Search results for ‘Subject term:"older people"’ Sort:
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A reabling approach
- Author:
- NORRIS Rebecca
- Journal article citation:
- Commissioning News, 10, December 2008, pp.8-9.
- Publisher:
- CJ Wellings Ltd
Reablement packages are changing traditional domiciliary care by encouraging older people to carry out many daily tasks themselves. This article looks at Leicestershire's Homecare Assessment and Reablement Team (HART).
His own best advocate
- Author:
- BOND Henrietta
- Journal article citation:
- Community Care, 8.7.99, 1999, pp.34-35.
- Publisher:
- Reed Business Information
Enabling an elderly person to return home after a lengthy hospital stay can be a testing time for all. Describes the case of how a social worker balanced the need to help a client return home against the safety risk.
Seamless support
- Author:
- HANLON Jon
- Journal article citation:
- Community Care, 14.02.08, 2008, pp.32-33.
- Publisher:
- Reed Business Information
Willow Housing and Care, a housing association in north west London, is helping older people make the transition from hospital care back to independent living. The floating support service works with other agencies to provide care for up to six months. Funding comes from the government's Supporting People programme.
Effects of locality based community hospital care on independence in older people needing rehabilitation: randomised controlled trial
- Authors:
- GREEN John, et al
- Journal article citation:
- British Medical Journal, 6.08.05, 2005, pp.317-320.
- Publisher:
- British Medical Association
In this randomised controlled trial 220 patients needing rehabilitation after an acute illness that required hospital admission were randomly allocated to a locality based community hospital or to remain within a department for the care of elderly people in a district general hospital. Primary outcomes were Nottingham extended activities of daily living scale and general health questionnaire 28 (carer). Secondary outcomes were activities of daily living (Barthel index), Nottingham health profile, hospital anxiety and depression scale, mortality, destination after discharge, satisfaction with services, carer strain index, and carer's satisfaction with services. Results found the median length of stay was 15 days for both the community hospital and the district general hospital groups. Independence at six months was greater in the community hospital group. Results for the secondary outcome measures, including care satisfaction and measures of carer burden, were similar for both groups. It concludes that care in a locality based community hospital is associated with greater independence for older people than care in wards for elderly people in a district general hospital.
Occupation forces
- Author:
- BOND Henrietta
- Journal article citation:
- Community Care, 15.1.98, 1998, pp.18-19.
- Publisher:
- Reed Business Information
Looks at how more effective use of the skills and experience of occupational therapists could keep elderly people out of hospital and help them retain their independence at home.
Sustainable tailored integrated care for older people in Europe (SUSTAIN-project). Lessons learned from improving integrated care in the United Kingdom
- Authors:
- BILLINGS Jenny, GADSBY Erica, MACINNES Julie
- Publisher:
- University of Kent
- Publication year:
- 2018
- Pagination:
- 50
- Place of publication:
- Canterbury
The UK country report for the SUSTAIN project, a four-year (2015-2019) cross-European research project to support integrated care initiatives for older people living at home with multiple health and social care needs, in order to move towards person-centred and preventative-orientated services. This report focused on two integrated care initiatives in Kent in the South-East of England. The first case study, Swale Home First, aimed to improve integrated care for older people returning from hospital to their own home in Swale, using ‘discharge to assess’, a new processes for hospital discharge and the provision of integrated health and social care at home. The second case study, the Over 75 Service is based at a General Practice (GP) centre and aimed to provide integrated health and social care for people over the age of 75, who are frail and housebound, in order to improve their wellbeing and maintain their independence. The report provides descriptions of the two case study sites, the findings in terms of 'what works' for integrating care. The final chapters discuss the lessons learned from both case sites and the implications of the SUSTAIN project for integrated care in the UK. The findings suggest that improvements to integrated care rely heavily on frontline staff, but also require support from senior leaders and action from policy makers to minimise barriers. Other key findings highlight the need for investments in primary and community care, and by ensuring strong system leadership. The report suggests recommendations for both policy makers and service providers. (Edited publisher abstract)
Doncaster hospital discharge pathway study: final report
- Authors:
- BASHIR Nadia, et al
- Publisher:
- Sheffield Hallam University. Centre for Regional Economic and Social Research
- Publication year:
- 2016
- Pagination:
- 59
- Place of publication:
- Sheffield
An overview of the independent evaluation of the Doncaster Discharge Pathway and Associated Discharge Services, undertaken as part of a larger programme of evaluation of Better Care Fund activities. The evaluation follows clients' journeys from hospital discharge in order to track client and carer experience, impacts and outcomes. This report presents the main outputs from the evaluation, the detailed client case studies and client timelines which illustrate many of the key findings and themes to emerge from the study. The findings identify a range of factors relating to discharge care pathways that need to be considered in order to better meet the NICE guidance and improve client outcomes. These include: improving communication with clients to give them a better understanding of what is happening to them and the services they are receiving; family support and involvement clients and families in decisions about care; consideration of carers' needs and support for carers' wellbeing; practical and social support to help people (re)engage in social activities and tackle loneliness and social isolation; and respecting and individuals autonomy and ensuring person centred care. (Edited publisher abstract)
