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Older people's experiences of therapeutic exercise as part of a falls prevention service: survey findings from England, Wales and Northern Ireland
- Authors:
- BUTTERY Amanda K., et al
- Journal article citation:
- Age and Ageing, 43(3), 2014, pp.369-374.
- Publisher:
- Oxford University Press
Introduction: Falling, and fear of falling, significantly affect older people and their lifestyle resulting in loss of confidence, restriction of activity and deteriorating quality of life. Multi-factorial assessment and active participation in an evidence-based exercise programme are key interventions to prevent and manage falls. Objective: To examine older people's experiences of therapeutic exercise as part of a falls prevention service in NHS Trusts in England, Wales and Northern Ireland. Methods: Across-sectional survey targeted patients and staff members delivering exercise interventions for reducing falls. A multi-disciplinary group including patient and staff representatives developed a 20-item patient questionnaire and a 12-item staff questionnaire that were distributed to 94 NHS Trusts (113 participating sites within the NHS Trusts) in October 2011. Results: Response was 57% for the patient sample and 88% for the staff sample. The median (IQR) age of patients was 82 (77–86) years. 72% were women. Two-thirds reported attending group-based therapeutic exercise classes generally of short duration (80% <12 weeks) and low intensity (85% one class per week) at hospitals and community venues. Balance and strength exercises were prescribed; 68% reported using resistance equipment such as ankle weights and/or exercise band. Only 52% reported exercises were made more difficult as they improved. However, patient satisfaction levels were high (95% satisfied or very satisfied). Patients and staff reported limited availability of strength and balance follow-up classes. Conclusion: Despite high levels of patient satisfaction therapeutic exercise provision was limited and implementation of evidence-based exercise interventions by healthcare providers is incomplete and varies widely. Patients and staff wanted greater availability of long-term exercise services for falls prevention. (Publisher abstract)
Older people’s conceptualization of elder abuse and neglect
- Authors:
- TAYLOR Brian J., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 26(3), 2014, pp.223-243.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This qualitative study used data from eight focus groups involving 58 people aged over 65 years in both urban and rural settings across Northern Ireland and the Republic of Ireland. Following training, four older people assisted in facilitation and analysis as peer researchers. Increasing lack of respect within society was experienced as abusive. The vulnerability of older people to abuse was perceived as relating to the need for help and support, where standing up for themselves might have repercussions for the person’s health or safety. Emotional abusiveness was viewed as underpinning all forms of abuse, and as influencing its experienced severity. Respondents’ views as to whether an action was abusive required an understanding of intent: some actions that professionals might view as abusive were regarded as acceptable if they were in the older person’s best interests. Preventing abuse requires a wide-ranging approach including rebuilding respect for older people within society. Procedures to prevent elder abuse need to take into account the emotional impact of family relationships and intent, not just a description of behaviors that have occurred. (Publisher abstract)
Living, not existing: putting prevention at the heart of care for older people in Northern Ireland
- Author:
- ROYAL COLLEGE OF OCCUPATIONAL THERAPISTS
- Publisher:
- Royal College of Occupational Therapists
- Publication year:
- 2017
- Pagination:
- 16
- Place of publication:
- London
This report focuses on the role of occupational therapists in providing preventative services to help older people to remain independent and live in their own communities for as long as possible, preventing or delaying the need for expensive care long-term. The report focuses on three main areas: prevention or delaying the need for care and support, helping older people to remain in their communities and ensuring equality of access to occupational therapy. Three service examples are included to demonstrate the impact of occupational therapists contribution. These include the role of occupational therapists in falls prevention service and in prescribing GPS service for people with dementia. Recommendations to improve the design and delivery of services include for occupational therapists to work more closely with general practitioners, take on leadership roles to provide expertise to community providers on the development of person and community centred services; and the development of formal partnership agreements across local housing, health and social care sectors to ensure all older people have access to occupational therapy services. (Edited publisher abstract)
Integrated care partnerships: interim impact report
- Author:
- NORTHERN IRELAND. Health and Social Care Board
- Publisher:
- Northern Ireland. Health and Social Care Board
- Publication year:
- 2016
- Pagination:
- 32
- Place of publication:
- Belfast
Highlights some of the early impacts of the Integrated Care Partnerships (ICPs) in Northern Ireland, which were established in 2013 to transform the design and coordination of local health and social care services. ICPs are collaborative networks of care providers which bring together healthcare professionals, social workers, local councils and the voluntary and community sectors, as well as service users and carers. The report looks at the development and organisation of the partnerships. It then looks at the impact of initiatives across some of the 17 ICPs in the five priority clinical areas of: respiratory conditions, diabetes, frail older people, stroke and end of life care. The services focus on preventing illness, delivering more care in the community, reducing demand on hospital services and improving patient and carer experience. (Edited publisher abstract)
Together we can make a difference: CLARE year 1 report 2014-2015
- Author:
- Creative Local Action Response and Engagement
- Publisher:
- Creative Local Action Response and Engagement
- Publication year:
- 2015
- Pagination:
- 30
- Place of publication:
- Belfast
Reports on a community led initiative in Belfast, Creative Local Action Response & Engagement (CLARE). The initiative aims to develop the capacity of local people to support vulnerable adults to live independently in the community, delivering better health and well-being outcomes and reducing pressure on adult health and social care services. Individuals referred to the service by Belfast HSCT Integrated Care Team are supported by a CLARE Community Social Work Broker to carry out a self-assessment and person centred living plan. Individuals are then be connected to relevant services, matched with community champion volunteers, or where gaps in services exist, Brokers identify existing assets in communities. Both quantitative (data evidencing number of beneficiaries, interventions applied and economic impact) and qualitative methods (1-1 interviews, case studies and Outcome Star Evaluation tool) were used to evaluate the first year of the programme. It found that the initiative has supported 55 adults and older people referred by North Belfast HSCT Integrated Care Team and recruited 34 local Community Champion volunteers who have delivered over 700 hours of volunteer support. Short case studies are included to illustrate the benefits to individuals and how preventative interventions have led to costs being avoided. The report concludes that the project has the potential to play a significant role in the transformation of how future adult health and social care services are delivered. Based on the delivery outcomes and impact for year 1, it recommends that a feasibility study should be conducted with a focus on scaling the model across the wider Belfast Health and Social Care Trust geographical area. (Edited publisher abstract)
A flourishing society: aspirations for emotional health and wellbeing in Northern Ireland
- Authors:
- LEAVEY Gerard, et al
- Publisher:
- Northern Ireland Association for Mental Health
- Publication year:
- 2009
- Pagination:
- 114p., bibliog.
- Place of publication:
- Belfast
Commissioned by the Chief Medical Officer for Northern Ireland (NI), this report undertakes a review of the current mental health promotion and suicide prevention strategies in NI. Specifically it aims to: consider progress achieved against the recommendations within the existing strategies; to identify the actions within the existing Mental Health Promotion Strategy 03-08 that will need to be carried forward to a new strategy; to highlight gaps that will need to be addressed in a new strategy; to review the relevant international research and advise on its transferability to the NI situation; to consider approaches to building resilience at both an individual and community level; to investigate the development of population metrics to measure improvement in mental health levels; to provide advice and direction to the Department of Health, Social Services and Public Safety (DHSSPS) to assist with the development of a new mental health and emotional wellbeing strategy.