Tag Archives: Improving Care in General Hospital Settings

Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)

Posted on May 3, 2016 by Dementia and Elderly Care News

Summary The latest Royal College of Physicians (RCP) audit has estimated that one in five families may not be consulted when hospital staff decide not to revive their relatives and issue “Do Not Resuscitate” (DNR) orders. “Guidelines issued by the … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, End of Life Care, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, National, NHS, NHS England, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, Statistics, UK, Universal Interest | Tagged 24/7 Care, Access to Face-To-Face Specialist Palliative Care, Acute Care, Acute Hospital Care, Acute Hospitals, 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 and Communication, Care and Compassion, Care in General Hospitals, Care of Dying Adults in Last Days of Life, Care Planning, Care Planning and Proxy Decision Making, Care Seven Days a Week, Clinical Audits, Communication, Communication Skills Training For Care in Last Hours or Days of Life, Compassion in Practice, Compassionate Care, Culture of Compassionate Care, Dehydration, Dementia Care in Acute General Hospitals, Difficult Conversations, Dignity and Respect, DNACPR: Do Not Attempt Cardiopulmonary Resuscitation, Do Not Resuscitate (DNR), Do Not Resuscitate (DNR) Communication Failures, Documented Evidence in Last 24 Hours of Life of Holistic Assessment of Patient’s Needs for Individual Plan of Care, Documented Evidence Patient Given Opportunity to Have Concerns Listened To, Documented Evidence That Needs Of Person(S) Important to Patient Were Asked About, Documented Evidence That Patient Would Probably Die (Imminent Death) Had Been Discussed With Nominated Person(S) Important to Patient, Documented Evidence That Patient Would Probably Die in Coming Hours or Days, 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 Facilitators, End of Life Care Pathway, End of Life Care Plans, End of Life Care Quality Indicators, End of Life Care Research, End of Life Care Strategy, End-of-Life Care in Acute Hospitals, End-of-Life Care Pathways, End-of-Life Support, General Hospital Care, Geographical Variations, Good Communication, Healthcare Quality Improvement Partnership (HQIP), Holistic Assessments, Hospital End-of-Life Care, Hydration and Nutrition, Improving Care in General Hospital Settings, Lay Member on Trust Board With Responsibility For End of Life Care, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Local Variations, Marie Curie, National Council for Palliative Care (NCPC), NG31: Care of Adults in Last Days of Life, NHS Services Seven Days a Week, 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, Quality of Care, RCP: Royal College of Physicians, Royal College of Physicians (RCP), Royal College of Physicians. End of Life Care Audit – Dying in Hospital (2016), Specialist Palliative Care Services (SPC), Staffing and Training, Symptom Control. Provision of Palliative Care Services 24-7, Tackling Variation, Treatment at End of Life, Trust Seeks Bereaved Relatives’ or Friends’ Views, UK End-of-Life Care, Unwarranted Variations, Variations in Care, Variations in Quality of Care, Withdrawal of Liverpool Care Pathway (LCP) | Leave a comment

RCP Audit of End-of-Life Care in Hospitals (BBC News / RCP)

