Search results for ‘Subject term:"older people"’ Sort:
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Independence, privacy and risk: two contrasting approaches to residential care for older people
- Author:
- BLAND Rosemary
- Journal article citation:
- Ageing and Society, 19(5), September 1999, pp.539-560.
- Publisher:
- Cambridge University Press
This article explores how far two different approaches to residential care enable older people who become residents to maintain their autonomy and independence. It traces the historical development of residential care and of hoteliers to compare its approach to 'the residential task' with that adopted in local authority homes. Attention is focused on the translation of the core values of independence, privacy, dignity, choice and rights into a daily reality for residents. Draws tentative conclusions as to why a 'service' rather than a 'social care' approach may be more successful in enabling older people to preserve their autonomy and privacy after moving into a care home.
Do care homes increase risk of dehydration?
- Author:
- DIX Ann
- Journal article citation:
- Nursing Times, 111(34/35), 2015, p.15.
- Publisher:
- Nursing Times
This article summarises key findings from a recent study by A. Wolf published in the Journal of Royal Society of Medicine which compared dehydration levels of older hospital patients arriving from care homes with those living in their own homes. Laboratory data was used to assess whether patients were dehydrated on admission and whether they subsequently died in hospital. The results found that older people living in care home were 10 time more likely to be admitted to hospital with dehydration than patients who lived in their own homes. (Edited publisher abstract)
John Kennedy's care home inquiry
- Author:
- KENNEDY John
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2014
- Pagination:
- 82
- Place of publication:
- York
The final report of a personal inquiry by John Kennedy, the Joseph Rowntree Housing Trust’s Director of Care Services, carried out between May 2013 and May 2014 to find out what makes a good care home. The inquiry builds on existing Joseph Rowntree research into a relationship-centred approach to care and newly commissioned research into some of the potential barriers to improving care homes. It also draws on the views of care workers, residents and their families and uses social media to connect with a wide range of people involved in, or with experience of, the care home sector. The report: seeks to achieve an open and evidence-informed debate around how to improve life in care homes for older people; encourages sensible, streamlined and co-produced approaches to paperwork in care homes; and suggests principles and makes recommendations for regulators, commissioners and providers so that care homes are good places for people to live and work in. The report ends with a set of principles and recommendations for those involved in the care sector (Edited publisher abstract)
Dehydration: best practice in the care home
- Author:
- CAMPBELL Naomi
- Journal article citation:
- Nursing and Residential Care, 14(1), January 2012, pp.21-25.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Dehydration of older people in care homes leads to both patient suffering and increased health care costs. This review article looks at the risk factors of dehydration in older people, provides an overview of current best practice guidelines for hydration and discusses strategies to encourage patients to drink more. Two UK initiatives which helped to increase patient and staff awareness of the importance of drinking more fluids, The East Anglia Water company campaign 'Healthy on Tap' and the project 'Thirst 4 Life' in Buckinghamshire, are also briefly mentioned.
So sad to see good care go bad - but is it surprising?
- Authors:
- BENDER Mike, WAINWRIGHT Tony
- Journal article citation:
- Journal of Dementia Care, 12(5), September 2004, pp.27-30.
- Publisher:
- Hawker
Argues that abuse and failures in care settings should be attributed to inherent qualities of healthcare systems, based on the way human societies work, rather than the failures of individuals. Seeing mistreatment as rare and unusual, each case a very exceptional, atypical instance of an evil person abusing trust in an otherwise good system, is convenient and comfortable. Suggests reasons why this is not so and why root cause analysis is more useful. Abuse can occur anywhere and does not require heinous and evil owners, managers or staff. Lists risk factors for abuse of older people in residential care, and suggests how the risk can be minimised.
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)
Minimising the use of restraint in care homes for older people: exploring restraint
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Place of publication:
- London
This video explores the issue of restraint and how good practice can strike a balance between care and support with managing safety and risk. Four scenarios are enacted which explore episodes familiar to many care home staff: a resident trying to leave a care home, preventing someone from getting up from a chair, waking at night and getting ready for a meal. Two experts on restraint, Ann McFarlane and Tracy Paine, discuss why it is vital to find out as much as possible about the person so as to understand why they are behaving in a particular way and to gather clues as to how to their preferences and needs can be met. They make the case for good design in care homes, for letting residents live as much as possible in their own time frames and for residents' committees. [This film has been reviewed and is no longer available to view.]
COVID-19 infection risk amongst 14,104 vaccinated care home residents: a national observational longitudinal cohort study in Wales, UK, December 2020-March 2021
- Authors:
- HOLLINGHURST Joe, et al
- Journal article citation:
- Age and Ageing, 51(1), 2022, p.afab223.
