Search results for ‘Subject term:"older people"’ Sort:
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Breaking the fall
- Author:
- GEORGE Mike
- Journal article citation:
- Care and Health Magazine, 48, 5.11.03, 2003, pp.30-32.
- Publisher:
- Care and Health
Four out of ten admissions of older people to nursing homes are the result of a fall, and the problem costs health and social care services around £1 billion a year. Reports on what's been done to address this issue and highlights some prevention projects.
Exploring elder neglect: new theoretical perspectives and diagnostic challenges
- Authors:
- STODOLSKA Agata, et al
- Journal article citation:
- Gerontologist, 60(6), 2020, pp.e438-e448.
- Publisher:
- Oxford University Press
Neglect of older adults is a complex and important social problem which is difficult to detect. The aim of this review is to explore and categorize different characteristics of elder neglect, to facilitate a uniform conceptualization and provide recommendations for identification of the phenomenon. Research Design and Methods: Articles published between January 1990 and February 2019, both from developed and developing countries, were taken into consideration. The literature search was performed in PubMed, Web of Science, and CINAHL using keywords related to elder abuse and neglect. Articles regarding the concept of elder neglect, identifying or measuring this phenomenon were reviewed. The identified indicators were presented according to the Maslow’s hierarchy of needs. Results: From 7,207 articles found in the initial search, 63 relevant studies were selected for the final analysis. Indicators most frequently used by researchers (functionality, physical appearance and health, social and psychological background, mental health, and environment) correspond to different aspects of needs. Caregiver’s responsibility, satisfaction of needs, and risk of harm are the core elements to consider in identification of neglect. Discussion and Implications: The identified elements and categories of indicators provide the framework for developing standard definitions and measures of elder neglect. The proposed diagram demonstrates gaps in identification and can be useful in detecting potential neglect in various categories of needs. Further research on perceptions and prevalence of elder neglect in different countries would be helpful for cross-country analysis as well as for adaptation of the instruments to cultural specifics. (Publisher abstract)
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
Draft national occupational standards: falls
- Author:
- SKILLS FOR HEALTH
- Publisher:
- Skills for Health
- Publication year:
- 2006
- Pagination:
- 58p.
- Place of publication:
- Bristol
This workforce competence is about working directly with individuals, and where appropriate their carers, to assess their risk of falls. The assessment may be aimed at primary or secondary prevention of falls and may take place on an ad hoc basis or as part of a structured programme for identifying individuals at risk of falls. The process should involve a holistic assessment of each individual and his or her specific needs.
Premature and preventable deaths in frail, older people: a new perspective
- Authors:
- HITCHEN Tatiana, et al
- Journal article citation:
- Ageing and Society, 37(8), 2017, pp.1531-1542.
- Publisher:
- Cambridge University Press
The concept and potential implications of a premature death of an older person are under-recognised and misunderstood by society. Clinical, forensic and public health practitioners need to redress this gap to prepare society better for a future where an increasing proportion of the population are vulnerable older people. Reliable and valid information is paramount for understanding how many older people have premature, preventable deaths, with implications for aged care services, health-care expenditure, quality and safety, and human rights. The authors' aim is to: (a) provide discourse on the limitations and challenges to the use of the concepts ‘premature’ and ‘preventable’ deaths, examining the situation for nursing home residents; and (b) propose the use of a novel classification system of ‘treated’, ‘un-treated’ and ‘untreatable’ causes of death that is more sophisticated and reflects the demographic reality of our ageing population. Accepting that preventable, premature deaths may happen to older people and adopting a new classification is a novel approach that has considerable benefits for health and life care of older persons. Improved assessment of the quality of care provided, including identification of health or life care practices that are unsafe or deleterious, can be identified and addressed. (Edited publisher abstract)
Improving quality of care and reducing unnecessary hospital admissions: a literature review
- Author:
- MEANS Tracy
- Journal article citation:
- British Journal of Community Nursing, 21(6), 2016, p.284–291.
- Publisher:
- MA Healthcare
- Place of publication:
- London
As the UK population lives to older ages, with more complex health and social care needs, there comes a time when going to live in a care home might be essential for a frail, older person. Residents and their families expect high-quality care in return for the costs of their placements, but often find this is not the case (Help the Aged, 2006). In order to improve quality in care homes, the Lincolnshire Community Health Services NHS Trust are piloting a care home support team. The new service aims to provide education and training to an unpredictable workforce, with the addition of regular ward rounds in care homes to ensure more proactive care for residents, in order to reduce unnecessary hospital admissions and improve the quality of care offered. This article looks at the literature relating to education and training for staff in care homes to support this service. It also aims to use the reviewed articles to identify specific training and education needed to improve quality of care for residents and reduce avoidable hospital admissions. (Publisher abstract)
Delirium: QS63
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
- Publisher:
- National Institute for Health and Care Excellence
- Publication year:
- 2014
- Place of publication:
- Manchester
This quality standard covers the prevention, diagnosis and management of delirium in adults (18 years and over) in hospital or long-term care settings. It is designed to contribute to improvements in the following outcomes: length of hospital stay; detection of delirium; incidence of delirium; falls in hospital; mortality; adults' experience of hospital care; and carer involvement in healthcare.
Going going gone - reducing falls
- Authors:
- EASTERBROOK Lorna, et al
- Journal article citation:
- Working with Older People, 6(1), March 2002, pp.19-24.
- Publisher:
- Emerald
Reducing falls amongst older people in the UK has been a government target for at least a decade. It now features as a key part of the National Service Framework for Older People. In 2001, Working with Older People's the author reviewed a range of studies aimed at reducing falls, from overseas and the UK. This article is written by them from their report published in November 2001 by the Department of Trade and Industry, International review of interventions in falls among older people. It forms part of the Department of Trade and Industry's campaign to reduce falls in older people, Avoiding slips trips and broken hips, which began in 1999.
Falls in later life and their consequences: implementing effective services
- Author:
- SWIFT Cameron G.
- Journal article citation:
- British Medical Journal, 7.4.01, 2001, pp.855-857.
- Publisher:
- British Medical Association
Considers the basis for and the implications of the inclusions in the framework of a service model for falls and their consequences. Looks in particular at primary prevention, risk assessment and best practice in clinical management and rehabilitation.
Dangerous liaisons
- Author:
- BRENNAN Shirley
- Journal article citation:
- Nursing Times, 3.11.99, 1999, pp.30-32.
- Publisher:
- Nursing Times
Nurses widely misunderstand, and sometimes abuse, the use of restraint methods on older people. This article is concerned with older adults who exhibit aggressive and dangerous behaviour, and the issues surrounding restraint, risk and protection.