scholarly journals Review and update of the Health of the Nation Outcome Scales for Elderly People (HoNOS65+)

2018 ◽  
Vol 42 (6) ◽  
pp. 248-252
Author(s):  
Mick James ◽  
Bill Buckingham ◽  
Gary Cheung ◽  
Roderick McKay ◽  
Jon Painter ◽  
...  
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
New Zealand ◽  
Elderly People ◽  
Interrater Reliability ◽  
Advisory Board ◽  
Clinical Implications ◽  
Clinician Training ◽  
Radical Revision ◽  
The Uk

Aims and methodThe Health of the Nation Outcome Scales for Elderly People (HoNOS65+) has been used widely for 20 years, but has not been updated to reflect contemporary clinical practice. The Royal College of Psychiatrists convened an advisory board, with expertise from the UK, Australia and New Zealand, to propose amendments. The aim was to improve rater experience when using the HoNOS65+ glossary by removing ambiguity and inconsistency, rather than a more radical revision.ResultsViews and experience from the countries involved were used to produce a series of amendments intended to improve intra- and interrater reliability and improve validity. This update will be called HoNOS Older Adults to reflect the changing nature of the population and services provided to meet their needs. These improvements are reported verbatim, together with the original HoNOS65+ to aid comparison.Clinical implicationsFormal examination of the psychometric properties of the revised measure is needed. However, clinician training will remain crucial.Declaration of interestNone.

scholarly journals A review and update of the Health of the Nation Outcome Scales (HoNOS)

2018 ◽  
Vol 42 (2) ◽  
pp. 63-68 ◽  
Author(s):  
Mick James ◽  
Jon Painter ◽  
Bill Buckingham ◽  
Malcolm W. Stewart
Keyword(s):  
Older Adults ◽  
New Zealand ◽  
Interrater Reliability ◽  
Reliability And Validity ◽  
Advisory Board ◽  
Clinical Implications ◽  
Validity Testing ◽  
Clinician Training ◽  
Radical Revision ◽  
International Advisory

Aims and methodThe Health of the Nation Outcome Scales (HoNOS) and its older adults’ version (HoNOS 65+) have been used widely for 20 years, but their glossaries have not been revised to reflect clinicians' experiences or changes in service delivery. The Royal College of Psychiatrists convened an international advisory board, with UK, Australian and New Zealand expertise, to identify desirable amendments. The aim was to improve rater experience by removing ambiguity and inconsistency in the glossary rather than more radical revision.ResultsChanges proposed to the HoNOS are reported. HoNOS 65+ changes will be reported separately. Based on the views and experience of the countries involved, a series of amendments were identified.Clinical implicationsWhile effective clinician training remains critically important, these revisions aim to improve intra- and interrater reliability and improve validity. Next steps will depend on feedback from HoNOS users. Reliability and validity testing will depend on funding.Declaration of interestNone.

scholarly journals Electroconvulsive therapy – attitudes and practice in New Zealand

2001 ◽  
Vol 25 (12) ◽  
pp. 467-470 ◽  
Author(s):  
John A. Strachan
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Great Britain ◽  
Electroconvulsive Therapy ◽  
Royal College ◽  
Clinical Implications ◽  
Medical Conditions ◽  
Therapy Attitudes ◽  
Zealand College ◽  
Source Of Information

Aims and MethodThe clinical practice of electroconvulsive therapy (ECT) by New Zealand psychiatrists was surveyed by questionnaire. This paper compares the findings with national and regional surveys conducted in Great Britain, and considers the influence on clinical practice in New Zealand of the Royal College of Psychiatrists' ECT Handbook.ResultsECT has the same level of support from psychiatrists in New Zealand as in Britain, but is less frequently used. Modern brief pulse machines are used by 16 of 19 (84%) services from which data were received. The ECT Handbook was the most nominated source of information on ECT. Most (87%) respondents were aware of at least one set of ECT guidelines. However, these have apparently failed to influence some important aspects of practice. In particular, many medical conditions are still perceived as absolute contraindications.Clinical ImplicationsThe Royal College of Psychiatrists and the Royal Australian and New Zealand College of Psychiatrists need to place even greater emphasis on the importance of training in ECT for both trainees and qualified psychiatrists, and on the promotion of approved guidelines.

