scholarly journals 44The Three Ps of Co-Designing Person-Centred Care for Frail Older People in Acute Care Settings: Public, Patient and Practitioner Involvement

2018 ◽  
Vol 47 (suppl_5) ◽  
pp. v13-v60 ◽  
Author(s):  
Deirdre O’Donnell ◽  
Éidín Ní Shé ◽  
Mary McCarthy ◽  
Thelma Doran ◽  
Anne Donnellan ◽  
...  
Keyword(s):  
Older People ◽  
Acute Care ◽  
Frail Older People ◽  
Acute Care Settings

scholarly journals An analysis of equity in treatment of hip fractures for older patients with dementia in acute care hospitals: observational study using nationwide hospital claims data in Japan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shinichi Tomioka ◽  
Megumi Rosenberg ◽  
Kiyohide Fushimi ◽  
Shinya Matsuda
Keyword(s):  
Hip Fracture ◽  
Older People ◽  
Acute Care ◽  
Waiting Time ◽  
Older Patients ◽  
Acute Care Hospitals ◽  
Care Quality ◽  
Severe Dementia ◽  
People With Dementia ◽  
Acute Care Settings

Abstract Background Globally, and particularly in countries with rapidly ageing populations like Japan, there are growing concerns over the heavy burden of ill health borne by older people, and the capacity of the health system to ensure their access to quality care. Older people with dementia may face even greater barriers to appropriate care in acute care settings. Yet, studies about the care quality for older patients with dementia in acute care settings are still few. The objective of this study is to assess whether dementia status is associated with poorer treatment by examining the association of a patient’s dementia status with the probability of receiving surgery and the waiting time until surgery for a hip fracture in acute care hospitals in Japan. Methods All patients with closed hip fracture were extracted from the Diagnosis Procedure Combination (DPC) database between April 2014 and March 2018. After excluding complicated cases, we conducted regressions with multilevel models. We used two outcome measures: (i) whether the patient received a surgery or was treated by watchful waiting; and (ii) number of waiting days until surgery after admission. Results Two hundred fourteen thousand six hundred one patients discharged from 1328 hospitals were identified. Among them, 159,173 patients received surgery. Both 80–89 year-olds (OR 0.87; 95% CI, 0.84, 0.90) and those 90 years old and above (OR 0.67; 95% CI, 0.65, 0.70) had significantly lower odds ratios for receiving surgery compared to 65–79 year-olds. Those with severe dementia had a significantly greater likelihood of receiving surgery compared to those without dementia (OR 1.21; 95% CI, 1.16, 1.25). Patients aged 90 years old and above had shorter waiting time for surgery (Coef. -0.06; 95% CI, − 0.11, − 0.01). Mild dementia did not have a statistically significant impact on the number of waiting days until surgery (P = 0.34), whereas severe dementia was associated with shorter waiting days (Coef. -0.08; 95% CI, − 0.12, − 0.03). Conclusions These findings suggest physicians may be taking proactive measures to preserve physical function for those with severe dementia and to avoid prolonged hospitalization although there are no formal guidelines on prioritization for the aged and dementia patients.

scholarly journals The acute care of the elderly unit: providing rapid specialised care for frail older people

2019 ◽  
Vol 6 (Suppl 1) ◽  
pp. 10-10
Author(s):  
Towhid Imam ◽  
Robert Goldsby-West ◽  
Nima Hashemi ◽  
Alan Earnshaw ◽  
Joanne Bramble ◽  
...  
Keyword(s):  
Older People ◽  
Acute Care ◽  
The Elderly ◽  
Frail Older People

Frailty is associated with pain and cognitive function in older people in post-acute care settings

2020 ◽  
Vol 41 (5) ◽  
pp. 530-535
Author(s):  
Mimi M.Y. Tse ◽  
Rick Y.C. Kwan ◽  
Simone S.M. Ho ◽  
Patricia M. Davidson ◽  
Peggy P.P. Cheng ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Older People ◽  
Acute Care ◽  
Acute Care Settings ◽  
Post Acute Care

Rates of Acute Care Admissions for Frail Older People Living with Met Versus Unmet Activity of Daily Living Needs

2006 ◽  
Vol 54 (2) ◽  
pp. 339-344 ◽  
Author(s):  
Laura P. Sands ◽  
Yun Wang ◽  
George P. McCabe ◽  
Kristofer Jennings ◽  
Catherine Eng ◽  
...  
Keyword(s):  
Older People ◽  
Acute Care ◽  
Daily Living ◽  
Activity Of Daily Living ◽  
Frail Older People

80 An Exploration of What Stakeholders Reveal About the Behaviours and Personality of Registered Nurses Working in Older People’s Acute Care Settings and the Potential Influence on Nursing Care

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i25-i26
Author(s):  
H Day
Keyword(s):  
Older People ◽  
Personality Traits ◽  
Acute Care ◽  
Nursing Care ◽  
Nursing Staff ◽  
Positive Impact ◽  
Care Delivery ◽  
Structured Interviews ◽  
Authentic Self ◽  
Acute Care Settings

Abstract Background Concern around poor standards of nursing care for older people in hospital has been explored in relation to workload and operational pressures. What is less evident from existing literature is an explanation as to why nurses behave differently under the same pressures within the same concrete situations. Notions of personality and associated behaviours as possible influencers on nursing care delivery are variables that required consideration. Aim To critically explore the behaviours of registered nursing staff working in older people's acute care settings from the perspectives gathered from key stakeholders, and to identify whether there are any distinguishing personality traits that influence effective care delivery for older people. Methods A constructivist grounded theory methodology was used. Semi structured interviews were conducted to gather data from 12 stakeholder participants. Results Through the analysis of data gathered from stakeholders a rubric describing specific behaviours with associated traits emerged leading to the identification of two major types of nursing staff. One group of nurses who work with older people are perceived to have no real desire to do so and in turn their care behaviours are perceived as ‘cold’ and task based. The second group of nurses are perceived as having a true commitment to older people’s wellbeing and their behaviours lead to the delivery of care that is perceived as being highly skilled and compassionate. The proposed theoretical framework that was constructed from this data analysis identifies four key personality traits related to nursing behaviours: conscientiousness, sociability, integrity and coping under a core category heading of ‘the authentic self’. Whilst the authentic self is identified as being the direct influencer on how care is delivered which is defined as the consequence, the influence of context is also taken into account. Conclusions This research offers insights into the meaning of four key traits and the behavioral facets comprising them, the associated behaviors that are displayed and what effect these have on nursing care delivery. Implications for healthcare practice include the potential for further research that can inform the development of educational and recruitment strategies for older people’s nurses which will have a positive impact on the care of the older patient in hospital.

Best practice interventions to improve the management of older people in acute care settings: a literature review

2007 ◽  
Vol 60 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Louise Hickman ◽  
Phillip Newton ◽  
Elizabeth J. Halcomb ◽  
Esther Chang ◽  
Patricia Davidson
Keyword(s):  
Literature Review ◽  
Older People ◽  
Acute Care ◽  
Best Practice ◽  
Acute Care Settings

Multidisciplinary team interventions to optimise health outcomes for older people in acute care settings: A systematic review

2015 ◽  
Vol 61 (3) ◽  
pp. 322-329 ◽  
Author(s):  
Louise D. Hickman ◽  
Jane L. Phillips ◽  
Phillip J. Newton ◽  
Elizabeth J. Halcomb ◽  
Naser Al Abed ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Health Outcomes ◽  
Acute Care ◽  
Multidisciplinary Team ◽  
Acute Care Settings ◽  
Team Interventions
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