Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 37
How older people cope with frailty within the context of transition care in Australia: implications for improving service delivery
- Authors:
- WALKER Ruth, JOHNS Julie, HALLIDAY Dianne
- Journal article citation:
- Health and Social Care in the Community, 23(2), 2015, pp.216-224.
- Publisher:
- Wiley
Transition care is increasingly common for older people, yet little is known about the subjective experience of the transition care ‘journey’ from the perspective of clients themselves. This study examines how older people cope with frailty within the context of a dedicated transition care programme and discusses implications for improving service delivery. Qualitative in-depth interviews were carried out during 2011 in the homes of 20 older people who had recently been discharged from a transition care programme operating in Adelaide, South Australia (average age 80 years, 65% female). Thematic analysis identified three key themes: ‘a new definition of recovery’, ‘complexities of control’ and ‘the disempowering system’. Despite describing many positive aspects of the programme, including meeting personal milestones and a renewed sense of independence, participants recognised that they were unlikely to regain their previous level of functioning. For some, this was exacerbated by lacking control over the transition care process while adapting to their new level of frailty. Overall, this research highlighted that benefits associated with transition care can be undermined by fragmentation in service delivery, loss of control and uncertainties around future support. (Publisher abstract)
Sounds familiar
- Author:
- SALE Anabel Unity
- Journal article citation:
- Community Care, 13.05.04, 2004, pp.36-37.
- Publisher:
- Reed Business Information
Reports on one of the winners of last year's Isabel Schwarz travel fellowship. Wendy Lennon, senior social worker, travelled to Australia to look at hospital discharge of older people. Looks at a multidisciplinary learning unit (MLU); the work o of the aged care and assessment teams (Acats); and how Australians deal with hospital discharge form a social work perspective.
Halfway home
- Author:
- ZAATAR Ali
- Journal article citation:
- Health Service Journal, 31.1.02, 2002, pp.28-29.
- Publisher:
- Emap Healthcare
Short-term intermediate care in nursing homes can prove popular with patients, despite initial doubts about stability. Reports on a pilot scheme.
The home-visiting process for older people in the in-patient intermediate care services
- Author:
- HIBBERD Jane
- Journal article citation:
- Quality in Ageing, 9(1), March 2008, pp.13-23.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Within the current constraints on health and social care services, it is essential that interventions such as home visits for older people can be seen to be appropriately deployed resources for facilitating their safe and timely discharge home. This paper discusses the findings of an evaluation project undertaken in 2003/04 with two in-patient intermediate care services. The service provided a short-term intervention for older people, with an emphasis on rehabilitation to enable a safe return to their own home environment.
Buying Time I: a prospective, controlled trial of a joint health/social care residential rehabilitation unit for older people on discharge from hospital
- Authors:
- TRAPPES-LOMAX Tessa, et al
- Journal article citation:
- Health and Social Care in the Community, 14(1), January 2006, pp.49-62.
- Publisher:
- Wiley
The study's objective was to determine the effectiveness of a joint NHS/Social Services rehabilitation unit (a form of intermediate care) for older people on discharge from community hospital, compared with 'usual' community services. This was a controlled clinical trial in a practice setting. The intervention was 6 weeks in a rehabilitation unit where individuals worked with care/rehabilitation assistants and occupational therapists to regain independence. Controls went home with the health/social care services they would ordinarily receive. Participants were from two matched geographical areas in Devon: one with a rehabilitation unit, one without. Recruitment was from January 1999 to October 2001 in 10 community hospitals. Study eligibility was assessed using the unit's inclusion/exclusion criteria: 55 years or older and 'likely to benefit from a short-term rehabilitation programme' ('potential to improve', 'realistic and achievable goals' and 'motivation to participate'). Ninety-four people were recruited to the intervention and 112 to the control. The mean (standard deviation) age was 81.8 (8.0) years. The main outcome measure was prevention of institutionalisation assessed by the number of days from baseline interview to admission to residential/nursing care or death ('survival-at-home time'). Secondary outcome measures were time to hospital re-admission over 12 months, quality of life and coping ability. There were no significant differences between the groups on any outcome measure. The findings suggest a stay in a rehabilitation unit is no more effective than 'usual' care at diverting older people from hospital/long-term care. Alternative service configurations may be as effective, having implications for tailoring services more specifically to individual need and/or user preferences. However, the unit did appear to facilitate earlier discharges from community hospital.
Intermediate care service in extra care sheltered housing
- Author:
- HOUSING LEARNING AND IMPROVEMENT NETWORK
- Journal article citation:
- Housing Care and Support, 8(4), December 2005, pp.13-16.
- Publisher:
- Emerald
This case study gives an example of an integrated intermediate care service providing short-term, intensive support and assistance combined with the facilities and services offered by extra care sheltered housing. The service aims to prevent hospital admissions and to facilitate quicker and more flexible hospital discharge for older people who need rehabilitation or who cannot return directly to their own home. The service located in the Royal Borough of Windsor and Maidenhead.
Single referrals for inpatient and community rehabilitation
- Author:
- STANDRING Lesley
- Journal article citation:
- Nursing Times, 01.11.05, 2005, pp.34-36.
- Publisher:
- Nursing Times
This article reports on the introduction of a single system for inpatient and community rehabilitation at West Suffolk Hosptial NHS Trust. A multidisciplinary team skilled in assessment decides which model of rehabilitation would meet individual needs. Referral destinations include acute rehabilitation, community hospital rehabilitation, intermediate care, nursing home, and home.
Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial
- Authors:
- GREEN John, et al
- Journal article citation:
- British Medical Journal, 6.08.05, 2005, pp.317-320.
- Publisher:
- British Medical Association
In this randomised controlled trial 220 patients needing rehabilitation after an acute illness that required hospital admission were randomly allocated to a locality based community hospital or to remain within a department for the care of elderly people in a district general hospital. Primary outcomes were Nottingham extended activities of daily living scale and general health questionnaire 28 (carer). Secondary outcomes were activities of daily living (Barthel index), Nottingham health profile, hospital anxiety and depression scale, mortality, destination after discharge, satisfaction with services, carer strain index, and carer's satisfaction with services. Results found the median length of stay was 15 days for both the community hospital and the district general hospital groups. Independence at six months was greater in the community hospital group. Results for the secondary outcome measures, including care satisfaction and measures of carer burden, were similar for both groups. It concludes that care in a locality based community hospital is associated with greater independence for older people than care in wards for elderly people in a district general hospital.
Intermediate care or integrated care: the Scottish perspective on support provision for older people
- Author:
- PETCH Alison
- Journal article citation:
- Journal of Integrated Care, 11(6), December 2003, pp.7-14.
- Publisher:
- Emerald
Looks at how the concept of intermediate care appears to have been rejected in Scotland in favour of an emphasis on integrated care. The article explores the apparent divergence in the broader context of policy variation post-devolution and against the aspirations for a whole-system approach.
Cutting it fine
- Authors:
- STEELE Val, WRIGHT Rowena
- Journal article citation:
- Health Service Journal, 12.4.01, 2001, p.28.
- Publisher:
- Emap Healthcare
Reports on how by introducing therapy assistants for patients in need of rehabilitation, one trust has succeeded in dramatically reducing length of stay.