Search results for ‘Subject term:"older people"’ Sort:
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Telephone hotline for aging: Information needs, quality of service, and insights
- Authors:
- MANSFIELD-COHEN Jiska, et al
- Journal article citation:
- International Social Work, 61(5), 2018, pp.681-691.
- Publisher:
- Sage
This study examined the reasons for use and the utility of an aging-focused telephone hotline. The most common topic of inquiry was care, followed by referrals for institutional placement and financial queries. Advice from hotline professionals was reported to be useful and helpful. Yet the issue of the query was not resolved in half of the cases. Some queries may be addressed by enhancing hotline procedures, but others reflect general unmet needs that require wider systematic social changes in the information, system, and financial domains. Analysis of hotline calls can be useful for identifying areas, both for improvement for the hotline and for society. (Edited publisher abstract)
Assessment approaches for older people receiving social care: content and coverage
- Authors:
- STEWART Karen, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(2), February 1999, pp.147-156.
- Publisher:
- Wiley
Assessment was identified as one of the 'cornerstones' of community care. This study presents findings from the first nationally representative analysis of assessment documents used by social services agencies in the UK.
Institutional respite care: breaking chores or breaking social bonds
- Author:
- BRAITHWAITE Valerie
- Journal article citation:
- Gerontologist, 38(5), October 1998, pp.610-617.
- Publisher:
- Oxford University Press
This article addresses the question of why respite care is evaluated positively by caregivers, yet is often not used by those considered to be in need of the service. Data from interviews with caregivers in Australia, are the basis of examining the relationships between five appraisal dimensions and respite care usage, both in the past and the future.
Very sheltered housing: proceedings of an ageing update conference held on 17th May 1991 at International Student's House, London
- Editor:
- MORTON Jane
- Publisher:
- Age Concern Institute of Gerontology
- Publication year:
- 1990
- Pagination:
- 34p.
- Place of publication:
- London
Contains papers on the place of very sheltered housing in the housing and care needs of older people, and an evaluation of such housing. Goes on to look at specific schemes and how they work.
Doncaster hospital discharge pathway study: final report
- Authors:
- BASHIR Nadia, et al
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2016
- Pagination:
- 59
- Place of publication:
- Sheffield
An overview of the independent evaluation of the Doncaster Discharge Pathway and Associated Discharge Services, undertaken as part of a larger programme of evaluation of Better Care Fund activities. The evaluation follows clients' journeys from hospital discharge in order to track client and carer experience, impacts and outcomes. This report presents the main outputs from the evaluation, the detailed client case studies and client timelines which illustrate many of the key findings and themes to emerge from the study. The findings identify a range of factors relating to discharge care pathways that need to be considered in order to better meet the NICE guidance and improve client outcomes. These include: improving communication with clients to give them a better understanding of what is happening to them and the services they are receiving; family support and involvement clients and families in decisions about care; consideration of carers' needs and support for carers' wellbeing; practical and social support to help people (re)engage in social activities and tackle loneliness and social isolation; and respecting and individuals autonomy and ensuring person centred care. (Edited publisher abstract)
Seeking assistance in later life: how do older people evaluate their need for assistance?
- Authors:
- CANVIN Krysia, et al
- Journal article citation:
- Age and Ageing, 47(3), 2018, p.466–473.
- Publisher:
- Oxford University Press
Background: legislation places an onus on local authorities to be aware of care needs in their locality and to prevent and reduce care and support needs. The existing literature overlooks ostensibly ‘healthy’ and/or non-users of specific services, non-health services and informal assistance and therefore inadequately explains what happens before or instead of individuals seeking services. The authors sought to address these gaps by exploring older adults’ accounts of seeking assistance in later life. Methods: semi-structured qualitative interviews with 40 adults aged 68–95. Participants were invited to discuss any type of support, intervention, or service provision, whether medical, social, family-provided, paid or unpaid. Findings: this paper reports older people’s accounts of how they evaluated their need for assistance. People in the sample engaged in a recursive process, evaluating their needs on an issue-by-issue basis. Participants’ progression through this process hinged on four factors: their acknowledgement of decline; the perceived impact of decline on their usual activities and independence; their preparedness to be a recipient of assistance; and, the opportunity to assert their need. In lieu of seeking assistance, participants engaged in self-management, but also received unsolicited or emergency assistance. Conclusions: older people’s adaptations to change and attempts to meet their needs without assistance mean that they do not present to services, limiting the local authority’s knowledge of their needs and ability to plan appropriate services. Our findings offer four stages for policymakers, service providers and carers to target to address the uptake of assistance. (Edited publisher abstract)
An evaluation of the reablement service programme on physical ability, care needs and care plan packages
- Authors:
- SLATER Paul, HASSON Felicity
- Journal article citation:
- Journal of Integrated Care, 26(2), 2018, pp.140-149.
