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Impact of place of residence, frailty and other factors on rehabilitation outcomes post hip fracture
- Authors:
- LOW Stephanie, WEE Edmund, DOREVITCH Michael
- Journal article citation:
- Age and Ageing, 50(2), 2021, pp.423-430.
- Publisher:
- Oxford University Press
Background: Following hip fracture surgery, patients from residential care are frequently excluded from inpatient rehabilitation. We aimed to assess the impact of place of residence and other factors such as frailty on rehabilitation outcomes after hip fracture surgery. Methods: Retrospective cohort study. Outcome measures included Functional Independence Measure efficiency, discharge destination and recovery of pre-fracture mobility. Univariable and multivariable linear or logistic regression analyses were performed. Setting: One general rehabilitation and two geriatric evaluation and management wards in a large public tertiary teaching hospital. Participants: A total of 844 patients who underwent inpatient rehabilitation after hip fracture surgery from 2010 to 2018. Results: There were 139 (16%) patients from residential care. Being from residential care was not an independent predictor of poor outcomes. Premorbid frailty (Clinical Frailty Scale) was the strongest independent predictor of poorer Functional Independence Measure efficiency, inability to recover pre-fracture mobility and return to community dwelling. Dementia and delirium were also independently predictive of poor outcomes across all measures. Age > 90 years was independently predictive of inability to recover pre-fracture mobility and return to community dwelling. Conclusion: Being from residential care is not independently associated with poor outcomes following inpatient rehabilitation after hip fracture surgery and should not be the basis for excluding these patients from rehabilitation. Major predictors of poorer outcomes include premorbid frailty, dementia, delirium and age > 90 years. If able and motivated, those with potentially reversible functional limitations should be given the opportunity to participate in inpatient rehabilitation as even small gains can have a significant impact on quality of life. (Edited publisher abstract)
Imagined bodies: architects and their constructions of later life
- Authors:
- BUSE Christina E., et al
- Journal article citation:
- Ageing and Society, 37(7), 2017, pp.1435-1457.
- Publisher:
- Cambridge University Press
This article comprises a sociological analysis of how architects imagine the ageing body when designing residential care homes for later life and the extent to which they engage empathetically with users. Drawing on interviews with architectural professionals based in the United Kingdom, the authors offer insight into the ways in which architects envisage the bodies of those who they anticipate will populate their buildings. Deploying the notions of ‘body work’ and ‘the body multiple’, this analysis reveals how architects imagined a variety of bodies in nuanced ways. These imagined bodies emerge as they talked through the practicalities of the design process. Moreover, their conceptions of bodies were also permeated by prevailing ideologies of caring: although the authors found that they sought to resist dominant discourses of ageing, they nevertheless reproduced these discourses. Architects’ constructions of bodies are complicated by the collaborative nature of the design process, where the authors' find an incessant juggling between the competing demands of multiple stakeholders, each of whom anticipate other imagined bodies and seek to shape the design of buildings to meet requirements. The findings extend a nascent sociological literature on architecture and social care by revealing how architects participate in the shaping of care for later life as ‘body workers’, but also how their empathic aspirations can be muted by other imperatives driving the marketisation of care. (Edited publisher abstract)
Review of care products: key messages
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Department of Health
- Publication year:
- 2014
- Pagination:
- 4
- Place of publication:
- London
The Department of Health invited representatives of the financial services industry to conduct a review of the market of products to fund care. These reports have identified opportunities for development of financial care products and the problems they might face. This short report presents key messages from the financial services industry, which briefly outlines the types of plans those entering care (mainly aged 75+), the ‘semi-retired’, and those of working age should make. It suggests the sorts of “products” that could help with care costs, e.g. Equity Release; and that certain conditions are also needed to create consumer demand for such products to make provision for care, for example helping people to access good financial advice. The review was supported by 3 industry-led working groups that looked a: consumers and the marketplace, housing and equity, and pensions and insurance. (Edited publisher abstract)
Pets and older people in residential care
- Author:
- McNICHOLAS June
- Publisher:
- Society for Companion Animal Studies
- Publication year:
- 2008
- Pagination:
- 29p.
- Place of publication:
- Burford
The 'Pets and Older People in Residential Care' survey was commissioned by the Society for Companion Animal Studies (SCAS) with funding from the Pet Food Manufacturers' Association (PFMA), in order to investigate attitudes towards pet ownership in UK residential care facilities. Carried out by June McNicholas B.Sc. Ph.D., a respected researcher of the human-animal bond, the survey included a sample of 234 care facilities (residential care homes and sheltered housing units), 23 animal shelters and 44 veterinary practices in six major cities (Cambridge, York, Plymouth, Birmingham, Coventry and Manchester) using questionnaires, interviews with staff and residents, and focus groups with older people both in and out of care. The study replicated an influential survey by the Joseph Rowntree Foundation in 1992-3, which highlighted a lack of understanding of the importance of pets to older people and the lack of policies on pet ownership at the time. The aim of the current study was to examine changes in policies and practices in care facilities since this time to determine whether further action is needed.
Inspection of services for older people: East Riding of Yorkshire: January 2007
- Authors:
- WILLIS Tim, et al
- Publisher:
- Commission for Social Care Inspection
- Publication year:
- 2007
- Pagination:
- 30p.
- Place of publication:
- London
Looking forward to care in old age: expectations of the next generation
- Authors:
- LEVENSON Ros, JEYASINGHAM Mercy, JOULE Nikki
- Publisher:
- King's Fund
- Publication year:
- 2005
- Pagination:
- 51p.
- Place of publication:
- London
What do today’s middle-aged people expect of care services in the future? Based on discussions with seven focus groups of people in their 50s, living in different communities in London, this paper reports on what kind and quality of care they want, and the type of housing, residential and community care options they expect. It also probes how roles and people’s expectations of children to care for their parents are changing.
Statistics Release: care homes, Scotland September 2004
- Author:
- SCOTLAND. Scottish Executive. National Statistics
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2005
- Pagination:
- 20p.
- Place of publication:
- Edinburgh
Statistics Release: Care homes, Scotland March 2004
- Author:
- SCOTLAND. Scottish Executive. National Statistics
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2004
- Pagination:
- 18p.
- Place of publication:
- Edinburgh
Care homes for older people: national minimum standards
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- The Stationery Office
- Publication year:
- 2001
- Pagination:
- 68p.
- Place of publication:
- London
This document contains a statement of national minimum standards published by the Secretary of State under section 23(1) of the Care Standards Act 2000.
Residential care homes, Scotland 1999
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 1999
- Pagination:
- 6p.
- Place of publication:
- Edinburgh