Live and Let Live: Residents' Perspectives on Alcohol and Tobacco (mis)use in Residential Care Facilities

Overview

Journal Int J Older People Nurs

Publisher Wiley

Specialties Geriatrics
Nursing

Date 2022 Oct 14

PMID 36229901

Authors

Lisette de Graaf

Tineke Roelofs

Meriam Janssen

Katrien Luijkx

Affiliations

Soon will be listed here.

Abstract

Background: Alcohol and tobacco use could cause health problems in older adults. Older adults who become in need of 24/7 care due to physical and/or neurological disabilities may need to move to a Residential Care Facility (RCF). RCFs aim to provide person-centred care (PCC) to enhance quality of life (QoL) of residents.

Objectives: This study aims to explore perspectives of residents on alcohol and tobacco use, which is essential to provide PCC.

Methods: A qualitative research design was chosen, and semi-structured interviews were conducted. Residents who use alcohol and/or tobacco and those who do not use these substances were purposively selected in two organisations on two types of units: psychogeriatric units and units providing care for residents with mainly physical disabilities. The results were analysed using thematic analysis.

Results: Thematic analysis resulted in five themes: Current use and self-reflection, knowledge and attitudes, addiction or habit, policies and availability, dependency versus autonomy.

Conclusion: Residents in this study value their autonomy regarding alcohol and tobacco use. They experience dependency on their (in)formal caregivers to use these substances and acknowledge that their use could cause a nuisance to others, challenging the ability of caregivers to implement PCC. Future research could assess how to integrate providing PCC to residents by offering choices and autonomy, while considering the addictive component of these substances, health and safety risks for all.

Implications For Practice: This study could help care professionals to become aware of the habits and wishes of residents regarding alcohol and tobacco use and to discuss the possibilities and limitations within RCFs.

Citing Articles

Who's Involved? Case Reports on Older Adults' Alcohol and Tobacco Use in Dutch Residential Care Facilities.

de Graaf L, Janssen M, Roelofs T, Luijkx K Qual Health Res. 2023; 33(11):945-955.

PMID: 37429034 PMC: 10494475. DOI: 10.1177/10497323231186879.

Live and let live: Residents' perspectives on alcohol and tobacco (mis)use in residential care facilities.

de Graaf L, Roelofs T, Janssen M, Luijkx K Int J Older People Nurs. 2022; 18(1):e12508.

PMID: 36229901 PMC: 10078196. DOI: 10.1111/opn.12508.

References

Galluzzo L, Scafato E, Martire S, Anderson P, Colom J, Segura L . Alcohol and older people. The European project VINTAGE: good health into older age. Design, methods and major results. Ann Ist Super Sanita. 2012; 48(3):221-31. DOI: 10.4415/ANN_12_03_03. View

Grossi A, Holmes A, Ibrahim J . Use of Alcohol in Long Term Care Settings: A Comparative Analysis of Personal Choice, Public Health Advice and the Law. J Am Med Dir Assoc. 2020; 22(1):9-14.e1. DOI: 10.1016/j.jamda.2020.08.010. View

Edvardsson D, Winblad B, Sandman P . Person-centred care of people with severe Alzheimer's disease: current status and ways forward. Lancet Neurol. 2008; 7(4):362-7. DOI: 10.1016/S1474-4422(08)70063-2. View

Cummings K, Proctor R . The changing public image of smoking in the United States: 1964-2014. Cancer Epidemiol Biomarkers Prev. 2014; 23(1):32-6. PMC: 3894634. DOI: 10.1158/1055-9965.EPI-13-0798. View

Mitchell G, Agnelli J . Person-centred care for people with dementia: Kitwood reconsidered. Nurs Stand. 2015; 30(7):46-50. DOI: 10.7748/ns.30.7.46.s47. View

Schols J, Crebolder H, van Weel C . Nursing home and nursing home physician: the Dutch experience. J Am Med Dir Assoc. 2004; 5(3):207-12. DOI: 10.1097/01.JAM.0000123031.43619.60. View

