Search results for ‘Subject term:"older people"’ Sort:
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The onset and alleviation of learned helplessness in older hospitalised people
- Author:
- FAULKNER M.
- Journal article citation:
- Aging and Mental Health, 5(4), November 2001, pp.379-386.
- Publisher:
- Taylor and Francis
This study was to investigate the relevance of learned helplessness (LH) and learned mastery (LM) theories in the respective development of dependence and independence in older hospitalised people. In stage I, meal-related responses of patient participants were automatically completed by a researcher during two consecutive mealtime events (LH induction). LH effects were then assessed by evaluating participant performance during a controllable meal-task and a non-meal-related psychomotor task. In stage II, "helpless" participants were then given an expectation of future control over the mealtime event followed by two further meals during which the researcher provided no active assistance (LM induction). Participants exposed to the LH inducing strategy demonstrated LH effects within both the meal and psychomotor tasks. These effects were alleviated through exposing participants to the LM inducing intervention. Concludes that exposing older hospitalised people to uncontrollable or disempowering circumstances may potentially lead them to develop a LH induced dependence. This may be alleviated by increasing patient's expectation of control leading to the development of LM.
Realising participation: elderly people as active users of health and social care
- Authors:
- ROBERTS Kathryn, CHAPMAN Tom
- Publisher:
- Ashgate
- Publication year:
- 2001
- Pagination:
- 263p.,bibliog.
- Place of publication:
- Aldershot
This research study investigated the utilisation of health and social care services by a sample of people aged seventy and above on discharge from inpatient care and in the short period afterwards. The study explored how active users were during this process with reference to the principles of participation, representation, access, choice, information and redress. Two essential elements of the study were the extent to which real opportunities were being provided for users to play an active role and their ability and willingness to assume such a role. Both qualitative and quantitative methodologies were used. The study revealed substantial evidence of a user oriented approach to the delivery of services, though a number of areas remain in which it does not appear to be practicable to give priority to the wishes of service users or for them to play an active role in their care.
What do older people know about safety on stairs?
- Authors:
- HASLAM Roger A., et al
- Journal article citation:
- Ageing and Society, 21(6), November 2001, pp.759-776.
- Publisher:
- Cambridge University Press
Reports findings from the three focus groups, involving 24 people, aged 65 to 79 years, concerning their knowledge of safety on stairs. Despite recognition of hazardous behaviour, participants reported that they continued to engage in activities which may increase risk of falling, eg leaving objects on stairs and using stairs in the dark. Focus group participants recognised that medications and use of alcohol may increase the risk of falling, but individuals may not always appreciate when they personally are at increased risk. Possibilities for prevention are reviewed, including modifications to the stair environment and equipment design, coupled with safety education, to raise awareness of risks and strategies for dealing with these.
Homeward bound
- Author:
- WOODCOCK Susan
- Journal article citation:
- Nursing Times, 23.8.01, 2001, pp.38-39.
- Publisher:
- Nursing Times
Explains how a step-down scheme helped one depressed patient move from long-term care in a hospital to a nursing home and then back to his own house in only six weeks.
Dying with dignity
- Authors:
- MEERES Clarissa, MCKENNA Fergus
- Journal article citation:
- Nursing Times, 16.8.01, 2001, pp.36-37.
- Publisher:
- Nursing Times
A structured plan of action for patients who are dying of dementia can ease their pain and the distress of their relatives. Outlines the approach taken in a Cannock hospital.
High prevalence of anxiety symptoms in hospitalized geriatric patients
- Authors:
- KVAAL Kari, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(7), July 2001, pp.690-693.
- Publisher:
- Wiley
Examines the prevalence of anxiety symptoms in hospitalized geriatric patients using a controlled cross-sectional study of ninety-eight geriatric in-patients and 68 healthy home-dwelling controls of similar age recruited from senior citizen centres in Norway. The geriatric patients scored significantly higher than the controls. Applying Spielberger's recommended cut-off of 39/40 on the STAI sumscore, 41% of the female and 47% of the male geriatric patients might be suspected of suffering from significant anxiety symptoms. Concludes that STAI proved feasible for use in the elderly. The scoring on the STAI is high in geriatric in-patients. Further studies are needed to clarify to what extent this relates to a high prevalence of anxiety disorders.
The care homes catastrophe
- Author:
- BUNCE Christina
- Journal article citation:
- Nursing Times, 2.8.01, 2001, pp.22-24.
- Publisher:
- Nursing Times
Argues that nursing homes are closing at a rate of more than 15 a week which means that hospitals are full of older people with nowhere to go and scores of nurses are being lost to the profession.
Using intermediate care to strengthen healthcare delivery
- Authors:
- CLEGG Angie, McADAM Anne
- Journal article citation:
- Community Nurse, 7(3), April 2001, pp.25-26.
- Publisher:
- Emap Healthcare
Describes how an intermediate care initiative helped reduce bed pressures on the district hospital and improved the level of care delivered to patients.
The use of acute hospital services by elderly residents or nursing and residential care homes
- Authors:
- GODDEN Sylvia, POLLOCK Allyson M.
- Journal article citation:
- Health and Social Care in the Community, 9(6), November 2001, pp.367-374.
- Publisher:
- Wiley
Reports on a study to compare hospitalisation rates by cause of admission, hospital death rates and length of stay for residents from nursing and residential care homes with those in the community. It is a retrospective study of acute hospital emergency admissions in one health district, Merton, Sutton and Wandsworth between April 1996 and March 1997. The relative risk of emergency admission from a care home compared with the community was 1.39 for all diagnoses, 2.68 for all injuries, and 3.96 for fracture of neck of femur. Concludes that there are major difficulties in monitoring admissions from nursing and residential care homes due to poor recording and inaccuracies in NHS coding. This was compounded by an absence of data on the age and sex profile and health care needs of the resident population in care homes.
Weathering the winter blues
- Author:
- HOLSTROM Radhika
- Journal article citation:
- Care and Health Guide, 9, December 2001, pp.12-13.
- Publisher:
- Care and Health
Looks at how councils are preparing to spend government cash from its new 'cash for change' programme aimed at tackling bed blocking.