Search results for ‘Subject term:"older people"’ Sort:
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Community care and the Griffiths Report : hospital discharge of frail elderly people as a test case
- Authors:
- RUSSELL Jim, BRENTON Maria
- Journal article citation:
- Local Government Policy Making, 15(3), December 1988, pp.27-37.
- Publisher:
- University of Birmingham. Institute of Local Government Studies
Summarises the Audit Commission's 'Making a reality out of community care' and the recommendations of the Griffiths report and relates them to the research based in the South Glamorgan Hospital Discharge Service.
Deinstitutionalization of the elderly mentally ill: factors affecting discharge to alternative living arrangements
- Authors:
- SOMMERS Ira, et al
- Journal article citation:
- Gerontologist, 28(5), October 1988, pp.653-658.
- Publisher:
- Oxford University Press
A survey of elderly people discharged to different settings and predictors of placement.
Back home: hospital discharge of elderly people in West Birmingham
- Author:
- WEST BIRMINGHAM COMMUNITY HEALTH COUNCIL
- Publisher:
- West Birmingham Community Health Council
- Publication year:
- 1987
- Pagination:
- 47p., tables, diags.
- Place of publication:
- Birmingham
From hospital to the community: a report examining discharge procedures from hospital and community provision for elderly people
- Author:
- BAGLEY G
- Publisher:
- Birmingham. Social Services Department/North Birmingham Health Authority
- Publication year:
- 1987
- Pagination:
- 36p., tables.
- Place of publication:
- Birmingham
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A review of home visits by occupational therapists in a geriatric assessment unit
- Authors:
- WHITTAKER J.J., HORNBY J.
- Journal article citation:
- British Journal of Occupational Therapy, 49(11), 1986, pp.365-366.
- Publisher:
- Sage
Prior to discharge to the community.
Helping you through a hospital stay: advice from older people
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, SHARIF Nadira, QURESHI Hazel
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2008
- Pagination:
- 45p.
- Place of publication:
- London
Helping you through a hospital stay helps older people to understand and manage the feelings, anxieties and concerns they may have when they are entering or leaving hospital. It suggests how they can be involved in their treatment and care, and in planning for return home. The booklet has been written and developed with the input of an advisory group of older people who have firsthand experience of going into hospital. It covers all aspects of the hospital stay including how to prepare for the hospital visit, essential things to pack, what to expect from doctors, nurses, social workers and other professionals, and includes an extensive list of useful contacts for both pre and post hospital care. It will also be an invaluable aid for carers, relatives and friends.
Using qualitative research in systematic reviews: older people's views of hospital discharge
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, FISHER Mike, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2006
- Pagination:
- 68p.
- Place of publication:
- London
Systematic reviews are usually restricted to quantitative studies. This report demonstrates how the review process can be extended to a synthesis of qualitative studies using the example of older people’s views on hospital discharge. There were two kinds of evidence about the potential effectiveness of discharge arrangements – the review by Parker showing that support could be successfully provided to older people discharged from hospital, and international evidence from Sweden, where a similar reform had been implemented. Closer examination of this evidence provided some of the key reasons why this qualitative synthesis of older people’s views of hospital discharge was undertaken.
