Which of the following approaches to care creates the most supportive environment for clients?

The environment prepared for older adults is beautiful and welcoming. Although the Montessori method is most often associated with children, we have known for years that the elements associated with this method, such as a prepared environment, are also effective for older adults, especially those with dementia. Research has found that implementing the Montessori philosophy in long-term care improves affection and positive emotions, increases older people's participation in daily and leisure activities, and improves staff satisfaction. 1, 2.A scope review was carried out to systematically analyze and synthesize evidence on the care and support needs of older people living at home in the United Kingdom.

In summary, this review provided an overview of the areas where older adults living at home with chronic illnesses in the UK might need care and support. Social care and support needs of people living in the community with dementia and concurrent visual impairment. Jennifer is the author of five nationally recognized books on dementia, including Creative Connections in Dementia Care, a silver medal winner, and I Care, a gold medal winner. The review highlighted that older people living with chronic diseases have unmet care needs related to their physical and psychological health, their social lives and the environment in which they live and interact. Center for Assistive Technology and Connected Healthcare, Faculty of Health and Allied Research, Innovation Center, University of Sheffield, 217 Portobello, Sheffield, S1 4DP, UK.

The following table summarizes the findings of each of the topics based on the ICF framework and coding system: a) body functions, b) activities and participation, c) environmental factors. In the articles that included older people as part of the sample, the care needs of older adults were identified primarily from quotes from older participants, as well as from texts that indicate that the findings came from older people. Taken together, this would indicate the need to increase older adults' access to psychological support to cope with emotional and psychological difficulties caused or exacerbated by chronic diseases, while recognizing that this problem may go unnoticed in this population. The results of this review will also be shared with older adults to validate the experiences and views expressed in this review, as well as to identify priority areas of care and support.

This approach was considered appropriate for this review, since the use of an inductive approach before the use of the ICF framework could have overcome some of the limitations associated with the use of standard frameworks for qualitative synthesis. To date, there is a synthesis of limited recent evidence on the care and support needs of older people living with chronic illnesses in the United Kingdom. The lead author (SA) is a doctoral researcher at the Center for Assistive Technology and Connected Healthcare at the School of Health and Allied Research at the University of Sheffield. In addition, Social Care Online (from the Social Care Institute for Excellence) was used to identify items for this review.

Gray literature was also examined by searching the websites of major national health and social care organizations. In a systematic review that investigated the impact of multimorbidity on older people, Marengoni and colleagues reported that functional impairment, poor quality of life and high health care costs are some of the main consequences of living with multimorbid diseases.

Steve Leinen
Steve Leinen

Typical bacon evangelist. Evil web advocate. Hipster-friendly thinker. Wannabe pop culture buff. Typical travel guru. Proud food specialist.

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