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The assessment of pain in older people: UK national guidelines
- Author:
- SCHOFIELD Pat
- Journal article citation:
- Age and Ageing, 47(suppl 1), 2018, p.i1–i22.
- Publisher:
- Oxford University Press
This guidance highlights the problems in assessing and managing pain in an ever increasing older population. This brings an anticipated increase in the prevalence of chronic pain and with this comes the challenge of assessment of pain in many varied settings. The first iteration of this guideline was published in 2007. But there has been a proliferation of literature and research since then, so this is a a revised set of guidelines based on a systematic review to examine the evidence for the effectiveness of pain assessment strategies in older people with or without cognitive function. The objectives of the review included: exploring the attitudes and beliefs of older people with pain about the assessment of their pain and interactions with carers; evaluating the effectiveness of the assessment of function as a measure of pain in older people; evaluating the effectiveness of self-assessment to quantify pain in older people and determining if changes in pain assessment strategy are required for people with cognitive impairment, mental health or psychological problems. These guidelines provide a range of tools which demonstrate good validity and reliability for clinical practice in assessing pain in older people. (Original abstract)
The assessment of pain in older people
- Authors:
- ROYAL COLLEGE OF PHYSICIANS, BRITISH GERIATRICS SOCIETY, BRITISH PAIN SOCIETY
- Publisher:
- Royal College of Physicians
- Publication year:
- 2007
- Pagination:
- 13p.
- Place of publication:
- London
Pain is under-recognised and under-treated in older people, and the assessment of pain is particularly challenging in the presence of severe cognitive impairments, communication difficulties or language and cultural barriers. This guidance sets out the key components of assessing pain in older people, together with a range of practical scales that can be used with different groups, including those with cognitive or communication impairment. It aims to provide professionals with a set of practical skills to assess pain as the first step towards its effective management. It describes the background and methodology used, key components of an assessment of pain, and types of scale used to assess pain. It also provides a summary of recommendations in the full guidelines covering: pain awareness, pain enquiry, pain description, pain location and intensity, communication, assessment in people with impaired cognition/communication, cause of pain, and re-evaluation. It notes that the basic guidelines should be a routine part of the training and care provision of all healthcare professionals. The appendices include the guideline development process, an algorithm for the assessment of pain in older people, a pain map, and examples of pain scales.
The community mental health framework for adults and older adults
- Authors:
- NHS ENGLAND, NHS IMPROVEMENT, NATIONAL COLLABORATING CENTRE FOR MENTAL HEALTH
- Publisher:
- NHS England
- Publication year:
- 2019
- Pagination:
- 22
- Place of publication:
- Redditch
This Framework describes how the NHS Long Term Plan’s vision for a place-based community mental health model can be realised, and how community services should modernise to offer whole-person, whole-population health approaches, aligned with the new Primary Care Networks. The integrated approach will provide benefits for both service users and staff, though integrated assessment, fewer referrals and more direct contact time between staff and service users. The Framework includes links to resources and good practice examples. It has been in partnership with an Expert Reference Group drawn from a range of disciplines and professions across health, social care, the VCSE sector, community groups, and users and carers. (Edited publisher abstract)
Cultivating neighbourhoods that care: a manifesto for change
- Author:
- AGILE AGEING ALLIANCE
- Publisher:
- Agile Ageing Alliance
- Publication year:
- 2022
- Pagination:
- 128
Contributed to by age, health, care and design experts, policy makers and thought leaders, and drawing on perspectives and best practice from around the world, this report considers how the housing sector can combat loneliness and mental health issues – among younger and older populations – and ease the associated burden on health and social care systems. What is needed is a paradigm shift away from the disparate snakes and ladders style housing archetype; from starter, to family, to retirement homes. To smart building types, capable of adapting to accommodate a growing family, and then supporting an ageing one in later life, in smart technologically enabled multigenerational environments. This can only be achieved by taking account of the needs of the occupant and how they change over time. What’s missing is a commonly agreed view of “what good looks like”, making it hard for regional and local government, developers, and procurers of related products and services, to plan with any degree of confidence. This report contains a true wealth of insights, examples and recommendations designed to help shape a new International Standard – one that focuses on the creation of technically enabled multigenerational neighbourhoods. The development of this standard will enable advancement of a professional discourse on planning multigenerational neighbourhoods for the wellbeing of all, predicated on a set of guiding principles and a voluntary code of conduct. (Edited publisher abstract)
Brain health and mental well-being: GCBH recommendations on feeling good and functioning well
- Author:
- GLOBAL COUNCIL ON BRAIN HEALTH
- Publisher:
- Global Council on Brain Health
- Publication year:
- 2019
- Pagination:
- 34
- Place of publication:
- Washington, DC
