Search results for ‘Subject term:"older people"’ Sort:
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Achieving person-centred care for older people: champions for older people project
- Author:
- NATIONAL HEALTH SERVICE. West Midlands
- Publisher:
- National Health Service. West Midlands
- Publication year:
- 2006
- Pagination:
- loose leaf
- Place of publication:
- Birmingham
The aim of this project is to have a champion in all care environments where older people receive care. The champions, who are experienced nurses and allied health professionals, attend an intensive two-day workshop of master classes by expert speakers with a focus on addressing values, attitudes and dignity. The intention is to improve care and support for older people; reduce stays in hospital; build reassurance and confidence in the care provided for older people in hospitals and other care environments; provide a proactive workforce to care effectively for a rising ageing population; and reduce the number of complaints.
What is the current state of care for older people with dementia in general hospitals? a literature review
- Authors:
- DEWING Jan, DIJK Saskia
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 15(1), 2016, pp.106-124.
- Publisher:
- Sage
This paper summarises a literature review focusing on the literature directly pertaining to the acute care of older people with dementia in general hospitals from 2007 onwards. Following thematic analysis, one overarching theme emerged: the consequences of being in hospital with seven related subthemes. Significantly, this review highlights that overall there remains mostly negative consequences and outcomes for people with dementia when they go into general hospitals. Although not admitted to hospital directly due to dementia, there are usually negative effects on the dementia condition from hospitalisation. The review suggests this is primarily because there is a tension between prioritisation of acute care for existing co-morbidities and person-centred dementia care. This is complicated by insufficient understanding of what constitutes person-centred care in an acute care context and a lack of the requisite knowledge and skills set in health care practitioners. The review also reveals a worrying lack of evidence for the effectiveness of mental health liaison posts and dementia care specialist posts in nursing. Finally, although specialist posts such as liaison and clinical nurse specialists and specialist units/shared care wards can enhance quality of care and reduce adverse consequences of hospitalisation (they do not significantly) impact on reducing length of stay or the cost of care. (Publisher abstract)
Engaging in coordination of health and disability services as described by older adults: processes and influential factors
- Authors:
- RUGGIANO Nicole, SHTOMPEL Natalia, EDVARDSSON David
- Journal article citation:
- Gerontologist, 55(6), 2015, pp.1015-1025.
- Publisher:
- Oxford University Press
Purpose of the Study: There is little consensus on the definition and design of effective care coordination for older adults with chronic conditions, and the majority of care coordination models minimise the role and voice of older patients. This study aims to examine how older adults perceive and engage in the process of care coordination of health and disability support services and the factors that influence their engagement. Design and Methods: Thirty-seven older adults with chronic conditions and nine geriatric case managers participated in semi-structured interviews that focused on older adults’ experiences with self-managing and coordinating their health and support services. Interview data were systematically analysed for themes. Results: The interview data revealed that involving older adults in care coordination is a complex, multi-stage process, conceptualized as making self-health assessments, making informed decisions about care, and executing and coordinating care. The findings indicate that a number of factors facilitate older adults’ decision and capacity to become involved in the coordination of their care, including their perceptions about how their condition impacted their everyday lives, and availability of intrinsic resources, tangible resources, and social network. Low perceptions of control over health and lack of such resources constrain their involvement. Implications: Practitioners may facilitate older adults’ involvement in care coordination by using language with older patients that emphasises psychosocial experiences in addition to medical symptomatology. They may also provide targeted support for patients with limited facilitating factors to promote involvement at multiple stages of the care coordination process. (Edited publisher abstract)
Towards whole person care
- Author:
- BICKERSTAFFE Sarah
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 2013
- Pagination:
- 26
- Place of publication:
- London
This paper reviews the case for change in the English health and care system and considers how to move towards a ‘whole person care’ approach. It sets out broad themes on creating a health and care system that is fit for the future. It makes a case for a number of person-centred guarantees at the heart of the vision for whole person care, focused on people with long-term conditions and older people: a single point of contact for all care needs; access to other people with the same condition who can provide peer support; online access to personal health and care records and the ability to share these; a personalised care plan covering health and social care; and the option of a personal budget, where this is helpful. (Edited publisher abstract)
The user voice I, II and III: three qualitative studies of the views of older people concerning rehabilitation services they received in hospital, in social services/NHS residential rehabilitation units, and at home
- Authors:
- TRAPPES-LOMAX Tessa, et al
- Publisher:
- Centre for Evidence-Based Social Services
- Publication year:
- 2003
- Pagination:
- 124p., bibliog.
- Place of publication:
- Exeter
This report outlines a qualitative study exploring the views of older people about the rehabilitation services they receive. The services investigated were provided by social services and/or health in community hospitals, residential rehabilitation units, and in people's own homes. The research involved face-to-face interviews with 42 participants. Interpretative Phenomenological Analysis was used to analyse the data. Researchers sought to determine 'what works' and what could work better regarding the rehabilitation, or intermediate care, services received by older people. They identified a need for a 'whole person' approach to rehabilitation, an explicit partnership approach to the assessment of user and carer needs, and much greater clarity about the specific rehabilitative activities which were offered by individual units and hospitals. Five main themes emerged: the diversity of users’ needs; the duality of the staff role; the complex nature of rehabilitation; the effect of the setting; and the long term nature of rehabilitation. The message from users and carers identified that the research was worthwhile, but could be done better.
