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Learning from Trusted to Care: one year one
- Authors:
- WALES. Welsh Government, NHS WALES
- Publisher:
- Welsh Government
- Publication year:
- 2015
- Pagination:
- 19
- Place of publication:
- Cardiff
Report summarising progress and improvements made in care and practice at the Princess of Wales and Neath Port Talbot Hospitals in Wales since the independent review Trusted to Care found serious concerns about the quality of care and patient safety of frail and older people. The review made 14 recommendations for the health board and four for the Welsh Government. The report finds progress has been made in all 14 recommendation areas made to the health board. Six have been completed either fully or there are clear plans for implementation in place Eight of the recommendations still need work. The report also identifies the progress made against the Welsh Government recommendations. Improvements are identified in the areas of hydration, medication, complaints and professional accountability. (Edited publisher abstract)
Surveillance technologies in care homes: seven principles for their use
- Author:
- FISK Malcolm John
- Journal article citation:
- Working with Older People, 19(2), 2015, pp.51-59.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider the use of surveillance technologies in care homes and the way in which they can help protect older people. It signals an ethical way forward for their use that de-fuses the heightened rhetoric associated with concerns about the abuse. Totally, seven principles are put forward by which the use of surveillance technologies can be supported. Design/methodology/approach: The paper recognises the significance of technological developments and the key part that they now play in helping people live more independently. Surveillance technologies have a part in this within care homes, but there are important ethical considerations – notably around the way in which concerns for privacy are balanced with those about people’s safety and autonomy. Findings: The paper points to an approach that can guide the use of surveillance technologies within care homes. The seven principles put forward will be built on through further work in 2015 including care home residents, family carers, formal care providers and others. In setting out these principles the paper mediates between the positions of those who argue the merits of such technologies and those who point to some of them, notably cameras, as undermining people’s privacy and the nature of the “care relationship”. Originality/value: The subject matter of the paper is important because of the attention being given to problems of abuse in care settings; and the freedom by which anyone can access technologies that can be used for surveillance. The paper is timely and carries substantial originality. (Publisher abstract)
Healthcare of aging population of Kuwait
- Authors:
- YOUNIS Mustafa, et al
- Journal article citation:
- Ageing International, 40(1), 2015, pp.36-43.
- Publisher:
- Springer
- Place of publication:
- New York
Kuwait is the fifth richest nation in the world and it has almost 10 % of world crude oil reserves. The total population of Kuwait in mid-2011 was 2,818,000 and is expected to increase by 17.5 % by the year 2025 and by 82.26 % by the year 2050. As of 2010, the annual population growth was 3.4 % and the total fertility rate per women was 2.3. The total government expenditure on health as a percentage of total expenditure on health stood at 83.9 % while the private expenditure on health as a percentage of total expenditure on health stood at 16.1 %. Due to the continued improvement of the health care delivery system in Kuwait, while the percent of aged population aged 65 and beyond was 2.83 % of the total population in the year mid-2011, and this will increase to 4.41 % of the total population by the year mid-2025 and will dramatically increase to 17.90 % of the total population by the year mid-2050. This population ageing reflects a human success story of increased longevity in Kuwait. However, the chronic noncommunicable diseases are on rise and are now the major cause of death among older people in Kuwait. Given these improvements in the population demography, the political, economic, and social leadership of Kuwait would need to re-visit and update the policies and programmes that will reduce the burden of ageing populations on the society and its economy. The improvement of the public health system should lead to enhancement in the availability of health and social services for older persons and promote their continuing participation in a socially and economically productive life in Kuwait. (Edited publisher abstract)
Breaking down the barriers: older people and complaints about health care
- Author:
- PARLIAMENTARY AND HEALTH SERVICE OMBUDSMAN
- Publisher:
- Parliamentary and Health Service Ombudsman
- Publication year:
- 2015
- Pagination:
- 28
- Place of publication:
- London
Drawing on information collected from a national online survey, focus groups with older people and their carers, and case studies, this report highlights the barriers that older people can face when looking to complain about the health care they receive. The report found that older people lack information about how to complain, and don't know where to go; don't want to make a fuss and worry about what will happen if they do; feel complaining would make little difference; and can lack support to complain. Additional factors such as living alone and the lack of emotional and practical support can make these barriers even harder for older people to overcome. The report makes a number broad recommendations to improve older people's experiences of the complaints system. It also recommends that organisations providing care use the framework 'My expectations for raising concerns and complaints', published by the Parliamentary and Health Service Ombudsman, Local Government Ombudsman and Healthwatch England, to measure how effectively they are handling their own complaints. (Edited publisher abstract)
Engaging in coordination of health and disability services as described by older adults: processes and influential factors
- Authors:
- RUGGIANO Nicole, SHTOMPEL Natalia, EDVARDSSON David
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.1015-1025.
