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SCIE research briefing 3: aiding communication with people with dementia
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
- Edition:
- Rev. ed.
A web-based briefing providing a concise summary of the current knowledge base on aiding communication with people with dementia. Coverage includes ethical considerations, views of service users and carers, innovative practice examples and implications for practice. Also highlights additional contacts and resources. The briefing was commissioned by the Social Care Institute for Excellence (SCIE). The latest edition of this Briefing was produced in April 2005 and the next updated is due in April 2006.
Hospital at home is a good option for many older people
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2022
- Place of publication:
- London
Summarises the findings from a study that explored whether hospital at home, led by a geriatrician, would allow older people to remain in their homes for longer, compared with hospital care. The study explored the costs of the service (compared to hospital care) and whether it helped people to recover from illness. The team interviewed older people and their caregivers to assess their experiences of the two services. The study included 1,000 people in 9 locations across the UK. It included people aged 65 years and older who were being considered for a hospital admission. One group of participants was admitted to hospital, the other received hospital at home (homecare). Homecare included a complete geriatric assessment along with care from different NHS specialists. All participants had access to hospital-based services when needed (including admissions), and primary care. Six months later, people in both groups were similarly likely to be living at home (79% homecare; 75% hospital). This was also true at 12 months (66% homecare; 67% hospital). The study also found that: a similar proportion of each group had died at 6 and 12 months; slightly fewer people in the homecare group were admitted for long-term residential care at 6 and 12 months; both groups had similar problems with memory and concentration (cognitive impairment) and carrying out daily activities at 6 months; people in the homecare group had less risk of sudden confusion (delirium) at 1 month follow-up than the hospital group; people in the homecare group were more likely to be transferred to hospital after 1 month, though by 6 months transfers to hospital were similarly likely in both groups. (Edited publisher abstract)
SCIE research briefing 34: communication training for care home workers: outcomes for older people, staff, families and friends
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Pagination:
- 16p.
- Place of publication:
- London
This briefing draws on a range of UK and internationally published research to look at training to improve nursing and residential care workers' communication skills. This research asks: What sort of topics does ‘training in communication skills’ cover? What teaching and learning methods can be used to deliver training? Does training lead to improvements in knowledge? Does training improve the way that staff in nursing and care homes communicate with older people, their family carers and friends? Do residents and family carers think that training has resulted in improvements to the quality of care that they receive? What incentives and reinforcements can be used to help staff continue to apply what they have learned during training? Implications from the research for organisations, the policy community, practitioners and people who use services and their carers are briefly discussed. More studies looking at the effects of training in the long term and more drawing on the perspectives of older people and carers are needed.
SCIE research briefing 10: terminal care in care homes
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
- Edition:
- Rev. ed.
A web-based briefing providing a concise summary of the current knowledge base on the provision of care to terminally ill older people aged 65 and over within care homes settings. The briefing divides the knowledge available into organisational knowledge, policy community knowledge, practitioner knowledge, research knowledge, and user and carer knowledge. Highlights additional contacts and resources and includes links to the full text of documents. The document was commissioned by the Social Care Institute for Excellence (SCIE).
Continence, dementia, and care that preserves dignity
- Authors:
- IMISON Candace, KWINT Jemma
- Publisher:
- National Institute for Health Research
- Publication year:
- 2022
- Place of publication:
- London
This themed review brings together the evidence on dementia and continence problems. Continence problems can have a profound and distressing impact on the lives of people living with dementia and their carers. There is evidence of an over-reliance on "containment" and the use of products such as pads. Staff in all settings often lack training, not only to promote continence but to manage incontinence sensitively and well. Recent evidence highlights the demeaning language and behaviour among some hospital staff. The review explores the impact of continence problems on people living with dementia and their carers; strategies to support continence in people living with dementia; the evidence on improving continence care for people living with dementia at home; the evidence on improving continence care for people living with dementia in care homes; and the evidence on improving continence care for people living with dementia in hospital. The paper concludes with a set of key messages for policy makers and commissioners, service providers, care regulators and the NIHR, calling for the prioritisation of continence care in all settings as a key component of high quality care. (Edited publisher abstract)
Effective involvement of older people in service planning
- Author:
- RESEARCH IN PRACTICE FOR ADULTS
- Publisher:
- Research in Practice for Adults
- Publication year:
- 2007
- Place of publication:
- Dartington
This Evidence Cluster focuses on the involvement of older people in the planning and development of social care services at a local level. It examines the evidence as to whether this has an impact on how services are delivered. Key factors to be considered when involving older people in service planning are highlighted. National initiatives are not discussed, and papers published prior to 1997 are not included.
