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Monthly Archives: March 2016
Further Room For Improvements in End of Life Care (BBC News / RCP)
Summary End of life care in the UK has previously been assessed to be possibly the best in the world, but a Royal College of Physicians audit report identifies local variations in the quality of hospital care for the dying. Full … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Management of Condition, National, NHS, NHS England, Person-Centred Care, Personalisation, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest
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Tagged 24/7 Care, Acute Care, Acute Hospital Care, Advance Care Planning (ACP), Agreed Care Plans, Ambitions for Palliative and End of Life Care: National framework for Local Action 2015-2020 (Ambitions Framework), Ambitions Framework, Auditing, Audits, BBC Health News, Care of Dying Adults in Last Days of Life, Clinical Audits, Communication, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Difficult Conversations, Dignity and Respect, Dr Adrian Tookman: Clinical Director at Marie Curie, Dr Kevin Stewart: Medical Director of RCP’s Clinical Effectiveness and Evaluation Unit, Education Programmes on End of Life Care, End of Life Care, End of Life Care Audit: Dying in Hospital (RCP 2016), End of Life Care Pathway, End of Life Care Plans, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, Geographical Variations, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hydration and Nutrition, Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, Palliative and End of Life Care, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care in the UK, People Recognised as Likely to Die, Professor Sam Ahmedzai: Chair of RCP End of Life Care Audit Steering Group, Quality Idicators For End of Life Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, UK End-of-Life Care, Unwarranted Variations, variation, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP)
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Barriers and Challenges in Discharge Planning (QNI / BBC News)
Summary The following report from the Queen’s Nursing Institute (QNI) summarises known barriers and challenges which can prevent effective discharge from hospitals. Case studies illustrating best practice are supplied, along with recommendations. Full Text Link Reference Pellett, C. (2016). Discharge … Continue reading →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged 2020 Vision 5 years on: Reassessing the Future of District Nursing, Acute Care, Acute Hospitals, Adults With Social Care Needs, Ageing Population, Assertive In-Reach, Assertive In-Reach Teams, Assessment Before Discharge, Association of District Nurse Educators (ADNE), Barriers and Challenges in Discharge Planning, BBC Health News, Care Transitions, Care Transitions Involving Adults With Social Care Needs, Care Transitions of Older People, Collaboration, Collaborative Care, Collaborative Care Planning, Collaborative Communication, Communication, Coordinated Health and Social Care, D2A Model of Discharge for Frail Older People, Daily Transfers of Care (DTOC), Delayed Transfers of Care, Delayed Transfers of Care (DETOCs), Destination on Discharge, Discharge, Discharge at a Reasonable Time, Discharge Coordination, Discharge Coordinators, Discharge From General Inpatient Hospital Settings, Discharge Guidelines, Discharge Information, Discharge Into the Care Sector, Discharge Planning, Discharge Records, Discharge Summaries, Discharge Support, Discharge to Assess (D2A) Model, Discharge to Assess Programme, Early Supported Discharge (ESD), Geriatric Assessment and Care, Handover, Health and Social Care, Health and Social Care Integration, Hospital Admissions, Hospital Discharge, Hospital Readmission Risk Factors, Hospital-Based Multi-Disciplinary Teams, In-Reach Teams, Information Sharing, Information Sharing: Advance Care Plans, Information Sharing: Care Plans, Information Sharing: Communication Needs, Integrated Discharge Process, Integration of Health and Social Care, Integration of Health and Social Care for Older People, Lincolnshire Community Health Services NHS Trust, Management of Medicines, Managing Transitions, MDTs: Multidisciplinary Teams, Medication Reviews, Medicines Management, Medicines Optimisation, Multi-Agency