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Pre-discharge home visits with older people: time to review practice
- Authors:
- MOUNTAIN Gail, PIGHILLS Alison
- Journal article citation:
- Health and Social Care in the Community, 11(2), March 2003, pp.146-154.
- Publisher:
- Wiley
Uses available evidence to make a case for reconsideration of the practice of pre-discharge home visits with frail older people as part of decisions regarding a return home, which is embedded into the routine activity of acute medical wards for older people and occupies a large proportion of the time of hospital employed therapy staff, with consequent financial and resource implications. Assessments are often conducted to provide information on safe discharge rather than being located in the interests of the older person and their carer. The introduction of a new range of services bridging hospital and home raises the need for urgent critical appraisal.
Funny and sad and friendly: a drama project
- Author:
- KILLICK John
- Journal article citation:
- Journal of Dementia Care, 11(1), January 2003, pp.24-26.
- Publisher:
- Hawker
Reports on how specially trained actors help people with dementia to express themselves into hospital wards with the Elderflower programme in Scotland.
Single assessment in acute hospitals
- Authors:
- McNALLY David, PEET Jan
- Journal article citation:
- Working with Older People, 7(3), September 2003, pp.18-21.
- Publisher:
- Emerald
Describes work in St Helens and Knowsley to improve older people's experience of hospital care and discharge through implementing the single assessment process.
Architecture with care
- Author:
- PALLISTER Marian
- Journal article citation:
- Journal of Dementia Care, 11(4), July 2003,
- Publisher:
- Hawker
This article descibes how one architect applied a common sense approach to a hospital ward redesign.
Acting their age
- Author:
- HOPKINS Graham
- Journal article citation:
- Community Care, 22.5.03, 2003, p.46.
- Publisher:
- Reed Business Information
Reports on the work on an interactive theatre group which has been helping with reminiscence work in on older patients' ward in a London hospital. Looks at the positive benefits of the scheme.
The user voice I, II and III: three qualitative studies of the views of older people concerning rehabilitation services they received in hospital, in social services/NHS residential rehabilitation units, and at home
- Authors:
- TRAPPES-LOMAX Tessa, et al
- Publisher:
- Centre for Evidence-Based Social Services
- Publication year:
- 2003
- Pagination:
- 124p., bibliog.
- Place of publication:
- Exeter
This report outlines a qualitative study exploring the views of older people about the rehabilitation services they receive. The services investigated were provided by social services and/or health in community hospitals, residential rehabilitation units, and in people's own homes. The research involved face-to-face interviews with 42 participants. Interpretative Phenomenological Analysis was used to analyse the data. Researchers sought to determine 'what works' and what could work better regarding the rehabilitation, or intermediate care, services received by older people. They identified a need for a 'whole person' approach to rehabilitation, an explicit partnership approach to the assessment of user and carer needs, and much greater clarity about the specific rehabilitative activities which were offered by individual units and hospitals. Five main themes emerged: the diversity of users’ needs; the duality of the staff role; the complex nature of rehabilitation; the effect of the setting; and the long term nature of rehabilitation. The message from users and carers identified that the research was worthwhile, but could be done better.
Acute concerns: responding to delayed discharges and 'blocked beds'
- Editor:
- GLASBY Jon
- Publisher:
- University of Birmingham. Health Services Management Centre
- Publication year:
- 2003
- Pagination:
- 24p.
- Place of publication:
- Birmingham
Often, accounts of hospital discharge refer to the problem of ‘bed blocking’ as a short-hand term for people (often older people) who it is believed are occupying a hospital bed when they no longer need the services provided in an acute setting. While such phrases are in widespread usage, this terminology is felt by many to carry a highly pejorative meaning, implying that the older people concerned are themselves to blame for the situation. As is increasingly clear, however, this is often totally inaccurate, as it is the system itself which causes many such ‘blockages’, not the individual patient (who often wishes to return home as soon as possible).
Never say never again
- Author:
- -
- Journal article citation:
- Mental Health Today, November 2003, pp.10-11.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Looks at a recent report from the Commission for Health Improvement (CHI) which was called on to investigate allegations of abuse of elderly people in Manchester Mental Health and Social Care Trust.
Vehicle crashworthiness and the older motorist
- Authors:
- MORRIS Andrew, et al
- Journal article citation:
- Ageing and Society, 23(4), July 2003, pp.395-409.
- Publisher:
- Cambridge University Press
This study examines the relationship between age and the injury outcomes for belted drivers in road vehicle crashes in the United Kingdom. The sample of 1,541 drivers was divided into three age groups: 889 drivers were aged 17-39 years (young drivers); 515 were 40-64 years (middle-aged), and 137 aged 65-84 years (older drivers). Both frontal and side impact crashes in which the vehicles sustained sufficient damage to be towed away from the scene are considered. In-depth information obtained from examinations of the crashed vehicles was combined with clinical data obtained from hospitals to throw light on the mechanisms that led to the injuries. Results show that in crashes of approximately equal severity, older drivers were significantly more likely than middle-aged and young drivers to be fatally injured in both frontal (p<0.001) and side (p<0.05) impact crashes. The results also show that older drivers sustained more injuries to the chest (p<0.0001) and that this body region is particularly problematic. The main sources of the chest injuries were found to be the seat belt in frontal crashes and the door in side impact crashes. As the number of older car users will increase rapidly in most OECD countries in the coming decades, the results suggest that vehicle re-designs are required, including in-vehicle crashworthiness systems, to take into account older people's relatively low tolerance of crash impacts.
People with dementia in acute hospitals: a practice guide for clinical support workers
- Author:
- ARCHIBALD Carole
- Publisher:
- University of Stirling. Dementia Services Development Centre
- Publication year:
- 2003
- Pagination:
- 68p.,bibliog.
- Place of publication:
- Stirling
People with dementia in acute hospitals have been a growing concern. The author has undertaken work in this area in West Lothian, Edinburgh and Falkirk. Action research with staff and documentation development has been part of the process. A literature review as part of our clinical series has been written and a practice guide for trained nurses is being compiled looking at issues when people with dementia area admitted to acute hospitals.