Multidisciplinary team's experiences caring for older adults in the Therapeutic Residential Service.
Aldair Weber, Giulia Delfini, Joaquim Manoel de Oliveira Lopes and 1 others
PMID 42484194WHAT IT FOUND
Staff caring for older adults in therapeutic housing described rewarding personal bonds but also fear, burnout and barriers to individual plans from short staffing, money and aging; they wanted home-like autonomy support.
Key findings
01Professionals described daily care as rewarding through hygiene, medication, feeding and activities, but also distressing because insults, illness, death and transfers caused feelings of loss.
02They said staff shortages, financial limits, burnout and aging-related care limits made individual therapeutic plans hard to implement.
03Participants wanted care that was not protocol-driven, encouraged autonomy, and improved daily routines such as residents’ diet.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
It included staff members from only a few services in one municipality, so it may not represent other teams or regions. Participants were professionals, not older residents, so their experiences may not match residents’ own views. Snowball sampling through managers may favour trusted or available staff. The study did not measure patient outcomes, service effectiveness or whether individual care plans improved care. Researchers worked in mental health services in the same municipality, which may influence interpretation.
Declared interests
This study was financed in part by CAPES. The text does not report other conflicts of interest.
The easy way to misread this
Do not read this as evidence that therapeutic residential housing, individual care plans or diet changes improve older adults’ outcomes. It reports staff members’ experiences and intentions, not patient results.