Collaboration, Multi-Disciplinary Teams, National District Nurses Network (NDNN), Norfolk Community Health and Care NHS Trust, Partnership and Collaboration, Patient Transitions of Care, Queen's Nursing Institute (QNI), Queen’s Nurse Network (QNI), Rapid Assessment Team at Queen Elizabeth Hospital (Norfolk), Reducing Delayed Transfers of Care, Reducing Early Hospital Readmissions, Serco / Suffolk Community Healthcare, Transition Between Inpatient Hospital Settings and Community or Care Home Settings, Transition Planning, Transitions, Transitions Between Health and Social Care, Western Sussex Hospitals Foundation Trust, Workforce Development, Worthing Hospital: Welcome Home Packs
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On the Identification of Sources of Discomfort For Persons With Dementia (Behavioural Neurology)
Summary The Sources of Discomfort Scale (SODS) may be used to assess discomfort based on the identifiable source(s) of discomfort. This scale is therefore distinct from, and complementary to, other pain assessment scales for persons with dementia. It promises to … Continue reading →
Posted in Acute Hospitals, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Management of Condition, Models of Dementia Care, Non-Pharmacological Treatments, Pain, Person-Centred Care, Personalisation, Quick Insights, Universal Interest
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Tagged Agitation, Agitation and Aggression, Alternatives to Medication for Agitation, Behavioural Neurology (Journal), Causes of Discomfort, Charles E. Smith Life Communities, Dementia and Discomfort, Department of Health Promotion: Tel-Aviv University, Discomfort and Agitation in Dementia, Herczeg Institute on Aging: Tel-Aviv University, Identification of Sources of Discomfort, Innovative Aging Research (Silver Spring USA), Israel, Managing Agitation, MDS-Discomfort Behavior Scale, Minerva Center for the Interdisciplinary Study of End of Life: Tel-Aviv University, Minerva-Stiftung Foundation, Nursing Staff Perceptions of Pain Indicators, Pain Assessment in Advanced Dementia (PAINAD), Pain Assessment in Non-Verbal Patients, Pain Assessment in Noncommunicative Elderly Persons (PAINE), Pain Assessment Tools, PAINAD (Pain Assessment in Advanced Dementia) Tool, Reducing Agitation and Distress, Sackler Faculty of Medicine: Tel-Aviv University, Sources of Discomfort For Persons With Dementia, Sources of Discomfort Scale (SODS), Tel Aviv University, United States, USA
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Midlife Approaches to Reducing Dementia Risk (PHE)
Summary Public Health England (PHE) has produced an online resource on the various approaches to reducing the prevalence and incidence of dementia. There are statistics indicating the scale of the challenge, and a summary of the risk factors that can … Continue reading →
Posted in Commissioning, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, National, NHS, Non-Pharmacological Treatments, Patient Information, Practical Advice, Public Health England, Quick Insights, Statistics, UK, Universal Interest
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Tagged Action on Sugar, Active and Healthy Ageing, Ageing Policy in the UK, Agetrust, Alcohol and Drug Consumption, Alcohol Concern, Alcohol Consumption, Alcohol Misuse, Alcohol or Tobacco Withdrawal, Alcohol-Related Dementia, Attributable Cost of Dementia, Awareness, Awareness and Campaigns, Awareness and Understanding, Awareness of Potential Risks, Awareness Raising, “One You” Campaign, Blackfriars Consensus Statement, Blood Pressure, Burden of Dementia, Burden of Dementia (Statistics), CCGs: Clinical Commissioning Groups, Clinical Commissioning Groups (CCGs), Consensus Action on Salt and Health, Coordinated Health and Social Care, Dementia and Neurological Conditions, Dementia Intelligence Network (DIN) Profile Tool, Dementia Risk Factors, Dementia Risk Prevention, Dementia Risk Reduction, Dementia: a Public Health Priority, Diet and Dementia, Dietary Factors, Disproportionate Burden of Dementia on Women, Eating and Drinking, Economic Sustainability, Education and Awareness, Epidemiology, Epidemiology and Statistics, Ethnicity, Health Determinants, Health Improvement, Health Inequalities, Health Matters: Midlife Approaches to Reduce Dementia Risk, Health