Search results for ‘Subject term:"older people"’ Sort:
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A validity and measurement equivalence study of the ultra-short suicidal ideation scale with older adults
- Authors:
- NUGENT William Robert, CUMMINGS Sherry
- Journal article citation:
- Journal of the Society for Social Work and Research, 5(4), 2014, pp.439-459.
- Publisher:
- Society for Social Work and Research
Short-form scales are important tools for use in the assessment of suicide ideation and risk since their brevity makes them ideally suited for use in busy practice settings. This article reports results of a validity study of a short suicidal ideation scale (USSIS) used with an older adult population. The study tests the hypothesis that scores on the USSIS represent magnitude of sucidal thinking. The USSIS was used to gather data on more than 200 adults, ages 50 to 97 years, recruited from 2 clinical settings that serve older adults. Data are analysed to provide evidence from concurrent criterion, divergent, factorial, and known-groups discriminant validity. In addition, analyses was conducted to test measurement equivalence across the 2 study sites. Results are consistent with the scores on the USSIS representing magnitude of suicidal indeation, and with measurement equivalence across the study sites. (Edited publisher abstract)
Development of a new multidimensional individual and interpersonal resilience measure for older adults
- Authors:
- MARTIN A'verria Sirkin, et al
- Journal article citation:
- Aging and Mental Health, 19(1), 2014, pp.32-45.
- Publisher:
- Taylor and Francis
Objectives: To develop an empirically grounded measure that can be used to assess family and individual resilience in a population of older adults (aged 50–99). Methods: Cross-sectional, self-report data from 1006 older adults were analysed in two steps. The total sample was split into two subsamples and the first step identified the underlying latent structure through principal component exploratory factor analysis (EFA). The second step utilised the second half of the sample to validate the derived latent structure through confirmatory factor analysis (CFA). Results: EFA produced an eight-factor structure that appeared clinically relevant for measuring the multidimensional nature of resilience. Factors included self-efficacy, access to social support network, optimism, perceived economic and social resources, spirituality and religiosity, relational accord, emotional expression and communication, and emotional regulation. CFA confirmed the eight-factor structure previously achieved with covariance between each of the factors. Based on these analyses the multidimensional individual and interpersonal resilience measure was developed, a broad assessment of resilience for older adults. Conclusion: This study highlights the multidimensional nature of resilience and introduces an individual and interpersonal resilience measure developed for older adults which is grounded in the individual and family resilience literature. (Edited publisher abstract)
Complexity in cognitive assessment of elderly British minority ethnic groups: cultural perspective
- Authors:
- KHAN Farooq, TADROS George
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 13(4), 2014, pp.467-482.
- Publisher:
- Sage
Aim: To study the influence of cultural beliefs on the acceptance and accessibility of dementia services by patients from British Minority Ethnic (BME) groups. Results: It is noted that non-White ethnic populations rely more on cultural and religious concepts as coping mechanisms to overcome carer stress. In British Punjabi families, ageing was seen as an accepted reason for withdrawal and isolation, and cognitive impairment was rarely identified. Illiteracy added another complexity, only 35% of older Asians in a UK city could speak English, 21% could read and write English, while 73% could read and write in their first language. False positive results using Mini Mental State Examination was found to be 6% of non-impaired white people and 42% of non-impaired black people. Cognitive assessment tests under-estimate the abilities in BME groups. Wide range of variations among white and non-White population were found, contributors are education, language, literacy and culture-specific references. (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)
Standardising assessment instruments and care planning in Ireland
- Authors:
- van LENTE Eric, POWER Martin
- Journal article citation:
- Quality in Ageing and Older Adults, 15(1), 2014, pp.46-60.
- Publisher:
- Emerald
Purpose: Scoping of instruments in use for assessment of needs and the practices that surround care planning in residential care for older people in Ireland, in the wake of the introduction of national standards. The paper discusses these issues. Design/methodology/approach: Survey of care providers using an online/postal questionnaire, developed from the domains of need outlined in the standards. Findings: There is wide variation in the use of standardised instruments for assessment. Within some domains, standardised instruments enjoy near universal usage. However, within other domains, standardised instruments are often absent, external professional input and/or guidelines dominate and/or instruments have been adapted in-house. Practices surrounding care planning are largely homogeneous and the preserve of medical professionals. Research limitations/implications: This research was confined to the Republic of Ireland, limiting generalisation. The self-selecting nature of participants must also be considered. Further research could include, examining how, over time, the standards are shaping care practice, particularly in relation to interdisciplinary working and person-centred care. Practical implications: The non-prescriptive nature of the standards presents a challenge to care providers in selecting appropriate standardised instruments for assessment. In addition, medical dominance of care planning limits the extent to which care plans can enhance the provision of interdisciplinary and person-centred care. Originality/value: This paper contributes to a growing literature on standardisation of assessment and care planning, provides a reference point for comparison with other nations and, in an Irish context, addresses an area that has received little attention to-date. As such, it is of interest to practitioners, care providers and regulators. (Publisher abstract)
'The meals look lovely but mum says the food is tasteless'
- Authors:
- WYLIE Kim, NEBAUER Monica
- Journal article citation:
- Journal of Dementia Care, 22(1), 2014, pp.19-22.