- Publisher:
- Emerald
Purpose: In response to an aging population and rising prevalence of disability, reablement initiatives have been introduced yet the evidence base concerning the long-term effects remains inconclusive. The purpose of this paper is to examine the impact of reablement on physical independence, care plans and care packages post-discharge for older adults. Design/methodology/approach: A retrospective cohort design was used to examine patient records who had completed a reablement programme. Measures on internationally renowned and psychometrically strong tools, completed by trained healthcare professionals, were examined pre-and post-intervention with a consecutive sample (n=416) of participants since the introduction of the reablement programme. Findings: Reablement had a significant impact on physical independence living scores and a corresponding reduction in care needs and care plans post-discharge enabling the person to stay at home. Originality/value: The study’s findings present empirical evidence on the value of reablement health service programme developed to promote independent living at home following a short illness, for older people. While no examination of financial data was recorded in this study, the increase in physical ability and corresponding reduction in care needs and care plans post-discharge indicates a reduction in costs and a better standard of living. (Edited publisher abstract)
Capacity building with older people through local authority and third-sector partnerships
- Authors:
- DALZIEL Robert, WILLIS Martin
- Journal article citation:
- Ageing and Society, 35(2), 2015, pp.428-449.
- Publisher:
- Cambridge University Press
This paper examines capacity-building partnerships between local authorities and third-sector organisations in LinkAge Plus (LAP) pilot areas in England, which were set up to find better ways to meet the needs of older people and empower them to become active citizens. The study on which this paper reports used theory on partnerships and collaboration to interrogate LAP pilot evaluation reports, along with current thinking on capacity building and work designed to improve services and outcomes for older people. The main findings are that capacity building in partnerships stimulated joined up working, which resulted in improved knowledge and skills in providing existing services. At the same time, new services emerged that meant older people were more involved in networking activities and social capital was created through their engagement in policy making, identifying needs, service design and finding solutions to problems. However, there were few instances of ideological activity that challenged established values and ways of working to go beyond traditional health and social care approaches in the delivery of services for older people. The potential impact of ongoing cuts in public spending are also considered. (Edited publisher abstract)
Use of the Distress Thermometer for the Elderly in the identification of distress and need in nursing and care homes
- Authors:
- DILWORTH Jennifer A., et al
- Journal article citation:
- Aging and Mental Health, 15(6), August 2011, pp.756-764.
- Publisher:
- Taylor and Francis
The Distress Thermometer for the Elderly (DTE), designed to identify and address distress and need in older people within care home settings, is a modification of the original Distress Thermometer which was developed to assess psychological distress in cancer settings. The DTE consists of a rating to indicate level of distress, a problem list to identify common problems, a selection of 4 priority concerns, and development of an action plan to meet each priority concern. This cross-sectional research study aimed to evaluate the usability and usefulness of the DTE. Staff in 12 nursing homes and one care home in England completed the DTE and a measure of depression with a total of 66 older residents, and quantitative methods were used to investigate the relationship between the DTE rating, depression scores, and problems or needs selected on the DTE. A table showing items and domains in the DTE problem checklist is included. The DTE was found to be feasible for completion by residents with assistance from staff, and the level of distress on the DTE was significantly related to depression, number of problems and practical/physical problems. The authors conclude that the DTE has promising potential for use to identify distress and day-to-day problems in care home residents and to enable residents to record their perceived needs as part of care planning and a person-centred approach.
Self-directed community aged care for people with complex needs: a literature review
- Authors:
- OTTMANN Goetz, ALLEN Jacqui, FELDMAN Peter
- Publisher:
- United Care Community Options; Deakin University
- Publication year:
- 2009
- Pagination:
- 98p., bibliog.
- Place of publication:
- Melbourne, VIC
The key objective of this review is to evaluate and present research providing information as to what works, for whom and under what conditions in the field of self‐directed aged care, and to derive evidence‐based recommendations for the implementation of such a programme in Australia. It seeks to: identify and describe evaluated SDC programmes; appraise context; appraise the quality of evidence; identify promising innovative initiatives; combine a ‘best available‐evidence approach’ including multi‐method, qualitative, and quantitative studies; derive recommendations for practitioners and policy makers. The key recommendation is that self-directed care programmes should be more than simply a potential cost saving for administrations, but should be tailored to the needs and preferences of older people and their carers.