Posted on May 15, 2014 by Dementia and Elderly Care News

Summary A joint Royal College of Physicians and Marie Curie review of end-of-life care in hospitals has discovered that only one fifth of hospitals provided specialist end-of-life care seven days a week. The same audit highlights deep concerns about the … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, NHS Digital (Previously NHS Choices), Patient Care Pathway, Person-Centred Care, Quick Insights, Royal College of Physicians, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospitals, Baroness Julia Neuberger, BBC Health News, Behind the Headlines, Care and Communication, Care and Compassion, Care in General Hospitals, Care Planning, Care Planning and Proxy Decision Making, Care Seven Days a Week, Communication, Conversation Project (US), Dementia Care in Acute General Hospitals, End of Life Care, End of Life Care Pathway, End of Life Care Plans, End of Life Care Research, General Hospital Care, Good Communication, Improving Care in General Hospital Settings, Independent Review of the Liverpool Care Pathway, Liverpool Care Pathway (LCP), Liverpool Care Pathway for the Dying Patient (LCP), Marie Curie Nursing Service (MCNS), Marie Curie Palliative Care Institute Liverpool (MCPCIL), Marie Curie Palliative Care Research Unit: University College London, National Care of the Dying Audit for Hospitals, National Care of the Dying Audit for Hospitals (England), National Council for Palliative Care (NCPC), Neuberger Review, NHS Services Seven Days a Week, Palliative and End-of-Life Care in Hospitals, Palliative Care, Palliative Care Units, Palliative Medicine, Place of Death, Quality of Care, RCP: Royal College of Physicians, Review of the Liverpool Care Pathway, Royal College of Physicians (RCP), Seven Day Consultant Present Care, Seven Day Services, Specialist Palliative Care, Supporting Carers in Hospital, Treatment at End of Life | Leave a comment

Dementia Scheme for Professionals Listening to Carers: Triangle of Care, 2nd Edition (Guardian Professional: Social Care Network / Carers Trust / RCN)

Posted on November 17, 2013 by Dementia and Elderly Care News

Summary There is a fresh initiative to ensure family carers are involved by hospital staff, so that they are enabled to give and receive information about relatives with dementia. Carers should be offered suitable opportunities to participate and have their … Continue reading →

Successful Bids for £50m Dementia Friendly Environments Funding (Department of Health)

Posted on July 27, 2013 by Dementia and Elderly Care News

Summary The Department of Health has released a list of the successful bids for a share of the £50m funding of capital projects to improve care environments for people with dementia. This lists the 116 hospitals and care homes which have been awarded money, … Continue reading →

Potentially Preventable Complications in Hospitalised Dementia Patients: Urinary Tract Infections, Pressure Sores, Pneumonia and Delirium (BMJ Open)

Posted on July 3, 2013 by Dementia and Elderly Care News

Summary This article reports on work to identify the rates of potentially preventable complications for dementia patients, compared with non-dementia patients, using hospital discharge data from New South Wales (Australia) in 2006/2007. It was found that surgical dementia patients had higher … Continue reading →

Posted in Acute Hospitals, Delirium, For Doctors (mostly), For Nurses and Therapists (mostly), International, Management of Condition, Quick Insights, Statistics | Tagged Acute Care, Acute Confusional State, Acute Hospitals, Adjustment Disorders, Australia, Australian Capital Territory, Australian Hospital Dementia Services Project, BMJ Open, Canberra, Comorbidity and Dementia, Decubitus Ulcers, Dementia Care in Acute District General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Epidemiology, Faculty of Health: University of Canberra, General Hospitals, Improving Care in General Hospital Settings, New South Wales, Patient Safety, Pneumonia, Potentially Preventable Complications in Hospitalis, Pressure Areas, Pressure Sores, Prevalence of Delirium, University of Canberra, Urinary Tract Infections | Leave a comment

Demand on Accident and Emergency Services Unsustainable? (BBC News)

Posted on May 9, 2013 by Dementia and Elderly Care News

Summary Levels of demand on NHS accident and emergency departments in England have been described as unsustainable by David Prior, the head of the Care Quality Commission. Mr Prior has suggested there is a need for a diversion of resources from hospital services towards greater investment … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged Accident and Emergency Departments: Planning and Design, Acute Hospital Care, Admissions, Avoidable Admissions, BBC Health News, Care in General Hospitals, Care Quality Commission (CQC), CCGs, Clinical Commissioning Groups (CCGs), College of Emergency Medicine, Dementia Care in Acute General Hospitals, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Emergency Admissions, Emergency Readmissions to Hospital, General Hospitals, GPs, Health Care Reform, Home and Community Care Services, Hospital Accident and Emergency Departments, Hospital Admission Rates, Improving Care in General Hospital Settings, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, NHS Reform in England, Preventable Hospital Admissions, Primary Care, Problems in Care in English Acute Hospitals, Public Service Reform, Re-Admission NHS Hospitals, Reform, Unplanned Hospital Admissions | Leave a comment