Using technology to enhance the ageing experience: a market of analysis of existing technologies
- Authors:
- GOLDWATER Jason, HARRIS Yael
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.5-28.
- Publisher:
- Springer
- Place of publication:
- New York
Drawing on experience in the United States, this article discusses health technologies, their benefits, and how these tools will transform the way people age during the next decade. The article looks at how electronic health records can be used to increase efficiency, support care coordination, and provide caregivers timely access to information at any time or location. It also describes how telehealth can increase quality and access to care in an inpatient setting and can also support individuals wishing to age in place.
Ambitions for change: improving healthcare in care homes
- Author:
- BRITISH GERIATRICS SOCIETY
- Publisher:
- British Geriatrics Society
- Publication year:
- 2021
- Pagination:
- 14
- Place of publication:
- London
This report describes the care home sector across the UK as it currently stands and recent initiatives taken to improve healthcare for care home residents, including specific initiatives during the COVID-19 pandemic. It describes how health and wellbeing has traditionally been supported in care homes and sets out what good healthcare provision in a care home environment should look like. The report sets out a few of the more common conditions which staff are required to support their residents to manage on a daily basis, including: cognitive impairment and mental health; end of life care in care homes; falls; nutrition and hydration; continence care and assessment; medicine optimisation. The report then details what good care in care homes looks like and what all older people living in a care home should expect from the staff looking after them, focusing on: person-centred care for care home residents; development of a skilled care home clinical workforce; providing hospital-style care in care homes; joined-up approach to data collection and sharing. The report makes 11 recommendations for local and national Governments and decision-makers to consider, including ensuring the NHS across the UK should work with care homes to roll out and fund programmes to enable enhanced healthcare services to be provided in all care homes. (Edited publisher abstract)
Family-centeredness in dementia care: what is the evidence?
- Authors:
- HAO Zhichao, RUGGIANO Nicole
- Journal article citation:
- Social Work in Health Care, 59(1), 2020, pp.1-19.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Over the last decade, person-centered practices in care for adults with Alzheimer’s disease and related dementias (AD/RD) has received significant attention from the health care and social service literature, though less attention has been paid to family-centered care (FCC). Initially conceptualized for application in pediatric care, FCC is an approach where clinicians develop partnerships with care recipients’ family members and views family members as having expertise to contribute to the clinical team. More recently, FCC has been extended to the literature on AD/RD care, though little is known about the extent to which family-centered interventions have been developed for use in AD/RD clinical practice, or the effectiveness of family-centered care for this population. To contribute to gaps in scholarship, this systematic review identified and evaluated intervention studies examining FCC in AD/RD clinical care. Implications for research and practice are discussed. (Edited publisher abstract)
Sustainable tailored integrated care for older people in Europe (SUSTAIN-project): lessons learned from improving integrated care in Europe
- Authors:
- de BRUIN Simone, et al
- Publisher:
- National Institute for Public Health and the Environment
- Publication year:
- 2018
- Pagination:
- 52
- Place of publication:
- Utrecht
This report presents the lessons learned from the SUSTAIN-project, a four-year (2015-2019) cross-European research project to support integrated care initiatives for older people living at home with multiple health and social care needs. The project examined thirteen established integrated care initiatives from seven European countries which aimed to deliver and improve person-centred, prevention-oriented, safe, efficient, and coordinated care. The report provides an overview of the characteristics of integrated care initiatives for older people across Europe; describes the integrated care activities that were undertaken by integrated care initiatives to improve their services; looks at what works and what does not work when improving integrated care, and the factors should be taken into account when improving integrated care. Key findings suggest that improving integrated care is an incremental process that takes timed is influenced by factors at different levels of countries’ health and social care systems. Factors identified influencing (un)successful implementation of integrated care activities included: a commitment of professionals and managers, leadership and ownership, and policy and legislation. Based on the lessons learned, this report makes sets of recommendations to policy-makers, service providers, and the research community to improve integrated care delivery across the EU. (Edited publisher abstract)
"They're always in a hurry" - older people's perceptions of access and recognition in health and social care services
- Authors:
- TIILIKAINEN Elisa, et al
- Journal article citation:
- Health and Social Care in the Community, 27(4), 2019, pp.1011-1018.
- Publisher:
- Wiley
The article examines older people's perceptions of quality of life from the perspective of access and use of health and social care services. The data include focus group discussions with older people living alone. The data were analysed using thematic analysis focusing on the older people's collective views on health and social care services as supportive or restrictive factors for their quality of life. Two central themes were present in all the focus group discussions: the importance of accessing services and information regarding the services, and need for recognition within the services/by the professionals. Both themes were connected to the older people's desire to maintain autonomy in their everyday life despite increasing functional disabilities, which was seen as an important factor of quality of life. The older people felt that accessing and finding information about the services was difficult, and dependent on the professional's good will and the older person's own financial resources. Within the services, older people experienced a lack of recognition of their own personhood and individual needs. The participants felt that they were easily bypassed and left out of negotiations regarding their own care. The article highlights the importance of developing health and social care services and practices towards a more holistic approach recognising older people's individual needs. (Publisher abstract)