Search results for ‘Subject term:"older people"’ Sort:
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Sourcebook of initiatives in the community care of the elderly
- Author:
- FERLIE Ewan
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1985
- Pagination:
- 51p., tables.
- Place of publication:
- Canterbury
Dignity in care: nutrition for older people at home
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2015
- Pagination:
- 10 minutes 23 seconds
- Place of publication:
- London
This film highlights the role of good nutritional care and hydration for older people living in their own homes. Food and mealtimes are very important to older people. Listening to what older people wish to eat and by preparing fresh food, the meal time experience can be enhanced. This film was previously available under the title 'Nutritional care for older people.' (Edited publisher abstract)
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)
Right time, right place: urgent community-based care for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2021
- Pagination:
- 7
- Place of publication:
- London
This document aims to describe the role of urgent care within the ecosystem of older people’s care and details some examples of how urgent care can be provided outside the hospital environment. It provides tips for BGS members who want to start providing this type of care to their older patients and calls on commissioners and governments to make the provision of care at or near to home easier for healthcare professionals and patients. The document outlines the offers and services currently delivered across the country in pursuit of a broadly similar aim to provide appropriate, timely, high-quality care when an older person experiences a crisis or urgent need. Options for alternatives to hospital include: Hospital at Home (H@H); urgent community response (UCR); Same Day Emergency Care (SDEC); Frailty Assessment Units (FAUs); Virtual wards. (Edited publisher abstract)
Effectiveness of a care delivery model for high-need older adults in communities
- Authors:
- CHEN Kuei-Min, et al
- Journal article citation:
- Research on Social Work Practice, 31(3), 2021, pp.298-306.
- Publisher:
- Sage
Purpose: This study aimed to test the effectiveness of High-Need Community-Dwelling Older Adults Care Delivery Model (HCOACDM) in Taiwan. Methods: A cluster randomized controlled trial with repeated measures design was conducted in eight community care centers, involving 145 high-need older adults who were assigned to the intervention group or comparison group. The HCOACDM was provided over 6 months. Functional ability, quality of life, depressive symptoms, and health care and social service utilizations were measured at baseline, at 3 months, and 6 months into the intervention. The participants’ satisfaction was measured at the end of 6-month intervention. Results: Positive effects were shown on all variables in the intervention group at both the 3-month and 6-month intervals (all p < .05). The intervention group had a higher satisfaction with care delivery than the comparison group (p < .05). Discussion: The promising findings supported a long-term implementation of the HCOACDM as applicable and beneficial. (Edited publisher abstract)
Navigating the marketisation of community aged care services in rural Australia
- Authors:
- HODGKIN Suzanne, et al
- Journal article citation:
- International Journal of Care and Caring, 4(3), 2020, pp.377-393.
- Publisher:
- Policy Press
The aged care policies of many Organisation for Economic Co-operation and Development countries reflect free-market principles. In Australia, the recently introduced Consumer Directed Care programme centres on markets in which a range of organisations compete to provide services to community-living elders. As consumers, older people are allocated government funding with which they select and purchase items from their chosen service organisation. This article presents findings from a case study that explored the impacts of this programme on a group of rurally based, not-for-profit providers and consumers. The findings portray the challenges and advantages associated with providing and accessing services in limited rural markets. (Publisher abstract)
An emerging typology of community aging initiatives
- Authors:
- LEHNING Amanda, SCHARLACH Andrew, WOLF Jennifer Price
- Journal article citation:
- Journal of Community Practice, 20(3), 2012, pp.293-316.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philapelphia, USA
Although the majority of older people would like to remain in their own homes, many have to leave for nursing homes or other care facilities. In order to help older persons meet their long-term care needs and age in place, a growing number of initiatives have been implemented across the United States aiming to bring about comprehensive changes in community physical and social environments. The aim of this study was to develop a typology of community ageing initiatives and examine variations in these initiative types including the methods they use, roles of participants, funding sources, and challenges. Community ageing initiatives nationwide were identified through an online search and contact persons at these initiatives were invited to participate in an online survey. The final sample consisted of 124 community ageing initiatives. These initiatives were grouped into 5 categories: community-wide planning; consumer-driven support networks; cross-sector systems change initiatives; residence-based support services; and single-sector services. It is hoped that this emerging typology may serve as a useful organising framework from which to develop future evaluations of the effectiveness and sustainability of these initiatives.
Do sedentary older adults benefit from community-based exercise?: results from the Active Start Program
- Authors:
- YAN Tingjian, et al
- Journal article citation:
- Gerontologist, 49(6), December 2010, pp.847-855.
- Publisher:
- Oxford University Press
This study assessed the effectiveness of Active Start, a community-based behaviour change and fitness programme, designed to promote physical activity among sedentary community-dwelling older adults. A quasi-experimental design was used. Data were analysed using a within-group pretest/post-test design to calculate changes in the intervention group and changes in the waitlist comparison group. Further analyses were conducted after the comparison group completed the intervention. Paired t tests were employed to analyse unadjusted mean changes in physical performance measures from pretest to post-test. Repeated measures analysis of covariance was then conducted to calculate the adjusted mean change for the intervention group. Significant improvement was found on all performance measures (strength, flexibility and balance) for the intervention group as a whole. Similar improvements were found among subgroups (Whites, African Americans and Hispanics). No significant changes were found in the comparison group when they were in the control condition; however, they significantly improved on all measures after completing the intervention. This study suggests that a community-based physical activity programme benefits sedentary, racially and ethnically diverse older adults by coupling a behavioural change support group and fitness classes.
Understanding service context: development of a service pro forma to describe and measure elderly peoples' community and intermediate care services
- Author:
- NANCARROW Susan A.
- Journal article citation:
- Health and Social Care in the Community, 17(5), September 2009, pp.434-446.
- Publisher:
- Wiley
The purpose of this paper was to develop a pro forma which classifies the components of service delivery and organization which may impact on the outcomes of elderly peoples' community and intermediate care services. The resulting analytic template provides a basis for comparison between services and may help guide service commissioning and development. A qualitative approach was used in which key evaluations and reports were selected on the basis that they described elderly peoples' community and intermediate care services. These were analysed systematically using a qualitative (template) approach to draw out the key themes used to describe services. Themes were then structured hierarchically into an analytic template. Seventeen key documents were analysed. The initial coding framework classified 334 themes describing intermediate care services. These items were then clustered into 78 categories, which were reduced to 17 subcategories, then six overall groupings to describe the services, namely; (1) context; (2) reason for the service; (3) service-users; (4) access to the service; (5) service structure; and (6) the organization of care. The resulting analytic template has been developed into a 'service pro forma' which can be used as a basis to describe and compare a range of services. It is proposed that all service evaluations should describe, in detail, their context in a comparable way, so that other services can learn from and/or apply the findings from these studies.
Developing a housing and community care strategy for older people: a do-it-yourself guide
- Author:
- OLDMAN Christine
- Publisher:
- Anchor Trust
- Publication year:
- 2000
- Pagination:
- 33p., bibliog.
- Place of publication:
- Kidlington
This guide begins by asking why a strategy should be developed and goes on to the steps involved, needs assessment, getting started, collating and appraising existing sources of information on need, demand or supply, asking older people about need, conducting overviews of selected operational areas and implementation.