Priority 11 from the Seniors' Health (Alberta, Canada) PSP

UNCERTAINTY: In what ways can quality of care in continuing care settings best be improved? (JLA PSP Priority 11)
Overall ranking	11
JLA question ID	0083/11
Explanatory note	Many older people live in nursing homes towards the end of their life. Quality of care given to the most vulnerable older people is in need of improvement and people wanted evidence as to how this might be done most effectively
Evidence	None identified
Health Research Classification System category	Generic health relevance

Extra information provided by this PSP
Original uncertainty examples	Home care services are not only inadequate but due to contracting services out the quality of care is not reliable and at times abusive. ~ Quality of long term care facilities - my mom is in one and they are always short staff (she misses baths, has to eat cold food because staff did not get her up, long waits to go to the bathroom, not being able to access alternative health (supplements) ~ Being able to find a facility that will provide a loving, healthy environment from the front line workers, who are supported totally by their management with an adequate paycheck so that they do not have to run out the door to go to a second job in order to survive. ~ My experiences visiting various long term care facilities leaves me gravely concerned for late stage quality of life.
Submitted by	Health/Social care provider 6, Caregiver 13, Older Adult 2

Extra information provided by this PSP

Original uncertainty examples

Home care services are not only inadequate but due to contracting services out the quality of care is not reliable and at times abusive. ~ Quality of long term care facilities - my mom is in one and they are always short staff (she misses baths, has to eat cold food because staff did not get her up, long waits to go to the bathroom, not being able to access alternative health (supplements) ~ Being able to find a facility that will provide a loving, healthy environment from the front line workers, who are supported totally by their management with an adequate paycheck so that they do not have to run out the door to go to a second job in order to survive. ~ My experiences visiting various long term care facilities leaves me gravely concerned for late stage quality of life.

Submitted by

Health/Social care provider 6, Caregiver 13, Older Adult 2

PSP information
PSP unique ID	0083
PSP name	Seniors' Health (Alberta, Canada)
Total number of uncertainties identified by this PSP.	97 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	13 August 2018