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Decline in quality of life for patients with severe dementia following a ward merger
- Authors:
- BREDIN Kathleen, KITWOOD Tom, WATTIS John
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(11), November 1995, pp.967-973.
- Publisher:
- Wiley
The effect of a ward merger on the quality of life of patients with severe dementia in a mental hospital was investigated by means of observational method of dementia care mapping (DCM). Key DCM indicators showed that the quality of life of patients had declined significantly. This may be explained, in part at least, in terms of a 'cycle of demoralization and depersonalisation' in the interaction of staff and patients. Further research is required into the dynamics of this cycle.
The impact of family-style dining in care homes or hospitals
- Author:
- WATTS Julie
- Journal article citation:
- Journal of Dementia Care, 21(5), 2013, pp.32-35.
- Publisher:
- Hawker
A review of research evidence was conducted to examine the impact of family style dining on the nutrition of older people and people with dementia in hospital and care home settings. Searches were carried out on a number of relevant databases, including Medline, Embase, CINAHL and HMIC. A total of 519 relevant abstracts were retrieved and these were screened according to predetermined selection criteria. Ten studies were included in the final review. The results of the studies were mixed. Critical appraisal of the studies found they did not offer high quality evidence to support the use of home-style dining or that it could improve nutritional status. However, there were indications that it could offer improved nutrition and contribute to improved quality of life. (Original abstract)
Assessing dignity in care
- Author:
- MANTHORPE Jill
- Journal article citation:
- Community Care, 15.1.09, 2009, pp.30-31.
- Publisher:
- Reed Business Information
Assesses the findings of a study which aimed to identify a group of indicators to measure the extent to which older people are treated with dignity and respect by health and social care professionals. The research included reviewing existing qualitative studies; focus group discussions with care home residents, home care service users, and people who had recently returned from hospital; and interviews with key individuals form organisations representing older people.
Behind closed doors
- Author:
- MORRIS Jacqueline
- Journal article citation:
- Working with Older People, 11(2), June 2007, pp.35-38.
- Publisher:
- Emerald
This article reports on a multi-agency campaign led by the British Geriatrics Society, 'Behind Closed Doors', which chose toilet access and use behind closed doors in care settings as a marker of human rights and dignity.
The quality of long-term care for dementia: a survey of ward environments
- Authors:
- MOUNTAIN Gail, BOWIE Peter
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(12), 1995, pp.1029-1035.
- Publisher:
- Wiley
Presents the findings of a survey of long-stay wards for elderly demented patients. The quality of five aspects of ward environment was assessed, covering institutional practices, social/recreational input, reality orientation cues, ward condition and space availability. Of the 28 wards surveyed, two-thirds achieved high quality on one aspect but only two wards had high quality on three or more aspects. In contrast, 14% of the wards obtained low-quality scores on at least three aspects. A hospital trend was found for the variation in institutionalisation care practices. Concludes by drawing attention to the implications for staff training and for reprovision programmes.
Carers for older people with co-morbid cognitive impairment in general hospital: characteristics and psychological well-being
- Authors:
- BRADSHAW Lucy E., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 28(7), 2013, pp.681-690.
- Publisher:
- Wiley
To describe the characteristics and well-being of carers of older people with mental health problems admitted to a general hospital, patients aged 70 years or older with unplanned admission to an acute general teaching hospital in the UK were screened for mental health problems. Those screened positive, together with a carer, were invited to undergo further assessment with a battery of health status measurements. Carers were interviewed to ascertain strain (caregiver strain index (CSI)), psychological distress (12-item General Health Questionnaire) and quality of life (EQ-5D). Two hundred and fifty patients were recruited to the study, of whom 180 were cognitively impaired and had carers willing to take part. After 6 months, 57 patients (32%) had died, and follow up was completed on 100 carers. Carers' own health, in terms of mobility, usual activities, and anxiety, was poor in a third of cases. At the time of admission, high carer strain was common, particularly among co-resident carers. High levels of behavioural and psychiatric symptoms at baseline were associated with more carer strain and distress. At follow-up, carer strain and distress had reduced only slightly, with no difference in outcomes for carers of patients who moved from the community to a care home. The authors conclude that hospital staff should be alert to sources of carer strain and offer carers practical advice and emotional support. Interventions are required to prevent and manage behavioural and psychiatric symptoms at the time of acute physical illness or to alleviate their effects on carers. (Edited publisher abstract)
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.
Quality of care, quality of life and the relationship between them in long-term care institutions for the elderly
- Authors:
- CHALLINER Yvonne, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(10), October 1996, pp.883-888.
- Publisher:
- Wiley
A stratified randomly selected sample of 28 of all elderly long-term care institutions in the Southampton district was studied including private and local authority residential homes, private nursing home and NHS geriatric and psychogeriatric wards. The aim of the study was to look at the quality of care, quality of life and the relationship between them in these institutions. Explains how the research was conducted and presents the results.
An evaluation of two models of long-term residential care for elderly people with dementia
- Authors:
- SKEA Derek, LINDESAY James
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(3), March 1996, pp.233-241.
- Publisher:
- Wiley
This article reports the findings of a prospective study of two residential units for elderly people with dementia: a community hospital ward providing an enhanced version of traditional hospital care and a scheme developed in partnership with a charity operating an explicit policy emphasizing resident choice, opportunity, support and independence. Concludes that both units evaluated in this study offer their residents better quality of life than that provided by the mental hospital wards they replace.
Empowerment and older people: a practical approach
- Authors:
- BOUNDS Joy, HEPBURN Helen
- Publisher:
- Pepar
- Publication year:
- 1996
- Pagination:
- 96p.,bibliog.
- Place of publication:
- Birmingham
Presents a number of practical ideas and suggestions for both managers and frontline staff across a range of support services to ensure older people maintain as much control over their lives as possible. Includes chapters on empowering people in hospital; sharing the load with carers; choice in day services; and enabling people to be themselves in residential care.