Breaking the Cycle of Discontent: How Family Carers of People with Dementia Become Dissatisfied with General Hospital Care (BMC Geriatrics)

Posted on March 15, 2013 by Dementia and Elderly Care News

Summary Family carers deserve to be engaged by hospital staff, so that they are able to give and receive information about a relative with dementia. They should be offered suitable opportunities to participate and have their say in hospital care. … Continue reading →

Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, National, NHS, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospital Care, Admissions, Assessment, Assessment and Diagnosis, Care in General Hospitals, Care Triad: Patient-Staff-Family/Carer, Caregiving (Carers), Carer Expectations, Carer Fatigue, Carer Isolation, Carer Relationships with Hospital Staff, Carer Support, Carers, Carers Seeking Evidence of Poor Care, Caring for People with Dementia on Hospital Wards, Conflict Over Care). Carers’ Expectations, Cycle of Discontent, Dementia Care in Acute General Hospitals, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Identification, Dementia Qualifications (Skills for Care), Dementia-Friendly Wards, Diagnosis and Assessment, Discharge Planning, Division of Rehabilitation and Ageing: University of Nottingham, Expectations, Family Carers, Family Carers and Health Professionals: Relationship Breakdown, General Hospitals, Hospital Discharge, Hospitals as Dangerous Places, Hospitals as Hazardous Places, Hyper Vigilant Monitoring (Carers), Improving Care in General Hospital Settings, Information for Carers, Interview Schedule: Family and Carers, Multidisciplinary Teams, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), Needs of Carers, Negative Experiences of Hospital Care, NHS Culture, NIHR, NIHR Service Delivery and Organisation Programme, Older People's Wards, Organisational and Professional Cultures, Patient Admission, Patient Care, Patient Documentation, Patient Experience, Patient Rights, Patient Safety, Patient-Centered Care, Patient-Staff-Family Carer Triad, Perceived Poor Care, Poor Communication, Problems in Care in English Acute Hospitals, Relationship Breakdowns, SDO Project 08/1809/227, Service Delivery and Organisation (SDO), Skills and Competencies, Skills for Care, Staff Training, Support for Carers (Hospital Discharge), Training, Training Needs Analysis, Triadic Relationship of Care, Underlying Causes of BPSD, University of Nottingham, Unpaid Caregivers (Carers), Unpaid Carers | Leave a comment

Care of Older People with Cognitive Impairment in General Hospitals (NIHR SDO)

Posted on March 14, 2013 by Dementia and Elderly Care News

Summary Mental health problems amongst the elderly in acute hospitals include dementia (31% of all older people in hospitals) and delirium (estimated in this report as 20% of all older people in hospitals). Outcomes for patients in hospitals with these … Continue reading →

