Search results for ‘Subject term:"older people"’ Sort:
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Holistic care for older inpatients
- Author:
- SMY Janis
- Journal article citation:
- Nursing Times, 16.05.06, 2006, pp.16-17.
- Publisher:
- Nursing Times
This article reports on a team of nurses from Bradford who won a Nursing Times Award for training 'older people's champions' to ensure patients' mental health needs, as well as physical needs, are met.
Are methadone counselors properly equipped to meet the palliative care needs of older adults in methadone maintenance treatment? Implications for training
- Author:
- DOUKAS Nick
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 10(2), 2014, pp.186-204.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Today's methadone patients differ greatly from those of the past. Because of the rise of polydrug use and the HIV and hepatitis epidemics, treatment has become much more complex, which multiply the concerns and complexities of treatment. Patients entering methadone programmes are also more commonly presenting at ages well into their 50s, 60s, and 70s; and this phenomenon of high rates continues to grow. The majority of these individuals in treatment have presented with a number of significant comorbid medical conditions that will progress and eventually lead to death. This ageing cohort must be approached with a modified treatment plan that focuses on management and promoting healthy aging, while attending to their maximum delay of illness, disease, and disability. This article argues that it is necessary for counsellors working with this group to adopt a palliative care philosophy. This article also makes recommendations in areas that counsellors need to be knowledgeable and skilled in to provide appropriate palliative services specific to this ageing population with multiple needs as they near end of life. (Edited publisher abstract)
Improving partnerships with families and carers in in-patient mental health services for older people: a staff training programme and family liaison service
- Authors:
- STANBRIDGE Roger I., et al
- Journal article citation:
- Journal of Family Therapy, 35(2), 2013, p.176–197.
- Publisher:
- Wiley
In spite of policies advocating the involvement of families in the care of mental health service users in the UK, there are few examples of initiatives to develop staff confidence and skills in partnership working. This article describes a whole team training initiative and family liaison service to promote family inclusive working on in-patient wards for older people in Somerset. A three-day staff-training programme is described and training outcomes are reported. Staff report a substantial increase in confidence and family meetings held. A pre-and post- training case note audit shows increased consideration of the needs of families. To further increase face to face meetings with families a family liaison service has been established, whereby a staff member with systemic family therapy training joins ward staff to hold family meetings as part of the assessment/admission process. Evaluation of this service has shown it to be effective with positive feedback from families and staff. (Publisher abstract)
Two views of generic care work in 'end of life' care
- Authors:
- HOLME Neal, HART Susan
- Journal article citation:
- Research Policy and Planning, 25(1), 2007, pp.27-41.
- Publisher:
- Social Services Research Group
This small explorative qualitative study examines the experiences of a small group of 9 home carers trained to work as generic care workers (GCWs) with 'end of life' patients and their carers in Blackpool. The views of 7 informal carers were also sought to see how the service was received. Through a combination of focus group discussion and the completion of a structured questionnaire the GCWs reported increased job satisfaction and motivation, less stress, felt an improvement in professional status and demonstrated a willingness and ability to undertake training. Informal carers reported receiving help with administering personal care and low grade medical tasks, along with domestic assistance and social support with short periods of daily respite; all factors identified in the research literature as crucial to maintaining 'end of life' patients at home. The partnership project was delivered at very little extra cost. Given that an ageing population brings with it increasing demands on health and social care agencies for palliative care services the scheme has the potential, on the evidence provided within the limitations of this study, to provide an effective support to the NHS End of Life Care Programmes.
Hard truths: the journey to putting patients first: Volume one of the Government response to the Mid Staffordshire NHS Foundation Trust Public Inquiry; presented to Parliament by the Secretary of State for Health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- TSO
- Publication year:
- 2013
- Pagination:
- 137
- Place of publication:
- London
The Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry chaired by Robert Francis QC (February 2013) called for a ‘fundamental culture change’ across the health and social care system to put patients first at all times. This is one of four documents which build on the Government’s initial response, ‘Patients first and foremost’ (published March 2013). This response begins with a statement of common purpose signed by the Chairs or Chief Executives of key health and care organisations, in which they renew and reaffirm their personal commitment and their organisations’ commitment to the values of the NHS and its Constitution. It sets out how the whole health and care system will prioritise and build on recommendations made in six further reports (including the 'Cavendish review: an independent review into healthcare assistants and support workers in the NHS and social care settings) commissioned by the Government that considered key issues identified by the Inquiry (findings and recommendations summarised in Annexes A-F). These include “major new action on the following vital areas”: transparent reporting on ward-by-ward staffing levels; how patients and their families can raise concerns or complain; a statutory duty of candour; legislation on wilful neglect; a fit and proper person’s test which will act as a barring scheme; and a new Care Certificate for Healthcare Assistants and Social Care Support Workers. The Care Bill will introduce a new criminal offence applicable to care providers who supply or publish certain types of information which is false or misleading, where that information is required to comply with a statutory or other legal obligation. Chapters cover: preventing problems; detecting problems quickly; taking action promptly; ensuring robust accountability; and ensuring staff are trained and motivated. Each chapter sets out themes and issues raised in the Inquiry report. Case studies illustrate instances of failings in patient care, examples of hospitals which have adopted procedures that are patient focused, and innovations of benefit to service users. (Original abstract)
Hard truths: the journey to putting patients first: Volume two of the Government response to the Mid Staffordshire NHS Foundation Trust Public Inquiry: response to the Inquiry’s recommendations: presented to Parliament by the Secretary of State for Health
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- TSO
- Publication year:
- 2013
- Pagination:
- 248
- Place of publication:
- London
The Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry chaired by Robert Francis QC (February 2013) called for a ‘fundamental culture change’ across the health and social care system to put patients first at all times. This document provides responses to each of the 290 recommendations made by the Public Inquiry, in respect of accountability, roles and responsibilities in patient care. It also addresses the recommendations made in six related independent reviews, including 'Cavendish review: an independent review into healthcare assistants and support workers in the NHS and social care settings'. (Original abstract)
Do occupational therapists and physiotherapists teach elderly people: how to rise after a fall
- Authors:
- KINN Sue, GALLOWAY Linda
- Journal article citation:
- British Journal of Occupational Therapy, 63(6), June 2000, pp.254-259.
- Publisher:
- Sage
Falling is a major problem for the elderly population and much research has been done to investigate the risk factors for and means of preventing falls. This postal survey was undertaken to investigate whether therapists do anything to try to prevent falls, assess elderly people for suitability and teach them how to rise after a fall. The results showed that almost all the respondents (127 of 137) identified falling as a problem that they had to deal with in their patients over 65 years. Over half the respondents had considered teaching people how to rise after a fall. A range of different methods was used, which broadly fell into physical and verbal instructions or referral to other health care professionals.
The TAPS Project: a report on 13 years of research, 1985-1998
- Authors:
- LEFF Julian, et al
- Journal article citation:
- Psychiatric Bulletin, 24(5), May 2000, pp.165-168.
- Publisher:
- Royal College of Psychiatrists
The Team for the Assessment of Psychiatric Services (TAPS) was established in May 1985 to evaluate the national policy of replacing psychiatric hospitals with district based services. TAPS' remit was to mount the evaluation with respect to the closure of Friern and Claybury Hospitals in north London. This article provides a summary of the research organised by topic: patients, staff, and the public.