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An estimate of post-acute intermediate care need in an elderly care department for older people
- Authors:
- YOUNG John, FORSTER Anne, GREEN John
- Journal article citation:
- Health and Social Care in the Community, 11(3), May 2003, pp.229-231.
- Publisher:
- Wiley
There is an expectation that intermediate care services for older people will be widely introduced in England. Their planning should be based on an understanding of required capacity. This study provides a needs estimate for post-acute intermediate care. Older patients admitted acutely to an elderly care department in a district general hospital serving a large city in northern England were followed prospectively by a research team until medical stability had occurred in the opinion of the senior ward nurses and the responsible consultant. Clinical staff then determined if the patient had continuing post-acute care needs or if imminent discharge was possible. Of 1,211 acutely admitted patients, 997 became medically stable and 312 (25.8% of admissions) were considered to require post-acute care, and of these, 251 (20.7% of admissions) needed post-acute rehabilitation care. Suggests that such services should have capacity to address the needs of up to one-quarter of acute admissions to a district general hospital elderly care department.
Impact of facility type on assisted living facilities' response to residents' mental health needs
- Author:
- CUMMINGS Sherry
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 8(1), 2003, pp.25-41.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Assisted living facilities (ALFs) are the most rapidly growing type of residential care for the elderly in the United States. However, little is known about facilities' responses to residents' mental health needs. A survey of the administrators of two different types of assisted living facilities in the state of Tennessee-Assisted Living Care Facilities (ALCFs) and Homes for the Aged (HFA)-was conducted in 2001. Results indicate that 94% of the facilities house residents with mental health disorders. Considerable overlap was found in the characteristics (number of beds, number of staff, cost, years of operation) of the ALCFs and HFAs. However, when examined in aggregate, significant differences emerged. Significant differences were also found in the percent of elders with specific mental health disorders and the methods used to identify and respond to these elders by facility type. Policy and research implications are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Dementia, ethnicity and culture: outcomes of a research and service development seminar
- Author:
- MENTAL HEALTH FOUNDATION
- Publisher:
- Mental Health Foundation
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- London
This brief update reports on the outcomes of a seminar run by the Mental Health Foundation in 2002 for researchers, health and social care professionals, policy-makers and voluntary organisations working with ethnic minorities and dementia, aiming to explore the research and service development challenges relating to ethnic minority elders with dementia by sharing and discussing service development and research projects, identifying strengths and deficits in the field, developing networks, identifying gaps in research and areas for further research, and discussing ways to collaborate. The research issues identified included: a limited focus on ethnic minority groups other than South Asian and Afro-Caribbean communities, exploring the needs of ethnic minority groups in geographically challenging contexts such as isolated rural areas, using local research outcomes can only inform local service development, which services are effective for which particular ethnic groups and why, being more sensitive to differences between populations (including between communities from the same country), the needs of ethnic minority older people with dementia who have migrated from their homeland compared with those who have lived in the UK all their lives, and improved dissemination of findings to services, service users, ethnic communities and other researchers.
Domiciliary support for people with sight loss
- Author:
- THOMAS POCKLINGTON TRUST
- Publisher:
- Thomas Pocklington Trust
- Publication year:
- 2003
- Pagination:
- 12p.
- Place of publication:
- London
Reports on the research findings of a short survey to identify the needs of people with sight loss for domiciliary support and the extent to which those needs were being met. In the survey 39 people with sight loss were interviewed as part of small sample. Interview were also carried out with seven domiciliary care service providers, eight local authorities and a small number of specialist organisations.
