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Developing an integrated falls prevention strategy
- Author:
- PIGFORD Christine
- Journal article citation:
- Nursing Times, 9.10.07, 2007, pp.30-31.
- Publisher:
- Nursing Times
This article describes the development of an integrated falls prevention strategy within Sunderland teaching PCT. It outlines the setting up of a group to implement the recommendations of the National Service Framework for Older People, and describes the development of two risk assessment tools.
Science and imagery in the ‘war on old age’
- Author:
- VINCENT John A.
- Journal article citation:
- Ageing and Society, 27(6), November 2007, pp.941-961.
- Publisher:
- Cambridge University Press
Several professional groups present themselves as ‘waging war’ on old age. They construct old age as a naturalised, self-evidently negative, biological phenomenon, which must be attacked and defeated. These groups make different claims to technical expertise and their ability to control natural phenomena, and use different weapons to defeat ageing. There are those who focus on cosmetic interventions, that is, the control of the body and the removal or masking of the signs of ageing. There are those who equate old age with ill-health and identify themselves as warriors in a battle with disease, and others whose objective is to understand the fundamental intra-cellular processes of ageing and what controls the human life span, and then to extend its limits. A fourth group aims to make human immortality possible. Examination of the language and symbolic practices of these groups reveals that they share a dominant cultural view that devalues old age and older people. The use of military metaphors to describe the importance and difficulties of their task is most prolific among the first and fourth of these groups. The second and third groups disguise a contradiction in their aim of understanding the diseases and disorders of old age by advocating the goal of an extended ‘healthy life span’, which avoids having to confront the moral dilemmas of extending the lifespan for its own sake.
Partnerships for older people projects: an outline of innovation and service elements
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. Health and Social Care Change Agent Team
- Publisher:
- Care Services Improvement Partnership. Health and Social Care Change Agent Team
- Publication year:
- 2007
- Pagination:
- 10p.
- Place of publication:
- London
The strategic aim of POPP (Partnerships for older people projects) is to test and evaluate (through pilots established during 2006/07 and 2007/08) innovative approaches that sustain prevention work in order to improve outcomes for older people. Four of the project sites focus specifically on Older People's Mental Health, you can read the project profiles.
Interventions to reduce fear of falling in community-living older people: a systematic review
- Authors:
- ZIJLSTRA G. A .R., et al
- Journal article citation:
- Journal of the American Geriatrics Society, 55(4), 2007, pp.603-615.
- Publisher:
- Blackwells Publishing
This review of 19 randomised controlled trials (12 judged to be of higher methodological quality) was conducted according to Cochrane principles and shows the following approaches to be effective in reducing the fear of falling: five fall-related multifactorial interventions (three home- and two group-based); three group-based tai chi programmes; two home-based exercise interventions; and a hip protector intervention. The primary aim of most of these interventions was to reduce falls rather than the fear of falling, and most also succeeded in this respect. The authors conclude that there is limited but fairly consistent evidence in favour of these interventions, and that more high quality, well reported and directly comparable research is needed.
Partnerships for older people projects (POPP) grant 2007-08: round 2 POPP pilots
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- London
The Department of Health's Older People and Disability Division is leading a project 'Partnerships for Older People Projects' (POPP). The strategic aim of the project is to test and evaluate (through pilots to be established during 2006/07 and 2007/08) innovative approaches that sustain prevention work in order to improve outcomes for older people.
Improving services and support for older people with mental health problems: executive summary
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- London
This is the second and final report of the UK Inquiry into Mental Health and Well-Being in Later Life. The Inquiry was launched in late 2003 as a result of concern that mental health in later life is a much neglected area. The range of mental health problems experienced in later life is very wide, including depression, anxiety, delirium (acute confusion), dementia, schizophrenia and other severe mental health problems, and alcohol and drug misuse. This report presents a comprehensive review of key facts and figures relating to each of these, as well as facts and figures on services and sources of support. It aims to illustrate how services and support for older people with mental health problems can be improved. This report draws on evidence from older people, carers, organisations and professionals. Five main areas are identified for action: ending discrimination; prioritising prevention; enabling older people; improving current services; and facilitating change. The report concludes that the levels of unmet mental health needs amongst older people are extremely high, and that age discrimination remains the fundamental problem. The report makes 35 recommendations which are listed along with the recommendations from the Inquiry’s first report.
Elder mistreatment in the nursing home: a systematic review
- Authors:
- LINDBLOOM Erik J., et al
- Journal article citation:
- Journal of the American Medical Directors Association, 3(4), 2007, pp.610-616.
- Publisher:
- Elsevier (for the American Medical Directors Association)
This systematically conducted scoping review of the literature (mainly, but not exclusively, North American) looks at types of abuse in the nursing home environment (physical, sexual, psychological, neglect, financial abuse), at possible forensic markers of abuse, and at promising preventive interventions. The limited nature of the evidence base, and the need for more research, is emphasised.
Osteoporosis: an invisible, undertreated, and neglected disease of elderly men
- Authors:
- HAAS Marilyn L., MOORE Katen
- Journal article citation:
- Journal of Elder Abuse and Neglect, 19(1/2), 2007, pp.61-73.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The following discussion reviews the epidemiology and pathology of osteoporosis, and identifies the concerns raised for men, including neglect. Special management considerations for older men and recommendations for future research into this overlooked major health problem will be explored. Better understanding of how osteoporosis affects older men may help to encourage prevention strategies earlier in life, appropriate screening and monitoring, as well as more effective treatment later in life. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
National clinical audit of falls and bone health in older people
- Author:
- ROYAL COLLEGE OF PHYSICIANS. Clinical Effectiveness and Evaluation Unit
- Publisher:
- Healthcare Commission
- Publication year:
- 2007
- Pagination:
- 121p.
- Place of publication:
- London
The first national clinical audit to investigate the care received by patients who have fallen and fractured bones (hip, wrist, arm, pelvis or spine) shows that an inadequate service is being provided by most local health services, and that there are unacceptable variations of care across PCTs and Trusts in England, Northern Ireland and Wales. The audit, commissioned by the Healthcare Commission and carried out by the Royal College Of Physicians' Clinical Effectiveness and Evaluation Unit (CEEu), shows that most PCTs and Trusts were nowhere near meeting national standards and guidelines from NICE, SIGN and the National Service Framework for Older People on the care and prevention of falls
Early days for Popp schemes
- Author:
- HENWOOD Melanie
- Journal article citation:
- Community Care, 8.11.07, 2007, pp.34-35.
- Publisher:
- Reed Business Information
The author reviews interim findings of the Department of Health's Partnership for Older People Projects (POPP). Twenty-nine local authority-led projects have been funded to deliver and evaluate innovative schemes for older people. The central objective is to target early interventions in the community in order to promote independence, health and well-being for older people and to prevent or delay the need for residential alternatives.