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Dignity on the ward: promoting excellence in care
- Author:
- DAVIES Sue
- Journal article citation:
- Nursing Times, 17.8.00, 2000, pp.37-39.
- Publisher:
- Nursing Times
First of a five-part series. Reports on research commissioned by Help the Aged into good practice in the acute hospital care of older people.
Geriatric day hospitals: their role and guidelines for good practice
- Author:
- ROYAL COLLEGE OF PHYSICIANS
- Publisher:
- Royal College of Physicians
- Publication year:
- 1994
- Pagination:
- 31p.,bibliog.
- Place of publication:
- London
Reviews the purpose of geriatric day hospitals and the research evidence for their effectiveness. Gives guidelines for good practice and makes recommendations for future developments. Also includes an audit scheme for use in day hospitals.
Learning from Trusted to Care: ministerial unannounced older persons mental health wards spot check visits
- Authors:
- WALES. Welsh Government, NHS WALES
- Publisher:
- Welsh Government
- Publication year:
- 2014
- Pagination:
- 25
- Place of publication:
- Cardiff
Report collating the results of a series of spot check visits to 70 adult in-patient ward areas across 20 hospital sites in Wales 15 June - 30 July 2014, to examine the medical treatment and care of older people. The spot check visits focused on four fundamental aspects of care; the use of night time sedation, giving patients their medication, continence care (toileting) and ensuring that patients are kept hydrated (drinking). The report highlighting areas for improvement and good practice from all the hospital sites. During the visits, the team observed practice and engaged and spoke to patients, staff and relatives. Overall no systemic issues of concern about patient hydration, continence needs or the use of sedation were found, however, in the majority of wards visited aspects of medicines management were identified than needed to be improved. The report presents areas for improvement across the four areas of care. (Edited publisher abstract)
Dignified care: one year on. The experiences of older people in hospital in Wales
- Author:
- OLDER PEOPLE'S COMMISSIONER FOR WALES
- Publisher:
- Older People's Commissioner for Wales
- Publication year:
- 2012
- Pagination:
- 32p.
- Place of publication:
- Cardiff
A stay in hospital can often be stressful in itself, but to be treated with a lack of dignity and respect causes real distress. In March 2011 the Older People’s Commission for Wales published the findings of its Dignified Care? Review. The report contained 12 recommendations aimed at improving the delivery of hospital care and subsequent patient experience for older people across Wales. One year on, this report sets out the Commissioner’s assessment of the progress made and outline how further review will be undertaken. The report finds there has been an improvement in how seriously the NHS and Welsh Government are taking the issue of dignity in care, and that there is real action underway. Some Health Boards report more progress than others, with all reporting that work has begun across the 12 recommendations. However, it is not yet possible to judge the extent to which a tangible improvement in the hospital experience of patients is being delivered at a ward level. The findings demonstrate that there is still significant unacceptable practice taking place on hospital wards. Chief Executives of Health Boards must ensure that within the next 18 months they move to full compliance with the agreed action plans.
A legacy of inspiration
- Author:
- TURNER Lorraine
- Journal article citation:
- Journal of Dementia Care, 20(4), July 2012, pp.29-31.
- Publisher:
- Hawker
This article describes how one hospital ward was transformed by involvement in the King’s Fund’s Enhancing the Healing Environment (EHE) programme. Riverside is an 18 bed Older People’s mental health assessment ward which is part of Derbyshire Community Health Services NHS Trust. After describing the changes that were made in the physical environment such as an increase in the use of art and design, the article describes how the EHE programme had many positive outcomes, not only for patients, but for family carers and ward staff too.
Safe staffing of older people's wards: RCN summary guidance and recommendations
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2012
- Pagination:
- 11p.
- Place of publication:
- London
A range of reports on NHS hospital care have highlighted concerns about older people’s human rights, dignified care and hospital experience. Evidence from the Royal College of Nursing suggests that older people, despite often having the most complex needs, regularly suffer from a severe shortage of nurses and health care assistants (HCAs), coupled with an inappropriate skill mix of HCAs to nurses. This publication considers the staff ratios and skill mix provided in older people’s wards. It argues that today’s older people’s wards need enough staff, highly skilled nursing teams and flexible staffing arrangements, and cannot weather further cuts. The publication provides guidance and recommendations for the provision of good quality compassionate and safe nursing care for older people in hospital, and identifies what is needed to meet the expectations of patients, nurses and the public, both now and in the future.
