Search results for ‘Subject term:"older people"’ Sort:
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Meltdown
- Author:
- DOBSON Alex
- Journal article citation:
- Care and Health Magazine, 36, 21.5.03, 2003, pp.40-41.
- Publisher:
- Care and Health
It is estimated that over the last 12 months, Wales has lost about 1,000 care home beds. Reports on the crisis.
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.
Keeping a diary helped staff find their own solutions
- Author:
- CHAWNER Linda
- Journal article citation:
- Journal of Dementia Care, 11(5), September 2003, pp.30-31.
- Publisher:
- Hawker
Describes how the process of recording in a diary all interactions with a woman labelled 'aggressive' enabled staff to work out their own solutions-leading to increased well-being for all concerned.
Sexuality and intimacy in care homes
- Author:
- HEYMANSON Cynthia
- Journal article citation:
- Journal of Dementia Care, 11(5), September 2003, pp.10-11.
- Publisher:
- Hawker
Describes a training programme to address issues around sexuality and intimacy among care staff in residential homes.
In need of an anchor
- Author:
- LOWE Stephen
- Journal article citation:
- Community Care, 2.10.03, 2003, pp.38-39.
- Publisher:
- Reed Business Information
Explains why human rights legal protection for older people is vital when they are transferred between homes. Looks at the case of Violet Townsend who died after she was transferred to another care home against the wishes of her GP and family.
Improving communication between hospitals and care homes: the development of a daily living plan for older people
- Authors:
- REED Jan, STANLEY David
- Journal article citation:
- Health and Social Care in the Community, 11(4), July 2003, pp.356-363.
- Publisher:
- Wiley
Describes a practice development project that produced a user-led daily living plan, developed in partnership with older people and staff from health and social care settings and designed to facilitate communication of the daily living preferences of older people, ensuring that continuity of care and support could be maintained and their future care planned on an individualised basis when they move from hospital to a care home. In developing and implementing the plan more effective person-centred communication between hospitals and care homes was achieved, and some of the hospital staff's ideas about care homes changed.
Family members' perceptions of pain and distress related to analgesics and psychotropic drugs, and quality of care of elderly nursing home residents
- Author:
- HALL-LORD Marie Louise
- Journal article citation:
- Health and Social Care in the Community, 11(3), May 2003, pp.262-274.
- Publisher:
- Wiley
Aims to describe family members' perceptions of nursing homes residents' pain and distress in relation to analgesics and psychotropic drugs, and compare whether background variables, dementia, help/support, prescribing of analgesics and psychotropic drugs, and quality of care vary between sub-groups of residents using 232 family members of elderly people in 10 Swedish nursing homes. They responded to a questionnaire including background variables, pain and distress variables, and the Quality from the Patient's Perspective questionnaire. Data on drug prescribing was obtained from medical records. The head nurse on each ward noted whether or not the resident had a documented or known diagnosis of dementia. Results showed that a high frequency of elderly nursing home residents were estimated as having physical pain and worry. Many were prescribed psychotropic drugs. Also, some with moderate or severe physical pain were not prescribed any analgesics. They were divided into 3 sub-groups based on scores of physical discomfort, physical pain and worry. Sub-group comparisons differed with regard to sex, help/support, drugs and quality of care. Staff have a responsibility to assess residents' pain and distress since this will form a basis for better pain and distress management. Other suggestions for improving quality of care are provision of better information to family members and residents, meaningful occupation, less task-oriented care, and care that involves residents.
The great care fiasco
- Author:
- CLEMENT Luke
- Journal article citation:
- Community Care, 22.5.03, 2003, pp.40-42.
- Publisher:
- Reed Business Information
Looks at the confusion which exists over continuing care and argues that the NHS and the Department of Health are diluting the NHS's responsibilities. The author discusses the Coughlan judgement and is critical of the resulting guidance from the Department of Health, also argues that the Department of Health guidance on free nursing care has undermined this care entitlement.
The quality of quality measurement in U.S. nursing homes
- Authors:
- MOR Vincent, et al
- Journal article citation:
- Gerontologist, 43(Special Issue II), April 2003, pp.37-46.
- Publisher:
- Oxford University Press
This article examines various technical challenges inherent in the design, implementation, and dissemination of health care quality performance measures. Using national and state-specific Minimum Data Set data from 1999, the authors examined sample size, measure stability, creation of ordinal ranks, and risk adjustment as applied to aggregated facility quality indicators. Nursing home Quality Indicators now in use are multidimensional and quarterly estimates of incidence-based measures can be relatively unstable, suggesting the need for some averaging of measures over time. Current public reports benchmarking nursing homes' performances may require additional technical modifications to avoid compromising the fairness of comparisons.
Quality of care for elderly residents in nursing homes and elderly people living at home: controlled observational study
- Authors:
- FAHEY Tom, et al
- Journal article citation:
- British Medical Journal, 15.3.03, 2003, pp.580-583.
- Publisher:
- British Medical Association
Reports on the results of a research study which examined three general practices with registered patients resident in four Bristol nursing homes. In each practice four patients who lived in their own homes were also selected to act as controls. The study compared and evaluated the quality of clinical care given to patients in both settings. The results of the study suggested that the quality of medical care that patients received in the study was inadequate, particularly in the nursing homes. Suggests that better coordinated care would avoid the problems of overuse of unnecessary drugs, underuse of beneficial drugs, and poor monitoring of chronic disease.