Search results for ‘Subject term:"older people"’ Sort:
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Hospital discharge for frail older people: a literature review with practice case studies
- Authors:
- TARABORRELLI Patricia, et al
- Publisher:
- Stationery Office/Scottish Office. Central Research Unit
- Publication year:
- 1998
- Pagination:
- 82p.,bibliog.
- Place of publication:
- Edinburgh
Study aiming to assess the contribution of research literature on the discharge of frail elderly people to current practice on hospital discharge for this user group.
What is the current state of care for older people with dementia in general hospitals? a literature review
- Authors:
- DEWING Jan, DIJK Saskia
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(1), 2016, pp.106-124.
- Publisher:
- Sage
This paper summarises a literature review focusing on the literature directly pertaining to the acute care of older people with dementia in general hospitals from 2007 onwards. Following thematic analysis, one overarching theme emerged: the consequences of being in hospital with seven related subthemes. Significantly, this review highlights that overall there remains mostly negative consequences and outcomes for people with dementia when they go into general hospitals. Although not admitted to hospital directly due to dementia, there are usually negative effects on the dementia condition from hospitalisation. The review suggests this is primarily because there is a tension between prioritisation of acute care for existing co-morbidities and person-centred dementia care. This is complicated by insufficient understanding of what constitutes person-centred care in an acute care context and a lack of the requisite knowledge and skills set in health care practitioners. The review also reveals a worrying lack of evidence for the effectiveness of mental health liaison posts and dementia care specialist posts in nursing. Finally, although specialist posts such as liaison and clinical nurse specialists and specialist units/shared care wards can enhance quality of care and reduce adverse consequences of hospitalisation (they do not significantly) impact on reducing length of stay or the cost of care. (Publisher abstract)
Screening for elder abuse in hospitalized older adults with dementia
- Authors:
- PISANI Leslie D., WALSH Christine A.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 24(3), 2012, pp.195-215.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Research has shown that individuals with dementia are more likely to be victims of elder abuse. While the opportunity to screen hospitalised older adults with psychiatric issues related to dementia for elder abuse could facilitate prevention, questions remain about the efficacy of screening practices within this population. The purpose of this article is to raise awareness of the need to screen for abuse when inpatients have dementia, provide clinicians with a literature review to support their choice of an appropriate screen for their setting, encourage administrative support for its adoption and successful implementation, and assist in the education of other professionals involved in prevention or treatment of elder abuse. The review findings suggest that, for clinician completion, the Elder Assessment Instrument and the Brief Abuse Screens for the Elderly are recommended. For the older adult, the brief Hwalek-Sengstock Elder Abuse Screening Test is suitable. The Modified Conflict Tactics Scale, which can be used by both the older adult and the nonprofessional caregiver, has many of the recommended characteristics. The article concludes that research is necessary in the application of these screens within hospitals to detect elder abuse within this specialised population.
Flooring as an intervention to reduce injuries from falls in healthcare settings: an overview
- Authors:
- DRAHOTA Amy, GAL Diane, WINDSOR Julie
- Journal article citation:
- Quality in Ageing, 8(1), March 2007, pp.3-9.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This overview assesses the status of research on flooring in health care settings to reduce the incidence of injury resulting from falls. A comprehensive literature search, carried out in conjunction with a Cochrane Systematic Review on hospital environments for patient health-related outcomes, identified the available evidence. Searches were also conducted in Medline and Scopus specifically to identify studies on flooring types, falls, and injuries. Reference lists of relevant studies and reviews were scanned and relevant authors were approached for further information. It is concluded that flooring should be considered as a possible intervention for reducing injuries from falls, however, more rigorous and higher quality research is needed to identify the most appropriate materials for use.
