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Tag Archives: BMJ Open
Approaches to the Reduction of Preventable Hospital Admissions: a Systematic Review (BMJ Open)
Summary A recent systematic review examined the alternatives to hospital admission for older patients at risk of unplanned hospitalisation. The broad categories of interventions considered were (i) improved use of paramedic / emergency care practitioners, (ii) interventions based in emergency … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Standards, Statistics, Stroke, Systematic Reviews, UK, Universal Interest
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Tagged Acute Hospital Care, Ageing and Society, Ageing Population, Avoidable Acute Hospital Admission in Older People, Avoidable Admissions, Avoidable Emergency Admissions, Avoidable Hospital Admissions, Avoiding Unplanned Admissions, BMJ Open, BMJ Publishing Group Ltd, Bristol, Bristol Randomised Trials Collaboration: University of Bristol, Brunelcare: Saffron Gardens (Bristol), Case Management, Centre for Academic Primary Care: University of Bristol, Chronic Obstructive Pulmonary Disease (COPD), Community Hospitals, COPD: Chronic Obstructive Pulmonary Disease, Crisis Resolution Teams, Department of Emergency Medicine: University Hospitals Bristol NHS Foundation Trust, Emergency Admissions, Emergency and Urgent Care Services, Emergency Attendances, Emergency Care, Emergency Centres, Emergency Departments, Emergency Medical Services (EMS), Emergency Services, Factors Behind Increasing Emergency Admissions, Factors in Increased Use of Urgent and Emergency Care, Faculty of Health and Applied Sciences: University of the West of England, HaH Interventions, HaH: Hospital at Home, Health Economics at Bristol: University of Bristol, Heart Failure, Intermediate Care, Pneumonia, Preventable Hospital Admissions, Preventing Avoidable Emergency Admissions, Prevention of Avoidable Emergency Admissions: Case Management, Prevention of Avoidable Emergency Admissions: Crisis Resolution Teams, Prevention of Avoidable Emergency Admissions: Intermediate Care, Prevention of Avoidable Emergency Admissions: Proactive Management of Long-Term Conditions, Prevention of Avoidable Emergency Admissions: Team-Based Interventions in A&E, Prevention of Avoidable Emergency Admissions: Telehealth, Proactive Management of Long-Term Conditions, Pulmonary Embolism, Reasons for Short Stay Emergency Admissions, Reducing Unnecessary Admissions, Reducing Unplanned Hospital Admissions, Reducing Unscheduled Admissions, School of Social and Community Medicine: University of Bristol, Systematic Review, Systematic Reviews and Meta-Analyses, Uncomplicated Diverticulitis, University Hospitals Bristol NHS Foundation Trust, University of Bristol, University of the West of England, Unnecessary Hospital Admissions, Unplanned Hospital Admissions, Unscheduled Admissions, Unscheduled Care Pathways, Urgent and Emergency Care, Urgent and Emergency Care Pathways, Urgent and Emergency Care Services, Urgent and Emergency Care Services in England
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Approaches to Supporting Dementia-Friendly Healthcare in Hospital Settings (BMJ Open)
Summary A review implies that staff dementia awareness training, by itself alone, may not improve dementia care and / or the outcomes for patients with dementia in hospital. It appears that additional strategies such as support for staff in implementing … Continue reading →
Posted in Acute Hospitals, Commissioning, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Management of Condition, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK
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Tagged Acute Hospital Care, Acute Hospitals, Aging and Mental Health Journal), Balancing Risk and Choice, Better Outcomes, BMJ Open, BMJ Publishing Group Ltd, Care and Communication, Care Assistants, Care in General Hospitals, Centre for Research in Primary and Community Care: University of Hertfordshire, CMOC: Context–Mechanism–Outcome Configuration, Confidence to Adapt Working Practices and Routines to Individualise Care, Context-Mechanism-Outcome Configuration, Culture: Risk Aversion (Barriers to Flexibility or Innovation), Dementia And Cognitive Disorders, Dementia Awareness, Dementia Awareness Raising, Dementia Awareness Training, Dementia Care in Acute General Hospitals, Dementia Care in the Acute Hospital, Dementia Training Programmes in Hospital Settings, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Dementia-Friendly Wards, Dementia-Friendly Workplaces, Education and Staff Training, Empathy, Encourage Reflection for Responsibilities of Care, Experiential Learning, Good Communication, Health Care Assistants, Health Care Assistants in Dementia Care, Health Care Outcomes, Hospital-Based Dementia Training, Institutional