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Reducing emergency hospital stays for older people: Innovation Forum first year report
- Authors:
- WISTOW Gerald, KING Derek
- Publisher:
- Innovation Forum
- Publication year:
- 2006
- Pagination:
- 54p.
- Place of publication:
- London
This report from the Innovation Forum is based on the idea that good housing, a range of facilities for transport, leisure and entertainment, families and friends can all help older people thrive and stay healthy thereby reducing the need for emergency hospital stays. And, if any of this is to come about, it means a firmer strategy than currently exists to ensure there is a sufficiently significant transfer of funding from acute to community settings.
Factors related to hospitalization in elderly manic patients with early and late-onset bipolar disorder
- Authors:
- LEHMANN Susan W., RABINS Peter V.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(11), November 2006, pp.1060-1064.
- Publisher:
- Wiley
The objective was to identify factors contributing to relapse and hospitalization in elderly patients with bipolar disorder. Retrospective chart review surveyed consecutive patients over age 65 admitted to the Johns Hopkins Hospital for a manic episode over a five year period (n = 73). Factors precipitating index admission were compared in patients with early-onset bipolar disorder (<or = age 45, n = 38) and late-onset bipolar disorder (>age 45, n = 35). The distribution of ages of onset of bipolar disorder was most consistent with a bimodal pattern with a cut-point at age 45. Early-onset patients were more likely to have been aggressive and threatening prior to admission (p = 0.014) compared to late-onset patients and were more likely to have been brought to the emergency room on emergency petition for evaluation (p = 0.028). Early-onset patients were also more likely to have been non-adherent with prescribed psychiatric medication (p = 0.032). Relapse and rehospitalization were common among elderly manic patients with early-onset and late-onset bipolar disorder. Strategies which improve medication adherence are needed to help prevent recurring hospitalization.
The Mental Health Act 1983 - the application of the act: admission to hospital and emergency intervention
- Authors:
- McDONALD Ann, TAYLOR Margaret
- Journal article citation:
- Elders the Journal of Care and Practice, 4(1), February 1995, pp.27-35.
The first of three articles examining the working of the Mental Health Act 1983 in relation to older people looks at the epidemiology of mental disorder in older people, and considers issues concerning admission to hospital and emergency intervention.
Survey of carers of elderly patients discharged from hospital
- Author:
- WILLIAMS E. Idris
- Journal article citation:
- British Journal of General Practice, 41(344), March 1991, pp.105-108.
- Publisher:
- Royal College of General Practitioners
As part of a study to determine reasons for early unplanned readmission of elderly patients to hospital, carers were interviewed. Their characteristics and the problems they faced are summarised.
Time to go home
- Authors:
- BUCK Madeleine, MILLS Ann
- Journal article citation:
- Nursing Times, 12.10.88, 1988, pp.42-43.
- Publisher:
- Nursing Times
Discharge planning begins at admission at an accident emergency ward.
Hospital to home
- Author:
- INSTITUTE FOR RESEARCH AND INNOVATION IN SOCIAL SERVICES
- Publisher:
- Institute for Research and Innovation in Social Services
- Publication year:
- 2014
- Place of publication:
- Glasgow
Produced as part of a pathway mapping activity with practitioners, this document looks at the care older people experience when discharged from hospital in Scotland and the challenges practitioners face. Four of the most common care pathways are identified and illustrated: returning straight home (with or without family support); early supported discharge or intermediate care at home; step down or intermediate care; and admission straight to a care home. The document also presents key findings from a literature review on delayed discharge and the pathway between hospital and home to highlight some of the key problems and solutions. The resource has been developed as part of a 20-month project to redesign the pathway from hospital to home for older people across Scotland. (Edited publisher abstract)
Swimming together in Poole's rehab services
- Author:
- -
- Journal article citation:
- Care Plan, 9(1), September 2002, pp.8-11.
- Publisher:
- Positive Publications/ Anglia Polytechnic University, Faculty of Health and Social Work
This article describes the work of Poole Intermediate Care Services for older people. Achievements included creation of a single point of access for intermediate care services; creation of multiagency project teams; preparation of admission to hospital or residential placement; and enhancing hospital discharges. Poole's Intermediate Care Services have shown how coordination and cooperation can be achieved by health and social services to the benefit of elderly people in their area and the development of professional practice.
Life and events and cognition in dementia
- Authors:
- ORRELL M., BEBBINGTON P.
- Journal article citation:
- Aging and Mental Health, 2(1), February 1998, pp.53-59.
- Publisher:
- Taylor and Francis
Investigates the relationship between severity of dementia, life events in the preceding six months, and hospital admission. Elderly patients with senile dementia admitted to a geriatric psychiatry unit were compared with dementia sufferers in the community. Finds that clinician's should be aware that dementia suffers may be particularly sensitive to the effects of psychosocial stress.
Partnership nursing home care for dementia: the Glasgow experience: one-year follow-up
- Authors:
- LYONS Donald, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 12(7), July 1997, pp.765-766.
- Publisher:
- Wiley
The outcome of the transfer of elderly patients suffering from dementia from hospital to nursing home care under a partnership contract was reviewed at 6 and 12 months following transfer. The nursing home population had fared badly compared with patients remaining in hospital during the first 3 months. This difference was less evident at 6 months follow-up and had disappeared at 12 months follow-up. It seems that a partnership agreement such as this can deliver a quality of health care at least as good as hospital treatment as long as the transfer is handled carefully.
The views of professionals and patients on compulsory removal from home to an institution (Section 47, National Assistance Act)
- Author:
- MAYBERRY John F.
- Journal article citation:
- Health and Social Care in the Community, 4(4), July 1996, pp.208-214.
- Publisher:
- Wiley
A total of 548 solicitors, nurses and community physicians, together with 67 elderly people who had been admitted to hospital with acute medical conditions in the previous 6 months were sent a questionnaire about Section 47, National Assistance Act legislation and its role at the end of the twentieth century. Forty-eight percent of professionally qualified people and 54% of patients returned the questionnaire. Community physicians, consultant geriatricians, social workers and solicitors were most aware of Section 47; but only 27% of nurses and 17% of elderly patients had heard of it. Patients were most enthusiastic for retention of these powers of removal and social workers least so.