Mapping hospital social work
- Authors:
- MORIARTY Jo, STEILS Nicole, MANTHORPE Jill
- Publisher:
- NIHR Health and Social Care Workforce Research Unit
- Publication year:
- 2019
- Pagination:
- 95
- Place of publication:
- London
A review of evidence on hospital social work with older people who are inpatients, who have been discharged from hospital during the previous month, or who are at risk of being admitted to hospital as inpatients. The review looks at the specific role, keys skills, activities, and costs of social work in hospitals and its impact on the quality of life and care of individuals and carers. It includes social work services provided in primary care or out-patient services and older people who are inpatients in mental health settings, as well as acute care. The findings cover the areas of: use of time, skills, costs, discharge planning and reducing admission, patient and carer views; and social work in accident and emergency departments. The findings are intended to contribute in the construction of a research agenda for hospital social work with adults in England, particularly those working with older patients. The review reports that there is a consensus that the distinctiveness of hospital social work with older people lies in its holistic approach towards individuals and their families. However, in the UK there is little evidence about the way the role is used. The review recommends an audit of the nation's hospital social workers and further research to build a clearer picture. (Edited publisher abstract)
Wilful neglect and health care
- Author:
- MANDELSTAM Michael
- Journal article citation:
- Journal of Adult Protection, 16(6), 2014, pp.342-354.
- Publisher:
- Emerald
Purpose: This paper considers the criminal offence of wilful neglect in the context of hospital health care in England. It summarise the evidence of neglectful care in hospitals and analyse the ingredients and application of the offence of wilful neglect. Findings: Neglect is ongoing and systemic in the hospitals and the offence of wilful neglect seems to be ineffective as either a punitive or deterrent measure. Practical implications: There is a mismatch between the extent of systemic, reckless neglect in the hospitals and the application of the criminal offence of wilful neglect. The answer, if any, might be: widening of the offence to anybody who is wilfully neglected (not just those mentally disordered or mentally incapacitated people), a new offence of corporate neglect, the holding of reckless leaders to account, and a reinvigorated Care Quality Commission and Health and Safety Executive. (Edited publisher abstract)
What impact do setting and transitions have on the quality of life at the end of life and the quality of the dying process?
- Authors:
- MEZEY Mathy, et al
- Journal article citation:
- Gerontologist, 42(Special Issue III), October 2002, pp.54-67.
- Publisher:
- Oxford University Press
The aim of this article was to identify major research needs related to quality of life at the end of life and quality of the dying process for vulnerable older people at home, in assisted living facilities, in skilled nursing facilities, and in prisons. Review and analysis of the literature was used. Few studies address actively dying patients and the reasons for transfers between home and other settings. Existing studies are primarily anecdotal, descriptive, have small samples, and involve a single setting. Participant decisional capacity is a barrier to conducting research in these settings.
What counts as evidence? The communication of information about older people between health and social care professionals
- Authors:
- POWELL Jackie, et al
- Journal article citation:
- Research Policy and Planning, 21(3), 2003, pp.1-11.
- Publisher:
- Social Services Research Group
Draws on a study to provide an evidence base for strategies and effectiveness of the transfer of information about older people between health and social care practitioners at the health and social care interface. Reports on the development of a systematic approach to the review of the related research literature and presents some key findings. Goes on to discuss some methodological issues arising from a review covering both health and social care research. By locating this systematic review within the wider debate on evidence-based practice, considers the nature and scope of this form of evidence alongside other forms of evidence and their use in professional practice. Concludes with some observations regarding the relevance of the findings from this study for both practice and further research.
The effectiveness of old age psychiatry services
- Author:
- DRAPER Brian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 15(8), August 2000, pp.687-703.
- Publisher:
- Wiley
This Australian study examines outcomes of acute service delivery in old age psychiatry using a review of the literature. The review includes controlled trials, audits and surveys of the outcomes of service delivery in old age psychiatry located in acute hospitals and community settings. With the exception of outreach services to nursing homes, long term institutional care was excluded. The majority of studies indicated that old age psychiatry services have positive acute treatment outcomes, particularly with depression. There is insufficient evidence to determine which types of care are associated with better outcomes.