Care, Patient Outcomes, Permission to Adapt Working Practices and Routines to Individualise Care, Person-Centred Risk Management, RAMESES Projects: Realist And Meta-Narrative Evidence Syntheses: Evolving Standards, Realist Analyses, Realist Analysis: Context Mechanism Outcome Configuration, Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES), Realist Approaches, Realist Evaluations, Realist Reviews, Realist Terms: Glossary, Risk Aversion, Risk Avoidance, Sensitivity in Communication, Staff Training, Staffing Levels, Staffing Levels and Skill Mix, Support Workforce in Acute Care, Training and Competency, Training and Educational Programmes, Training of Acute Hospital Staff, University of Hertfordshire, Unmet Needs, Valuing Care Assistants, Ward Staffing Levels, Workforce Issues, Workforce Planning and Development, Workforce Satisfaction, Workforce Training
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Review of Interventions for BPSD: a SENATOR-ONTOP Systematic Review (BMJ Open)
Summary A recent broad-ranging systematic review of non-pharmacological interventions for behavioural and psychological symptoms in dementia (BPSD) covers (i) sensory stimulation, including acupressure, aromatherapy, massage / touch therapy, light therapy and sensory gardens, (ii) cognitive / emotion-oriented interventions including cognitive … Continue reading →
Posted in Acute Hospitals, Community Care, Delirium, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Management of Condition, Non-Pharmacological Treatments, Person-Centred Care, Quick Insights, Scotland, Systematic Reviews, UK
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Tagged Acupressure, Agitation, Animal Assisted Therapy, Aromatherapy, Aromatherapy for Dementia, Behaviour Management, Behavioural and Psychological Symptoms of Dementia (BPSD), Belgium, BMJ Open, BMJ Publishing Group Ltd, BPSD: Behavioral and Psychological Symptoms of Dementia, Chronic Geriatric Conditions, Cognitive Stimulation, Cognitive Stimulation Therapy (CST), Dance / Movement Therapy, Delirium Management, Delirium Prevention, Dementia Behaviour Management, Department of Internal Medicine (Geriatrics), Department of Medicine (Geriatrics): University College Cork, Department of Medicine for the Elderly: Woodend Hospital, Dining Room Environment-Based Interventions, Exercise Therapy, Geriatric Conditions, Geriatrics and Geriatric Emergency Care: Italian National Research Center on Aging (IRCCS-INRCA), Ghent University, Golgi Cenci Foundation (Milan), Grading of Recommendations Assessment Development and Evaluation (GRADE), Grading of Recommendations Assessment Development and Evaluation (GRADE) Approach, Hospital Universitario Ramón y Caja (Madrid), Iceland, Interventions for BPSD, Ireland, Italian National Research Center on Aging (IRCCS-INRCA), Italy, Journal of Nutrition Health and Aging, Journal of the American Medical Directors Association, Landspitali University Hospital Reykjavik, Light Therapy, Light Therapy for Dementia, Managing Agitation, Massage, Massage / Touch Therapy, Multi-Sensory Stimulation, Multi-Sensory Stimulation For People Living With Dementia, Music and Dance Therapy, Non-Pharmacological Prevention or Treatment of Delirium, Non-Pharmacological Treatment of Pressure Ulcers, Optimal Evidence-Based Non-Drug Therapies in Older People (ONTOP) Project, Prevention and Management of Pressure Ulcers, Psychological Symptoms of Dementia (BPSD), Reducing Agitation and Distress, Reminiscence, Reminiscence Therapy, SENATOR-ONTOP Systematic Reviews, SENATOR: Software ENgine for the Assessment and Optimization of Drug and Non-Drug Therapy in Older Persons, Sensory Gardens, Sensory Stimulation, Servicio de Geriatría: Hospital Universitario Ramón y Caja, Simulated Presence Therapy, Snoezelen, Software ENgine for the Assessment and Optimization of Drug and Non-Drug Therapy in Older Persons (SENATOR), Spain, Special Care Units, Systematic Reviews and Meta-Analyses, Touch Therapy, Transcutaneous Electrical Nerve Stimulation, University College Cork, Validation Therapy, Woodend Hospital (Aberdeen)
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Under-Diagnosis of Dementia in the Community: an International Review (BMJ Open)
Summary A literature review and meta-analysis of 23 international studies on the under-detection (i.e. the failure to achieve a diagnosis) of dementia identified a pooled rate of undetected dementia assessed to be 61.7%. The rate of under-detection was higher in … Continue reading →
Posted in Acute Hospitals, Community Care, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), International, Models of Dementia Care, Quick Insights, Royal Wolverhampton NHS Trust, Royal Wolverhampton NHS Trust Authorial Affiliation, Statistics, UK, Universal Interest, Wolverhampton
