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Tag Archives: Improving Care in General Hospital Settings
Do Not Resuscitate (DNR) Communication Failures in Hospital End-of-Life Care (BBC News / RCP)
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
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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)
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RCP Audit of End-of-Life Care in Hospitals (BBC News / RCP)
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
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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
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Dementia Scheme for Professionals Listening to Carers: Triangle of Care, 2nd Edition (Guardian Professional: Social Care Network / Carers Trust / RCN)
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 →
Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Diagnosis, 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, Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NHS, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, RCN, Standards, UK, Universal Interest
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Tagged Active Engagement, Acute Hospital Care, Admissions, Assessment, Assessment and Diagnosis, Berkshire Healthcare, Best Practice in Dementia Care (Triangle of Care), Birmingham & Solihull Mental Health NHS Foundation Trust, Calderstones Partnership NHS Foundation Trust, Care in General Hospitals, Care Planning, Care Planning and Proxy Decision Making, Care Triad: Patient-Staff-Family/Carer, Caregiver Assessments, Caregiver Support, Caregivers, Caregiving (Carers), Carer Burden in Dementia, Carer Education, Carer Engagement Strategies, Carer Expectations, Carer Inclusion, Carer Isolation, Carer Relationships with Hospital Staff, Carer Resilience, Carer Satisfaction, Carer Support, Carer Support Services, Carer's Needs, Carer’s Needs Assessment, Carer’s Perspective, Carers, Carers and Confidentiality, Carers for People with Dementia, Carers Included: A Guide to Best Practice in Acute Mental Health Care, Carers Recognition and Services Act (1995), Carers Trust, Carers Trust Network Partners, Carers’ Health and Wellbeing, Cheshire and Wirral Partnership NHS Foundation Trust, Commissioning for Carers (Carers Trust), Community Mental Health, Community Mental Health Services, Community Mental Health Teams, Confidentiality, Cornwall Partnership NHS Foundation Trust, Crossroads Care, Dementia Care in Acute General Hospitals, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Identification, Dementia Partnerships, Dementia-Friendly Wards, Dementia: Workers and Carers Together, Derbyshire Healthcare NHS Foundation Trust, Devon Partnership NHS Trust, Discharge Planning, Doncaster and South Humber Mental Health NHS Foundation Trust, Dudley and Walsall Mental Health Partnership NHS Trust, Engagement, Family Caregivers, Greater Manchester West Mental Health NHS Foundation Trust, Guardian Professional: Social Care Network, Hertfordshire Partnership University NHS Foundation Trust, Improving Care in General Hospital Settings, Inclusion, Information for Carers, Information Sharing, Leeds and York Partnership NHS Foundation Trust, Leicestershire Partnership NHS Trust, Listening to Carers, Manchester Mental Health and Social Care Trust, Mersey Care NHS Trust, National Acute Care Programme, National Mental Health Development Unit, No Health Without Mental Health, Northamptonshire Healthcare NHS Foundation Trust, Northumberland Tyne and Wear NHS Foundation Trust, Oxleas NHS Foundation Trust, Patient Experience, Patient Rights, Patient Safety, Patient-Centered Care, Patient-Staff-Family Carer Triad, Pennine Care NHS Foundation Trust, Princess Royal Trust for Carers, Rotherham, Royal College of Nursing (RCN), Royal College of Nursing Foundation Grants Programme, Service User Involvement, Somerset Partnership NHS Foundation Trust, South West London and St George’s Mental Health NHS Trust, Supporting Carers in Hospital, Triadic Relationship of Care, Triangle of Care, Triangle of Care Membership Scheme, Triangle of Care Self-Assessment Tool, Underlying Causes of BPSD, Unpaid Carers
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Successful Bids for £50m Dementia Friendly Environments Funding (Department of Health)
