This booklet highlights good practice in using person-centred approaches with older families. It is aimed at person-centred planning coordinators and facilitators, but is a useful resource for anyone working with older families. The booklet particularly helps to unpick some of the key issues that might impact on the way that person-centred planning approaches are used with older families.
This booklet highlights good practice in using person-centred approaches with older families. It is aimed at person-centred planning coordinators and facilitators, but is a useful resource for anyone working with older families. The booklet particularly helps to unpick some of the key issues that might impact on the way that person-centred planning approaches are used with older families.
Subject terms:
older people, person-centred care, person-centred planning, families;
This report examines the factors which make possible a flexible, person-centred approach to providing home care for older people in light of the Department of Health's Green Paper on Adult Social Care.
This report examines the factors which make possible a flexible, person-centred approach to providing home care for older people in light of the Department of Health's Green Paper on Adult Social Care.
Subject terms:
home care, older people, person-centred care, Department of Health;
This report presents the final account from the three-part research project on flexible person-centred home care for older people, which was funded through the Department of Health Research Programme at the Social Policy Research Unit at York University, from 2001 till early 2005.
This report presents the final account from the three-part research project on flexible person-centred home care for older people, which was funded through the Department of Health Research Programme at the Social Policy Research Unit at York University, from 2001 till early 2005.
Subject terms:
home care, older people, person-centred care, Department of Health;
This article presents research findings about factors which promote person-centred, customer-led home care for older people. It describes the far-reaching influence of social services purchasers over whether independent home care providers supply such a service.
This article presents research findings about factors which promote person-centred, customer-led home care for older people. It describes the far-reaching influence of social services purchasers over whether independent home care providers supply such a service.
Subject terms:
home care, older people, person-centred care, social services, commissioning;
This book focuses on patient needs together with aspects of law, ethics and decision making theory. It uses and evidence-based approach with case studies and clinical scenarios to help the application of theory into practice. The guidance is applicable to professionals in residential, community, hospital and primary care settings. Contents include: assessment tools; why assessment of an older adult might be difficult; defining "registered nursing care" and "nursing needs"; the role of decisions and judgements as part of the assessment process; making an accurate assessment; sources of information in the assessment process; ethical, professional and legal requirements to involve adults in decisions about their care.
This book focuses on patient needs together with aspects of law, ethics and decision making theory. It uses and evidence-based approach with case studies and clinical scenarios to help the application of theory into practice. The guidance is applicable to professionals in residential, community, hospital and primary care settings. Contents include: assessment tools; why assessment of an older adult might be difficult; defining "registered nursing care" and "nursing needs"; the role of decisions and judgements as part of the assessment process; making an accurate assessment; sources of information in the assessment process; ethical, professional and legal requirements to involve adults in decisions about their care.
Everybody Business was launched on 14 November 2005 to improve health and social care practice at the front line. Older people’s mental health cuts across health and social care, physical and mental health and mainstream and specialist services. The new service development guide is committed to: improving people’s quality of life; meeting complex needs in a co-ordinated way; providing a person-centred approach; and promoting age equality.
Everybody Business was launched on 14 November 2005 to improve health and social care practice at the front line. Older people’s mental health cuts across health and social care, physical and mental health and mainstream and specialist services. The new service development guide is committed to: improving people’s quality of life; meeting complex needs in a co-ordinated way; providing a person-centred approach; and promoting age equality.
Extended abstract:
Author:CARE SERVICES IMPROVEMENT PARTNERSHIP Title: Everybody's business: integrated mental health services for older adults: a service development guide Publisher: Care Services Improvement Partnership, 2005
Summary
This service development guide sets out the key components of a modern older people's mental health (OPMH) service.
Context
Everybody's Business was launched on 14 November 2005 to improve health and social care practice at the front line. Older people's mental health cuts across health and social care, physical and mental health and mainstream and specialist services. The new service development guide is committed to: improving people's quality of life; meeting complex needs in a co-ordinated way; providing a person-centred approach; and promoting age equality.