Home to the unknown: getting hospital discharge right
- Author:
- BRITISH RED CROSS
- Publisher:
- British Red Cross
- Publication year:
- 2019
- Pagination:
- 66
- Place of publication:
- London
This qualitative research explores patient's experience of returning home from hospital, and healthcare professionals’ experiences and perceptions of the discharge process. It aims to explore the impact of discharge on recovery and identify opportunities to improve systems, communication and support. The research draws on interviews with 28 people who had recently been discharged after an unplanned stay in hospital, policy experts, and staff in hospitals in each of the four UK nations. The report looks at the impact of discharge on recovery, the arrangements and support put in place, and communication with the hospital. It also identifies five categories of independence that contribute to recovery: physical, social, psychological, practical and financial. The research found it was common for patients and their families not to have a clear understanding of what was wrong with their health or why they were in hospital. It also found that frontline clinical staff did not appear to be consistently considering the longer-term implications of the experience in hospital and getting home. People were also leaving hospital without any support from clinicians or support services focused on ensuring they could cope. The report makes recommendations for improving hospital transition. They include the completion of a five-part ‘independence check’ prior to patient discharge and for commissioners and providers to make better use of non-clinical support, including the voluntary and community sector. (Edited publisher abstract)
Comprehensive assessment when older people are in hospital improves their chances of getting home and living independently
- Author:
- NATIONAL INSTITUTE FOR HEALTH RESEARCH. Dissemination Centre
- Publisher:
- National Institute for Health Research
- Publication year:
- 2017
- Place of publication:
- London
This NIHR Signal looks at the findings of an updated Cochrane review which compared the effectiveness of comprehensive geriatric assessment by a multidisciplinary specialist team with routine care for people over 65, excluding those with stroke and orthopaedic conditions. The findings show that older people who received comprehensive geriatric assessment when in hospital were slightly more likely to be living in their own homes one year later. People who received comprehensive geriatric assessment were also 20 percent less likely to be in a nursing home after three months or more. It concluded that comprehensive geriatric assessment may save NHS resources, but the quality of evidence was too low to assess this reliably. NIHR Signals highlight examples of important research and explain why the study was needed, what the study found and the implications of the findings. They include commentary from experts, researchers and those working in practice. (Edited publisher abstract)
Harnessing social action to support older people: evaluating the Reducing Winter Pressures Fund
- Authors:
- GEORGHIOU Theo, et al
- Publisher:
- Nuffield Trust
- Publication year:
- 2016
- Pagination:
- 131
- Place of publication:
- London
Presents the findings of an evaluation of seven social action projects funded by the Cabinet Office, NHS England, Monitor, NHS Trust Development Authority and the Association of Directors of Adult Social Services. The aim of the Reducing Winter Pressures Fund was to scale up and test projects that used volunteers to support older people to stay well, manage health conditions or recover after illness, and thereby reduce pressure on hospitals. The organisations supported by the fund comprised a range of national and local charities. These projects fell into three broad categories: community-based support, supporting discharge from hospital wards, and supporting individuals in A&E department to avoid admissions. Between them, the projects offered a wide range of services to older people – both direct (for example help with shopping or providing transport) and indirect (linking with other services). The evaluation resulted in a mixed set of findings. From the interviews with staff, volunteers and local stakeholders, there was evidence of services that had made an impact by providing practical help, reassurance and connection with other services that could reduce isolation and enable independence. Those involved with the projects felt that volunteers and project staff could offer more time to users than pressurised statutory sector staff, which enabled a fuller understanding of a person’s needs while also freeing up staff time. However, the analysis of hospital activity data in the months that followed people's referral into the projects did not suggest that these schemes impacted on the use of NHS services in the way that was assumed, with no evidence of a reduction in emergency hospital admissions, or in costs of hospital care following referral to the social action projects. The one exception was the project based in an A&E department, which revealed a smaller number of admissions in the short term. The report questions whether these sorts of interventions can ever be fully captured solely using hospital-based data and conceptualising reduced or shortened admissions as a key marker of success. (Edited publisher abstract)