Search results for ‘Subject term:"older people"’ Sort:
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The nursing auxiliary service and care of elderly patients
- Authors:
- BADGER Frances, et al
- Publisher:
- University of Birmingham. Health Services Research Centre
- Publication year:
- 1988
- Pagination:
- 19p., bibliog. (Pam 362.6)
- Place of publication:
- Birmingham
Discusses patients who are seen solely or primarily by nurse auxiliaries for help with personal hygiene.)
Should free personal care be available for all older people?
- Authors:
- HUTTON John, LISHMAN Gordon
- Journal article citation:
- Nursing Times, 15.3.01, 2001, p.17.
- Publisher:
- Nursing Times
The two authors debate whether personal care for older people should be available free of charge.
Social care for older people – a blind spot in the Norwegian care system
- Authors:
- SCHONFELDER Walter, EGGEBO Helga, MUNKEJORD Mai Camilla
- Journal article citation:
- Social Work in Health Care, 59(9-10), 2020, pp.631-649.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
A growing number of older people in Norway receive care services at home. Public policy aims at promoting social safety, preventing social problems and providing recipients of care with the means to live an active and meaningful everyday life together with others. However, health-related services have long been prioritized at the expense of other care services. Our aims are to investigate how professional caregivers in Norwegian home care for older people relate their professional mandate to social care to assess what different professional positions regarding social care imply for realizing the ideal of integrated and person-centered care. Interviews with 16 professional caregivers are analyzed within the framework of positioning theory. A variety of discursive positions relating the own professional mandate to social care are identified. Findings suggest that the absence of common standards leaves it up to the individual caregiver if social care needs are met or not. Common standards for social care delivery and a more suitable skill mix among health and social care professionals are proposed. (Edited publisher abstract)
Assumptions of good practices in home care for the elderly: a systematic review
- Authors:
- RODRIGUES Rosalina Aparecida Partezani, et al
- Journal article citation:
- Brazilian Journal of Nursing (Revista Brasileira de Enfermagem), 72(suppl 2), 2019, pp.302-310.
- Publisher:
- Brazilian Nursing Association
- Place of publication:
- Brazil
OBJECTIVE: To synthesise the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy ageing. METHOD: A systematic review, based on the Joanna Briggs Institute's proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases. RESULTS: Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centred on the elderly and the inclusion of the elderly, family and nurses as agents of this care., CONCLUSION: According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganisation, so that they are indeed comprehensive and contextualised. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favouring a process of healthy and active ageing. (Edited publisher abstract)
Systematic review: effective home support in dementia care, components and impacts - Stage 2, effectiveness of home support interventions
- Authors:
- CLARKSON Paul, et al
- Journal article citation:
- Journal of Advanced Nursing, 74(3), 2018, pp.507-527.
- Publisher:
- Blackwells Publishing
AIM: The aim of this study was to explicate the outcomes of home support interventions for older people with dementia and/or their carers to inform clinical practice, policy and research. BACKGROUND: Most people with dementia receive support at home. However, components and effectiveness of home support interventions have been little explored. DESIGN: Systematic review with narrative summary. DATA SOURCES: Electronic searches of published studies in English using PubMed, Cochrane Central Register of Controlled Trials, PsychINFO, CINAHL, Applied Social Science Index and CSA Social Services Abstracts. Databases and sources were searched from inception to April 2014 with no date restrictions to locate studies. REVIEW METHODS: The PRISMA statement was followed and established systematic review methods used. Using 14 components of care for people with dementia and their carers, identified previously, data across studies were synthesized. Interventions were grouped and described and effectiveness ratings applied. Qualitative studies were synthesized using key themes. RESULTS: Seventy studies (four qualitative) were included. Most were directed to carers and of high quality. Seven interventions for carers and two for people with dementia were identified, covering 81% of studies. Those relating to daily living, cognitive training and physical activity for people with dementia were absent. Measures of effectiveness were influenced mainly by the intensity (duration and frequency) of interventions. Those containing education, social support and behaviour management appeared most effective. CONCLUSION: These interventions reflect emergent patterns of home support. Research is required to identify effective interventions linked to the stage of dementia, which can be applied as part of routine clinical care. (Edited publisher abstract)
Free personal and nursing care, Scotland, 2008-09
- Author:
- SCOTLAND. Scottish Government
- Publisher:
- Scotland. Scottish Government
- Publication year:
- 2010
- Pagination:
- 24p., tables
- Place of publication:
- Edinburgh
This Statistics Release presents the figures for free personal care and free nursing care in Scotland in 2008-2009. Free personal and nursing care was introduced in Scotland on 1 July 2002. Prior to this date, people could be charged for personal care services provided in their own home and many residents in care homes had to fully fund their care from their own income and savings. People aged 65 and over can no longer be charged for personal care services provided in their own homes, although they can be charged for domestic services. People aged 65 and over who live in care homes who are assessed as self-funders can receive a weekly payment towards their personal care and can receive an additional payment if they require nursing care; the remainder of the care home fees they still fund themselves. This release presents information from a variety of sources to give a picture of: the number of people benefiting from free personal care and free nursing care in Scotland; and how much Local Authorities spend on personal care services.
Psychological distress and its correlates in older care-dependent persons living at home
- Author:
- THYGESEN Elin
- Journal article citation:
- Aging and Mental Health, 13(3), May 2009, pp.319-327.