Roelofs T, Luijkx K, Embregts P . A person-centered approach to study intimacy and sexuality in residential care facility (RCF) clients with dementia: Methodological considerations and a guide to study design. NeuroRehabilitation. 2017; 41(2):359-373. DOI: 10.3233/NRE-172205. View

Kulak J, LaValley S . Cigarette use and smoking beliefs among older Americans: findings from a nationally representative survey. J Addict Dis. 2018; 37(1-2):46-54. DOI: 10.1080/10550887.2018.1521255. View

Waterschoot K, Roelofs T, van Boekel L, Luijkx K . Care Staff's Sense-making of Intimate and Sexual Expressions of People with Dementia in Dutch Nursing Homes. Clin Gerontol. 2021; 45(4):833-843. DOI: 10.1080/07317115.2021.1928357. View

10.

Bakx P, Wouterse B, van Doorslaer E, Wong A . Better off at home? Effects of nursing home eligibility on costs, hospitalizations and survival. J Health Econ. 2020; 73:102354. DOI: 10.1016/j.jhealeco.2020.102354. View

11.

Fazio S, Pace D, Flinner J, Kallmyer B . The Fundamentals of Person-Centered Care for Individuals With Dementia. Gerontologist. 2018; 58(suppl_1):S10-S19. DOI: 10.1093/geront/gnx122. View

12.

Wilson G, Kaner E, Crosland A, Ling J, McCabe K, Haighton C . A qualitative study of alcohol, health and identities among UK adults in later life. PLoS One. 2013; 8(8):e71792. PMC: 3737127. DOI: 10.1371/journal.pone.0071792. View

13.

Luijkx K, van Boekel L, Janssen M, Verbiest M, Stoop A . The Academic Collaborative Center Older Adults: A Description of Co-Creation between Science, Care Practice and Education with the Aim to Contribute to Person-Centered Care for Older Adults. Int J Environ Res Public Health. 2020; 17(23). PMC: 7730904. DOI: 10.3390/ijerph17239014. View

14.

McCormack B, McCance T . Development of a framework for person-centred nursing. J Adv Nurs. 2006; 56(5):472-9. DOI: 10.1111/j.1365-2648.2006.04042.x. View

15.

Van der Meulen A, Hermsen M, Embregts P . Restraints in daily care for people with moderate intellectual disabilities. Nurs Ethics. 2016; 25(1):54-68. DOI: 10.1177/0969733016638141. View

16.

Tiwari R, Sharma V, Pandey R, Shukla S . Nicotine Addiction: Neurobiology and Mechanism. J Pharmacopuncture. 2020; 23(1):1-7. PMC: 7163392. DOI: 10.3831/KPI.2020.23.001. View

17.

Dreher-Weber M, Laireiter A, Kuhberger A, Kunz I, Yegles M, Binz T . Screening for Hazardous Drinking in Nursing Home Residents: Evaluating the Validity of the Current Cutoffs of the Alcohol Use Disorder Identification Test-Consumption Questions by Using Ethyl Glucuronide in Hair. Alcohol Clin Exp Res. 2017; 41(9):1593-1601. DOI: 10.1111/acer.13449. View

18.

VanDerNagel J, Kiewik M, van Dijk M, Didden R, Korzilius H, van der Palen J . Substance use in individuals with mild to borderline intellectual disability: A comparison between self-report, collateral-report and biomarker analysis. Res Dev Disabil. 2016; 63:151-159. DOI: 10.1016/j.ridd.2016.04.006. View

19.

de Graaf L, Roelofs T, Janssen M, Luijkx K . Live and let live: Residents' perspectives on alcohol and tobacco (mis)use in residential care facilities. Int J Older People Nurs. 2022; 18(1):e12508. PMC: 10078196. DOI: 10.1111/opn.12508. View

20.

Li J, Porock D . Resident outcomes of person-centered care in long-term care: a narrative review of interventional research. Int J Nurs Stud. 2014; 51(10):1395-415. DOI: 10.1016/j.ijnurstu.2014.04.003. View