scholarly journals 56THE ROLE AND COMPETENCIES OF ADVANCED NURSE PRACTITIONERS WORKING WITH FRAIL OLDER PEOPLE: A DELPHI STUDY

2015 ◽  
Vol 44 (suppl 2) ◽  
pp. ii17.3-ii17
Author(s):  
S.E. Goldberg ◽  
J. Cooper ◽  
A.L. Gordon ◽  
T. Masud ◽  
A. G. Blundell ◽  
...  
Keyword(s):  
Older People ◽  
Nurse Practitioners ◽  
Delphi Study ◽  
Frail Older People

71 Developing A Portfolio for Advanced Practitioners Working with Older People

2021 ◽  
Vol 50 (Supplement_1) ◽  
pp. i12-i42
Author(s):  
L MacDiarmid
Keyword(s):  
Action Research ◽  
Older People ◽  
Nurse Practitioners ◽  
Professional Competence ◽  
Written Feedback ◽  
Advanced Practice ◽  
Participatory Action ◽  
Advanced Level ◽  
Team Members ◽  
Acute Trust

Abstract Introduction Advanced Nurse Practitioners (ANP’s) have a professional responsibility to ensure that they maintain professional competence (Whiteing, N. in Hinchcliffe and Rogers Eds pp192–219, 2008). The aim of the portfolio is to assist ANP’s in developing evidence demonstrating continued advanced level practice. At the time of the study, there was a dearth of evidence relating to competencies for qualified ANP’s, working with older people. The aim was to move away from the traditional confines of “nurse does this, doctor does this”, and to embrace the concept of developing skills to meet the clinical demands of service provision for our older people. Methods Participatory action research methodology was adopted—using the Review, Plan and act cycle (Edwards and Talbot, p63 1999; Holloway & Wheeler p155–156, 1996). Review A literature search and review of competencies relating to advanced practice and older people was undertaken. Plan A portfolio of knowledge and skills was collated utilising the information from the review. A matrix was created incorporating four Pillars of Advanced Practice (SGHD 2008), the Nursing and Midwifery Code (NMC, 2015) and modified competencies for Joint Royal Colleges of Physicians Training Board Geriatric curriculum (JRCPTB), (2010, amended 2013 and 2015). The portfolio was sent out to existing team members, and local Consultant Geriatricians based in the Acute Trust and local University for comment and amendments were made. Act The portfolio was used by staff as a trial and evaluated. Written feedback was obtained through questionnaires. Results The portfolio was well evaluated by staff using it, including recommendations for improvement. Portfolio has been shared at national groups and via social media and has been well received. Conclusions An Advanced Practice Portfolio of capabilities is being used, based on action research cycles, enhancing the level of care received by older people.

scholarly journals Fall Prevention in Dutch Physician Practices: A Descriptive Study

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 235-235
Author(s):  
Wytske Meekes ◽  
C J Leemrijse ◽  
J C Korevaar ◽  
L A M van de Goor
Keyword(s):  
The Netherlands ◽  
Older People ◽  
Fall Prevention ◽  
Fear Of Falling ◽  
Daily Practice ◽  
Health Issues ◽  
Frail Older People ◽  
Physician Practices ◽  
Important Health ◽  
Underlying Causes

Abstract Falls are an important health threat among frail older people. Physicians are often the first to contact for health issues and can be seen as designated professionals to provide fall prevention. However, it is unknown what they exactly do and why regarding fall prevention. This study aims to describe what physicians in the Netherlands do during daily practice in regards to fall prevention. About 65 physicians (34 practices) located throughout the Netherlands were followed up for 12 months. When a physician entered specific ICPC-codes related to frailty and falls in the Hospital Information System, the physician received a pop-up asking if the patient is frail. If so, the physician subsequently completed a questionnaire. The physicians completed 1396 questionnaires. More than half (n=726) of the patients had experienced a fall in the previous year and/or had a fear of falling (FOF) and 37% of these patients received fall prevention. Physicians did not know of 20% of the patients if they had experienced a fall and of 29% of the patients if they had a FOF. The three most often treated underlying causes were mobility problems, FOF and cardiovascular risk factors. The results show that physicians are not always aware of a patient’s fall history and/or FOF and that only part of these patients receives fall prevention. Hence, it might be important to develop and implement strategies for systematic fall risk screening and fall prevention provision in the primary care setting to reduce falls among frail older people.

Effectiveness of Multimodal Training on Functional Capacity in Frail Older People: A Meta-Analysis of Randomized Controlled Trials

2018 ◽  
Vol 26 (3) ◽  
pp. 407-418 ◽  
Author(s):  
Pedro Lopez ◽  
Mikel Izquierdo ◽  
Regis Radaelli ◽  
Graciele Sbruzzi ◽  
Rafael Grazioli ◽  
...  
Keyword(s):  
Older People ◽  
Fixed Effects ◽  
Meta Analysis ◽  
Maximum Strength ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Frail Older People ◽  
Timed Up And Go ◽  
Positive Effects ◽  
Multimodal Training

In this meta-analysis, we investigated the effect of resistance training (RT) alone or included in a multimodal training on physical frailty outcomes, and whether different variables of RT prescription affect these outcomes. We identified 15 relevant studies searching through MEDLINE, Cochrane Central Register of Controlled Trials, SPORTDiscus, and PEDro database. Postintervention standardized mean difference scores were computed and combined using fixed effects meta-analysis. Analyses have shown positive effects of interventions on maximum strength, gait speed, and Timed Up and Go test. Further analyses have shown significant greater effect of shorter periods on maximum strength. Regarding RT prescription, percentage of one-repetition maximum showed significant effect on physical variables, whereas RT based on rate of perceived effort presented lower effect in the Timed Up and Go test. Although multimodal training is an effective intervention to increase physical capacity, caution should be taken regarding the period and the method to control RT intensity to optimize enhancements in frail older people.

Informal caregiving for frail older people at home and in long-term care institutions: who are the key supporters?

1999 ◽  
Vol 7 (6) ◽  
pp. 434-444 ◽  
Author(s):  
◽  
John Bond ◽  
Graham Farrow ◽  
Barbara A. Gregson ◽  
Claire Bamford ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Informal Caregiving ◽  
Frail Older People ◽  
Term Care ◽  
At Home
Sign in / Sign up

Export Citation Format

Share Document