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The evaluation of a Fall Management programme in a nursing home population
- Authors:
- BURLAND Elaine, et al
- Journal article citation:
- Gerontologist, 53(5), 2013, pp.828-838.
- Publisher:
- Oxford University Press
Purpose of the Study: This study evaluates a nursing home Fall Management programme to see if residents’ mobility increased and injurious falls decreased. Design and Methods: Administrative health care use and fall occurrence report data were analysed from 2 rural health regions in Manitoba, Canada, from June 1, 2003 to March 31, 2008. A quasiexperimental, pre-post, comparison group design was used to compare rates of three outcomes, falls, injurious falls, and falls resulting in hospitalisation, by RHA (programme vs nonprogramme nursing homes) and period (preprogram vs postprogram). Data collectors entered occurrence report information into spreadsheets. This was supplemented with administrative health care use data. Results: The programme appears to have benefited residents—falls trended upward, injurious falls remained stable, and hospitalised falls decreased significantly (0.036–0.021 per person-year [ppy]; p = .043). Compared with nonprogramme residents in the postperiod, both groups had the same fall rate, but programme residents had significantly fewer injurious falls (0.596–0.746 ppy; p = .02) and hospitalised falls (0.02–0.041 ppy; p = .023). Implications: These results are among a small body of literature showing that Fall Management was associated with improved outcomes in programme nursing homes from pre- to postperiod and compared with nonprogramme nursing homes. This research provides some support for the benefits of being proactive and implementing injury prevention strategies universally and pre-emptively before a resident falls, helping to minimise injuries while keeping residents mobile and active. Larger scale research is needed to identify the true effectiveness of the Fall Management programme and generalisability of results. (Publisher abstract)
Taking a stand against falls
- Author:
- VERE-JONES Emma
- Journal article citation:
- Nursing Times, 9.05.06, 2006, pp.16-17.
- Publisher:
- Nursing Times
This article reports on an initiative to reduce the rate of falls among nursing home residents, which was winner of a Nursing Times Award.
Non‐pharmacological interventions to prevent hospital or nursing home admissions among community‐dwelling older people with dementia: a systematic review and meta‐analysis
- Authors:
- LEE Den‐Ching A., TIRLEA Loredana, HAINES Terry P.
- Journal article citation:
- Health and Social Care in the Community, 28(5), 2020, pp.1408-1429.
- Publisher:
- Wiley
Older people with dementia more frequently experience episodes of hospital care, transferal to nursing home and adverse events when they are in these environments. This study synthesised the available evidence examining non‐pharmacological interventions to prevent hospital or nursing home admissions for community‐dwelling older people with dementia. Seven health science databases of all dates were searched up to 2 December 2019. Randomised controlled trials and comparative studies investigating non‐pharmacological interventions for older people with dementia who lived in the community were included. Meta‐analyses using a random‐effect model of randomised controlled trials were used to assess the effectiveness of interventions using measures taken as close to 12 months into follow‐up as reported. Outcomes were risk and rate of hospital and nursing home admissions. Risk ratio (RR) or rate ratios (RaR) with 95% confidence interval were used to pool results for hospital and nursing home admission outcomes. Sensitivity analyses were conducted to include pooling of results from non‐randomised trails. Twenty studies were included in the review. Community care coordination reduced rate of nursing home admissions [(2 studies, n = 303 people with dementia and 86 patient–caregiver dyads), pooled RaR = 0.66, 95% CI (0.45, 0.97), I2 = 0%, p = .45]. Single interventions of psychoeducation and multifactorial interventions comprising of treatment and assessment clinics indicated no effect on hospital or nursing home admissions. The preliminary evidence of community care coordination on reducing the rate of nursing home admissions may be considered with caution when planning for community services or care for older people living with dementia. (Publisher abstract)
Assumption, the mother of all foul ups: a fundamental reason for the continuing abuse of adults at risk
- Author:
- MOORE Steve
- Journal article citation:
- Journal of Adult Protection, 20(3/4), 2018, pp.129-143.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to introduce the concept of the assumption of altruism argued by the author to be a tendency among both the lay public, professionals and politicians, a generalised assumption that contributes to the long standing and obstinate presence of abuse of adults who are at risk throughout England, particularly older people living in care and nursing homes. Design/methodology/approach: By examining available figures that depict the continuing abuse of vulnerable adults, and by drawing on research, the author offers a partial explanation for the longevity of abuse in English society. Findings: The paper demonstrates how the concept of the assumption of altruism can explain to a degree the apparent enduring levels of abuse of adults who are at risk. Practical implications: The paper offers the opportunity for the reader to consider some of the fundamental, higher order reasons for the persistent levels of abuse in England, abuse that endures despite the oversight by government of care provided to adults who maybe at risk by virtue of the activities of the statutory regulator and health and social care commissioners. Originality/value: By presenting the incontrovertible evidence of enduring abuse, the paper introduces the concept of the assumption of altruism as a partial explanation for its continuing occurrence despite decades of policy and practice guidance designed to overcome it. (Publisher abstract)
Beat the heat: keep residents safe and well
- Author:
- PUBLIC HEALTH ENGLAND
- Publisher:
- Public Health England
- Publication year:
- 2017
- Pagination:
- 2
- Place of publication:
- London
A quick guide for care home staff on how to respond to high temperatures, including actions they may need to take to keep residents safe. Keeping cool in hot weather is very important for health. In previous hot weather in the UK and Europe, people in residential and nursing homes were at particularly high risk of illness and death. The guide highlights specific measures to help: identify residents at highest risk; keep resident cool; keep the building cool; and take action in the event of a heat-related illness. Includes a checklist to help ascertain whether staff and the care home are prepared for hot weather. (Edited publisher abstract)
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.
Accident prevention in residential and nursing homes: a training pack for use in the workplace with staff specialising in the care of older people
- Author:
- REILLY Mary
- Publisher:
- Age Concern
- Publication year:
- 2000
- Pagination:
- 84p., 38 transparencies
- Place of publication:
- London
A training pack including 39 OHPs for use in the workplace with staff specialising in the care of the elderly.
Effective behavioural interventions for decreasing dementia-related challenging behaviour in nursing homes
- Authors:
- ALLEN-BURGE Rebecca, STEVENS Alan B., BURGIO Louis D.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(3), March 1999, pp.213-232.
- Publisher:
- Wiley
This article provides a selective review of behavioural intervention research aimed at successfully decreasing dementia-related challenging behaviours in nursing homes. Descriptions of interventions used to address each behaviour problem are followed by methodological evaluations of the research. Concludes with a description of a comprehensive programme for teaching behaviour management skills to nurse aides and a motivational system for maintaining the performance of these skills over the long term.
Elder abuse in nursing homes: the theft of patients possessions
- Author:
- HARRIS Diane K.
- Journal article citation:
- Journal of Elder Abuse and Neglect, 10(3/4), 1999, pp.141-151.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article discusses the nature of this type of abuse and explores some theoretical explanations for it. In addition, some theft-reducing techniques ranging from simple target hardening to formal and informal surveillance are suggested.
Harm's way: abuse experienced by residents in homes and steps to take to reduce it
- Author:
- BRIGHT Les
- Publisher:
- Counsel and Care
- Publication year:
- 1997
- Pagination:
- 42p.
- Place of publication:
- London
Report looking at abuse of older people in residential and nursing home care and highlighting the importance of organisational power and the culture that exists in determining whether a home is safe for its residents. Based on accounts by relatives, the report also presents ways of preventing and dealing with abuse and makes recommendations for guidelines.