Search results for ‘Subject term:"older people"’ Sort:
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Bothered by bed blocking
- Author:
- RICKFORD Frances
- Journal article citation:
- Community Care, 1.4.93, 1993, pp.16-17.
- Publisher:
- Reed Business Information
Briefly discusses the problems associated with discharge of elderly people into the community and mentions the research work by NISW into hospital discharge.
The NHS and Community Care Act 1990: is it a success for elderly people?
- Authors:
- AJAYI Victoria, MISKELLY Frank G., WALTON Ivan G.
- Journal article citation:
- British Medical Journal, 18.2.95, 1995, p.439.
- Publisher:
- British Medical Association
Very brief notes on statistical analysis in Hammersmith and Fulham into the effect of the NHS and Community Care Act on the discharge of older people from hospitals. Findings show that changes implemented on 1st April 1993 enabled patients to be discharged from home earlier and that they were more likely to be discharged home than elsewhere.
Ignored but still in need
- Author:
- HUDSON Bob
- Journal article citation:
- Health Service Journal, 1.3.90, 1990, pp.33O-331.
- Publisher:
- Emap Healthcare
Outlines the problems faced by elderly people with a learning disability, whether in hospitals or living with their own families and outlines some solutions.
Using intermediate care to strengthen healthcare delivery
- Authors:
- CLEGG Angie, McADAM Anne
- Journal article citation:
- Community Nurse, 7(3), April 2001, pp.25-26.
- Publisher:
- Emap Healthcare
Describes how an intermediate care initiative helped reduce bed pressures on the district hospital and improved the level of care delivered to patients.
Getting started: early research findings on a jointly managed community-based rehabilitation service in Bristol
- Authors:
- THOMAS Drew, MEANS Robin
- Journal article citation:
- Managing Community Care, 8(6), December 2000, pp.41-44.
- Publisher:
- Pavilion
Outlines findings from research aimed at identifying the emerging issues around the formation of a jointly managed and staffed community rehabilitation service in Bristol.
Caring for elderly people with persistent pain in the community: a qualitative perspective on the attitudes of patients and nurses
- Author:
- WALKER Janet M.
- Journal article citation:
- Health and Social Care in the Community, 2(4), July 1994, pp.221-228.
- Publisher:
- Wiley
Describes qualitative findings from a study which was designed to explore the nursing needs of elderly people in the community who experience persistent pain. The findings highlight the importance of psychosocial care for the elderly in the community and the need for a strong focus upon psychosocial assessment and management during training for health professionals.
Residential care as an alternative to long-stay hospital: a cost-effectiveness evaluation of two pilot projects
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 9(4), 1994, pp.297-304.
- Publisher:
- Wiley
Reports on research carried out in two of the 28 DHSS Care in the Community Pilot Projects in the 1980s, with specific reference to cost-effectiveness of residential care as an alternative to long-stay hospital for elderly people with mental health problems.
A community oriented geriatric rehabilitation unit in a nursing home
- Authors:
- ADELMAN R. D., et al
- Journal article citation:
- Gerontologist, 27(2), 1987, pp.143-146.
- Publisher:
- Oxford University Press
Used to prepare discharged hospital patients for a return to the community.
Cost-effectiveness of donepezil and memantine in moderate to severe Alzheimer's disease (the DOMINO-AD trial)
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(12), 2017, pp.1205-1216.
- Publisher:
- Wiley
Objective: Most investigations of pharmacotherapy for treating Alzheimer's disease focus on patients with mild-to-moderate symptoms, with little evidence to guide clinical decisions when symptoms become severe. The authors examined whether continuing donepezil, or commencing memantine, is cost-effective for community-dwelling, moderate-to-severe Alzheimer's disease patients. Methods: Cost-effectiveness analysis was based on a 52-week, multicentre, double-blind, placebo-controlled, factorial clinical trial. A total of 295 community-dwelling patients with moderate/severe Alzheimer's disease, already treated with donepezil, were randomised to: (i) continue donepezil; (ii) discontinue donepezil; (iii) discontinue donepezil and start memantine; or (iv) continue donepezil and start memantine. Results: Continuing donepezil for 52 weeks was more cost-effective than discontinuation, considering cognition, activities of daily living and health-related quality of life. Starting memantine was more cost-effective than donepezil discontinuation. Donepezil–memantine combined is not more cost-effective than donepezil alone. Conclusions: Robust evidence is now available to inform clinical decisions and commissioning strategies so as to improve patients' lives whilst making efficient use of available resources. Clinical guidelines for treating moderate/severe Alzheimer's disease, such as those issued by NICE in England and Wales, should be revisited. (Edited publisher abstract)
Let's all get home safely: a commentary on NICE and SCIE guidelines (NG27) transition between inpatient hospital settings and community or care home settings
- Authors:
- WINFIELD Anna, BURNS Eileen
- Journal article citation:
- Age and Ageing, 45(6), 2016, pp.757-760.
- Publisher:
- Oxford University Press
Safe and appropriate transition between inpatient settings and the community is one of the major challenges facing the modern NHS. The National Institute for Health and Care Excellence in conjunction with the Social Care Institute for Excellence published guidance on this challenging area in December 2015. This commentary provides context, summary and discussion of the key areas covered. The guidance particularly emphasises the importance of a person-centred approach in which patients are individuals and equal partners in the multidisciplinary team who should be treated with dignity and respect. Additionally, communication and information sharing is crucial both on admission and when taking a proactive approach to discharge, including the role of the discharge coordinator in liaising with community teams and arranging follow-up post-discharge. Self-care and the significance of carers are also highlighted as valuable in facilitating safe discharge and reducing readmissions. It is clear that in older people with complex needs, safe appropriate transition between hospital and community settings has a positive impact on patients and their carers. Given the financial and capacity pressures facing the NHS, strategies to reduce readmissions and prevent delays in discharge are increasingly important. These guidelines are therefore both timely and advocated to improve care for older people. (Publisher abstract)