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 →
Posted in Acute Hospitals, Community Care, Department of Health, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), Management of Condition, National, NHS, Person-Centred Care, Quick Insights, Standards, UK, Universal Interest
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Tagged Abbscross and Upminster, Abigail Lodge: Durham County Council, Achieving Dementia Friendly Acute care, Acute Hospital Care, Acute Hospitals, Age UK Darlington Memory Cafe, Airedale NHSFT, Barnet, Barrington Lodge: Durham County Council, Beaconsfield East Dementia-friendly Improvement Project, Bedford Borough Council with Bedford Hospital NHS Trust, Belvedere: Beautiful View Project, Berkshire Healthcare NHSFT, Better Outcomes: Better Value, Birmingham Community Healthcare, Bishopsgate Lodge: Durham County Council, Black Country Partnership, Bolton Council and Bolton NHS Trust, Bradford Council, Bradford Dementia Environment Project, Bradford Teaching Hospital NHSFT, Brighton & Hove Council Local NHS Orgs, Brockwell Court: Durham County Council, Brookfield Care Home, Building on Strong Foundations, Bury Council, Cambridge University Hospitals, Care Homes, Caring for older people, Central London Community Hospital NHS Trust, Cheshire West & Cheshire Council, County Durham & Darlington NHSFT, Coventry City Council, Creating a Dementia Friendly Garden at the Willows, Creating a Dementia-Friendly Environment Along the Care Pathway, Creating Best Practice Dementia Friendly Environments in an Acute Hospital Setting, Creating Dementia Friendly Respite, Croydon Health Services NHS Trust, Cumbria County Council, Cumbria NHSFT, Cumbria Partnership NHSFT & Cumbria Council, Darlington Council, Deansgrove: Knowsley Council, Dementia Care and Support Compact, Dementia Care in General Hospitals, Dementia Care in the Acute Hospital, Dementia Excellence hub at Wells Community Hospital, Dementia Friendly Acute Hospitals, Dementia Friendly Doncaster, Dementia Friendly Doncaster: Environment Accreditation Scheme, Dementia Friendly Doncaster: Environment Accreditation Scheme within the Dementia Friendly Environments NHS Capital Fund, Dementia Friendly Environments in Sheltered Housing, Dementia Friendly Environments: Changing Environments, Dementia Friendly Extra Care Housing, Dementia Inspirational Gardens, Dementia outpatient Hub for Enfield, Dementia Programme, Dementia-Friendly Care Homes, Dementia-Friendly Environmental Design, Dementia-Friendly Homes, Dementia-Friendly Wards, Dementia: Environmental Enhancements to Deliver Excellence. Specialist Services Locally Provided, Derby Council, Derbyshire County Council, Developing a Dementia-Friendly Environment in Intermediate / Sub-Acute Care in Community Hospital Sites, Developing a Sensory Environment with the Dementia Unit, Developing Dementia Friendly Environments for Specific Cultural Communities, Developing Market Capacity and Supporting People with Dementia and Their Carers in Bolton, Development of a Therapeutic Space for People with Dementia to Improve the Safety and Quality of Care During Admission, Development of the Memory Clinic, Devon Partnership NHS Trust, Dignity Plus Dementia Care Environments, Doncaster & Bassetlaw Hospitals NHSFT, Ealing Hospital NHS Trust, East Cheshire NHS Trust, East Lancashire Hospitals, EHE: Enhancing the Healing Environment, Emerson Court, Enfield & Haringey MH Trust, Enhancing & Developing Dementia Care (Matching Clinical & Capital Improvements Across the System), Enhancing the Caring Environment (Norsecare Ltd), Enhancing the Healing Environment (EHE), Enhancing the Ward Environment Through the Development of a Therapeutic Space, Enhancing the Ward Environment Through the Development of a Therapeutic Space for People with Dementia, Enriched Environments, Enriching Lives, Environment Accreditation Scheme Within the Dementia Friendly Environments NHS Capital Fund, Environmental Improvements, Familiar Environment: Better Care, Former Health Secretary Jeremy Hunt, Gateshead County Council and Gateshead FT, General Hospitals, George Hythe House: Leicester City Council, Hackney Borough Council & Housing Associations, Here To Care, Hertfordshire County Council, Hillingdon Hospitals