- Publisher:
- Hawker
A person's sense of taste and smell can contribute to under-nutrition in older people and those living with dementia. This article highlights the need for improved assessment skills and knowledge about chemosensory loss, under-nutrition and ways to enrich the flavour of food. Person-centred approaches to enhance the dining experience of people with dementia are also discussed. (Original abstract)
Racial and ethnic variation in home healthcare nurse depression assessment of older minority patients
- Authors:
- PICKETT Yolonda R., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 29(11), 2014, pp.1140-1144.
- Publisher:
- Wiley
Methods: This study uses a secondary analysis of administrative data from a large urban home healthcare agency to determine the racial/ethnic effect of depression symptom recognition by home healthcare nurses. Patients' age were 65 years and older with a valid depression screen and admitted to homecare in 2010 (N = 3711). All demographic and clinical information were obtained from the electronic medical record. Results: Subjects were 29.34% Caucasian, 37.81% African American, and 32.85% Hispanic. About 6.52% had a formal chart diagnosis of depression, and 13.39% received antidepressant therapy. The rates of positive depression screens by nurses were higher in Caucasians than that of in African Americans or Hispanics. Depression screening rates were then stratified by the number of clinical indicators from the chart (depression diagnosis or antidepressant on medication list). The proportion of positive screen increased for minorities with an increase in the number of indicators. African Americans had significantly greater positive screens with two indicators compared with that of the Caucasians and Hispanics. Conclusions: These findings show a wide range of variation in screening for depression among ethnic groups. The rates increase for minorities with the presence of increased clinical indicators, suggesting that nurses may screen higher in minorities when there is higher clinical suspicion. Future research in home healthcare should be aimed at training nurses to conduct culturally tailored depression screening to improve management of depression in older minorities. (Edited publisher abstract)
Fit for frailty: consensus best practice guidance for the care of older people living with frailty in community and outpatient settings
- Author:
- TURNER Gillian
- Publisher:
- British Geriatrics Society
- Publication year:
- 2014
- Pagination:
- 27
- Place of publication:
- London
The first of a two-part guidance on the recognition and management of older patients with frailty in community and outpatient settings. This guide has been produced in association with the Royal College of General Practitioners (RCGP) and Age UK and aims to be an invaluable tool for social workers, ambulance crews, carers, GPs, nurses and others working with older people in the community. The guidance will help them to recognise the condition of frailty and to increase understanding of the strategies available for managing it. In the guidelines, the British Geriatrics Society (BGS) calls for all those working with older people to be aware of, and assess for frailty. It dispels the myth that all older people are frail and that frailty is an inevitable part of age. It also highlights the fact that frailty is not static. Like other long term conditions it can fluctuate in severity. (Edited publisher abstract)
Safe, compassionate care for frail older people using an integrated care pathway: practical guidance for commissioners, providers and nursing, medical and allied health professional leaders
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2014
- Pagination:
- 38
- Place of publication:
- London
This practical guidance provides information on implementing an integrated pathway of care for older people and suggests how it can be commissioned effectively across health and care providers. It shows how an integrated pathway can improve patient care, but also deliver savings to health and social care. The pathway is based on the principles of providing care with compassion. Sections of the guide cover reducing healthcare-related harm; providing care with compassion; case finding and assessment, which provides examples of assessment and screening tools and interventions that should be in place at each stage of the pathway; and measuring outcomes provides guidance on evaluating interventions. The final section contains examples of good practice of implementing frailty pathways across health and care systems from a pioneer case study sites. The guide will be useful for commissioners, service providers, nurses, medical, and allied health professionals (Original abstract)
Dementia Knowledge Assessment Tool Version Two: development of a tool to inform preparation for care planning and delivery in families and care staff
- Authors:
- TOYE Christine, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 13(2), 2014, pp.248-256.
- Publisher:
- Sage
Care for the person with dementia requires understanding of the person’s perspective and preferences, integrated with knowledge of dementia’s trajectory and appropriate care. Version One of the Dementia Knowledge Assessment Tool addressed such knowledge in care workers; Version Two is for families as well as staff. Content validity was established during development. Revisions addressed clarity, time for completion, and reliability. When 671 staff completed Version One before an education intervention, internal consistency reliability estimates exceeded 0.70. Validity was supported by higher scores in professional versus nonprofessional staff and following the education. Version Two was used with 34 family carers and 70 staff members. Internal consistency reliability (Cronbach’s alpha coefficient) was promising (0.79, both groups). Completion was within 15 minutes. Median correct responses (from 21) were 14 for families (range 4–20) and 16 for the staff (range 3–21). Eighteen staff members (26%) and two family carers (6%) reported substantive dementia education. Inclusion of the person with dementia in care planning is often limited because of a late diagnosis and the progressive impacts of the condition. Establishing a shared staff–family understanding of the dementia trajectory and care strategies likely to be helpful is therefore critical to embarking upon the development and implementation of collaborative long term and end-of-life care plans. Version Two can help establish needs for, and outcomes of, education programmes and informational resources in a way that is feasible, minimises burden, and facilitates comparisons across family and staff carer groups. (Edited publisher abstract)