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Care home environments rehabilitation and older persons: a survey of current service provision in England
- Authors:
- WARD Martin, SEVERS Martin, DEAN Taraneh
- Journal article citation:
- MCC Building Knowledge for Integrated Care, 10(1), February 2002, pp.37-42.
- Publisher:
- Pavilion
Reports on the findings of the first stage of a research programme to investigate the extent of the use of care home environments for the rehabilitation of older people in England. Stage two of the project will explore in more depth the characteristics of the rehabilitation provision identified in stage one.
More than carpets and chintz
- Author:
- CALKINS Margaret
- Journal article citation:
- Journal of Dementia Care, 10(6), November 2002, pp.19-22.
- Publisher:
- Hawker
Discusses the ways in which the physical environment can help a care home setting feel more like home.
Halfway home
- Author:
- ZAATAR Ali
- Journal article citation:
- Health Service Journal, 31.1.02, 2002, pp.28-29.
- Publisher:
- Emap Healthcare
Short-term intermediate care in nursing homes can prove popular with patients, despite initial doubts about stability. Reports on a pilot scheme.
A survey of access to medical services in nursing and residential homes in England
- Authors:
- GLENDINNING Caroline, et al
- Journal article citation:
- British Journal of General Practice, 52(480), July 2002, pp.545-548.
- Publisher:
- Royal College of General Practitioners
A survey was conducted within the 72 English primary care groups/trusts (PCG/Ts) used in the National Tracker Survey of PCG/Ts to investigate patterns of access to medical services for residents in homes for older people. A structured questionnaire was used to investigate home characteristics, numbers of general practitioners (GPs) or practices per home, homes' policies for registering new residents with GPs, existence of payments to GPs, GP services provided to homes, and access to specialist medical care. Wide variations in the numbers of GPs providing services to individual homes were found and this was not entirely dependent on home size. Eight percent of homes paid local GPs for their services to residents; these were more likely to be nursing homes than residential homes and larger homes. Homes paying local GPs were more likely to receive one or more additional services, over and above GPs' core contractual obligations. Few homes had direct access to specialist clinicians. These extensive variations in homes' policies and local GP services raise serious questions about patient choice, levels of GP services and, above all, about equity between residents within homes, between homes and between those in homes and in the community.
The impact of cognitive impairment, functional impairment, and behavior disorders on affective disorder among older black nursing home residents
- Authors:
- LYONS Beverly P., et al
- Journal article citation:
- Journal of Social Work in Long-Term Care, 1(4), 2002, pp.55-71.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
This American study uses path analysis to examine the impact of cognitive impairment, functional impairment, and behavior disorder on affective disorder among a probability sample of 181 black and ethnic minority nursing home residents from New York State. The Institutional Comprehensive Assessment and Referral Evaluation screening measure was used. Results suggest that functional and cognitive impairments are highly related to affective disorder, however, there is a complex indirect relationship between disease state, impairment and affective disorder. Implications are discussed in terms of social work practice.
The design of caring environments and the quality of life of older people
- Authors:
- BARNES Sarah, et al
- Journal article citation:
- Ageing and Society, 22(6), November 2002, pp.775-789.
- Publisher:
- Cambridge University Press
Reviews empirical studies from both the architectural and psychological literature into the design of care environments for older people. It outlines the instruments currently available for measuring both the environment and quality of life of older people, and summarises the evidence on the layout of buildings, the sensory environment and the privacy of residents.
Changes predicting long-term care use among the oldest-old
- Author:
- FINLAYSON Marcia
- Journal article citation:
- Gerontologist, 42(4), August 2002, pp.443-453.
- Publisher:
- Oxford University Press
The aim of this research was to identify health-related changes occurring between 1983 and 1990 that characterize and differentiate 1996 long-term care outcomes (no services, home care, nursing home) among people aged 85 years and older. Factors predicting home care use relative to no services included changes in self-rated health, income adequacy, and railings outside of the house. Factors predicting nursing home use relative to home care included age and changes in general life satisfaction. Factors predicting nursing home use relative to no services included age; previous service use; length of time in the community; and changes in income adequacy, type of housing, and state of mind.
Calculating operating costs for care homes
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2002
- Pagination:
- 4p.
- Place of publication:
- York
New research by William Laing of health and community care analysts Laing & Buisson has devised a means of calculating the reasonable operating costs of efficient care homes for older and older mentally infirm people. The research is intended to offer a guide to all parties involved in negotiating baseline fee rates in a transparent and robust way.
Checks and balances
- Author:
- INMAN Kendra
- Journal article citation:
- Care and Health Magazine, 17, July 2002, pp.12-13.
- Publisher:
- Care and Health
Looks at the the delays in getting police checks processed by the new Criminal Records Bureau and the impact it is having on the ability of care homes to hire new staff.
Back home
- Author:
- WINCHESTER Ruth
- Journal article citation:
- Community Care, 18.7.02, 2002, pp.28-30.
- Publisher:
- Reed Business Information
Everyone agrees that home care with support is preferable to institutionalised care, but outlooks diverge among health and social care professionals once the front door has been opened and the client crosses the threshold.