NHSFT, Homelink Day Respite Centre, Hospital of God: Durham County Council, Hunters Lodge: Leicester City Council, iCARE about Dementia, Improve the Environment of Care for People with Dementia, Improved Memory Assessment Services, Improvement to the environment for patients with dementia, Improving Care in General Hospital Settings, Improving the Caring Environment and Providing Cohesion Between Wards, Improving the Environment for People with Dementia at the Harefield Nursing Home, Improving the Environment of Care for People with Dementia in the General Outpatient Department of Darlington Memorial Hospital, Integrated Dementia Friendly Care Zone, Kirby House & Roby Lodge: Knowsley Council, Knowsley Council, Knowsley Manor: Knowsley Council, Langley Park: Durham County Council, Leaholme: Leicester City Council, Leicestershire County Council, Lewisham Council, Lighthouse Project: Black Country Partnership, Living Well with Dementia in Coventry, London Borough of Bexley NHS, London Borough of Havering, London Borough of Hillingdon, London Borough of Southwark, London Borough of Sutton, Maintaining Independence, Manor Court Dementia Community Resource Centre: Norfolk County Council, Meadow’s Court: Leicester City Council, Meadowview and Mayfield Wards Garden Project, Meadowview/Mayfield Wards Garden Project, Merton Council & CCG, Merton Dementia Hub, Milton Keynes Council, New Wycliffe: Leicester City Council, NHS National Pilot Successful Applications, Norfolk County Council, North Somerset Council, Nottingham City Council & Nottingham CCG, Oxfordshire County Council. Oxfordshire CCG, Parkside, Patient Care at Our Heart: Developing the Care Environment for Patients with Dementia at UHSM, Physical Environment, Piloting Physical Improvements at Somerset Lodge, Promoting a Healing Environment Across the Patient Journey, Reablement and Rehabilitation Facilities in Cheshire West, Reading Council, Redcar & Cleveland Borough Council, Redwell Hills: Durham County Council, Residential Care Homes, Richmond Borough Council, Rose Court Care Home, Royal United Hospital Bath NHS Trust, Safer Routes to Interesting Destinations, Salisbury NHSFT, Sandwell & West Birmingham Hospitals NHS Trust, Scraptoft: Leicester City Council, Social Care National Pilot Successful Applications, Social Care Rehabilitation and Day Opportunities, South Essex Partnership University NHSFT, Specialist Dementia Day Service Improvement Project, Spencefield Grange: Leicester City Council, Stanley Park: Durham County Council, Support System for People with Dementia to Create a Supported Living Environment in Own Homes, Support the Use of the Interactive Telecare Support System, The Lighthouse Project, Transforming our Trauma and Orthopaedics Ward, Transforming our Trauma and Orthopaedics Ward - iCARE about Dementia, University Hospital of South Manchester NHSFT, Voluntary and Private Sector, Ward Redesign Proposal to Support the Transformation of Care for People with Dementia at the Royal United Hospital Bath, Warrington & Halton Hospitals NHSFT, West Middlesex University Hospital, Westroyd Care: Leicester City Council, Westwood House: Leicester City Council, Whole & Integrated System, Yeovil District Hospital, Yorkshire At Its Best, Your Home in Hospital
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Potentially Preventable Complications in Hospitalised Dementia Patients: Urinary Tract Infections, Pressure Sores, Pneumonia and Delirium (BMJ Open)
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
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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
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Demand on Accident and Emergency Services Unsustainable? (BBC 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
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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
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Breaking the Cycle of Discontent: How Family Carers of People with Dementia Become Dissatisfied with General Hospital Care (BMC Geriatrics)
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
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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
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