- Publisher:
- Oxford University Press
Background: vaccinations for COVID-19 have been prioritised for older people living in care homes. However, vaccination trials included limited numbers of older people. Aim: this study aimed to study infection rates of SARS-CoV-2 for older care home residents following vaccination and identify factors associated with increased risk of infection. Study Design and Setting: an observational data-linkage study including 14,104 vaccinated older care home residents in Wales (UK) using anonymised electronic health records and administrative data. Methods: this study used Cox proportional hazards models to estimate hazard ratios (HRs) for the risk of testing positive for SARS-CoV-2 infection following vaccination, after landmark times of either 7 or 21 days post-vaccination. This study adjusted HRs for age, sex, frailty, prior SARS-CoV-2 infections and vaccination type. Results: this study observed a small proportion of care home residents with positive polymerase chain reaction (tests following vaccination 1.05% (N = 148), with 90% of infections occurring within 28 days. For the 7-day landmark analysis, this study found a reduced risk of SARS-CoV-2 infection for vaccinated individuals who had a previous infection; HR (95% confidence interval) 0.54 (0.30, 0.95). For the 21-day landmark analysis, this study observed high HRs for individuals with low and intermediate frailty compared with those without; 4.59 (1.23, 17.12) and 4.85 (1.68, 14.04), respectively. Conclusions: increased risk of infection after 21 days was associated with frailty. This study found most infections occurred within 28 days of vaccination, suggesting extra precautions to reduce transmission risk should be taken in this time frame. (Edited publisher abstract)
- article
COVID-19 infection risk amongst 14,104 vaccinated care home residents: a national observational longitudinal cohort study in Wales, United Kingdom, December 2020 to March 2021
- Authors:
- HOLLINGHURST Joe, et al
- Publisher:
- medRxiv
- Publication year:
- 2021
- Pagination:
- 12
Background: Vaccinations for COVID-19 have been prioritised for older people living in care homes. However, vaccination trials included limited numbers of older people. Aim This study aimed to study infection rates of SARS-CoV-2 for older care home residents following vaccination and identify factors associated with increased risk of infection. Study Design and Setting: The researchers conducted an observational data-linkage study including 14,104 vaccinated older care home residents in Wales (UK) using anonymised electronic health records and administrative data. Methods: This study used Cox proportional hazards models to estimate hazard ratios (HRs) for the risk of testing positive for SARS-CoV-2 infection following vaccination, after landmark times of either 7 or 21-days post-vaccination. This study adjusted hazard ratios for age, sex, frailty, prior SARS-CoV-2 infections and vaccination type. Results: This study observed a small proportion of care home residents with positive PCR tests following vaccination 1.05% (N=148), with 90% of infections occurring within 28-days. For the 7-day landmark analysis this study found a reduced risk of SARS-CoV-2 infection for vaccinated individuals who had a previous infection; HR (95% confidence interval) 0.54 (0.30,0.95), and an increased HR for those receiving the Pfizer-BioNTECH vaccine compared to the Oxford-AstraZeneca; 3.83 (2.45,5.98). For the 21-day landmark analysis this study observed high HRs for individuals with low and intermediate frailty compared to those without; 4.59 (1.23,17.12) and 4.85 (1.68,14.04) respectively. Conclusions: Increased risk of infection after 21-days was associated with frailty. This study found most infections occurred within 28-days of vaccination, suggesting extra precautions to reduce transmission risk should be taken in this time frame. (Edited publisher abstract)
Loneliness as a risk factor for care home admission in the English Longitudinal Study of Ageing
- Authors:
- HANRATTY Barbara, et al
- Journal article citation:
- Age and Ageing, 47(6), 2018, pp.896-900.
- Publisher:
- Oxford University Press
Background: loneliness has an adverse effect on health and well-being, and is common at older ages. Evidence that it is a risk factor for care home admission is sparse. Objective: to investigate the association between loneliness and care home admission. Setting: English Longitudinal Study of Ageing (ELSA). Participants: two-hundred fifty-four individuals across seven waves (2002–15) of ELSA who moved into care homes were age, sex matched to four randomly selected individuals who remained in the community. Methods: logistic regression models examined associations between loneliness, socio-demographic factors, functional status and health on moving into care homes. Results: loneliness (measured by the University of California, Los Angeles (UCLA) Loneliness Scale and a single-item question from the Center for Epidemiological Studies Depression Scale (CES-D)) was associated with moving into a care home (CES-D OR 2.13, 95% CI 1.43–3.17, P = 0.0002, UCLA OR 1.81, 95% CI 1.01–3.27, P = 0.05). The association persisted after adjusting for established predictors (age, sex, social isolation, depression, memory problems including diagnosis of Alzheimer’s disease, disability, long-term physical health and wealth). The impact of loneliness (measured by CES-D) on admission accounted for a population attributable fraction of 19.9% (95% CI 7.8–30.4%). Conclusions: loneliness conveys an independent risk of care home admission that, unlike other risk factors, may be amenable to modification. Tackling loneliness amongst older adults may be a way of enhancing wellbeing and delaying or reducing the demand for institutional care. (Edited publisher abstract)