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Best practice with older people: social work stories
- Authors:
- JONES Karen, WATSON Susanna
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2013
- Pagination:
- 216
- Place of publication:
- Basingstoke
Social workers often have to handle a great deal of negativity in their working lives. This book celebrates social work practice at its most positive and influential and, in doing so, contributes to a growing literature on critical best practice. Focused on 12 unique and compelling stories of social work with older people, the book is arranged in four parts covering these themes: relationships; working creatively in organisations; difference and disagreement; and rights, risks and good judgement. The authors provide a fresh and realistic insight into life as a social worker, and the dilemmas and difficulties that practitioners typically face. They illustrate how knowledge, theory and research are integrated in professional decision-making and action. They show social workers analysing their own cases, and include reflective questions to help readers formulate their own learning, thereby to develop their own practice. This book provides students on qualifying courses with an invaluable perspective on real life practice, and gives qualified practitioners the opportunity to reflect on and better their own practice. (Edited publisher abstract)
Falls: assessment and prevention of falls in older people: CG161
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Pagination:
- 315
- Place of publication:
- Manchester
Falls and fall-related injuries are a common and serious problem for older people. People aged 65 and older have the highest risk of falling, with 30% of people older than 65 and 50% of people older than 80 falling at least once a year. This clinical guideline is for healthcare and other professionals and staff who care for older people who are at risk of falling. It provides evidence and recommendations on the assessment and prevention of falls in older people. It extends and replaces ‘Falls: assessment and prevention of falls in older people’ (NICE clinical guideline 21; 2004), by including additional recommendations about preventing falls in people admitted to hospital (inpatients). This document includes all the recommendations, details of how they were developed, and summaries of the evidence they were based on. (Edited publisher abstract)
Falls in older people: assessing risk and prevention: CG161
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2013
- Pagination:
- 33
- Place of publication:
- Manchester
This clinical guideline is for healthcare and other professionals and staff who care for older people who are at risk of falling. It extends and replaces NICE clinical guideline 21 (published November 2004). It offers evidence-based advice on preventing falls in older people; and also offers best practice advice on the care of older people who are at risk of falling. New recommendations have been added about assessing and preventing falls in older people during a hospital stay. All people aged 65+r are covered by all guideline recommendations. People aged 50 to 64 who are admitted to hospital and are judged by a clinician to be at higher risk of falling because of an underlying condition are also covered by the guideline recommendations about assessing and preventing falls in older people during a hospital stay. The full guideline, 'Falls: assessment and prevention of falls in older people' contains details of the methods and evidence used to develop the guideline; it was developed by the Internal Clinical Guidelines Programme at NICE. (Edited publisher abstract)
Dementia behind bars: an unexpected yet predictable crisis
- Author:
- MOLL Adam
- Journal article citation:
- Mental Health Today, March/April, 2013, pp.24-27.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The prison population is rapidly ageing and this has resulted in an increase in the number of prisoners diagnosed with dementia. This article discusses the challenges this brings to the prison service. It also draws on the findings of the recent Mental Health Foundation report, 'Loosing Track of Time' to highlights examples of innovative good practice in caring for inmates with cognitive impairment. (Original abstract)
Death and dying: understanding the data
- Author:
- MARIE CURIE CANCER CARE
- Publisher:
- Marie Curie Cancer Care
- Publication year:
- 2013
- Pagination:
- 32
- Place of publication:
- London
End of life care in England is currently provided by a range of organisations, including hospitals, hospices, nursing services, families, carers and volunteers. This diversity brings many benefits; providing services which meet the different needs and preferences of people in the last year of life. It also means that people using these services and in different parts of the country will have very different experiences. This report has been designed to help commissioners, health and social care providers, policy makers and the public across the UK to identify gaps in end of life care in their areas. The report provides headline analysis of the key end of life care data, enabling comparisons for different localities and different health care settings. Sections include demographics; variation in experiences; variation in spending on end of life care; variation in the recognition of palliative care and end of life care needs; variation in hospital use prior to death; conclusions; what does this mean for policy and practice?
A good night’s rest: identifying sleeping disorders
- Author:
- SWANN Julie
- Journal article citation:
- Nursing and Residential Care, 15(1), 2013, pp.41-44.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
In the first of a series of article relating to a good night’s rest, the author examines some of the problems that older residents may have regarding sleeping, and outlines different classifications of sleeping disorders. It discusses the effects of awakening from different sleep states, the results of insomnia, and how circadian rhythm, sleep-related breathing, and other disorders can affect residents’ ability to get a healthy amount of sleep. The article concludes with a discussion of how care home managers and staff can raise awareness of the importance for residents of obtaining good night time sleep, and how care home practices influence the quality of residents sleep.
