Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 88
Understanding support networks and community care: network assessment for elderly people
- Author:
- WENGER G. Clare
- Publisher:
- Avebury
- Publication year:
- 1994
- Pagination:
- 131p.,tables,bibliog.
- Place of publication:
- Aldershot
Research report presenting an account of the development of a network type assessment instrument which would enable community care workers to predict responses of older people living in the community to the problems which befall them, the services that would be the most appropriate and how they would respond to service intervention.
Clinical gerontology: a guide to assessment and intervention: instructor's manual
- Author:
- BRINK T.L
- Publisher:
- Haworth Press
- Publication year:
- 1986
- Pagination:
- 78p.
- Place of publication:
- New York
Addressing individual differences in mobility transition counseling with older adults
- Authors:
- BERG-WEGER Marla, MEUSER Thomas M., STOWE James
- Journal article citation:
- Journal of Gerontological Social Work, 56(3), 2013, pp.201-218.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article reports on the final phase of a three-phase project examining issues related to age-related mobility transition preparedness. The goal of the third phase was to examine properties and correlates of the clinical assessment tool 'Assessment of Readiness for Mobility Transition' (ARMT) in a second, community-based sample of 133 older adults, with emphasis on variables relevant to social work assessment and intervention. Concurrent validity was supported. Higher readiness to cope with mobility transition and self-confidence related to fall risk, higher self-rated health/vision, and fewer maladaptive behaviours, but not social support/adaptive coping, suggesting that those at risk can benefit from person-centered intervention to mobilize strengths for transportation/mobility planning. Older drivers may harbour unrealistic expectations regarding nonfamily mobility support. Implications for practice, education, research, and policy are presented. (Edited publisher abstract)
Care coordination: translating policy into practice for older people
- Authors:
- SEDDON Diane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 14(2), 2013, pp.81-92.
- Publisher:
- Emerald
The findings from research on the implementation of Unified Assessment (UA) policy and the work of care coordinators who oversee the delivery of support to older people with complex needs are presented. The research used a mixed methods approach that included staff interviews (n=95) and focus groups (n=3) spanning eight local authority areas; one in North, Mid and South Wales. The care coordinator role is controversial and the lack of common terminology across health and social care obscures its importance. It is seen as a social care responsibility. Limited ownership amongst healthcare professionals leads to tensions in practice. The challenges of breaking down silo thinking embedded in established professional practices are highlighted as are infrastructural and capacity deficits. Disparities between policy intentions and practice means that UA is failing to meet core objectives relating to the delivery of seamless support. Practice implications identified are that practice development may be supported by: guidelines that are more prescriptive and include a formal role definition; joint training to promote shared understanding of key concepts; investment in administrative and IT infrastructures; and more coordinated direction at strategic level. (Edited publisher abstract)
Assessing and helping carers of older people
- Authors:
- CAMERON I. D., et al
- Journal article citation:
- British Medical Journal, 24.9.11, 2011, pp.630-633.
- Publisher:
- British Medical Association
Drawing on recent guidelines and research this clinical review presents recent knowledge and practice on assessing and helping older carers. The review has sections on: how carers should be identified; how a carer assessment should be undertaken; useful interventions to support carers; and the major challenges facing clinicians regarding assessment. Short case scenarios are used to illustrate the issues.
How to ensure acute pain in older people is appropriately managed
- Author:
- BANICEK Jasmina
- Journal article citation:
- Nursing Times, 27.7.10, 2010, pp.14-17.
- Publisher:
- Nursing Times
The assessment of acute pain in older people is examined, including older people with cognitive impairment or dementia. Drug interventions are discussed in detail. The growing importance of non-pharmacological interventions for treating pain are also mentioned.
Recognising and preventing delirium
- Authors:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publishers:
- National Institute for Health and Care Excellence, Social Care Institute for Excellence
- Publication year:
- 2017
- Pagination:
- 4
- Place of publication:
- London
A quick guide to help care home managers and their staff to recognise the symptoms of delirium and to understand what they can do to prevent it. The guide covers: risk factors for delirium, recognising delirium, preventing delirium, and sharing information with the person and their family. The guide will be useful for staff training. (Edited publisher abstract)
Loneliness: the present and the future
- Authors:
- PATEL Rishi S., WARDLE Kate, PARIKH Rajkumar J.
- Journal article citation:
- Age and Ageing, 48(4), 2019, p.476–477.
- Publisher:
- Oxford University Press
An enquiry into loneliness and social isolation should be an integral part of the comprehensive geriatric assessment. Loneliness can have negative effects on the psychological and physical health of an older adult. The presence of loneliness is associated with cognitive impairment, decreased mobility and increased difficulties with activities of daily living. Charitable campaigns, such as the Campaign to End Loneliness, are raising the awareness of this important issue. The perception of loneliness can be altered, with social and psychological interventions holding an important role in improving an individuals’ perception of loneliness. Voluntary sector initiatives are providing promising solutions to combat loneliness but closer collaboration between voluntary organisations and community services is required. In order to influence the existing strategy and public policy, further studies are required to assess the effectiveness of interventions aimed at improving the harms that arise from loneliness. (Edited publisher abstract)
The prevention and management of falls in the community: a framework for action for Scotland 2014/2015
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2014
- Pagination:
- 30
- Place of publication:
- Edinburgh
Drawing on published research and guidance and the practical experience of health and social care professionals, this framework identifies and describes key actions to help prevent falls in the community in Scotland. Actions are provided for each of the four stages of the care pathway: supporting health improvement and self-management to reduce risk; identifying individuals at high risk of falls; responding to and individual who has just fallen and requires immediate assistance; and coordinated management, including specialist assessment. The actions represent the minimum standard of care an older person should expect to receive in Scotland. It provides a useful road map for developing a falls pathway and encourages and integrated approach between health, social care and the idependent sector. (Original abstract)
Evaluation of an agency-based occupational therapy intervention to facilitate aging in place
- Authors:
- SHEFFIELD Chava, SMITH Charles A., BECKER Mary
- Journal article citation:
- Gerontologist, 53(6), 2013, pp.907-918.
- Publisher:
- Oxford University Press
Purpose: The United States faces a growing population of older adults and accompanying functional disabilities, coupled with constrained public resources and diminishing informal supports. A variety of interventions that aim to improve client outcomes have been studied, but to date, there is limited translational research that examines the efficacy of moving such interventions from clinical trials to agency settings. Methods: A randomized controlled trial was conducted to evaluate a restorative occupational therapy intervention relative to “usual care” among community-dwelling older adults. The intervention included a detailed assessment from a person–environment perspective and provision of adaptive equipment and home modifications where appropriate. The intervention (n = 31) and control groups (n = 29) were evaluated at 3 months and assessed for changes in functional status, home safety, falls, health-related quality of life (HRQoL; EQ5D), depression, social support, and fear of falling; a 4 subgroup analysis also examined outcomes by waiting list status. An informal economic evaluation compared the intervention to usual care. Results: Findings indicated improvements in home safety (p < .0005, b = −15.87), HRQoL (p = .03, b = 0.08), and fear of falling (p < .05, b = 2.22). Findings did not show improvement in functional status or reduction in actual falls. The intervention resulted in a 39% reduction in recommended hours of personal care, which if implemented, could result in significant cost savings. Implications: The study adds to the growing literature of occupational therapy interventions for older adults, and the findings support the concept that restorative approaches can be successfully implemented in public agencies. (Publisher abstract)