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Not mad not bad
- Authors:
- O'CONNOR Chris, et al
- Publisher:
- National Institute for Mental Health in England
- Publication year:
- 2004
- Pagination:
- 27p.
- Place of publication:
- Leeds
This guide was created by a collaborative group of senior nurses undertaking the Accelerated Leadership Programme for Modern Matrons working in Older People’s Services. The title was chosen firstly to attract people’s attention to it but also to highlight that people with a diagnosis of dementia and who present with challenging or difficult behaviour often act in a way that they would not have in the past. More often than not people are unable to prevent developing dementia and it is a condition that can affect any person regardless of education, social class, culture or ethnic background. People with dementia haven’t chosen to have it and often have had a valued and full life. The aim is to guide nursing and care staff in the care of people with dementia and coping with the behaviours that patients can present with in care settings.
A new lease of life
- Author:
- COTTER Angela
- Journal article citation:
- Nursing Times, 20.5.98, 1998, pp.58-59.
- Publisher:
- Nursing Times
Argues that nurses need to rethink the way they approach rehabilitative care of older people.
Caring for confused people in the general hospital setting
- Author:
- SAUNDERS Pete
- Journal article citation:
- Nursing Times, 22.11.95, 1995, pp.27-29.
- Publisher:
- Nursing Times
Highlights the need for the thorough assessment of confused patients and goes on to explore some strategies for communicating and dealing with the confused patient.
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.
Food and drink - the basic requirements of life
- Authors:
- DENNIS Monica, ALLEN Judith
- Journal article citation:
- Journal of Adult Protection, 13(3), 2011, pp.167-173.
- Publisher:
- Emerald
In December 2008, the Daily Mail published an article written by a founder member of the organisation ‘A Dignified Revolution’ (ADR) detailing negligent, unprofessional and uncaring practice in an elderly relative's hospital care. In response to this, 94 people from around the UK wrote to ADR providing their own examples of either being a patient in hospital or witnessing their loved one’s distress. This paper analyses this correspondence, particularly addressing one of the most common areas of concern; the management of hydration and nutrition. The vast majority of the criticisms were directed towards severe deficits in nursing practice. The experiences that were shared demonstrated not only a contravention of the nurse's code of practice, but also an abuse of older people's fundamental right to eat and drink. The findings also demonstrate the severe harm that can be caused to vulnerable older people and the trauma caused to relatives and carers. Many respondents were dismayed at the complete lack of nursing assessments and the inconsistencies in the documentation about their relatives' care, including food and fluid charts, which was so fundamental to their care needs.
Improving care for people with dementia in acute hospital: the role of person-centred assessment
- Author:
- WEBSTER Jonathan
- Journal article citation:
- Quality in Ageing and Older Adults, 12(2), 2011, pp.86-94.
- Publisher:
- Emerald
This paper seeks to demonstrate the role of person-centred assessment in improving the standard of care for people with dementia in acute hospitals. The paper provides a review of recent research and literature on person centred care highlighting its role in acute hospital settings. Case studies are also used by way of illustration. Acute hospitals are inherently complex environments which pose particular challenges for the care and management of people with dementia. Evidence drawn from the literature and recent research suggests that person-centred assessment has the capacity to enhance the quality of care for people with dementia and improve outcomes. Although experienced nurses working in acute wards often have in-depth knowledge of older peoples’ health-related needs, a reliance on inflexible ‘‘assessment frameworks’’ can distract them from focusing on the individual. The routinised nature of many ward environments, shift patterns, high staff turnover and weak clinical leadership also act as barriers. The capacity of person-centred care to improve care suggests that it needs to be embedded in gerontological nursing practice in acute hospital settings as a clinical and managerial priority.
Home service
- Authors:
- CROXSON Bronwyn, et al
- Journal article citation:
- Health Service Journal, 28.1.99, 1999, pp.26-27.
- Publisher:
- Emap Healthcare
Explains how winter pressure on hospital beds can be reduced by providing emergency care in patients' own homes.
Older people's views of continuing care
- Author:
- FORD Pauline
- Journal article citation:
- Nursing Times, 2.4.97, 1997, pp.50-51.
- Publisher:
- Nursing Times
Argues that more should be done to find out what older people in continuing care think about the service they receive.
Providing for the needs of a dependent patient at home
- Author:
- WALKER Norah
- Journal article citation:
- Nursing Times, 22.2.95, 1995, pp.42-43.
- Publisher:
- Nursing Times
Describes the complex nursing and social needs of a patient and her carer which were addressed before discharge home from units for the care of older people. Demonstrates how community care can work given effective planning coordination, collaboration and carer support.
The Mid Staffordshire NHS Foundation Trust public inquiry: volume 3: present and future; annexes
- Authors:
- FRANCIS Robert, chair
- Publisher:
- Stationery Office
- Publication year:
- 2013
- Pagination:
- 434p.
- Place of publication:
- London
Volume 3 of the final report of the Public Inquiry into the failings in the Mid Staffordshire NHS Foundation Trust. It builds on an earlier report, published in February 2010. The final report considers the evidence of over 250 witnesses and over a million pages of documentary material. The inquiry found a found a lack of care, compassion, humanity and leadership. This volume looks at themes for the present and future, based on what went wrong in the past. It covers: organisational culture; values and standards; openness and transparency; standards of nursing; leadership in healthcare, good practice on what older people and their families should be expect to experience when in hospital. The final chapter provides a table of recommendations. Annexes include the Inquiry terms of references, details of healthcare provider visits and witness statement read in court.