Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 1 of 1
Positioning turnaround services for older people: discussion paper
- Author:
- OXFORD BROOKES UNIVERSITY. Institute of Public Care
- Publisher:
- Oxford Brookes University. Institute of Public Care
- Publication year:
- 2010
- Pagination:
- 19
- Place of publication:
- Bath
This paper advocates a model for targeting health and social care provision in older old age called ‘Turnaround’. Turnaround is advocated in the context of older population changes which make it imperative that authorities limit the need for high cost provision such as residential care and intensive home care support. The approach would aim to develop provision that lessens the likelihood of admission to hospital or care, or demand for high intensity community provision, through a holistic approach which focuses on improvement, recovery and rehabilitation. It would comprise a mixture of any or all of the following: a combined community care capacity bringing together home care, assistive technology, care and repair and some nursing skills; some enhanced health care based capability; a focus on improving mobility; a focus on improving diet and nutrition; delivering social contact; and welfare benefits and income maximisation where alleviable poverty is a driver towards poor health and care. Turnaround is presented as an interdisciplinary, flexible approach based on identifiable, agreed and proven methodologies, which could identify target populations with the characteristics likely to drive towards high levels of intervention. It could therefore promote the fullest possible recovery in a way that is most acceptable to service users/patients. A three-level model of delivery is discussed, and the process is laid out in terms of the steps of recognition, assessment, intervention and monitoring. Suggestions for measuring outcomes are also made. (Edited publisher abstract)