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His own best advocate
- Author:
- BOND Henrietta
- Journal article citation:
- Community Care, 8.7.99, 1999, pp.34-35.
- Publisher:
- Reed Business Information
Enabling an elderly person to return home after a lengthy hospital stay can be a testing time for all. Describes the case of how a social worker balanced the need to help a client return home against the safety risk.
Best place of care for older people after acute and during sub-acute illness: report of a national survey
- Authors:
- PARKER Gillian, et al
- Publisher:
- University of Leicester. Nuffield Community Care Studies Unit
- Publication year:
- 1999
- Pagination:
- 200p.
- Place of publication:
- Leicester
Acute hospital care is not necessarily the best way to look after all older people when they are ill. Their illnesses may not require the extensive range of services offered in an acute hospital and the admission and stay in an acute hospital, in itself, can be harmful for some frail people. The results of the systematic review of literature comparing alternative models of care with ‘conventional’ care for older people indicated that stroke units, early discharge schemes and in-patient rehabilitation delivered better outcomes at discharge in terms of mortality, physical function and discharge destination. However, it was unclear whether the improvements are maintained over the longer term or why they were achieved. The most significant finding was the lack of firm evidence about the quality, costs and effectiveness of different places of care. However, there is some evidence that admission avoidance schemes may have potential for reducing costs without worsening outcomes.
The pressure's on
- Author:
- GULLAND Anne
- Journal article citation:
- Nursing Times, 3.11.99, 1999, pp.12-14.
- Publisher:
- Nursing Times
Last winter's flu outbreak saw the NHS at breaking point. This article asks what some of the worst-hit Trusts are now doing to prevent further chaos.
Elderly people with alcohol-related problems: where do they go?
- Author:
- MULINGA John Dickson
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(7), July 1999, pp.564-566.
- Publisher:
- Wiley
The aim of this study was to investigate the clinical presentation and rehabilitation of elderly people with alcohol-related disorders by studying the case notes of all patients with final diagnoses of alcohol dependence and alcohol abuse admitted to a hospital.
The art of conversation
- Author:
- GLASBY Jonathan
- Journal article citation:
- Care the Journal of Practice and Development, 7(2), May 1999, pp.20-26.
- Publisher:
- Pepar
Describes a breakdown in communication between hospital doctors and older patients which occurs all too often in the modern health service and which leaves patients vulnerable, uninformed and disempowered.
Hospital discharge into nursing home care: psychological reactions and contributing factors
- Authors:
- ESPEJO A., GOUDIE F., TURPIN G.
- Journal article citation:
- Aging and Mental Health, 3(1), February 1999, pp.69-78.
- Publisher:
- Taylor and Francis
Two groups of older people were investigated within a hospital setting, a 'care' group to be discharged into nursing home care and a 'home' group discharged into their own home to find out how they reacted to the differing discharge situations.
Health emergency
- Author:
- WHITE Caroline
- Journal article citation:
- Community Care, 28.1.99, 1999, pp.18-19.
- Publisher:
- Reed Business Information
Looks at how social services are spending the government's winter pressures money to help ease the hospitals crisis.
Dignity on the ward; the future of hospital care for older people; a conference at London's Royal College of Physicians on Monday 29 November 1999
- Author:
- HELP THE AGED,
- Publisher:
- Help the Aged
- Publication year:
- 1999
- Pagination:
- 7p.
The outcomes of an inpatient treatment program for geriatric patients with dementia and dysfunctional behaviors
- Authors:
- HOLM Alvin, et al
- Journal article citation:
- Gerontologist, 39(6), December 1999, pp.668-676.
- Publisher:
- Oxford University Press
Evaluates the outcomes of an inpatient programme in the USA, designed to reduce severe agitated behavior in geriatric patients with dementia who could not be successfully treated on an outpatient basis. An individualized treatment plan was created for each patient that involved pharmacological and nonpharmacological interventions with behavioural, environmental, and psychological components. Significant improvements on these assessments were observed. Concludes that the longitudinal, multidisciplinary approach used in this study was effective in significantly reducing intrusive and dangerous behaviours while preserving or enhancing patients' cognitive and functional abilities.
Responding to the winter crisis
- Author:
- McNALLY David
- Journal article citation:
- Professional Social Work, December 1999, p.12.
- Publisher:
- British Association of Social Workers
Asks whether joint rapid assessment schemes to keep people out of hospital are enough to prevent the admissions crisis that hospitals face each winter.