support with financial advice and funding arrangements, for both self- and publicly funded individuals.

Item Type: Article
Uncontrolled Keywords: Dementia, care home move, optimal timing, qualitative
Subjects: Medicine and health > Health promotion and public health > Care homes
Medicine and health > Person centered care
Related URLs:
Depositing User: Laura Cole
Date Deposited: 16 Sep 2021 10:00
Last Modified: 16 Sep 2021 10:00
URI: http://repository.uwl.ac.uk/id/eprint/8251

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