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Tagged Academic Institute of Medicine: University of Wolverhampton, Affluence and Health Inequalities, Age and Gender Differences in Diagnosis Rates, Anhui Medical University, Assessment and Diagnosis, Australia, Australian National University, Barriers to Early Diagnosis, BMJ Open, BMJ Publishing Group Ltd, Case Finding, Case Finding for Patients with Dementia, Centre for Research on Ageing Health and Wellbeing: Australian National University, China, Cognitive Assessment Tools, Cognitive Impairment, Dementia Case Finding, Dementia Case Finding Scheme, Dementia Challenge, Dementia Collaborative Research Centre-Early Diagnosis and Prevention: Australian National University, Dementia Diagnosis, Dementia Screening, Dementia Screening Debate, Department of Practice and Policy: University College London, Department of Psychiatry: University of Liverpool, Department of Public Health: Wolverhampton City Council, Diagnosis and Referral, Diagnosis and Support, Diagnosis at Primary Care Level, Diagnosis Gap, Diagnosis of Dementia, Diagnosis Rates, Early Diagnosis, Early Diagnosis of Alzheimer's Disease, Early Screening, Effectiveness of Early Detection and Treatment, Ethical Considerations, Ethical Dilemmas, Ethical Issues of Dementia Care, Ethics and Decision-Making, Europe, Faculty of Education Health and Wellbeing: University of Wolverhampton, General Practice, GPs, Health Inequalities, India, Liverpool, Mental Health Inequalities, Mini Mental State Examination (MMSE), New Cross Hospital: Royal Wolverhampton NHS Trust, North America, Post Graduate Academic Institute of Medicine: University of Wolverhampton, Reducing Health Inequalities, Research School of Population Health: Australian National University, Royal Wolverhampton NHS Trust, School of Health Administration: Anhui Medical University, Screening, Screening for Cognitive Impairment, Screening for Cognitive Impairment in Older Adults, Screening for Dementia, Screening Programmes, Screening Tests, Socio-Economic Differences in Diagnosis Rates, Timely Diagnosis, UK National Screening Committee (UK NSC), Under-Detection of Dementia, University College London, University of Liverpool, University of Wolverhampton, Wolverhampton City Council
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Dementia Services: a Survey of Quality (Healthwatch Network / BMJ Open)
Summary A Healthwatch England report summarises feedback from over 1,000 people across the country about their experiences of dementia care, plus the results of findings from over 120 care homes visited. This document attempts to clarify what may be working … Continue reading →
Posted in Acute Hospitals, Commissioning, Community Care, Dementia Action Alliance, Diagnosis, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Information, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest
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Tagged Advice and Support, Barriers to Support, BMJ Open, BMJ Publishing Group Ltd, Care and Support Services, Care Home Sector, Care Homes, Caregiver Support, Carer Support, Centre for Research in Primary and Community Care: University of Hertfordshire, Commissioning Support, Community-Based Support, Comorbidity and Dementia, Dementia and Comorbidity, Dementia Awareness, Dementia Awareness Raising, Dementia Care in Care Homes, Dementia Friendly GP Surgery, Dementia Post-Diagnostic Care and Support, Dementia Services Survey, Dementia Support Services, Dementia-Friendly Care Homes, Dementia-Friendly Cities, Dementia-Friendly Communities, Dementia-Friendly Environments, Dementia-Friendly Hospitals, Dementia-Friendly Information, Dementia-Friendly Neighbourhoods, Dementia-Friendly Organisations, Dementia-Friendly Resources, Dementia-Friendly Wards, Department of Psychology: King’s College London, Department of Public Health and Primary Care: University of Cambridge, East London NHS Foundation Trust, GP Services, GP Surgeries, Healthcare Provision for People With Dementia and Comorbidity, Healthwatch, Healthwatch Barnet, Healthwatch England, Healthwatch Essex, Healthwatch Greenwich, Healthwatch Hampshire, Healthwatch Manchester, Healthwatch Middlesborough, Healthwatch Network, Healthwatch Oxfordshire, Healthwatch Torbay, Institute for Health and Society: Newcastle University, Institute of Psychiatry: King's College London, Integrated Care and Support, Kings College London, Managing Comorbidity and Complexity, Newcastle University, Post-Diagnosis Support, Post-Diagnostic Dementia Support, Post-Diagnostic Support for People with Dementia, Research Department of Primary Care and Population Health: UCL Medical School (Royal Free Campus), Torbay Dementia Action Alliance, UCL Medical School (Royal Free Campus), University of Cambridge, University of Hertfordshire
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Assessment of Dementia and Delirium (BMJ Open)
