2 - Determinants of Quality of Life in Institutions: Perceptions of Frail Older Residents, Staff, and Families

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This chapter describes the background, methods, and the findings of the investigation into quality of life. Perceptions of residents, staff, aides, and family members will be compared in order to better understand how they define quality of life and to ascertain the values that they give to various factors. The information could aid both practitioners and researchers in identifying. The chapter focuses specifically on the quality of life in the institution as seen through the perspectives of residents, staff, nurses' aides, and families. Multiple domains were examined, including the therapeutic environment, the physical environment, the social environment, and those domains internal to the self, that is, abilities, autonomy, and morale. The chapter highlights information to make recommendations for designing, planning, and improving procedures in long-term care facilities, and it stimulates ideas and discussions for future research on the topic areas of disagreement, in recognizing problem areas, and in devising possible solutions.

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