Bringing hospital care home: virtual wards and hospital at home for older people
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2022
- Pagination:
- 10
- Place of publication:
- London
This report explores the potential benefits, limitations, and current scientific evidence to be considered when providing a safe, effective, and person-centred alternative to hospital inpatient care for older adults. It highlights how Virtual Wards are being funded and implemented; explains the various definitions of the term Virtual Wards as used in different parts of the UK; and describes the face-to-face care delivered by a multidisciplinary team, combined with some remote monitoring. The report summarises the current landscape on Virtual Wards and provides advice for decision-makers looking to set up such services for older people living with frailty. Recent scientific research has provided some evidence that hospital-level care in an individual's home environment may improve their care experience and outcomes and deliver benefits for patients, carers and health and care systems. The evidence base highlighting the potential benefits of Virtual Wards is growing but caution is needed when considering widespread implementation. The report recognises that this type of care will not be suitable for all patients and not all older people with acute conditions will want, or be able, to be cared for in such a service. For some patients, hospital will remain the safest place for them to be. However, feedback from older people using existing virtual ward services shows that many people welcome the option of receiving hospital-level care in the comfort of their own home, supported by family care and visiting professionals. Honest communication with patients and families about how the service works and what to do if the patient's condition deteriorates is vital to operating a successful service. (Edited publisher abstract)
Intensity of COVID-19 in care homes following hospital discharge in the early stages of the UK epidemic
- Authors:
- HOLLINGHURST Joe, et al
- Journal article citation:
- Age and Ageing, early cite March 2022, p.afac072.
- Publisher:
- Oxford University Press
Background: A defining feature of the COVID-19 pandemic in many countries was the tragic extent to which care home residents were affected, and the difficulty preventing introduction and subsequent spread of infection. Management of risk in care homes requires good evidence on the most important transmission pathways. One hypothesised route at the start of the pandemic, prior to widespread testing, was transfer of patients from hospitals, which were experiencing high levels of nosocomial events. Methods: this study tested the hypothesis that hospital discharge events increased the intensity of care home cases using a national individually linked health record cohort in Wales, UK. The researchers monitored 186,772 hospital discharge events over the period March to July 2020, tracking individuals to 923 care homes and recording the daily case rate in the homes populated by 15,772 residents. The researchers estimated the risk of an increase in cases rates following exposure to a hospital discharge using multi-level hierarchical logistic regression, and a novel stochastic Hawkes process outbreak model. Findings: In regression analysis, after adjusting for care home size, this study found no significant association between hospital discharge and subsequent increases in care home case numbers (odds ratio: 0.99, 95% CI 0.82, 1.90). Risk factors for increased cases included care home size, care home resident density, and provision of nursing care. Using an outbreak model, this study found a significant effect of hospital discharge on the subsequent intensity of cases. However, the effect was small, and considerably less than the effect of care home size, suggesting the highest risk of introduction came from interaction with the community. This study estimated approximately 1.8% of hospital discharged patients may have been infected. Interpretation: There is growing evidence in the UK that the risk of transfer of COVID-19 from the high-risk hospital setting to the high-risk care home setting during the early stages of the pandemic was relatively small. Although access to testing was limited to initial symptomatic cases in each care home at this time, these results suggest that reduced numbers of discharges, selection of patients, and action taken within care homes following transfer all may have contributed to mitigation. The precise key transmission routes from the community remain to be quantified. (Edited publisher abstract)
Occupational therapy and allied health use for older people in acute care: a description of services, time, and readmission in an Australian setting
- Authors:
- BARCLAY Linda, et al
- Journal article citation:
- British Journal of Occupational Therapy, 84(8), 2021, pp.507-515.
- Publisher:
- Sage
Introduction: Acute care readmissions of older people are an ongoing concern in many countries. Occupational therapists are well positioned to play a significant role in contributing to improved outcomes and fewer readmissions following discharge from acute hospitals, yet there is a lack of empirical evidence to support this claim. Methods: This study used a retrospective clinical audit of secondary hospital data to investigate and describe the time spent on occupational therapy, and the range of occupational therapy and other allied health services provided to older people admitted to acute care, in one Australian health care service. Results: Occupational therapists conducted numerous assessments and interventions to support patients and to prepare them for safe discharge home. Occupational therapy was significantly associated with length of stay. Readmission was not related directly or significantly to time spent in occupational therapy or any other factor included in this study. However, of the people who received occupational therapy, there was a higher percentage readmitted when they had more services already in place on admission and when they lived alone. Conclusions: This study provides preliminary evidence regarding the contact time and range of occupational therapy assessments and interventions provided to older people in the acute hospital setting. (Edited publisher abstract)