Summary Australian and New Zealand Clinical Practice Guideline for the Treatment of Schizophrenia 2003

2003 ◽  
Vol 11 (2) ◽  
pp. 136-147 ◽  
Author(s):  
Patrick McGorry ◽  
Eoin Killackey ◽  
Kathryn Elkins ◽  
Martin Lambert ◽  
Tim Lambert ◽  
...  
Keyword(s):  
Clinical Practice ◽  
New Zealand ◽  
Clinical Practice Guideline ◽  
Practice Guideline ◽  
First Generation ◽  
Public Image ◽  
Current Evidence ◽  
The Uk ◽  
Meta Analyses ◽  
New Generation

Objective: To provide a summary of the Royal Australian and New Zealand College of Psychiatrists (RANZCP) Clinical Practice Guideline for the Management of Schizophrenia. Conclusions: Schizophrenia is a complex and misunderstood illness with a poor public image, but it is more treatable than ever before. A new generation of medication and psychosocial therapies, combined with a first generation of service reform, have created an evidence-based climate of realistic optimism. However, the potential for better outcomes and quality of life for people with schizophrenia has not been translated into reality. The gap between efficacy and effectiveness is wider for schizophrenia than for any other serious medical disorder. These guidelines distil the current evidence and make recommendations based on the best available knowledge. They are based on systematic meta-analyses and comprehensive reviews of the evidence, and their validity is supported by their congruence with several recent rigorous and independent guideline statements from the UK and North America.

scholarly journals Community treatment orders in the UK 5 years on: a repeat national survey of psychiatrists

2016 ◽  
Vol 40 (3) ◽  
pp. 119-123 ◽  
Author(s):  
Ritz DeRidder ◽  
Andrew Molodynski ◽  
Catherine Manning ◽  
Pearse McCusker ◽  
Jorun Rugkåsa
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Treatment Adherence ◽  
National Survey ◽  
Community Treatment ◽  
Clinical Implications ◽  
Clinical Factors ◽  
Previous Survey ◽  
Community Treatment Orders ◽  
The Uk

Aims and methodCommunity treatment orders (CTOs) are increasingly embedded into UK practice and their use continues to rise. However, they remain highly controversial. We surveyed psychiatrists to establish their experiences and current opinions of using CTOs and to compare findings with our previous survey conducted in 2010.ResultsThe opinions of psychiatrists in the UK have not changed since 2010 in spite of recent evidence questioning the effectiveness of CTOs. Clinical factors (the need for engagement and treatment adherence, and the achievement of adherence and improved insight) remain the most important considerations in initiating and discharging a CTO.Clinical implicationsGiven the accumulating evidence from research and clinical practice that CTOs do not improve outcomes, it is concerning that psychiatrists' opinions have not altered in response, particularly given the implications for patient care.

scholarly journals Clinical implications of biochemical alterations induced by hypothalamic thyrotrophin hormone in elderly people

2003 ◽  
Vol 22 (3) ◽  
pp. 243-248
Author(s):  
Snezana Djurica ◽  
Miroljub Petrovic ◽  
Miodrag Rajic ◽  
Mladen Davidovic ◽  
Dragoslav Milosevic
Keyword(s):  
Clinical Practice ◽  
Elderly People ◽  
Thyroid Function ◽  
The Elderly ◽  
Actual State ◽  
Clinical Implications ◽  
Function Estimation ◽  
Trh Test ◽  
Thyrotrophin Releasing Hormone ◽  
Biochemical Alterations

Thyrotrophin releasing hormone (TRH) test has been done in 62 subjects (females, average age 72), in order to analyze the stimulated TSH action, to assess the immediate thyroid reserve and to make the rational parameters of the thyroid function in the elderly. It was concluded that biochemical alterations provoked by application of hypothalamic thyrothropin hormone are very complex, but important for the clinical practice, giving the possibility of assessment of the actual state of the thyroid's function. It is also concluded that the estimation of TRH stimulated TSH in 20th and 60th minute, and T3 and FT4 in 60th minute of the TRH test provides very solid and rational method of thyroid function estimation, as well as the estimation of the thyroid reserve.

597 Can we use BNP and NTproBNP to rule out heart failure in clinical practice? Results of the UK natriuretic peptide study

2003 ◽  
Vol 2 (1) ◽  
pp. 131
Author(s):  
A ZAPHIRIOU ◽  
S ROBB ◽  
G MENDEZ ◽  
T MURRAYTHOMAS ◽  
S HARDMAN ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Natriuretic Peptide ◽  
The Uk ◽  
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