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Now showing items 11-20 of 133
Role of comprehensive geriatric assessment in healthcare of older people in UK care homes : realist review
(2019-04-08)
OBJECTIVES: Comprehensive geriatric assessment (CGA) may be a way to deliver optimal care for care home residents. We used realist review to develop a theory-driven account of how CGA works in care homes. DESIGN: Realist ...
A systematic review and critical appraisal of quality indicators to assess optimal palliative care for older people with dementia
(2019-04-01)
Background: A challenge for commissioners and providers of end-of-life care in dementia is to translate recommendations for good or effective care into quality indicators that inform service development and evaluation. ...
Improving living and dying for people with advanced dementia living in care homes: a realist review of Namaste Care and other multisensory interventions
(2018-12-06)
Background: Seventy percent of people with advanced dementia live and die in care homes. Multisensory approaches, such as Namaste Care, have been developed to improve the quality of life and dying for people with advanced ...
Namaste Care in nursing care homes with people with advanced dementia: protocol for a feasibility randomised controlled trial
(2018-11-25)
Introduction Many people living with advanced dementia live and die in nursing care homes. The quality of life, care and dying experienced by these people is variable. Namaste Care is a multisensory programme of care ...
Quality improvement collaborative aiming for Proactive HEAlthcare of Older People in Care Homes (PEACH) : a realist evaluation protocol
(2018-11-12)
INTRODUCTION: This protocol describes a study of a quality improvement collaborative (QIC) to support implementation and delivery of comprehensive geriatric assessment (CGA) in UK care homes. The QIC will be formed of ...
‘’It just happens’. Care home residents’ experiences and expectations of accessing GP care.
(2018-11-01)
Background: Care homes provide personal care and support for older people who can no longer be supported in the community. As part of a larger study of integrated working between the NHS and care homes we asked older people ...
Prevalence of drug-herb and drug-supplement interactions in older adults : A cross-sectional survey
(2018-10)
Background Polypharmacy is common among older adults, with increasing numbers also using prescription drugs with herbal medicinal products (HMPs) and dietary supplements. There is no reliable evidence from the UK on ...
Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis
(National Institute for Health Research (NIHR), 2018-08-22)
Background: Health care systems are increasingly moving towards more integrated approaches. Shared decision making (SDM) is central to these models but may be complicated by the need to negotiate and communicate decisions ...
The impact of dementia on service use by individuals with a comorbid health condition: a comparison of two cross-sectional analyses conducted approximately ten-years apart
(2018-07-24)
Background The presence of concomitant medical conditions in people with dementia is common. Dementia may be related to differential use of health, social and informal care. Methods Data from two large UK population-based ...
Supporting shared decision making for older people with multiple health and social care needs: a realist synthesis
(2018-07-18)
Background Health care systems are increasingly moving towards more integrated approaches. Shared decision making (SDM) is central to these models but may be complicated by the need to negotiate and communicate decisions ...