Search results for ‘Subject term:"mental health problems"’ Sort:
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Meeting NSF standards through partnership
- Author:
- WIGHTMAN Suzanne
- Journal article citation:
- Journal of Dementia Care, 13(1), January 2005, pp.8-9.
- Publisher:
- Hawker
Describes a project to improve care for older people with mental health needs in an acute hospital.
Areas of doubt
- Authors:
- MANGER Derek, OPPENHEIMER Catherine
- Journal article citation:
- Social Work Today, 2.11.89, 1989, p.23.
- Publisher:
- British Association of Social Workers
Considers some of the ethical problems which can arise over hospital admissions for the elderly mentally ill.
Older and wiser: findings from our unannounced visits to NHS continuing care wards
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2007
- Pagination:
- 16p.
- Place of publication:
- Edinburgh
A report of visits to 16 continuing care wards across Scotland by the Mental Welfare Commission for Scotland is presented. Some of the wards were also used to assess individuals’ care needs before they were moved to other care settings. Many of the people who are patients in these wards have dementia, but some have other types of mental illnesses and many have physical illnesses associated with old age. The visits were unannounced and took place in the early evening. Each ward was visited by 2 or 3 Commission staff who met with patients and any relatives or carers who were present. Information given to patients and relatives, the quality of the environment, privacy and dignity, assessment of care needs, awareness of national clinical guidelines, use of life histories, use of restraint, physical health care, and activities are discussed. Key messages for service providers are outlined.
The Mental Health Act 1983 - the application of the act: admission to hospital and emergency intervention
- Authors:
- McDONALD Ann, TAYLOR Margaret
- Journal article citation:
- Elders the Journal of Care and Practice, 4(1), February 1995, pp.27-35.
The first of three articles examining the working of the Mental Health Act 1983 in relation to older people looks at the epidemiology of mental disorder in older people, and considers issues concerning admission to hospital and emergency intervention.
Day hospitals: the case in favour
- Author:
- HOWARD Robert
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(7), July 1994, pp.525-529.
- Publisher:
- Wiley
Argues that the day hospital constitutes an integral and valued component of the old age psychiatry service provided by the majority of units in the United Kingdom.
The day hospital in old age psychiatry: the case against
- Author:
- FASEY Christopher
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(7), July 1994, pp.519-523.
- Publisher:
- Wiley
The day hospital in old age psychiatry has many supporters. Suggests there is an opposing view and that more hard data are required before the argument is resolved. Other models of care are mentioned which may be equally valid, comparison between different models is needed.
The utility of the clock drawing test in detection of delirium in elderly hospitalised patients
- Authors:
- ADAMIS Dimitrios, et al
- Journal article citation:
- Aging and Mental Health, 20(9), 2016, pp.981-986.
- Publisher:
- Taylor and Francis
Objectives: Delirium is common neuropsychiatric condition among elderly inpatients. The clock drawing test (CDT) has been used widely as bedside screening tool in assessing cognitive impairment in elderly people. Previous studies which evaluate its usefulness in delirium reported conflicting results. The objective of this study was to evaluate the utility of CDT to detect delirium in elderly medical patients. Method: Prospective, observational, longitudinal study. All acute medical admissions 70 years of age and above were approached within 72 hours of admission for recruitment. Patients eligible for inclusion were assessed four times, twice weekly during admission. Assessment included Confusion Assessment Method (CAM), Delirium Rating Scale (DRS-98R), Montreal Cognitive Assessment (MoCA), Acute Physiology and Chronic Health Evaluation II (APACHE) II, and CDT. Data was analysed using a linear mixed effect model. Results: Three hundred and twenty-three assessments with the CDT were performed on 200 subjects (50% male, mean age 81.13; standard deviation: 6.45). The overall rate of delirium (CAM+) during hospitalisation was 23%. There was a significant negative correlation between the CDT and DRS-R98 scores (Pearson correlation r = −0.618, p < 0.001), CDT and CAM (Spearman's rho = −0.402, p < 0.001) and CDT and total MoCA score (Pearson's r = 0.767, p < 0.001). However, when the data were analysed longitudinally controlling for all the factors, we found that cognitive function and age were significant factors associated with CDT scores (p < .0001): neither the presence nor the severity of delirium had an additional significant effect on the CDT. Conclusion: CDT score reflects cognitive impairment, independently of the presence or severity of delirium. The CDT is not a suitable test for delirium in hospitalised elderly patients. (Publisher abstract)
Assessing hand hygiene in older people's care settings
- Authors:
- MacKENZIE Lorna, et al
- Journal article citation:
- Nursing Times, 12.8.08, 2008, pp.30-31.
- Publisher:
- Nursing Times
This study aimed to evaluate whether sufficient attention is paid to patient hand hygiene in older people's care settings. One hundred and fourteen staff in mental health care settings for older people - two NHS inpatient units and five private care facilities in the north of England. An eight-item questionnaire was used. The findings indicated staff believe that good patient hand hygiene is important but do not frequently assist patients who have physical and cognitive impairment to wash their hands after visits to the toilet or before meals. While the study was set in the north of England, the authors found evidence that these findings could be generalised across the UK.
Spiritual advisors and old age psychiatry in the United Kingdom
- Authors:
- LAWRENCE Robert M., et al
- Journal article citation:
- Mental Health Religion and Culture, 11(3), April 2008, pp.273-286.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This survey investigates the role and views of NHS spiritual advisors across the United Kingdom on the provision of pastoral care for elderly people with mental health needs. The College of Health Care Chaplains provided a database, and questionnaires were sent to 405 registered NHS chaplains/spiritual advisors. The response rate was 59%. Quantitative and qualitative analyses were carried out. Spiritual advisors describe their working patterns and understanding of their roles within the modern NHS, and their observations of the level of NHS staff awareness of the importance of spiritual issues in the mental health care of older adults. They provide insights into possible negative and positive perceptions of their roles at a service level, and contribute suggestions of topics relevant to shared education between pastoral care and clinical services. This survey further highlights ethical and operational dimensions at the point of integration of the work of spiritual advisors and multidisciplinary teams.
Another view of Rowan ward
- Author:
- JOLLEY David
- Journal article citation:
- Journal of Adult Protection, 6(4), December 2004, pp.33-35.
- Publisher:
- Emerald
The Commission for Health Improvement report on Rowan ward, Withington Hospital, Manchester made disturbing reading. But until recently the building had a proud history, described here.