This report from the Global Council on Brain Health aims to provide a greater understanding of the relationship between mental well-being and brain health and provide practical recommendations to help people optimise their mental well-being as they age. It summarises the consensus reached by scientists, health professionals, scholars, and policy experts and describes the major points of discussion that led to their recommendations for men and women age 50 and older. The evidence presented shows that feeling good, functioning well and being able cope with life’s challenges are all related to better brain health as we age. Based on the evidence the Global Council on Brain Health state that: greater mental wellbeing is associated with reduced risk of dementia; it is possible to improve your sense of mental well-being, regardless of age or physical condition; and that relating well to others and having good emotional control are key to mental wellbeing. The findings are also supported by the results of a survey of American adults age 18 and older about their perceptions of their own mental well-being and brain health and the ways adults coped with their life stresses. (Edited publisher abstract)
Self-neglect and hoarding: a guide to safeguarding and support
- Author:
- BARNETT Deborah
- Publisher:
- Jessica Kingsley
- Publication year:
- 2018
- Pagination:
- 264
- Place of publication:
- London
Hoarding and self-neglect are estimated to be a factor in 20% of social workers' cases when working with older people or adults with mental health issues. This guide introduces the patterns of self-neglect and how challenging they can be to identify. It offers practical and applicable tools and solutions for all professionals involved in working with people who self-neglect. It includes tips for assessment and decision-making in the support process, and updates following the implementation of the Care Act 2014, which deemed self-neglect a safeguarding matter. (Edited publisher abstract)
Mental health and housing
- Author:
- SAVAGE Jonny
- Publisher:
- Mental Health Foundation
- Publication year:
- 2016
- Pagination:
- 43
- Place of publication:
- London
This study examines how different types of supported accommodation meet the needs of people with mental health problems. Supported accommodation covers a wide range of different types of housing, including intensive 24 hour support, hostel accommodation, and accommodation with only occasional social support or assistance provided. The document focuses on five approaches to providing supported accommodation, including: Care Support Plus; integrated support; housing support for people who have experienced homeless; complex needs; low-level step down accommodation; and later life. The report draws on the expertise of people living and working in these services across England, and presents their views of both building and service related issues. It sets out a number of recommendations, focusing on: quality; co-production; staff recruitment and training; policy informed practice; and resourced, appropriate accommodation. (Edited publisher abstract)
Supporting staff working with people who challenge services: guidance for employers
- Authors:
- SKILLS FOR CARE, NATIONAL DEVELOPMENT FORUM FOR INCLUSION
- Publisher:
- Skills for Care
- Publication year:
- 2013
- Pagination:
- 52
- Place of publication:
- Leeds
This strategic guidance which has been developed in partnership with people, families, employers and commissioners to help with decision making around workforce development in the context of people who may challenge; is aimed at adult social care employers and commissioners working specifically with adults with a range of support and care needs such as older people with conditions across the dementia spectrum, people with mental health and personality conditions, and those with learning disabilities who have particularly complex needs and/or are labelled as challenging services. The guide will help employers with developing competency and expertise in providing support to people who challenge, across different groups. Following an Introduction outlining its purpose, the guide is arranged as follows: organisational actions; building workforce skills and knowledge; using learning tools and resources and identifying the best training solutions; specialist approaches: additional considerations for working with different people (learning disability, autism, mental health, older people, and multiple conditions); and useful contacts. (Edited publisher abstract)
Supporting planning and brokerage with older people and people with mental health difficulties
- Author:
- SANDERSON Helen
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2010
- Pagination:
- 22p.
- Place of publication:
- London
This guide was developed with older people and people with mental health difficulties and their supporters as well as people involved in support planning. It responds to the findings of the Personal budgets pilots’ evaluation, which concluded that more work was required to develop approaches to support planning and brokerage that work for all groups of people rather than just some. The guidance and examples included illustrate effective methods for support planning with older people and people with mental health problems that can be built upon by councils and other stakeholders in their local development of self-directed support. This report identifies 12 key principles of best practice in support planning and brokerage, regardless of whether a local authority is supporting older people or people who have mental health problems. Case studies of service users are presented.
CANE: Camberwell assessment of need for the elderly
- Editors:
- ORRELL Martin, HANCOCK Geraldine
- Publisher:
- Gaskell
- Publication year:
- 2004
- Pagination:
- 127p.
- Place of publication:
- London
CANE: Camberwell Assessment of Need for the Elderly is a tool for assessing the needs of older people and particularly those with mental health problems. It is based on the Camberwell Assessment of Need, a widely used needs assessment for people with severe mental illness. Needs are assessed in 24 areas of life and cover a broad range of health, social and psychological domains. Also included are two items that assess the needs of those who care for the older person. The CANE is a comprehensive assessment instrument, suitable for both research and clinical use. This book contains chapters on its development, and its application in various settings and populations, such as day hospitals, sheltered housing, primary care, acute hospital wards, services for early-onset dementia, and long-term care settings. There are also chapters on its use in Spain and Germany. Both the full version CANE and short version (CANE–S) are included in photocopiable format, along with a detailed manual, a full training programme and scoring guidance.