What makes a real difference to resident experience? Digging deep into care home culture: the CHOICE (Care Home Organisations Implementing Cultures of Excellence) research report
- Authors:
- KILLETT Anne, et al
- Publisher:
- Prevention of Abuse and Neglect in the Institutional Care of Older Adults
- Publication year:
- 2013
- Pagination:
- 174
- Place of publication:
- London
This is the report of the Care Homes Organisation Implementing Cultures of Excellence (CHOICE) project to examine the relationship between good and poor care experiences in care homes, particularly of residents with high levels of complex needs, and the organisational culture of the care homes. This report identifies key elements of care which are relevant for care home organisational culture in providing high quality care. The research used a comparative case study design combining structured observation using the PIECEdem tool and ethnographic case study research. A linked series of 11 case studies of care home settings were carried out across the United Kingdom. Data was collected from a purposive sample of homes varying in terms of their characteristics as types of provider, ‘locale’ and resident population’, which included 6 homes in England, 3 homes in Scotland and 2 in Wales. The findings highlight the key elements that are associated with positive care experience, including shared purpose in providing the best person-centred care; a sense of community between all involved in the care home; managers ensuring external pressures do not have a negative impact on care delivery; staff empowered to take responsibility for resident well-being by active management processes; openness to change for the benefit of residents; using the care home environment to the benefit of residents; person-centred activity and engagement as integral to care work. (Edited publisher abstract)
Making managed personal budgets work for older people: what older people want, what works and how to achieve the best outcomes
- Author:
- AGE UK
- Publisher:
- Age UK
- Publication year:
- 2013
- Pagination:
- 95
- Place of publication:
- London
A guide for local authorities and other providers to help them ensure that the majority of older people who are on managed personal budgets can benefit from the same level of choice and control as the minority who receive direct payments. The guide highlights research and best practice findings on what older people want and need from a personal budget. It also identifies best practice in the support local authorities should provide and/or commission to help older people achieve the best possible outcomes from their personal budgets. Person-centred practice, Individual Service Funds and Peer Support Networks are also covered. A variety of individual and service case studies are included throughout. (Edited publisher abstract)
Making choices: meeting the current and future accommodation needs of older people. Good practice guide: reconfiguration of statutory residential homes
- Author:
- NORTHERN IRELAND. Health and Social Care Board
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2013
- Pagination:
- 24
- Place of publication:
- Belfast
The relocation of older people from one care setting to another can be particularly stressful, and there is a perception that the closure of residential homes can have an adverse effect on residents' health and wellbeing. However, research carried out by AGE NI has found that the effects a home closure has on resident’s health and psychological well-being is influenced by the way in which a home is closed and how the relocation is managed. This document outlines how best practice should be adopted pre- relocation, during relocation and post relocation. For the purpose of this document, pre-relocation refers to the time period from when the resident begins to consider moving to another residence until the actual move. Relocation refers to the actual day of transition from one residence to another; and post relocation refers to the time after the individual has moved from one residence to a new residence. This document draws on previously published papers which outline lessons learnt in the reconfiguration of care homes in the past, both within the Health and Social Care system in Northern Ireland and in the wider UK. It also draws on examples of best practice for planned, phased or emergency reconfiguration; and on the experience of the community and voluntary sector (AGE NI and the Alzheimer’s Society) who have acted as advocates in the closure of care homes in the past. (Edited publisher abstract)
Rural ageing research: summary report of findings
- Authors:
- TNS-BMRB, INTERNATIONAL LONGEVITY CENTRE
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2013
- Pagination:
- 29
- Place of publication:
- London
ILC-UK in conjunction with TNS-BRMB were commissioned by the Department for Environment, Food and Rural Affairs (DEFRA) to conduct a study on how local service design and delivery needs to respond to an ageing rural population. The research explored: the social profile of older people in rural England; how they use rural services; older residents’ needs; whether local authorities have “rural ageing” strategies; and evidence of good practice and innovative solutions. The report includes data and analysis from an evidence review, a policy review of 15 English local authorities, qualitative research with service users and service designers and deliverers, good practice case studies, and a National Learning Lab held in September 2013. Having asked about the general challenges of delivery in rural communities, and the extent to which local authorities have a coordinated response, the report focuses on three main themes: housing, health and transport. The report concludes with implications of key findings on costs, the lack of service integration, older people’s reluctance to seek help, and local authorities’ understanding of older users’ specific needs. (Original abstract)