Posted in Acute Hospitals, Delirium, Falls, Falls Prevention, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Management of Condition, Mental Health, Models of Dementia Care, National, NHS, NIHR, NIHRSDO, Patient Care Pathway, Person-Centred Care, Systematic Reviews, UK, Universal Interest | Tagged Acute Hospital Care, Admissions, Assessment, Assessment and Diagnosis, Assessment of Competence, Avoidable Admissions, Behavioral and Psychological Symptoms of Dementia (BPSD), BPSD, BPSD: Behavioral and Psychological Symptoms of Dementia, Care in General Hospitals, Caregiver Training, Caring for People with Dementia on Hospital Wards, Cognitive Assessment, Cognitive Impairment, Communication, Competence, Confusion (Delirium), Core and Common Competences for Support Workers, Dementia Care in Acute General Hospitals, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Identification, Dementia Qualifications (Skills for Care), Dementia-Friendly Wards, Diagnosis and Assessment, Disruptive Behaviour, Education and Dementia, Education and Training, Educational Intervention, EHE and Dementia Projects, EHE: Enhancing the Healing Environment, Epidemiology, Family Carers, General Hospitals, Hospitals as Dangerous Places, Hospitals as Hazardous Places, Hydration, Hydration and Nutrition, Impact of Caring on Carers, Impact of Dementia on Hospital Readmission, Improving Care in General Hospital Settings, Liaison Psychiatry Services, Multidisciplinary Teams, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), NHS Culture, NIHR, NIHR Service Delivery and Organisation Programme, Older People's Wards, Organisational and Professional Cultures, Patient Admission, Patient Care, Patient Documentation, Patient Experience, Patient Rights, Patient Safety, Patient-Centered Care, Physical Environment, Prevalence of Dementia, Preventable Hospital Admissions, Problems in Care in English Acute Hospitals, Psychiatric Liaison Services, Psychological Symptoms of Dementia (BPSD), SDO Project 08/1809/227, Service Delivery and Organisation (SDO), Skills and Competencies, Skills for Care, Staff Training, Training, Training Needs Analysis, Underlying Causes of BPSD, University of Nottingham, Unpaid Caregivers (Carers), Unpaid Carers, Wandering, Workforce Competencies, Workforce Training | Leave a comment

NHS Alliance: Changes to the NHS Should Keep Elderly Out of Hospitals (Daily Mail: Mail Online / BBC News)

Posted on March 13, 2013 by Dementia and Elderly Care News

Summary Dr Michael Dixon, president and chairman of the NHS Alliance, has adopted the now widespread view that hospitals can be dangerous places for frail elderly patients and people with long-term conditions. It is the NHS Alliance‘s policy that hospitals are better suited for only the … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Models of Dementia Care, National, NHS, NHS Alliance, Patient Care Pathway, Patient Information, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Hospital Care, BBC Health News, Care in General Hospitals, CCGs, Clinical Commissioning Groups (CCGs), Dementia Care in Acute General Hospitals, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Falls, General Hospitals, GPs, Health Care Reform, Home and Community Care Services, Hydration, Hydration and Nutrition, Improving Care in General Hospital Settings, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, NHS Change Day, NHS Reform in England, Primary Care, Problems in Care in English Acute Hospitals, Public Service Reform, Reform | Leave a comment

Successful Applications for £50m Dementia Fund: First Round (Department of Health)

Posted on March 7, 2013 by Dementia and Elderly Care News

Summary The Department of Health has released a list of the successful applicants for Stage One of the £50m funding of capital projects to improve care environments for people with dementia. Read more: Successful applicants announced for stage 1 of … Continue reading →

