Search results for ‘Subject term:"older people"’ Sort:
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I'm going into hospital: what happens when I leave?; a guide for older people leaving hospital and their carers
- Author:
- AGE CONCERN LONDON
- Publisher:
- Age Concern
- Publication year:
- 1997
- Pagination:
- 11p.
- Place of publication:
- London
Leaflet aimed at older people returning home from hospital and their carers. Includes a checklist of the kind of help that should be available.
Accepting of hospital-based respite care by families and elders
- Authors:
- GONYEA Judith G., et al
- Journal article citation:
- Health and Social Work, 13(3), Summer 1988, pp.201-208.
- Publisher:
- Oxford University Press
Describes and evaluates a scheme and discusses the need to encourage use of the facility.
Perspectives on the delirium experience and its burden: common themes among older patients, their family caregivers, and nurses
- Authors:
- SCHMITT Eva M., et al
- Journal article citation:
- Gerontologist, 59(2), 2019, p.327–337.
- Publisher:
- Oxford University Press
Background and Objectives: While there are qualitative studies examining the delirium-related experiences of patients, family caregivers, and nurses separately, little is known about common aspects of delirium burden among all three groups. This study describes common delirium burdens from the perspectives of patients, family caregivers, and nurses. Research Design and Methods: Semi-structured qualitative interviews about delirium burden were conducted with 18 patients who had recently experienced a delirium episode, with 16 family caregivers, and with 15 nurses who routinely cared for patients with delirium. This study recruited participants from a large, urban teaching hospital in Boston, Massachusetts. Interviews were recorded and transcribed. This study used interpretive description as the approach to data analysis. Results: This study identified three common burden themes of the delirium experience: Symptom Burden (Disorientation, Hallucinations/Delusions, Impaired Communication, Memory Problems, Personality Changes, Sleep Disturbances); Emotional Burden (Anger/Frustration, Emotional Distress, Fear, Guilt, Helplessness); and Situational Burden (Loss of Control, Lack of Attention, Lack of Knowledge, Lack of Resources, Safety Concerns, Unpredictability, Unpreparedness). These burdens arise from different sources among patients, family caregivers, and nurses, with markedly differing perspectives on the burden experience. Discussion and Implications: The findings advance the understanding of common burdens of the delirium experience for all groups and offer structure for instrument development and distinct interventions to address the burden of delirium as an individual or group experience. This work reinforces that no one group experiences delirium in isolation. Delirium is a shared experience that will respond best to systemwide approaches to reduce associated burden.
Responding to a 'window of opportunity': the detection and management of aged abuse in an acute and subacute health care setting
- Authors:
- JOUBET Lynette, POSENELLI Sonia
- Journal article citation:
- Social Work in Health Care, 48(7), October 2009, pp.702-714.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Aged abuse can manifest as physical harm, sexual assault, intimidation, blackmail, and social deprivation, misappropriation of funds or property and neglect. The extent of the problem is difficult to assess in health settings because of underreporting and the fragility and reluctance of the elderly to discuss the issue with health care providers. This seems to be related to the fact that perpetrators are frequently family members with resulting issues of aged dependency, family loyalty and fear of the consequences of reporting. Of equal importance is a general lack of community understanding of aged abuse, including health professionals who frequently lack the confidence to respond appropriately when aged abuse is suspected. Staff education has been identified as an effective means of improving the recognition of the abused elderly person in acute hospital settings. In addition, there remains a need for effective screening protocols. The aim of this study was to explore the recognition of aged abuse in an acute and subacute hospital setting. This has implications for effective management and community linkage as well as strengthening the knowledge base of issues related to this vulnerable group. The study included a survey and interview with hospital staff to explore their response to aged abuse over a retrospective twelve-month period.
Hospitals: what to expect
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 16p.
- Place of publication:
- London
User-friendly factsheet intended for enquirers, and directly relevant to older people, their families and carers. This item deals with hospital care and patient admissions.
Hospital discharge
- Author:
- COUNSEL AND CARE
- Publisher:
- Counsel and Care
- Publication year:
- 2009
- Pagination:
- 23p.
- Place of publication:
- London
User-friendly factsheet intended for enquirers, and directly relevant to older people, their families and carers. This item deals with hospital care and patient discharge.
One of our own kind: carer liaison at work
- Authors:
- SCHOFIELD Joanne, MELLOR Jack Buckley
- Journal article citation:
- Journal of Dementia Care, 14(5), September 2006, pp.12-13.
- Publisher:
- Hawker
The authors explain the value of having a carer available to offer support to other carers with relatives on a continuing care ward. The article focuses on the practice at a NHS psychiatric continuing care ward in Warrington in the north west of England. It includes the views and experiences one carer who has the role of patient and carer liaison officer in the ward.
Post-acute home care and hospital readmission of elderly patients with congestive heart failure
- Authors:
- LI Hong, MORROW-HOWELL Nancy, PROCTOR Enola K.
- Journal article citation:
- Health and Social Work, 29(4), November 2004, pp.275-285.
- Publisher:
- Oxford University Press
After in-patient hospitalisation, many elderly patients with congestive heart failure (CHF) are discharged home and receive post-acute home care from informal (family) caregivers and formal service providers. Hospital readmission rates are high among elderly patients with CHF, and it is thought that use of informal and formal services may reduce hospital readmission during the post-acute period. Using proportional Cox regression analysis, the authors examined the independent and joint effects of post-acute informal and formal services on hospital readmission. No evidence of service impact was found. Rather, hospital readmission was associated with a longer length of CHF history and noncompliance with medication regimes. Research, policy, and practice implications are discussed.
Effectiveness of a clinical pathway for the diagnosis and treatment of dementia and for the education of families
- Authors:
- KAZUI Hiroaki, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(9), September 2004, pp.892-897.
- Publisher:
- Wiley
Clinical pathways (CPs) are rarely used in the treatment of dementia. We established a CP for a series of medical practices (diagnosis, treatment, establishment of a care system, and caregiver education) for patients with dementia hospitalized for a three-week period, and evaluated its usefulness. The length of hospital stay and hospital costs were compared between 23 consecutive patients with dementia hospitalized and treated using a CP and 20 controls treated by conventional medical practice without using a CP in a special ward for dementia patients. In the CP group, at the time of discharge, primary caregivers, physicians, and nurses were given a questionnaire to obtain their comments about the impression of treatment with the CP. The questionnaire survey indicated that the CP deepened the caregiver's understanding of the sequence of medical practices for the inpatient, the disorders of the inpatient, the treatment methods, and the methods for coping with the disorder. The CP was also useful for facilitating inpatient medical practice and promoting the establishment of a care system after discharge. The use of the CP significantly shortened the length of hospital stay and decreased hospital costs during hospitalization but increased the amount of work per day and made the medical staff feel that their freedom to choose medical procedures had been restricted. The CP was useful for execution of inpatient medical practices for patients with dementia.
Improving care of older people through intermediate services
- Author:
- NEGUS Jennie
- Journal article citation:
- Nursing Times, 13.07.04, 2004, pp.34-36.
- Publisher:
- Nursing Times
Reports on two innovative approaches to providing intermediate care for older people. Homerton University Hospital NHS Foundation Trust has developed one post that addresses the needs of informal carers, and another that ensures older people who need help with their finances are able to access expert advice and support.