Contents
A foreword begins by quoting the World Health Organization's assertion that a society can be defined by the way it treats its older citizens and lists the characteristics of an OPMH service which is fit for its purpose. An introduction emphasises the importance of carers, explains how the subject impinges on the whole health care system, outlines the development of OPMH services, and describes the guide. There follows six sections. ‘Foundations for developing a comprehensive older adult mental health service' is subdivided into discussions of involving service users and their carers, health promotion, assessment and care planning, developing culturally appropriate services, workforce development, a whole systems approach to commissioning integrated services, and leadership: champions, managers and leaders. ‘Primary and community care' covers primary care, home care, day services, housing, assistive technology and telecare, and care in residential settings. Two unsubdivided sections are on intermediate care and care for people in the general hospital. ‘Other specialist mental health services' is about integrated community mental health teams, memory assessment services, psychological therapies and in-patient care. Finally, ‘Special groups' is subdivided into discussions of younger people with dementia, older people with learning disabilities, and mental health care for older prisoners. Annexes discuss the policy context and describe some key policy drivers, and describe service assessment.
77 references
Subject terms:
joint working, mental health services, older people, person-centred care, quality of life, service development, social care provision;
This research project interviewed older service users, home care staff, managers and social services purchasers to explore the factors which make possible a flexible, person-centred approach. The findings highlight factors which: influenced flexible, person centred help at independent agencies; led to purchasers promoting flexible, person-centred care; let purchasers to discourage the provision of flexible, person- centred care.
This research project interviewed older service users, home care staff, managers and social services purchasers to explore the factors which make possible a flexible, person-centred approach. The findings highlight factors which: influenced flexible, person centred help at independent agencies; led to purchasers promoting flexible, person-centred care; let purchasers to discourage the provision of flexible, person- centred care.
Subject terms:
home care, older people, person-centred care, social services, user views, care workers, commissioning;
Features two primary papers on the controversial issue of end-of-life care within the disabled and aging populations. Each paper explains the multitude of issues involved in using person centered care. The first is from a father and nationally known advocate for the disabled—Rud Turnbull—speaking from a disability perspective about his disabled son. The second is from respected theologian M. J. Iozzio speaking from the aging perspective about her father's Alzheimer's disease. Responses from experts in the field follow, thoughtfully raising further points to consider about policies, ethics, quality of life, and consent. The two central papers from End-of-Life Care focus on person centered, interdependent care using the personal reflections of two close family members and their views about end-of-life care. The responses that follow each are direct, thoughtful, and concentrate on the issues in end-of-life planning using person centered care. This difficult and important issue is discussed in detail by lawyers, theologians, clinical practitioners, and professional service providers, and includes several revealing personal stories about end-of-life experiences.
Features two primary papers on the controversial issue of end-of-life care within the disabled and aging populations. Each paper explains the multitude of issues involved in using person centered care. The first is from a father and nationally known advocate for the disabled—Rud Turnbull—speaking from a disability perspective about his disabled son. The second is from respected theologian M. J. Iozzio speaking from the aging perspective about her father's Alzheimer's disease. Responses from experts in the field follow, thoughtfully raising further points to consider about policies, ethics, quality of life, and consent. The two central papers from End-of-Life Care focus on person centered, interdependent care using the personal reflections of two close family members and their views about end-of-life care. The responses that follow each are direct, thoughtful, and concentrate on the issues in end-of-life planning using person centered care. This difficult and important issue is discussed in detail by lawyers, theologians, clinical practitioners, and professional service providers, and includes several revealing personal stories about end-of-life experiences.
Subject terms:
informed consent, older people, person-centred care, quality of life, Alzheimers disease, disabilities, end of life care, ethics;
Studies of Geriatric Care Management Programs have had mixed results at best. Little evidence exists to attest to the effectiveness of these programs in improving patient outcomes and decreasing avoidable acute care service use. In response to these data, Kaiser Permanente's Geriatric Care Management program initiated a randomized trial to test an integrated, multifaceted depression treatment model within the care management framework and it's ability to detect and treat moderately and severely depressed older adults. This paper presents case studies of the geriatric care managers' practice changes associated with this intervention as well as case studies of two depressed clients, their experiences and outcomes associated with this study. Implications of this model are discussed.