Posted in Acute Hospitals, Community Care, Department of Health, For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Management of Condition, Models of Dementia Care, National, NHS, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest | Tagged Achieving Dementia Friendly Acute care, Acute Hospital Care, Acute Hospitals, Airedale NHSFT, Barnet, Beaconsfield East Dementia-friendly Improvement Project, Belvedere: Beautiful View Project, Berkshire Healthcare NHS FT, Birmingham Community Healthcare NHS Trust, Black Country Partnership NHS FT, Bradford Teaching Hospital NHSFT, Cambridge University Hospitals, Care Homes, Caring for older people, Central London Community Hospital NHS Trust, County Durham & Darlington NHS FT, Creating a Dementia-Friendly Environment Along the Care Pathway, Creating Best Practice Dementia Friendly Environments in an Acute Hospital Setting, Creating Dementia Friendly Environments at Pennine, Croydon Health Services NHS Trust, Cumbria Partnership NHSFT & Cumbria Council, Dementia Care and Support Compact, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Friendly Acute Hospitals, Dementia Friendly Doncaster: Environment Accreditation Scheme within the Dementia Friendly Environments NHS Capital Fund, Dementia Friendly Environments: Changing Environments, Dementia outpatient Hub for Enfield, Dementia Programme, Dementia-Friendly Care Homes, Dementia-Friendly Environmental Design, Dementia-Friendly Homes, Dementia-Friendly Wards, Designing the Dementia Journey – a Holistic Approach to the Environment for People with Dementia, Developing a Sensory Environment with the Dementia Unit, Developing Dementia-Friendly Environment In Intermediate / Sub Acute Care in Community Hospital Sites, Development of the Memory Clinic, Devon Partnership NHS Trust, Disorientation and Anxiety Admission to Hospital can Mean for People with Dementia, Doncaster & Bassetlaw Hospitals NHSFT, Ealing Hospital NHS Trust, East Cheshire NHS Trust, East Lancashire Hospitals NHS Trust, East London Foundation Trust, EHE: Enhancing the Healing Environment, Enfield & Haringey MH Trust, Enhancing & Developing Dementia Care, Enhancing the Acute Care Environment to Reduce the Distress, Enhancing the Delivery of Personalised Care for In-Patients with Advanced Dementia in the East Ham Care Centre Continuing Care Wards, Enhancing the Healing Environment (EHE), Enhancing the ward environment through Development of a Therapeutic Space for People with Dementia to Improve the Safety and Quality of Care During Admission, Enriched Environments, Environmental Improvements, Environmental improvements to Hammerton Court, Excellent Care in a Dementia Friendly Acute Hospital: Evaluation Report, Former Health Secretary Jeremy Hunt, General Hospitals, Guys & St Thomas NHS FT, Here To Care, iCARE about Dementia, Improved Memory Assessment Services, Improvement to the environment for patients with dementia, Improving Care in General Hospital Settings, Improving the Environment of Care for People with Dementia in the General Outpatient Department of Darlington Memorial Hospital, Integrated Dementia Friendly Care Zone, Ipswich Hospital NHS Trust, Isle of Wight NHS Trust, Lancashire Teaching Hospitals NHS FT, Later Life Therapeutic Internal Space & garden Development, Lighting Scheme for Improving Well Being Independence & Sleep, Lincolnshire Partnership NHS Foundation Trust (LPFT), Manchester Mental Health & Social Care NHS Trust, Manthorpe Centre – Dementia Environmental Redesign, Meadowview/Mayfield Wards Garden Project, NHS Cornwall & Isles of Scilly Bid 3, NHS Cornwall & Isles of Scilly Bid 4, Norfolk and Suffolk NHS FT, Patient Care at Our Heart: Developing the Care Environment for Patients with Dementia at UHSM, Peninsula Community Health, Pennine Acute Hospitals NHS Trust, Physical Environment, Portsmouth Hospitals NHS Trust, Promoting a Healing Environment Across the Patient Journey, Providing the Right Environment for Acute Care of Patients with Dementia in the 21st Century, Raising Awareness, Raising Standards, Rotherham Doncaster & South Humber NHSFT, Royal Berkshire NHS FT, Royal Cornwall Hospitals NHS Trust, Royal Devon & Exeter NHS FT, Royal United Hospital Bath NHS Trust, Salisbury NHS FT, Sandwell & West Birmingham Hospitals NHS Trust, South Essex Partnership University NHS FT, The Devon Garden, The Hillingdon Hospitals NHS FT, The Lighthouse Project, The Newcastle upon Tyne Hospitals NHS FT, Transforming our Trauma and Orthopaedics Ward - iCARE about Dementia, Transforming the Environment to Deliver Patient and Family Centred Dementia Care at Ipswich Hospital, University Hospital of South Manchester NHS FT, Ward Redesign Proposal to Support the Transformation of Care for People with Dementia at the Royal United Hospital Bath, Warrington & Halton Hospitals NHS FT, West Middlesex University Hospital NHS Trust, Yeovil District Hospital NHS FT, Yorkshire At Its Best, Your Home in Hospital | Leave a comment

Tag Archives: Improving Care in General Hospital Settings

Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)

Potentially Preventable Complications in Hospitalised Dementia Patients: Urinary Tract Infections, Pressure Sores, Pneumonia and Delirium (BMJ Open)

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