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Too Old for Freedom? Not Too Late to Try
1a School of Psychology , The University of Queensland , Brisbane , Australia.
Clinical Gerontologist
|March 7, 2019
Summary
Despite decades of research, nursing home care often lacks a person-focused approach. This study proposes adapting the animal welfare "Five Freedoms" to enhance care for older adults, promoting dignity and well-being.
Area of Science:
- Gerontology and Geriatric Care
- Animal Welfare Science
- One Health Initiatives
Background:
- Extensive international research over 50 years highlights persistent deficits in person-focused care for older adults in nursing homes.
- Existing numerous guidelines and models have not fully resolved concerns regarding the quality of care, particularly its person-centeredness.
Purpose of the Study:
- To propose a novel framework for improving care for older adults, particularly in aged care settings and at the end of life.
- To explore the potential of adapting the internationally recognized 'Five Freedoms' from animal welfare for application in human care.
Main Methods:
- Conceptual analysis and argument development.
- Examination of the established 'Five Freedoms' framework in animal welfare.
- Proposing adaptations of these principles for human care within a One Health context.
Main Results:
- Identifies a gap in current care models for older adults, emphasizing the need for intrinsically person-focused principles.
- Suggests that the 'Five Freedoms' offer a potentially valuable, simple, and universally applicable set of guiding principles.
- Outlines how these principles can be integrated into human care, aligning with the holistic One Health approach.
Conclusions:
- A return to basic, person-centered principles is crucial for enhancing the quality of care for older adults in nursing homes.
- The 'Five Freedoms' framework, adapted for human care, presents a promising avenue for improving physical, psychological, and social well-being.
- Adoption of these adapted freedoms aligns with and supports the broader objectives of the One Health framework.
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