Summary An examination of the neuropsychiatric and neuropsychological symptoms in elderly medical inpatients, attempting to identify distinguishing features of delirium and dementia. Full Text Link Reference Leonard, M. McInerney, S. [and] McFarland, J. [et al] (2016). Comparison of cognitive and … Continue reading →
Posted in Acute Hospitals, Delirium, Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), International, Mental Health, Person-Centred Care, Quick Insights
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Tagged BMJ Open, BMJ Publishing Group Ltd, Canada, Centre for Interventions in Infection Inflammation & Immunity: University of Limerick, Cognitive Test for Delirium (CTD), Comorbid Delirium-Dementia, Comorbidity and Dementia, Delirium Diagnosis, Delirium in Elderly Patients, Delirium Management, Delirium superimposed, Delirium Superimposed on Dementia (DSD), Dementia and Delirium, Differential Diagnosis, Differentiation Between Delirium and Dementia, Graduate Entry Medical School: University of Limerick, Greece Sligo Mental Health Services, Indiana University, Indiana University School of Medicine, Ireland, Ireland Cognitive Impairment Research Group, Ireland Department of Acute Psychiatry, Ireland Department of Psychiatry: University Hospital Limerick, Ireland Research and Academic Institute of Athens, Midwestern Regional Hospital (Clare Ireland), Neuropsychiatric Inventory (NPI-Q), Recognition of Delirium, Revised Delirium Rating Scale (DRS-R98), St. Michael's Hospital: University of Toronto, Tufts University School of Medicine (Boston Massachusetts), United States, University of Limerick, University of Mississippi Medical School, University of Toronto, USA
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Primer on Social Prescribing (LGA / King’s Fund / CRD / BMJ Open)
Summary An investigation into the concept of social prescribing, with case studies. “Social prescribing – sometimes called community referrals – is a means of enabling primary care services to refer patients with social, emotional or practical needs to a range … Continue reading →
Posted in Charitable Bodies, Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, King's Fund, Local Interest, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Person-Centred Care, Quick Insights, UK, Universal Interest
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Tagged Access to Green Spaces, Ageing Population, Alliance Manchester Business School: University of Manchester, Allotment and Gardening Projects, Blackburn with Darwen, BMJ Open, BMJ Publishing Group Ltd, Bristol Health and Wellbeing Board, Bromley by Bow Centre, Care of Older People, Centre for Reviews and Dissemination (York), Centre for Reviews and Dissemination: University of York, Chronic Care, Chronic Conditions, Chronic Diseases, Community Referrals, Community Volunteering, Community Wellbeing Board, Costwold District Council, Councillor Izzi Seccombe: Local Government Association (LGA), Doncaster, Dr Michael Dixon: College of Medicine, Dr Richard Kimberlee: University of the West of England, East Riding of Yorkshire Council, Forest of Dean District Council, Garden Areas, Gardening, Gardens and Health, Halton St Helens and Knowsley, Health Volunteering, Izzi Seccombe: Chairman of the Local Government Association’s Community Wellbeing Board, LGA's Community Wellbeing Board, LGA: Local Government Association, Local Authorities, Local Government Association: LGA, Long-Term Care (LTC), Long-Term Conditions (LTCs), Luton Council, Museums, NHS Rotherham CCG, Parks and Gardens, Rotherham, Rotherham Social Prescribing Pilot, Rotherham Social Prescribing Service, School of Healthcare: University of Leeds, Social Prescribing, Social Prescribing Case Studies: Blackburn with Darwen, Social Prescribing Case Studies: Costwold District Council, Social Prescribing Case Studies: Doncaster, Social Prescribing Case Studies: East Riding of Yorkshire Council, Social Prescribing Case Studies: Forest of Dean District Council, Social Prescribing Case Studies: Halton St Helens and Knowsley, Social Prescribing Case Studies: Luton Council, Social Prescribing Case Studies: Rotherham, Social Prescribing Case Studies: Tower Hamlets, Social Prescribing Network, Social Prescribing: Case Studies, Social Prescribing: Removing Barriers With Other Sectors (Social Care or Community Care or Mental Health Providers), Social Prescribing: UK, Tower Hamlets, University of Leeds, University of Manchester, University of the West of England, University of Westminster / College of Medicine, University of York, University of York: Centre for Reviews and Dissemination, Voluntary Action Rotherham’s Social Prescribing Pilot, Voluntary Sector, Volunteering, Wellcome Trust Seed Awards, York Trials Unit: University of York
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