Search results for ‘Subject term:"older people"’ Sort:
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Senior service
- Author:
- LEWIS Carol
- Journal article citation:
- Health Service Journal, 26.06.03, 2003, p.35.
- Publisher:
- Emap Healthcare
Looks at the importance of collaboration if the National Service Framework for older people is to work effectively. Highlights developments at London's older people's programme and the development of the Cambridgeshire assessment tool at South Cambridgeshire.
How much is enough? Perspectives of care recipients and professional on the sufficiency of in-home care
- Authors:
- MORROW-HOWELL Nancy, PROCTOR Enola, ROZARIO Philip
- Journal article citation:
- Gerontologist, 41(6), December 2001, pp.723-732.
- Publisher:
- Oxford University Press
This American study aims to increase knowledge about the impact of rater role on the assessment of in-home supportive care. The authors compared the perspectives of care recipients and professionals on one aspect of the broad concept of quality of care in home care the sufficiency of the amount of care provided by informal and formal caregivers. Sufficiency of home care was assessed through concurrent elderly persons' self-reports through telephone interview and nurse clinical reports based on in-home interviews with the elder. Results found professional ratings of the sufficiency of care recipients. From the perspective of both care recipients and professionals, sufficiency of care was significantly related to coresidence of elder and caregiver, and to caregiver health.
Setting standards for home assessment visiting
- Author:
- DOVE Janet
- Journal article citation:
- British Journal of Occupational Therapy, 62(6), June 1999, pp.275-277.
- Publisher:
- Sage
Occupational therapists working in care of the elderly assessment units and geriatric orthopaedic rehabilitation units throughout Lothian Health devised an audit project to develop a timescale for organising home assessment visits. The aim was to formulate an achievable and realistic standard which could be adopted for use throughout the area. Describes how the project was developed and the results of the audit.
Standardising assessment instruments and care planning in Ireland
- Authors:
- van LENTE Eric, POWER Martin
- Journal article citation:
- Quality in Ageing and Older Adults, 15(1), 2014, pp.46-60.
- Publisher:
- Emerald
Purpose: Scoping of instruments in use for assessment of needs and the practices that surround care planning in residential care for older people in Ireland, in the wake of the introduction of national standards. The paper discusses these issues. Design/methodology/approach: Survey of care providers using an online/postal questionnaire, developed from the domains of need outlined in the standards. Findings: There is wide variation in the use of standardised instruments for assessment. Within some domains, standardised instruments enjoy near universal usage. However, within other domains, standardised instruments are often absent, external professional input and/or guidelines dominate and/or instruments have been adapted in-house. Practices surrounding care planning are largely homogeneous and the preserve of medical professionals. Research limitations/implications: This research was confined to the Republic of Ireland, limiting generalisation. The self-selecting nature of participants must also be considered. Further research could include, examining how, over time, the standards are shaping care practice, particularly in relation to interdisciplinary working and person-centred care. Practical implications: The non-prescriptive nature of the standards presents a challenge to care providers in selecting appropriate standardised instruments for assessment. In addition, medical dominance of care planning limits the extent to which care plans can enhance the provision of interdisciplinary and person-centred care. Originality/value: This paper contributes to a growing literature on standardisation of assessment and care planning, provides a reference point for comparison with other nations and, in an Irish context, addresses an area that has received little attention to-date. As such, it is of interest to practitioners, care providers and regulators. (Publisher abstract)
Quality of care in private sector and NHS facilities for people: cross sectional survey
- Authors:
- BALLARD Clive, et al
- Journal article citation:
- British Medical Journal, 25.8.01, 2001, pp.426-427.
- Publisher:
- British Medical Association
The authors used dementia care mapping to evaluate the quality of care in 10 private sector and seven NHS care facilities for people with dementia. Dementia care mapping is a direct, standardised assessment with good interrater reliability. Activities are coded according to category of behaviour, and they are recorded every five minutes. Wellbeing is measured using the dementia care index, which indicates the overall quality of care within a particular environment extrapolated from dementia care mapping of half the residents. The dementia care index rated all seven NHS facilities and five of the private sector facilities as needing radical improvement; the remaining five private sector facilities were rated as needing much improvement. Over the six hour daytime period of observation, people spent 61 minutes (17%) asleep and 108 minutes (30%) either socially withdrawn or not actively engaged in any form of basic or constructive activity. Only 50 minutes (14%) were spent communicating with staff or other residents, and less than 12 minutes(3%) were spent engaged in everyday constructive activities other than watching television (11 minutes(3%)). The remaining 33% of the observation period was spent engaged in basic activities such as eating, going to the toilet, etc. Quality of care was rated as needing radical improvement or much improvement in all homes, and no home showed even a fair standard of care. Recent reports have highlighted the need for review and improvement of the standards of care in nursing and residential and nursing homes. The data emphasises the need for urgency in this process.
From paper to practice: the views of occupational therapists on the impact of the National Service Framework for Older People on practice
- Authors:
- JACOB-Lloyd H., et al
- Journal article citation:
- British Journal of Occupational Therapy, 69(11), November 2006, pp.490-496.
- Publisher:
- Sage
A research project was undertaken, which aimed to investigate the views of occupational therapists about the implementation of the National Service Framework for Older People in order to identify the key areas and issues that have had an impact on practice. The research design was qualitative and took the form of focus groups. The focus group data were analysed using a long-table analysis method, which identified five key themes: a raised profile of older people's services, a changing delivery of services, a revisiting of occupational therapy core skills, assessment and resource allocation. The emerging themes suggested that the NSF for Older People has had an impact on the practice of the occupational therapists involved in the focus groups.
Integrating older people’s mental health services: community mental health teams for older people: a commentary and resource document
- Authors:
- LINGARD Jayne, MILNE Alisoun
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2004
- Pagination:
- 98p., bibliog.
- Place of publication:
- London
The document aims to provide a resource for senior managers and Community Mental Health Teams seeking to achieve integration in assessment and care management processes as part of the implementation of the NSF for Older People Standard Seven.
Assessing need and providing person-centred support
- Authors:
- BAKER Caroline, EDWARDS Paul, PACKER Tracy
- Journal article citation:
- Journal of Dementia Care, 11(1), January 2003, pp.16-17.
- Publisher:
- Hawker
The second in a series of five articles on developing a benchmarking tool for person-centred care. Describes the development of the assessment of need and providing person centred support.
Measuring the quality of care for older people
- Authors:
- POTTER Jonathan, GEORGIOU Andrew, PEARSON Michael
- Publisher:
- Royal College of Physicians
- Publication year:
- 2000
- Pagination:
- 136p.,tables,diags.,bibliogs.
- Place of publication:
- London
Examines how to measure standards in health care for older people. Begins with a discussion of techniques for measuring quality. Moves on to discuss the national agenda for quality, with reference to the National Service Framework and the National Institute for Clinical Excellence. Then examines care studies of specific areas of health care, including stroke and incontinence, with critiques of their methodology. Concludes with recommendations for future practice.
Are there differences in standard of care for the elderly? A comparative study of assistance decisions in Stockholm
- Authors:
- LAGERGREN M., JOHANSSON P-A.
- Journal article citation:
- Scandinavian Journal of Social Welfare, 7(4), October 1998, pp.340-349.
- Publisher:
- Munksgaard/ Blackwell
Discusses how according to Swedish law, an elderly dependent person is entitled to public services in the form of home help in ordinary housing or a place in special housing - i.e. sheltered housing, a residential home or a nursing home. Describes a study of ten districts in Stockholm in order to determine whether there were systematic differences between districts with regard to provision of services to the elderly.