Search results for ‘Subject term:"older people"’ Sort:
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Person-centred future planning
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publishers:
- Social Care Institute for Excellence, National Institute for Health and Care Excellence
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- London
A quick guide to help practitioners to support people growing older with learning disabilities when they are planning for the future. The guide covers person-centred planning for now, core principles for planning for the future; creating a future plan; and planning for future housing. The content is based on the NICE guideline on 'Care and support of people growing older with learning disabilities.' The quick guide is available as a pdf and as an interactive web resource. (Edited publisher abstract)
Who knows best? Older people's contribution to understanding and preventing avoidable hospital admissions
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2016
- Pagination:
- 18 mins 50 secs
- Place of publication:
- London
This video summarises the key findings of a research project conducted by the University of Birmingham’s Health Services Management Centre and the Department of Social Policy and Social Work which interviewed 104 older people about their emergency admissions to hospital. The research looked at how the older people were admitted to hospital, whether they felt this was the best place for them and what alternatives might have been explored. Similar questions were also asked of a GP and / or hospital doctor representing as many of these older people as possible. Overall, the study found that most older people were admitted to hospital appropriately. Only nine of 104 older people (almost 9%) felt that hospital was not the right place for them. Key findings covered in the video include: delays in seeking help; prevention and early intervention; poor communication; proactive initial approaches; working with GPs and paramedics; and the underfunding of social care. (Edited publisher abstract)
Dignity in care: nutrition for older people at home
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 10 minutes 23 seconds
- Place of publication:
- London
This film highlights the role of good nutritional care and hydration for older people living in their own homes. Food and mealtimes are very important to older people. Listening to what older people wish to eat and by preparing fresh food, the meal time experience can be enhanced. This film was previously available under the title 'Nutritional care for older people.' (Edited publisher abstract)
Personal budgets briefing: learning from the experiences of older people and their carers
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2011
- Pagination:
- 6p.
- Place of publication:
- London
This briefing provides a summary of older people's and carers experiences of using self-directed support and personal budgets. It is based on a six month study commissioned from a joint team from Acton Shapiro, the National Centre for Independent Living (NCIL) and the Social Policy Research Unit (SPRU). The briefing covers moving to a personal budget, deciding on personal budget, being assessed, resource allocation, support planning, ways of holding a personal budget, obtaining support, the role of carers, management of the personal budget, the role of external organisations and monitoring arrangements.
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)
Living longer: caring in later working life: examining the interplay between caring and working in later life in the UK
- Author:
- OFFICE FOR NATIONAL STATISTICS
- Publisher:
- Office for National Statistics
- Publication year:
- 2019
- Place of publication:
- London
As the UK population gets older, an increasing number of workers are providing care towards the end of their working life for family members. One in four older female workers, and one in eight older male workers, have caring responsibilities. In this article, we look further at the differences between men and women who work and care, and how who is being cared for drives the number of hours a carer provides and their ability to work. Nearly three in five carers in England and Wales are aged 50 years and over, and one in five people aged 50 to 69 years are informal carers – this is the most common age group for having caring responsibilities. A substantial proportion of older workers already balance work with caring responsibilities, particularly women: almost one in four (24%) female workers care, compared with just over one in eight (13%) male workers. There is also still a societal expectation for women, rather than men, to take on caregiving roles. Most of the care that men provide is to their spouse or parents, whereas women are more likely to provide care to a broader range of people including non-relatives. Overall, parents are the most common recipient of care by those of older working ages (29% of informal carers provide care to parents). People caring for parents are more likely to be in work than people caring for any other type of person. (Edited publisher abstract)
Meeting housing demand: 1st report of session 2021-22
- Author:
- GREAT BRITAIN. House of Lords. Built Environment Committee
- Publisher:
- Great Britain. Parliament. House of Lords
- Publication year:
- 2022
- Pagination:
- 108
- Place of publication:
- London
This report investigates the demographic and other trends shaping demand for new housing and considers how barriers to meeting demand can be overcome. It sets out the key factors shaping housing demand, including demographic trends (Chapter 2) and the expected shifts in the housing type and tenures required to accommodate these changes (Chapter 3). It then considers what can be done to address the depletion of small and medium-sized enterprise (SME) housebuilders (Chapter 4) and how hurdles to meeting housing demand can be addressed. The report looks at the planning system (Chapter 5) and local government (Chapter 6) and considers what could be done to ensure the right types of homes can be built where they are needed. The report makes recommendations on how skills shortages can be addressed in the construction, planning, design and other industries (Chapter 7). Finally, the report considers how to promote quality new builds and encourage good design (Chapter 8). Key points highlighted in the report include: SMEs should be supported by reducing planning risk, making more small sites available, and increasing access to finance; the country needs more specialist and mainstream housing suitable for the elderly; more up-to-date local plans are needed, and these need to be simpler, clearer, and more transparent; skills shortages must be addressed, through broadening the base of talent, upskilling and reskilling, including for the green skills needed to address climate change. Government must change its approach to spending on housing. Over time the money spent on housing benefit should be invested in increasing the social housing stock. Right to Buy schemes are not good value for money: increasing the housing supply would be a more effective use of funding. The report focusses on England, as housing policy and the planning system are devolved. (Edited publisher abstract)
Managing medication: older people and their families need support to deal with the hidden burden of medication
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
Being prescribed many medicines places a huge, often hidden, burden on older people in the community and on their families or carers. This affects whether older people take medicines incorrectly or not at all, which puts them at risk of harm and wastes medicine. The MEMORABLE (Medication Management in Older people: Realist Approaches Based on Literature and Evaluation) study aimed to understand the difficulties patients have in managing medication. To consider various points of view, researchers interviewed health and social care professionals, older people and family carers. They also reviewed scientific papers on the subject. One of the key findings was that medication management places a large burden on older people and family carers and that this burden is often hidden. The study recommends that doctors, pharmacists and nurses consider burden when prescribing or changing medicines. The researchers identified key areas of difficulty that could be tackled with simple interventions. One, a short questionnaire or aid, would help identify older people who are struggling. A second, a patient-led, personalised record, could help inform shared decision-making about medicines. The researchers identified five burdens that occur at medicine review and suggested ways of tackling these burdens: ambiguities – could be partly dealt with by clarifying the purpose and content of medicine reviews; concealment issues – increasing the personalised information given to older people and carers could increase their feelings of being in control and coping; unfamiliarity – addressed by seeing the same practitioner, establishing continuity and developing trust; fragmentation – could be reduced by improving collaboration between and across health and social care services; exclusion – could be reduced by taking the opinions of older people and informal carers into account via shared decision-making. (Edited publisher abstract)
Care home residents on multiple medications have an increased risk of falling
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH
- Publisher:
- National Institute for Health Research
- Publication year:
- 2020
- Place of publication:
- London
Falls among residents in UK care homes are commonplace. A new study examined whether multiple medications and drugs that act on the brain may contribute to the risk. The research, which included 84 UK care homes, found that residents taking multiple medicines had an increased risk of falling. Risk was also increased with a regular prescription for antidepressants or benzodiazepines (sedative drugs). Two-thirds of the residents in the study were living with dementia. Researchers suggest that care homes should emphasise non-drug approaches such as massage, music or art therapies. These interventions could help residents with depression and common symptoms of dementia such as agitation or sleep disturbance. Over a three-month period, the study found that: almost one in three residents (519 or 31%) had one or more falls; the risk was higher in those taking antidepressants and sedatives; older residents were more likely to fall than their younger counterparts; men had more falls than women; residents with dementia had 75% more falls than those without dementia. (Edited publisher abstract)