Policy, Health Wellbeing and Independence, Health-Creating Society, Healthy Ageing, Healthy Behaviours, Healthy Communities, Healthy Lifestyles, Healthy Living, Improving Local Public Health, Improving Public Health, infographics on Dementia Risk Reduction, Interventions to Increase Patient Activation, Investment in Dementia Prevention, JHWSs: Joint Health and Wellbeing Strategies, Joined-Up Care, Joint Health and Wellbeing Strategies, Joint Health and Wellbeing Strategy (JHWS), Joint Strategic Needs Assessment (JSNA), JSNA Leads In Local Authorities, JSNAs: Joint Strategic Needs Assessments, Life Course Approach, Life-Course Approach to Healthy and Active Ageing, Lifestyle, Lifestyle Risk Factors, Local Authorities, Loneliness, Mediterranean Diet, Moderate Drinking, Modifiable Risk Factors, NHS England’s Five Year Forward View, NHS Health Checks, NHS OneYou, Nudge, Obesity, Obesity Risk, Obesity Time-Bomb, One You Campaign (PHE), Overlapping Risk Factors, Patient Activation, Patient Empowerment, Patient Empowerment Movement, Patient Engagement, Patient Engagement Strategies, Patient Factors (Demand Side), Patient Involvement, PHE: Public Health England, Pre-Existing Medical Conditions, Preventative Care, Preventative Services, Preventing and Managing Demand, Prevention, Prevention Agenda, Prevention Agenda Linking Dementia and Other Non-Communicable Diseases, Prevention of Dementia, Prevention of Dementia: Public Health England, Prevention Programmes, Preventive Care, Preventive Services, Protective Factors, Public Awareness, Public Health, Public Health England (PHE), Public Health Promotion Campaigns, Public Health Specialists in Local Authorities, Raising Awareness, Reducing Waste in the NHS, Risk and Protective Factors, Risk and Protective Factors for Cognitive Decline and Dementia, Risk Factors, Risk Factors for Alzheimer's Diseease, Salt, Salt Reduction, Sedentary Behaviour, Self-Administration, Self-Care, Self-Determination, Self-Directed Services, Self-Help, Self-Management, Self-Management Programmes, Self-Management Support, Service User Involvement, Smoking, Social Determinants of Health Inequalities, Social Epidemiology, Social Movements, Social Networks, Social Prescribing, Social Wellbeing, South Asian Community, Staying Healthy for Longer, Supporting People to Manage Their Health, Sustainability, Sustainable Health and Care Services, Sustainable Health and Social Care, Type 2 Diabetes, Unhealthy Behaviours, Unhealthy Lifestyles, Unhealthy Living, Vascular Risk Factors, Wellbeing, Women and Dementia
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Benefits of Screening for Older Adults’ Hearing Loss? (Ear Foundation / Action on Hearing Loss / BBC News)
Summary A report from hearing loss charities reminds readers that adult hearing loss is a public health issue. Older people who experience hearing loss are more likely to go on to suffer from dementia, falls, mental health problems, social isolation … Continue reading →
Posted in BBC News, Charitable Bodies, Commissioning, Community Care, Depression, Diagnosis, Falls, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Action on Hearing Loss, Action Plan on Hearing Loss, Adult Hearing Screening, Advanced Bionics, Age-Related Hearing Loss (ARHL), Ageing Population, BBC Health News, Costs of Hearing Loss, Ear Foundation, Emotional and Social Isolation, Epidemiology, Hearing Loss, Hearing Loss and Cognition, Hearing Loss and Cognitive Decline, Hearing Loss and Cognitive Impairment, Hearing Loss and Dementia, Hearing Loss: Risk of Dementia, Hearing Screening, Hearing Technology, Hearing Tests, Impact of Hearing Loss on Quality of Life in Elderly Adults, Loneliness and Social Isolation, NatCen Social Research, National Adult Hearing Loss Screening Programme for older adults (Proposal), Nottingham Audiology Service, Nottingham University Hospitals, Personal and Societal Benefits of Hearing Technology, Physical and Sensory Disability Strategy and Action Plan 2012-2015, Prospective National Trial of Hearing Screening (Proposal), Public Health, Research Department of Epidemiology and Public Health at UCL, Screening, Screening for Older Adults Hearing Loss, Sensory Disability, Sensory Impairment, Social Isolation, Untreated Hearing-Loss