The perceptions and needs of farm dwellers regarding aging, advanced age, and future perspectives
- Author:
- STRYDOM Hermann
- Journal article citation:
- Journal of Gerontological Social Work, 42(1), 2003, pp.59-75.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article reports on a multidisciplinary study that was undertaken by the Faculty of Health Sciences of the Potchefstroom University for Christian Higher Education. This study was done on certain farms in the North West Province of South Africa and called the FLAGH study, meaning the Farm Labour, Agriculture and General Health study. This article reports on a need assessment of farm dwellers done during the second half of 2002 and focuses specifically on perceptions and needs regarding aging, advanced age and future perspectives of aged farm dwellers. The objective of this study was to ascertain the psychosocial needs and problems of farm dwellers in order to eventually design, implement and evaluate a programme aimed at the improvement of the quality of life of farm dwellers. An exploratory study was done, utilising in-depth interviewing according to a schedule of both quantitative and qualitative nature. Certain aspects, like the attitude of the community towards the elderly, relationships of the elderly with peers, children, grandchildren and spouses were dealt with in this study. Topics like the needs or problems of the elderly, nearing death, old age homes and retirement were also covered in this project. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Older rural workers and retirement preparation
- Author:
- DORFMANN Lorraine T.
- Journal article citation:
- Journal of Gerontological Social Work, 42(3/4), 2003, pp.213-227.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Examines the impact of the rural environment on work and retirement by reviewing current socioeconomic conditions in rural areas, rural community infrastructure, and rural community change. It goes on to discuss the employment status and income of older rural workers, giving particular attention to gender and racial/ ethnic differences in employment. Job training and job creation are also discussed. Next, the article turns to the retirement needs and retirement preparation of rural elders. It concludes with suggestions for gerontological social work practice in developing employment and retirement services and improving existing services and service delivery. (Copies of this article are available from: Haworth Document Delivery Centre Haworth Press Inc., 10 Alice Street Binghamton, NY 13904-1580)
Policy into practice: growing older with a learning disability
- Author:
- THOMPSON David
- Journal article citation:
- Research Policy and Planning, 21(3), 2003, pp.71-78.
- Publisher:
- Social Services Research Group
Identifies the major support needs for older people with learning difficulties. Goes on to discuss the impact of two recent policy documents in England: the 'National Service Framework for Older People' and 'Valuing people: a new strategy for learning disability in the 21st Century' on the lives of older people with learning difficulties.
Support for relatives visiting care homes
- Author:
- BURTON-JONES Julia
- Journal article citation:
- Journal of Dementia Care, November 2003, p.13.
- Publisher:
- Hawker
Reports on a project from the Relatives and Residents Association and Westminster Health Care which aims to find out more about the special needs of relatives and friends visiting people with dementia in care homes. One of the outcomes of the project was the production of an induction training CD-ROM now being used throughout Westminster's homes, and a leaflet welcoming relatives and friends of people with dementia.
Exploring assistance in Sweden and the United States
- Authors:
- SHEA Dennis, et al
- Journal article citation:
- Gerontologist, 43(5), October 2003, pp.712-721.
- Publisher:
- Oxford University Press
Few international comparisons of health services are performed using microlevel data. Using such data, this paper compares the need for and receipt of assistance with activities of daily living (ADLs) in comparable samples in the United States and Sweden, a country with a universal system of community-based services. Data from national surveys of community residents completed at approximately the same time in each nation are used to create comparable measures of need and assistance. Descriptive and logistic regression analyses compare need and assistance patterns across the nations and identify individual factors that explain receipt of assistance and unmet needs. Results indicate that a simple story of greater use of paid formal services in Sweden and more unpaid informal use in the United States masks a more complex relationship. Assistance with ADLs seems to be more targeted in Sweden; narrow differences in assistance widen considerably when the analysis is limited to those reporting need. Although these two different health systems result in similar levels of overall ADL assistance, a detailed microlevel comparison reveals key distinctions. Further microlevel comparisons of access, cost, and quality in cross-national data can further aid our understanding of the consequences of health policy.
Older people's views on information, advice and advocacy
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2003
- Pagination:
- 4p.
- Place of publication:
- York
This study explored the needs and problems of the diverse communities of older people in Slough in relation to information, advice and advocacy. Older people were interviewed both individually and within focus groups, as were service providers. Recommendations for services that would meet the needs expressed by older people were developed, and solutions then prioritised. Older people experienced barriers in accessing information, advice and advocacy in three stages: becoming aware that there was information, advice or advocacy that could help in their situation; gaining access to appropriate and comprehensive information and advice; and. receiving practical assistance to act on the information and achieve a solution.