Search results for ‘Subject term:"older people"’ Sort:
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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)
Community care of the elderly: an annotated bibliography 1980-1985
- Author:
- SITSKY Lynn
- Publisher:
- University of New South Wales, Social Welfare Research Centre
- Publication year:
- 1987
- Pagination:
- 167p.
- Place of publication:
- Kensington, NSW
Factors influencing interprofessional team collaboration when delivering care to community-dwelling seniors: a metasynthesis of Canadian interventions
- Authors:
- JOHNSON J.M., et al
- Journal article citation:
- Journal of Interprofessional Care, 35(3), 2021, pp.376-382.
- Publisher:
- Taylor and Francis
The rapid growth in the proportion of adults over the age of 65 translates into greater need of complex, highly specialized care. Hence, coupled with other factors, healthcare expenditures in Canada have grown exponentially, creating tension for a high-quality care while managing costs. Interventions with community-based interprofessional teams have been piloted across Canada as a means to provide efficient specialized care. These teams must, however, work collaboratively for a more comprehensive and patient-centered care. This metasynthesis aimed to identify common factors or characteristics found to be essential for a collaborative practice among members of an interdisciplinary team delivering coordinated care to community-dwelling seniors in both rural and urban centers in Canada. Six databases (Medline, CINAHL, Sage, JSTOR, ProQuest, Web of Science) were searched for qualitative peer‐reviewed articles on community-based interventions with interprofessional teams in Canada and published between 2005–2018. Six articles were included and appraised using the COREQ guidelines for quality, followed by a thematic analysis for common themes related to team collaboration. Overarching themes related to practices of interprofessional collaboration were trust and respect, communication, and shared vision. Sub-themes included trust in the relationship between health care professional, professional identity and role clarity, interprofessional communication, communication with the client or family, and common goals. Interprofessional teams work collaboratively when trust and respect, communication, and shared vision are valued and present. Agencies coordinating interprofessional teams for community-based care could be pivotal in ensuring an environment conducive to collaboration, such as learning and team building opportunities. (Edited publisher abstract)
Choice and quality in home-based and community-based aged care: insights from two rapid evidence reviews
- Authors:
- HUNTER Nicholas J. R., et al
- Journal article citation:
- Ageing and Society, 41(4), 2021, pp.875-916.
- Publisher:
- Cambridge University Press
As consumer-directed care programmes become increasingly common in aged care provision, there is a heightened requirement for literature summarising the experience and perspectives of recipients. We conducted rapid evidence reviews on two components of consumer experience of home- and community-based aged care: (a) drivers of choice when looking for a service (Question 1 (Q1)); and (b) perceptions of quality of services (Question 2 (Q2)). We systematically searched MEDLINE and EMBASE databases, and conducted manual (non-systematic) searches of primary and grey literature (e.g. government reports) across CINAHL, Scopus, PsychINFO, and Web of Science, Trove and OpenGrey databases. Articles deemed eligible after abstract/full-text screening subsequently underwent risk-of-bias assessment to ensure their quality. The final included studies (Q1: N = 21; Q2: N = 19) comprised both quantitative and qualitative articles, which highlighted that consumer choices of services are driven by a combination of: desire for flexibility in service provision; optimising mobility; need for personal assistance, security and safety, interaction, and social/leisure activities; and to target and address previously unmet needs. Similarly, consumer perspectives of quality include control and autonomy, interpersonal interactions, flexibility of choice, and safety and affordability. Our reviews suggest that future model development should take into account consumers’ freedom to choose services in a flexible manner, and the value they place on interpersonal relationships and social interaction. (Edited publisher abstract)
Age, care and housing: a selective review of literature about elderly people 1980 to 1991
- Editor:
- SYKES Roger
- Publisher:
- Anchor Housing Trust
- Publication year:
- 1993
- Pagination:
- 108p.
- Place of publication:
- Oxford
Person-centredness in the community care of older people: a literature-based concept synthesis
- Author:
- WILBERFORCE Mark
- Journal article citation:
- International Journal of Social Welfare, 26(1), 2017, pp.86-98.