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Limits on the Role of Community Pharmacists in Reducing Use of Antipsychotics for BPSD: Qualitative Research (BMJ Open)
Summary An investigation into the factors, constraints and potential barriers which might limit the ability of community pharmacists to contribute to the limitation of antipsychotics use in the treatment of behavioural and psychological symptoms of dementia (BPSD) identifies: Politics and … Continue reading →
Posted in Antipsychotics, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, Person-Centred Care, Pharmacological Treatments, Quick Insights, UK, Universal Interest
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Tagged Ability of Community Pharmacists to Limit Use of Antipsychotics Prescribed Inappropriately For BPSD, Alternatives to Antipsychotic Medication, Antipsychotic Drugs, Antipsychotics in Elderly People with Dementia, Antipsychotics Limitation in Dementia, Aston Research Centre for Healthy Ageing (ARCHA): Aston University, Aston University, Avante Care (Faversham Kent), Barriers to Integration, Barriers to Involvement, Behavioural and Psychological Symptoms of Dementia (BPSD), Birmingham, BMJ Open, BMJ Publishing Group Ltd, BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, Communication Barriers, Communication Between Community Pharmacists and Caregivers, Communication Between Community Pharmacists and GPs, Community Pharmacies, Community Pharmacists, Community Pharmacy, Discontinuation of Antipsychotics, Faculty of Health and Social Care: University of Hull, Hull, Inappropriate Use of Antipsychotics in Dementia, NHS Community Pharmacies, Potential Harms of Antipsychotic Use, Psychological Symptoms of Dementia (BPSD), Qualitative Research, Reducing Antipsychotic Prescriptions in Dementia, Reducing Inappropriate Use of Antipsychotics in Dementia, School of Life and Health Sciences: Aston University, Thematic Analyses, University of Hull
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Overstretched and Under-Resourced Elderly Hospital Eye Services? (BBC News / BBC News Magazine)
Summary It is likely that “hundreds” of NHS patients in England every year may suffer irreversible sight loss, or potentially avoidable deterioration of vision, due to hospital eye services being overstretched and under-resourced. Increased demand for follow-up appointments has arisen … Continue reading →
Posted in Acute Hospitals, BBC News, Commissioning, For Nurses and Therapists (mostly), In the News, National, NHS, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Age-Related Macular Degeneration, Ageing in the UK, Ageing Population, Avoidable Harm, BBC Health News, BBC News Magazine, BBC's Scrubbing Up Magazine, Better Care Together Vanguard in South Cumbria and North Lancashire, Chronic Eye Diseases, Clinical Council for Eye Health Commissioning, College of Optometrists, Common Eye Conditions, Community Ophthalmology Services, David Geddes: National Head of Primary Care Commissioning at NHS England, David Parkins: Chair of Clinical Council for the Commissioning of Eye Health, Demand and Capacity, Demand Management, Demand on Eye Clinics, Demand-Side Factors, Diabetic Eye Disease, East Lancashire Hospitals Trust, East Lancashire Integrated Eyecare Service, Elderly Hospital Eye Services, Eye Clinic Attendances, Follow-Up Appointments, Follow-Up Appointments Waiting Times, Follow-Up Appointments Waiting Times: Absence of Hospital Targets, Follow-Up Appointments Waiting Times: Absence of Statistics, Geographical Variations, Glaucoma, Harm From Hospital-Initiated Delays for Follow-Up Appointments, Hospital Eye Services, Hospital-Initiated Delays for Follow-Up Appointments, Local Optical Committee Support Unit, Local Variations, Long Waiting Times, Macular Degeneration, Moorfields Eye Hospital, National Reporting and Learning System (NRLS), NHS Eye Health Summit (June 2016), Ophthalmology (Hospital Episode Statistics), Ophthalmology Departments, Outpatient Appointments: Ophthalmology, Prof Carrie MacEwen: President of the Royal College of Ophthalmologists, Regional Variations, Royal College of Ophthalmologists, Sight Loss, Step-Down Eye Care in High-Street Optical Practices, Unacceptable Variations, Unwarranted Variations, Variations in Care, Variations in Quality of Care, Variations in Spending, Visual Impairment
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