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Domiciliary care services for adults in Northern Ireland 2019
- Author:
- NORTHERN IRELAND. Department of Health. Community Information Branch
- Publisher:
- Northern Ireland. Department of Health
- Publication year:
- 2019
- Pagination:
- 59
- Place of publication:
- Belfast
Summarises statistical information collected from health and social care trusts in Northern Ireland on adults receiving domiciliary care services from the statutory and independent sectors during a survey week in September 2019. It details information on the numbers of clients receiving domiciliary care, visits, contact hours and intensive domiciliary care provision. Key findings include that HSC Trusts provided domiciliary care services for 23,425 clients, similar to the number during the previous survey week in 2018. Of the 515,228 domiciliary care visits provided, 28 per cent were from the statutory sector and 72 per cent from the independent sector, similar to figures in the previous year. In relation to length of visit, 54 per cent of all domiciliary care visits were between 16 and 30 minutes long, 31 per cent were of 15 minutes or less, and 15 per cent were more than 30 minutes long. These figures are similar to the previous year. (Edited publisher abstract)
Nutrition in community settings: a pathway and resource pack for health and social care professionals, the third sector, care home staff, relatives and carers
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2011
- Pagination:
- 24p.
- Place of publication:
- Cardiff
Focusing on the importance of ensuring that vulnerable and frail adults (particularly older people) living in their own homes, or in other community settings such as care homes, eat well and healthily, the aim of this document is to improve standards of nutrition for people living in the community. It is in two parts. Part 1 contains a pathway showing the framework of advice and support available to people who either care for those living in community settings or whose professional work brings them into contact with people who may have eating difficulties. It includes a commentary with notes for the general public and community organisations, and for health care professionals. Part 2 contains a resource pack with publications, advice leaflets, links to other sources of information, sample risk classifications and care plan templates, designed to help people using the pathway to source information needed to manage situations effectively.
Understanding health anxiety among community dwelling seniors with varying degrees of frailty
- Authors:
- BOURGAULT-FAGNOU Michelle D., HADJISTAVROPOULOS Heather D.
- Journal article citation:
- Aging and Mental Health, 13(2), March 2009, pp.226-237.
- Publisher:
- Taylor and Francis
The levels of health anxiety among younger adults and older people, with either low or high levels of frailty were compared. Predictors of health anxiety in older people were explored. Forty-nine seniors with high levels of frailty were compared with 63 seniors with low levels of frailty and 130 younger adults. Comparisons were made on the Illness Attitudes Scale (IAS) and on a Medically Adjusted Illness Attitudes Scale, an adapted version ensuring scores reflect health anxiety, and not greater illness. Seniors also completed measures of frailty, pain, depression, trait anxiety and coping. Results varied depending on the health anxiety measure. Using the traditional IAS, seniors with high frailty experienced greater levels of health anxiety than seniors with low-frailty and younger adults. Using the medically adjusted version, seniors with high frailty experienced similar levels of heath anxiety compared with younger adults; seniors with low frailty had the lowest levels of health anxiety. Using multiple regression analysis, emotional preoccupation and trait anxiety uniquely predicted health anxiety among seniors. Researchers and clinicians should ensure that health anxiety measures actually assess health anxiety and not physical illness. Using an appropriate health anxiety measure, the results suggest seniors with relatively fewer health problems may experience reduced health anxiety compared with other older adults and younger adults. The results are considered in the context of research on aging and anxiety. Implications for clinical practice and future research are discussed.
Insight, quality of life, and functional capacity in middle-aged and older adults with schizophrenia
- Authors:
- ROSEMAN Ashley S., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.760-765.
- Publisher:
- Wiley
The quality of life (QOL) for individuals with schizophrenia is determined by a number of factors, not limited to symptomatology. The current study examined lack of insight as one such factor that may influence subjective QOL or functional capacity. It was hypothesized that insight would significantly interact with symptom severity to influence subjective QOL. Insight was not expected to influence the relation between symptom severity and functional capacity. Participants were middle-aged and older outpatients who met diagnostic criteria for schizophrenia or schizoaffective disorder, and subsyndromal depression. Insight, psychopathology, and subjective QOL were assessed via semi-structured interviews and functional capacity was assessed via performance-based measures. Insight interacts with negative symptom severity to predict subjective QOL. Severity of negative symptoms and insight contribute directly to functional capacity. Individuals with intact insight may be better able to manage their symptoms, resulting in improved QOL. Treatment implications for improving the QOL of middle age and older adults with schizophrenia are discussed.
Green gauge
- Author:
- JONES Ray
- Journal article citation:
- Care and Health Magazine, 3.05.05, 2005, p.32.
- Publisher:
- Care and Health
The author, director of adult and community services at Wiltshire County Council, provides a personal view on what the Green Paper adult social care means for disabled and older people.
Figuring out adult abuse
- Authors:
- MCCREADIE Claudine, QUIGLEY Leo
- Journal article citation:
- Community Care, 4.2.99, 1999, pp.24-25.
- Publisher:
- Reed Business Information
As recognition of the prevalence of adult abuse increases, the authors look at the lessons to be drawn from an experiment in Sheffield.
Working with older adults and their families - a review
- Authors:
- RICHARDSON Carolyn A., et al
- Journal article citation:
- Journal of Family Therapy, 16(3), August 1994, pp.225-240.
- Publisher:
- Wiley
Discusses family work with older adults by exploring some of the related literature published in the past ten years, and compares psychoeducational and systems-based approaches to work with later life families. Issues of bias and omissions in the existing literature, and the definition of family therapy with this client group are raised. Areas for future research are indicated.
Alone and vulnerable
- Author:
- CLODE Drew
- Journal article citation:
- Community Care, 30.1.92, 1992, p.14.
- Publisher:
- Reed Business Information
Looks at recent guidance from the ADSS on adults at risk and options available, which include extending powers of guardianship, as suggested by the Law Commission, and establishing multidisciplinary welfare tribunals.
Adulthood and aging: a interdisciplinary, developmental view
- Author:
- KIMMEL Douglas C
- Publisher:
- Wiley
- Publication year:
- 1974
- Pagination:
- 484p.
- Place of publication:
- New York
Factors included in adult fall risk assessment tools (FRATs): a systematic review
- Authors:
- DE CLERCQ Hendrika, NAUDE Alida, BORNMAN Juan
- Journal article citation:
- Ageing and Society, 41(11), 2021, pp.2558-2582.
- Publisher:
- Cambridge University Press
Falls often have severe financial and environmental consequences, not only for those who fall, but also for their families and society at large. Identifying fall risk in older adults can be of great use in preventing or reducing falls and fall risk, and preventative measures that are then introduced can help reduce the incidence and severity of falls in older adults. The overall aim of our systematic review was to provide an analysis of existing mechanisms and measures for evaluating fall risk in older adults. The 43 included FRATs produced a total of 493 FRAT items which, when linked to the ICF, resulted in a total of 952 ICF codes. The ICF domain with the most used codes was body function, with 381 of the 952 codes used (40%), followed by activities and participation with 273 codes (28%), body structure with 238 codes (25%) and, lastly, environmental and personal factors with only 60 codes (7%). This review highlights the fact that current FRATs focus on the body, neglecting environmental and personal factors and, to a lesser extent, activities and participation. This over-reliance on the body as the point of failure in fall risk assessment clearly highlights the need for gathering qualitative data, such as from focus group discussions with older adults, to capture the perspectives and views of the older adults themselves about the factors that increase their risk of falling and comparing these perspectives to the data gathered from published FRATs as described in this review. (Edited publisher abstract)