- Publisher:
- Oxford University Press
Purpose of the Study: There is little consensus on the definition and design of effective care coordination for older adults with chronic conditions, and the majority of care coordination models minimise the role and voice of older patients. This study aims to examine how older adults perceive and engage in the process of care coordination of health and disability support services and the factors that influence their engagement. Design and Methods: Thirty-seven older adults with chronic conditions and nine geriatric case managers participated in semi-structured interviews that focused on older adults’ experiences with self-managing and coordinating their health and support services. Interview data were systematically analysed for themes. Results: The interview data revealed that involving older adults in care coordination is a complex, multi-stage process, conceptualized as making self-health assessments, making informed decisions about care, and executing and coordinating care. The findings indicate that a number of factors facilitate older adults’ decision and capacity to become involved in the coordination of their care, including their perceptions about how their condition impacted their everyday lives, and availability of intrinsic resources, tangible resources, and social network. Low perceptions of control over health and lack of such resources constrain their involvement. Implications: Practitioners may facilitate older adults’ involvement in care coordination by using language with older patients that emphasises psychosocial experiences in addition to medical symptomatology. They may also provide targeted support for patients with limited facilitating factors to promote involvement at multiple stages of the care coordination process. (Edited publisher abstract)
Improving UK health care: Nuffield Trust strategy: 2015 - 2020
- Author:
- NUFFIELD TRUST
- Publisher:
- Nuffield Trust
- Publication year:
- 2015
- Pagination:
- 12
- Place of publication:
- London
A five-year strategic plan setting out how the Nuffield Trust will work to improve health care in the UK. The plan centres around a renewed focus on what policies mean on the ground and on bringing together policy-makers with frontline clinicians and managers. The trust is committed to: improving the evidence base that leads to better care for people in the UK through our research and analysis; using its independence to provide expert commentary, analysis and scrutiny of policy and practice; and bringing policy-makers and NHS staff together to raise issues and identify solutions. Work will focus on five key areas, selected for the opportunities to contribute to solving problems in the coming years: quality of care - new models of health care delivery; workforce; older people and complex care; and providing independent scrutiny of government policies and the performance of the system. (Edited publisher abstract)
Integrating occupational therapy services: playing the long game
- Author:
- KELLY Janet
- Journal article citation:
- Journal of Integrated Care, 23(4), 2015, pp.185-193.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore some of the critical areas of work in any long-term strategy to develop integrated occupational therapy services across health and social care for adults who are frail and elderly and living in their local communities. It explores the success that has been experienced in Aneurin Bevan University Health Board over the past eight years or more and proposes “keeping the faith” as a helpful personal strategy in avoiding disillusionment and disengagement in the process when setbacks occur along the way. Design/methodology/approach: The paper is a combination of personal reflection and experience, with reference to the literature and what has been written about others’ professional experiences at bringing services and professional groups together. Findings: Developing integrated occupational therapy services is not easy. However there are several critical factors, which once understood for their role in the overall process, add weight to the 'right thing to do' argument. These 'critical factors' provide a continued focus for the work when the challenges inherent in developing integrated services are in danger of outweighing the successes and the pressure is strong to revert to the default position of single agency service delivery. Originality/value: This paper makes an effort to pursue integrated occupational services to serve as an example of wider attempts to pursue collaboration and integration, highlighting the need for remaining doggedly determined on the final objective – better services for people. (Publisher abstract)
House calls: the impact of home-based care for older adults with Alzheimer’s and dementia
- Authors:
- WILSON Kasey, BACHMAN Sara S.
- Journal article citation:
- Social Work in Health Care, 54(6), 2015, pp.547-558.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Older adults with Alzheimer’s/dementia have high health care costs; they may benefit from home-based care, but few have home visits. This article describes a home-based care programme for frail elders, including those with Alzheimer’s/dementia. Descriptive statistics are provided for Medicare-enrolled programme participants and matched controls with Alzheimer’s/dementia on expenditures along six services: skilled nursing facility, inpatient acute, physician, home health, hospice, and social services. Cases with dementia were significantly more likely to have home health and hospice expenditures than controls, suggesting potential for the program to improve end-of-life care. Very few cases or controls had any social service expenditures. Social workers should advocate for the expanded role of home-based care for older adults with dementia and for increased Medicare reimbursement of social work services. (Edited publisher abstract)
A survey of older peoples’ attitudes towards advance care planning
- Authors:
- MUSA Irfana, et al
- Journal article citation:
- Age and Ageing, 44(3), 2015, pp.371-376.
- Publisher:
- Oxford University Press
Background: Advance care planning (ACP) is a process to establish an individual's preference for care in the future; few UK studies have been conducted to ascertain public attitudes towards ACP. Objective: The aim of this study was to assess the attitudes of older people in East Midlands through the development and administration of a survey. Design: The survey questionnaire was developed on the basis of a literature review, exploratory focus groups with older adults and expert advisor input. The final questions were then re-tested with lay volunteers. Setting: Thirteen general practices were enrolled to send out surveys to potential participants aged 65 or older. There were no additional inclusion or exclusion criteria for participants. Methods: Simple descriptive statistics were used to describe the responses and regression analyses were used to evaluate which items predicted responses to key outcomes. Results: Of the 5,375 (34%) community-dwelling older peoples, 1,823 returned questionnaires. Seventeen per cent of respondents had prepared an ACP document; of whom, 4% had completed an Advance Decision to Refuse Treatment (ADRT). Five per cent of respondents stated that they had been offered an opportunity to talk about ACP. Predictors of completing an ACP document included: being offered the opportunity to discuss ACP, older age, better physical function and male gender. Levels of trust were higher for families than for professionals. One-third of the respondents would be interested in talking about ACP if sessions were available. Conclusion: Although a third of the respondents were in favour of discussing ACP if the opportunity was available with their GP, only a relative minority (17%) had actively engaged. Preferences were for informal discussions with family rather than professionals. (Edited publisher abstract)
Take six decisions for excellent healthcare and support for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2015
- Pagination:
- 8
- Place of publication:
- London
Sets out six key decisions that the British Geriatrics Society (BGS) believe the incoming government should take in order to promote excellent healthcare and support for older people. This care should be person-centred, effective, efficient, safe, equitable and timely. The six key decisions are: to end the divide between health and social care; build capacity in intermediate care; invest adequately in healthcare and social support for older people; provide national strategic direction on older people living with frailty, dementia, complex needs and multiple long-term conditions; supporting staff to develop competencies in the management of older patients; and measuring the aspects of care that matter to older people and their families. (Edited publisher abstract)