Studies of Geriatric Care Management Programs have had mixed results at best. Little evidence exists to attest to the effectiveness of these programs in improving patient outcomes and decreasing avoidable acute care service use. In response to these data, Kaiser Permanente's Geriatric Care Management program initiated a randomized trial to test an integrated, multifaceted depression treatment model within the care management framework and it's ability to detect and treat moderately and severely depressed older adults. This paper presents case studies of the geriatric care managers' practice changes associated with this intervention as well as case studies of two depressed clients, their experiences and outcomes associated with this study. Implications of this model are discussed.
Subject terms:
medical model, medical treatment, older people, person-centred care, case studies, care management, depression, health care;
International Journal of Geriatric Psychiatry, 20(4), April 2005, pp.330-343.
Publisher:
Wiley
The aim was to examine the effect of integrated emotion-oriented care on nursing home residents with dementia and nursing assistants. A multi-site randomized clinical trial with matched groups was performed, and measurements taken at baseline and after seven months. Sixteen psychogeriatric wards in fourteen nursing homes in the Netherlands were examined. One hundred and forty-six elderly residents with the diagnosis dementia of the Alzheimer (DAT) type, mixed DAT and vascular dementia, and dementia syndrome (NAO) and 99 nursing assistants participated. The following measurements were used. Demented elderly: Behaviour and mood related to adaptation to the illness and the institutionalization. Nursing assistants: General health as measured by feelings of stress, stress reactions, feeling of competence and illness. Positive effects in favour of the integrated emotion-oriented care were found in mild to moderately demented residents on two adaptive tasks: maintaining an emotional balance (less anxiety) and preserving a positive self-image (less dissatisfaction). In the trained group of nursing assistants fewer stress reactions were found only in those who perceived improvement in their emotion-oriented care skills after training. Emotion-oriented care is more effective with regard to the emotional adaptation in nursing homes of persons with a mild to moderate dementia. For the severely demented elderly we did not find this surplus value. This outcome is of clinical importance for elderly persons with dementia who are cared for in nursing homes. With respect to the nursing assistants it is concluded that emotion-oriented care has a positive influence on stress reactions in some of them.
The aim was to examine the effect of integrated emotion-oriented care on nursing home residents with dementia and nursing assistants. A multi-site randomized clinical trial with matched groups was performed, and measurements taken at baseline and after seven months. Sixteen psychogeriatric wards in fourteen nursing homes in the Netherlands were examined. One hundred and forty-six elderly residents with the diagnosis dementia of the Alzheimer (DAT) type, mixed DAT and vascular dementia, and dementia syndrome (NAO) and 99 nursing assistants participated. The following measurements were used. Demented elderly: Behaviour and mood related to adaptation to the illness and the institutionalization. Nursing assistants: General health as measured by feelings of stress, stress reactions, feeling of competence and illness. Positive effects in favour of the integrated emotion-oriented care were found in mild to moderately demented residents on two adaptive tasks: maintaining an emotional balance (less anxiety) and preserving a positive self-image (less dissatisfaction). In the trained group of nursing assistants fewer stress reactions were found only in those who perceived improvement in their emotion-oriented care skills after training. Emotion-oriented care is more effective with regard to the emotional adaptation in nursing homes of persons with a mild to moderate dementia. For the severely demented elderly we did not find this surplus value. This outcome is of clinical importance for elderly persons with dementia who are cared for in nursing homes. With respect to the nursing assistants it is concluded that emotion-oriented care has a positive influence on stress reactions in some of them.
Subject terms:
mental health problems, nursing homes, older people, person-centred care, psychiatric care, psychosocial intervention, randomised controlled trials, stress, Alzheimers disease, carers;