Acute care toolkit 3: acute medical care for frail older people
- Author:
- ROYAL COLLEGE OF PHYSICIANS
- Publisher:
- Royal College of Physicians
- Publication year:
- 2012
- Pagination:
- 6p.
- Place of publication:
- London
Older people are major users of acute care. The acute medical unit (AMU) provides a key role in identifying the urgent and important issues which, if addressed accurately and comprehensively, will improve patient outcomes. Accordingly, acute medical teams need to possess the knowledge and skills, and demonstrate the appropriate behaviours, for managing frail older people. This toolkit recommends procedures for both initial assessment on admission and later Comprehensive Geriatric Assessment (CGA). One of the challenges of the clinical assessment of frail older people is that of non-specific presentations, such as delirium, that can mask serious underlying pathology. Delivering a holistic assessment in the AMU is difficult for acute teams, with large numbers of patients to see quickly. Geriatric liaison teams, which have the skills and time to focus on frail older people, can be helpful. Different models of care will be suited to different hospitals, but all need to be able to initiate CGA within the AMU, and have strong links with community health and social services. Better integration between primary care, emergency departments, AMUs and geriatric services, all working towards achieving high standards of urgent care, should reduce duplication and improve outcomes.
Caring for dignity: a national report on dignity in care for older people while in hospital
- Author:
- HEALTHCARE COMMISSION
- Publisher:
- Healthcare Commission
- Publication year:
- 2007
- Pagination:
- 64p., bibliog.
- Place of publication:
- London
Publishing a national report on dignity in care, the independent watchdog is warning NHS trusts of further checks, including unannounced visits, where there are clusters of evidence suggesting a problem at a hospital or on a ward. The Commission says that overall it was encouraged by signs that the trusts were generally getting the right systems in place. But there was work to do to offer dignity in care to all of the people all of the time and evidence showed this was not always the case. The national report draws on assessments at 23 NHS hospitals, Commission surveys of 80,000 NHS inpatients and nearly 130,000 NHS staff, the Commission's analysis of 10,000 complaints and National Patient Safety Agency information on safety incidents. The report also highlights eight other trusts identified as providing dignity in care in line with best practice.
Improving hospital care for older people: a call for action: key messages for commissioners and NHS hospital providers
- Author:
- ROYAL COLLEGE OF NURSING
- Publisher:
- Royal College of Nursing
- Publication year:
- 2012
- Pagination:
- 6p.
- Place of publication:
- London
The Improving Hospital Care for Older People summit event was held in October 2012. It brought together invited delegates from royal colleges, charities, think tanks and practitioners with an interest in the care of older people in hospital, to discuss key issues and concerns, to identify good practice and latest thinking, and to form consensus on key action areas. It identified 7 main themes as being necessary to support improvement in hospital care for older people: person-centred care; dignity and compassion, training and competence, staffing levels, safeguarding, resources, and culture and structure. This paper calls on commissioners and hospital providers to demonstrate that they are addressing the 3 priority areas selected from the main themes: training and competence of staff, culture and structure within hospitals, and person-centred care. It also invites evidence about good practice examples. It includes a list of participants attending the summit, and links to reports and resources promoting good practice in the care of older people in hospital.
Improving nutrition: improving care: final report
- Author:
- HEALTHCARE IMPROVEMENT SCOTLAND
- Publisher:
- Healthcare Improvement Scotland
- Publication year:
- 2012
- Pagination:
- 24p.
- Place of publication:
- Edinburgh
Healthcare Improvement Scotland has recently completed an 18 month national improvement programme into nutritional care. This report describes the work of the Improving Nutritional Care Programme, from June 2010–March 2012, and sets out the next steps for ensuring integration and alignment of nutritional care work. The aim of the programme is to improve nutritional care for adults at risk of malnutrition, particularly older people and people with long term conditions. The report details the 3 priority areas focused on by the improvement programme: ‘making meals matter’ by improving hospital meal time processes and training and introducing volunteers at mealtimes; helping people with long term conditions to self-manage their nutritional care; and improving transitions between care home and hospital through improved communication of nutritional care. Providing good nutritional care is key to people’s experience of healthcare. To ensure that nutritional care remains a top priority in Scotland, a number of next steps and recommendations are provided at a national, local and individual level.