- Publisher:
- Taylor and Francis
This study examined psychological distress in older people receiving home nursing care. The influence of risk factors and personal resources on their perceived psychological distress was also examined. Method: A linear regression analysis was applied in a cross-sectional sample of 214 patients aged 75 years and older. Psychological distress was measured using the General Health Questionnaire (GHQ). The independent variables were sex, education, age, living arrangement, household composition, reported illnesses, Barthel ADL Index, self-rated health, Subjective Health Complaints, Clinical Dementia Rating Scale, Sense of Coherence and Revised Social Provision Scale. Of the 214 participants, 23 (10.7%) reported experiencing psychological distress using a cut-off point of 4 or more on a GHQ case score. Sense of coherence, education and subjective health complaints were the only factors that were significantly related to psychological distress in the multivariate analysis. The general level of psychological distress was low. Low psychological distress was related to an inner strength conceptualized as sense of coherence. Commonly reported risk factors such as sex, household composition and perceived social support, and objective measures of somatic and mental health and bodily dysfunctions were not related to psychological distress. Suggested reasons for this are greater acceptance of bodily and functional shortcomings and of changes related to goal achievement in old age, according to the model of selective optimization with compensation.
Profiling the risk factors associated with falls in older people with diabetes receiving at-home nursing care: retrospective analysis of an Australian aged care provider database
- Authors:
- MEYER Claudia, et al
- Journal article citation:
- Health and Social Care in the Community, 30(2), 2022, pp.762-775.
- Publisher:
- Wiley
Falls among older people with diabetes mellitus (DM) are a major health concern. Preventive measures can be implemented to reduce the likelihood of falls. The aim of this study was to determine the factors most strongly associated with falls in older people living with DM who receive at-home care support services. This will inform home-visiting nurses to prioritise falls prevention strategies in the care of clients who are at high risk of falls. A retrospective analysis of routinely collected data from a large not-for-profit community aged care service provider was undertaken. The sample comprised adults aged ≥65 years residing in Victoria, Australia, with a recorded diagnosis of DM, and who received at least one episode of care by the aged care provider during July 1, 2014 and June 30, 2015. Self-reported data on falls in previous 6 months was obtained via the Comprehensive Health Assessment Tool (CHAT). Selection of factors associated with falls was guided by the Falls Risk for Older People in the Community (FROP-Com) assessment tool. For the study population, data for these factors were obtained from clients’ self-reported CHAT data, and from International Classification of Disease codes obtained from medical records. Descriptive statistics were used to identify the demographic and clinical profile; logistic regression was used to assess the strength of association between various factors and the occurrence of a fall. Data were obtained for 1,574 older adults; overall prevalence of falls was 30.6% (n = 482). Significant factors displaying the highest odds of falling were gait issues (OR: 2.11, p = 0.002); needing help to walk (OR: 1.91, p = <0.001); and cognitive dysfunction (OR: 1.55, p = 0.001). Interpreted with caution, several factors contribute to an increased odds of falling in older people with DM. Home-visiting nurses are uniquely placed to introduce preventive interventions to reduce the likelihood of debilitating falls in this population. (Edited publisher abstract)
Caregivers’ experiences of a home support program after the hospital discharge of an older family member: a qualitative analysis
- Authors:
- SLATYER Susan, et al
- Journal article citation:
- BMC Health Services Research, 19(220), 2019, Online only
- Publisher:
- BioMed Central Ltd
Background: The ageing global population has seen increasing numbers of older people living with chronic health problems, declining function, and frailty. As older people seek to live out their years at home, family members, friends and neighbours (informal caregivers) are increasingly relied upon for support. Moreover, pressured health systems and shorter hospital length of stay mean that informal caregivers can find themselves supporting the older person who is still unwell after discharge. The Further Enabling Care at Home (FECH) program was developed as a nursing outreach intervention designed to systematically address support needs of family caregivers of older people after hospital discharge to sustain their home-based caregiving. The objective of this study was to explore the experiences of informal caregivers who participated in the FECH program after an older family member’s discharge from hospital. Methods: The study employed a qualitative descriptive design. Caregivers of older people discharged home from a Medical Assessment Unit in an Australian hospital who were included in the program were interviewed to explore their experiences and perceptions of the FECH program. Data were audio-recorded, transcribed, and subjected to thematic analysis. Results: Twenty-one family caregivers (81% female, aged 25–89 years) participated in the interviews. Themes emerging were ‘The experience of caregiving’; ‘The experience of receiving FECH program support’; and ‘Caregivers’ suggestions for improvement’. Caregivers indicated that reflective discussions with the FECH nurse enabled them to recognise the complexity of the caregiving role and determine aspects where they needed support. Caregivers valued guidance from the FECH nurse in accessing information and resources, which helped them to feel more connected to support, more prepared to care for the older person and themselves, and more secure in the caregiving role. Conclusions: Caregivers’ experiences indicated that the structured reflective FECH discussions prompted thought and provided guidance in navigating health and care systems. The FECH program appears to offer a means to address the practical, physical and psychosocial needs of informal caregivers as partners in person-centred health and social care. (Edited publisher abstract)
Longitudinal prevalence and correlates of elder mistreatment among older adults receiving home visiting nursing
- Authors:
- FRIEDMAN Bruce D., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 27(1), 2015, pp.34-36.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The objectives of this study were to identify elder mistreatment (EM) prevalence among a cohort of older adults receiving visiting nurse care in their homes, determine EM subtypes, and identify factors associated with EM. EM data were collected by nurses during monthly home visits for up to 24 months. It took the nurses a mean of 10.5 visits to discern EM. Fifty-four (7.4%) of 724 patients were identified as mistreated, of which 33 had enough information to subtype the EM. Of these 33, 27 were victims of neglect, 16 of psychological abuse, and 10 of financial exploitation, and 17 suffered more than one type. Among the entire sample, 11 variables were positively correlated with EM presence. Nurses visiting older adults in their homes should be aware that their patients are, as a group, vulnerable to EM, and that the factors identified here may be specific markers of greater risk. (Publisher abstract)