How can we reduce the toll of loneliness in older adults?
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2021
- Place of publication:
- London
This alert brings together key findings on loneliness in older adults, to build a picture of what is known, and what is needed, to address the problem. The briefing covers: What is loneliness? How loneliness takes a heavy toll on health; How to address loneliness in the community; How professionals can help people in the community; How families and friends can help; Addressing loneliness in care homes; and How care staff can help. Key messages: research suggests that almost one in three people over 75 – and almost two in three carers of people with dementia - are lonely; the need to see older people as individuals; just two minutes extra with each older patient could make interactions more meaningful. Research also points to difficulties in introducing change. It suggests that care home staff need ongoing support to bring in new programmes to engage elderly residents. Future research will also be needed to explore loneliness among diverse groups in the population. Conclusion: a concerted effort to reduce loneliness in older adults would bring long-term benefits to the physical health of the population. It would also make a difference immediately to those people and their carers. (Edited publisher abstract)
Supporting people with long-term conditions (LTCs) during national emergencies
- Authors:
- HARTMANN-BOYCE Jamie, MAHTANI Kamal R
- Publisher:
- University of Oxford, Centre for Evidence-Based Medicine
- Publication year:
- 2020
- Place of publication:
- Oxford
This paper reviews the evidence on management of long-term conditions during pandemics and national emergencies, evaluates the indirect risks posed by these situations, and summarises the strategies proposed to mitigate these risks. The paper finds that disruption of care, diversion of healthcare resources, and interruptions to medical supplies can all impact patients with long term conditions during national emergencies. Some long-term conditions may be further exacerbated by increased stress and changes in diet and activity patterns. The data particularly highlights cardiovascular disease, diabetes, older people and people in deprived areas as being at increased risk. Suggestions for mitigation strategies can be grouped into planning and response phases, and broadly focus on collaboration, communication, and continuity planning. Such consideration may be needed during the current conronavirus (Covid-19) pandemic. (Edited publisher abstract)
Preventing respiratory illness in older adults aged 60 years and above living in long-term care
- Authors:
- RIOS Patricia, et al
- Publisher:
- University of Oxford, Centre for Evidence-Based Medicine
- Publication year:
- 2020
- Place of publication:
- Oxford
This rapid overview of reviews identifies evidence from systematic reviews on infection protection and control measures for preventing respiratory illness (including coronavirus and influenza) in older adults aged 60 years and above living in long-term care. The results of the included systematic reviews suggest that high quality evidence supports treating residents with antiviral chemoprophylaxis with adamantine, as well as adamantine in combination with personal protective equipment. For the rest of the strategies, there was either no evidence of effectiveness (e.g., social isolation) or mixed evidence of effectiveness (e.g., rimantadine, zanamivir, hand hygiene, personal protective equipment). The mixed evidence on hand hygiene and use of personal protective equipment does not imply these should not be used in outbreaks. (Edited publisher abstract)
Preventing loneliness and social isolation in older people
- Author:
- COLLINS Emma
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Place of publication:
- Glasgow
This Insight looks specifically at the prevention of isolation and loneliness amongst older people, with a particular focus on what practitioners in the fields of health and social care should bear in mind when working to tackle this important and growing issue. It highlights the findings from past research and and evidence about what works, summarises the key characteristics of successful interventions, looks at how they relate to the prevention agenda, and the particular role health and social care professionals can play. (Edited publisher abstract)