- Publisher:
- Wiley
‘Person-centredness’ is a ubiquitous term, employed in modern care services to signify policies and practices that attend to the uniqueness of each individual user. Despite being highly regarded in older adult community care services, there is much ambiguity over its precise meaning. Existing reviews of person-centredness and its attributes have tended to focus on the medico-nursing literature, neglecting other interpretations, such as those relevant to community social care. A new literature-based concept synthesis reported here identified 12 common attributes within the broad themes of ‘understanding the person’, ‘engagement in decision-making’ and ‘promoting the care relationship’. The review also contrasts how these attributes are applied across different interpretations of person-centredness. The article argues that not all attributes necessarily pull in the same direction, and that older adults may require them to be delivered in different ways than they are to younger people. Thus, a ‘one-size-fits-all’ approach should be discouraged in community care. (Publisher abstract)
"It's good to go places!": a review of literature around transport for older people
- Author:
- EVALUATION SUPPORT SCOTLAND
- Publisher:
- Evaluation Support Scotland
- Publication year:
- 2014
- Pagination:
- 37
- Place of publication:
- Edinburgh
This review of key pieces of literature tries to identify if formal or research based evidence backs up the view that community transport plays a key role in ensuring older people can access services and opportunities that they both want and need and whether this makes a significant contribution to their wellbeing and quality of life. The review identifies a number of outcomes that can come from using community transport. These are: people are less likely to miss their health appointments; people are more likely to be physically active – which affects mental well-being mobility and muscular strength, cardiovascular disease and falls; people are less likely to feel socially isolated, both in terms of getting out of the house and meeting people and in terms of the journey itself; people can maintain their independence and control; people have more opportunities for eating healthier as transport allows older people to shop around and get more value for their money; and community transport can contribute to mental well-being. (Edited publisher abstract)
What's in a name? Similarities and differences in international terms and meanings for older peoples' housing with services
- Authors:
- HOWE Anna L., JONES Andrew E., TILSE Cheryl
- Journal article citation:
- Ageing and Society, 33(4), 2013, pp.547-578.
- Publisher:
- Cambridge University Press
The diversity of terms and meanings relating to housing with services for older people confounds systematic analysis, especially in international comparative research. This paper presents an analysis of over 90 terms identified in literature from the United Kingdom, the United States of America, Canada, Australia and New Zealand reporting types of housing with services under the umbrella of ‘service integrated housing’ (SIH), defined as all forms of accommodation built specifically for older people in which the housing provider takes responsibility for delivery of one or more types of support and care services. A small number of generic terms covering housing for people in later life, home and community care, and institutional care are reviewed first to define the scope of SIH. Review of the remainder identifies different terms applied to similar types of SIH, similar terms applied to different types, and different terms that distinguish different types. Terms are grouped into those covering SIH focused on lifestyle and recreation, those offering only support services, and those offering care as well as support. Considerable commonality is found in underlying forms of SIH, and common themes emerge in discussion of drivers of growth and diversification, formal policies and programmes, and symbolic meanings. In establishing more commonality than difference, clarification of terminology advances policy debate, programme development, research and knowledge transfer within and between countries. (Publisher abstract)
An evidence base for group work with older adults living in the community
- Author:
- PANDYA Varsha
- Journal article citation:
- Social Work with Groups, 33(4), October 2010, pp.323-349.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Group intervention modality of service provision is well suited for the elderly population because it provides cost-effective opportunities for focused treatment, and social interaction and support. Group workers therefore need to prepare themselves to meet the growing need of services in older population in community settings. The goal of this article is to summarise and examine the evidence generated through quantitative and qualitative studies of group interventions with older adults residing in the community with a view to informing group work practitioners on the strengths and limitations of different interventions. This article presents a critical review of 13 studies published between 1990 and 2007 to guide group work practitioners in organising and facilitating groups for older adults in the community. Each review notes the characteristics of the participants, type of group intervention, methodology, and findings of the study. It examines the rigour, impact, and applicability of the findings to practice with this population. Much needs to be done to develop an evidence base for group work with older adults living in the community. Recommendations for practice and future research are offered.
Case management for long-term conditions: implementation and processes
- Authors:
- REILLY Siobhan, HUGHES Jane, CHALLIS David
- Journal article citation:
- Ageing and Society, 30(1), January 2010, pp.125-155.
- Publisher:
- Cambridge University Press
This literature review focused on comprehensive case management by nurses for adults with long-term conditions living in the community. Twenty-nine studies were included; the majority were concerned with case management for frail older people, and others focused on people with multiple chronic diseases, high-cost patients, or those at high risk of hospital admissions. All the studies reported that case managers undertook the core tasks of assessment, care planning and the implementation of the care plan, but there was more variation in who carried out case finding, monitoring, review and case closure. Few studies provided adequate implementation information. Three issues were identified as key to the coherent and sustainable implementation of case management for people with long-term conditions: fidelity to the core elements of case management; size of caseload; and case-management practice. It is recommended that future evaluations of case-management interventions include a comprehensive process component or, at the very least, that interventions should be more fully described.