Browsing by Author "Tucker, Gretchen G."
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Item Assessing Unmet Dementia-Related Care Needs of Informal Care Partners for Persons with Dementia by Spousal Status(2023) Tucker, Gretchen G.; Gruber-Baldini, Ann; Samus, Quincy; Girling, Laura; Eckert, J. Kevin; Wallace, Brandy; Orwig, DeniseBackground: 80% of persons with dementia reside in the community and are cared for by family and friends considered informal care partners (ICPs) • Research on ICPs for people with dementia has focused on spousal care partners and mother-daughter dyads. • There is a paucity of information on non-spousal ICPs, particularly male non spousal ICPs. Objective: Evaluate differences in the type and frequency of unmet dementia related care needs between spousal and non-spousal ICPs by gender and race.Item Person-Centered Care in Nursing Homes: Many Stakeholders, Many Perspectives(Healio, 2021-01-22) Kusmaul, Nancy; Tucker, Gretchen G.Nursing home culture change moves facilities towards person-centered care. This study examined how people in different roles experienced choice and autonomy in four areas addressed by culture change: consistent assignment, food choice, waking/bedtime routines, and bathing. This descriptive qualitative study included 32 participants from one continuing care retirement community: 10 residents, eight family members, nine direct care workers, and five managers. Interviews were audiotaped, transcribed verbatim, and coded. Codes were grouped around the practice areas and cross-cutting themes. All groups reported choice in all areas. Challenges arose when patient choice and nursing home functions conflicted. Stakeholders disagreed when care needs should supersede choice. Findings suggest that it is difficult to balance resident choices 1) with the diverse needs/wants of other residents and 2) safety. Leaders, such as nurse managers, should provide ongoing education to residents, family, and staff to help them negotiate these challenges.