Understanding and supporting safe walking with purpose among people living with dementia in extra care, retirement and domestic housing
ISSN: 1460-8790
Article publication date: 6 July 2020
Issue publication date: 12 August 2020
Abstract
Purpose
The purpose this paper is to explore walking with purpose in extra care, retirement and domestic housing settings to better understand and support people living with dementia in these settings, develop recommendations and inform practice.
Design/methodology/approach
A mixed-methods study was used: scoping literature review; online survey of extra care and retirement housing managers in the UK; case studies involving interviews with staff and family carers (n = 14) of ten individuals who engaged in walking with purpose in the different housing settings.
Findings
Although residents who walk with purpose constitute a minority (0–2 residents), managing walking with purpose can be challenging and time consuming. Distraction or redirection was the most common response. Other strategies included identifying the resident’s motivations and accommodating their wishes or walking with them. Culture of care, staff training and dementia-friendly design are keys to effective support for safe walking with purpose. Responses to walking with purpose in the domestic housing settings have raised serious deprivation of liberty issues.
Research limitations/implications
This study had a number of limitations. The completed survey questionnaires represent a self-selected sample of extra care and retirement housing settings, and responses are based on the perceptions of the staff members completing the survey. There were a relatively small number of case study sites (three extra care housing and three retirement housing), and it was not possible to interview family members for all of the residents who walked with purpose.
Originality/value
This study provides unique data on walking with purpose in extra care and retirement housing setting in the UK.
Keywords
Acknowledgements
This study was commissioned and funded by Housing 21 that also facilitated contact with the managers at potential case study sites. We would like to thank all the family carers, staff and managers at the case study sites who took part in the interviews for giving up their time and sharing their views and experiences.
Citation
Barrett, J., Evans, S. and Pritchard-Wilkes, V. (2020), "Understanding and supporting safe walking with purpose among people living with dementia in extra care, retirement and domestic housing", Housing, Care and Support, Vol. 23 No. 2, pp. 37-48. https://doi.org/10.1108/HCS-03-2020-0004
Publisher
:Emerald Publishing Limited
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