scholarly journals Psychiatric out-patient clinics for older adults: highly regarded by users and carers, but irreplaceable?

2009 ◽  
Vol 33 (4) ◽  
pp. 127-129 ◽  
Author(s):  
Rashi Negi ◽  
Jeremy Seymour ◽  
Christopher Flemons ◽  
Matthew Impey ◽  
Nicola Thomas ◽  
...  
Keyword(s):  
Older Adults ◽  
General Practitioner ◽  
Response Rate ◽  
Clinical Implications ◽  
Older Users ◽  
At Home

Aims and MethodThe aim of this study was to explore older users' and carers' views of attending out-patient clinics for older adults. A questionnaire was designed to be distributed to all patients attending out-patient clinics for a period of 1 month in January 2007.ResultsThe response rate for returning the completed questionnaire was 71%, and 95% of these respondents were satisfied with their overall experience of attending out-patient clinics. Although satisfaction levels were high with every aspect of out-patient clinics, 49% preferred the hypothetical option of being seen at home.Clinical ImplicationsThe role of psychiatric out-patient departments for older adults merits further research, comparing cost and user/carer acceptability with home or general practitioner surgery-based treatment.

scholarly journals General practitioner referral of older patients to Improving Access to Psychological Therapies (IAPT): an exploratory qualitative study

2018 ◽  
Vol 42 (3) ◽  
pp. 115-118 ◽  
Author(s):  
Noel Collins ◽  
Laurie Corna
Keyword(s):  
Older Adults ◽  
General Practitioner ◽  
Thematic Analysis ◽  
Older Patients ◽  
Watchful Waiting ◽  
Behavioural Therapy ◽  
Clinical Implications ◽  
Psychological Therapies ◽  
Cognitive Behavioural ◽  
Willingness To Refer

Aims and methodTo understand general practitioner (GP) reticence to refer older patients to a local Improving Access to Psychological Therapies (IAPT) service providing mostly cognitive–behavioural therapy (CBT)-based interventions. Semi-structured, hour-long interviews were conducted with eight GPs and then analysed by modified grounded theory and thematic analysis.ResultsGP views regarding the treatability of older adults with CBT influenced their willingness to refer to a CBT-based IAPT service. Perceptions of local IAPT assessment processes being distressing and onerous to older patients also motivated referral inaction. GPs expressed a preference to treat depressed older patients themselves (with medication and psychological approaches such as watchful waiting).Clinical implicationsAny strategy to increase referral rates of older adults to CBT-based IAPT services should address local GP concerns regarding assessment processes and the effectiveness of offered treatments.Declaration of interestNone.

The Role of the General Practitioner in Managing Age-Related Hearing Loss: A Scoping Review

2020 ◽  
Vol 29 (2) ◽  
pp. 265-289
Author(s):  
Rebecca J. Bennett ◽  
Nicole Conway ◽  
Susan Fletcher ◽  
Caitlin Barr
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
General Practitioner ◽  
Bibliographic Databases ◽  
Research Activity ◽  
Screening Programs ◽  
Age Related ◽  
Number Of Patients ◽  
Age Related Hearing Loss

Purpose The purpose of this review was to examine the research activity relating to the role of the general practitioner (GP) in managing age-related hearing loss in older adults. Method A literature search of peer-reviewed journal articles published in English was conducted in online bibliographic databases using multiple variations of the keywords “general practitioner” and “hearing.” Results The search strategy identified 3,255 articles. The abstracts of all articles were screened with 124 full-text records subsequently assessed for eligibility. Forty-nine articles met the inclusion criteria and were included in this review. Conclusions For people with hearing loss, the GP can play an instrumental role in guiding appropriate and timely choices for addressing hearing concerns. There are a range of quick, easy, and sensitive methods available to GPs to assist the objective evaluation of hearing. The evidence suggests that implementing hearing screening programs targeting older adults will increase rates of hearing loss detection and subsequently increase the number of patients receiving hearing loss intervention. Education and training appear key to improving GPs’ screening, management, and referral of patients with hearing loss in the primary health care setting.

scholarly journals The role of the educational supervisor

2000 ◽  
Vol 24 (6) ◽  
pp. 216-218 ◽  
Author(s):  
Edward Day ◽  
Nick Brown
Keyword(s):  
Response Rate ◽  
Educational Development ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Educational Plan ◽  
West Midlands ◽  
Educational Supervision ◽  
Educational Supervisor

Aims and MethodsA postal questionnaire of all pre-membership psychiatric trainees in the West Midlands was used to investigate the role of the educational supervisor. The trainees were asked about their experience of educational supervision, and also asked to rank a number of possible roles for their supervisor in order of importance.ResultsA response rate of 70% was achieved. Trainees rated regular appraisal and assessment of skills and deficits as the most important role of the educational supervisor, but had only experienced this in 55% of their training posts thus far. Less than half of the respondents had developed a written educational plan with their educational supervisors, and trainees rated this the least important task of good educational supervision.Clinical ImplicationsThe results of this survey inform the training agenda for trainers, and emphasise the need to equip consultants with the skills to appraise their trainee's educational development.

scholarly journals The Role of Sarcopenic Obesity in Cancer and Cardiovascular Disease: A Synthesis of the Evidence on Pathophysiological Aspects and Clinical Implications

2021 ◽  
Vol 22 (9) ◽  
pp. 4339
Author(s):  
Erika Aparecida Silveira ◽  
Rômulo Roosevelt da Silva Filho ◽  
Maria Claudia Bernardes Spexoto ◽  
Fahimeh Haghighatdoost ◽  
Nizal Sarrafzadegan ◽  
...  
Keyword(s):  
Public Health ◽  
Cardiovascular Disease ◽  
Older Adults ◽  
High Risk ◽  
Sarcopenic Obesity ◽  
Health Concern ◽  
Clinical Implications ◽  
Public Health Concern ◽  
Epidemiological Evidence

Obesity is globally a serious public health concern and is associated with a high risk of cardiovascular disease (CVD) and various types of cancers. It is important to evaluate various types of obesity, such as visceral and sarcopenic obesity. The evidence on the associated risk of CVD, cancer and sarcopenic obesity, including pathophysiological aspects, occurrence, clinical implications and survival, needs further investigation. Sarcopenic obesity is a relatively new term. It is a clinical condition that primarily affects older adults. There are several endocrine-hormonal, metabolic and lifestyle aspects involved in the occurrence of sarcopenic obesity that affect pathophysiological aspects that, in turn, contribute to CVD and neoplasms. However, there is no available evidence on the role of sarcopenic obesity in the occurrence of CVD and cancer and its pathophysiological interplay. Therefore, this review aims to describe the pathophysiological aspects and the clinical and epidemiological evidence on the role of sarcopenic obesity related to the occurrence and mortality risk of various types of cancer and cardiovascular disease. This literature review highlights the need for further research on sarcopenic obesity to demonstrate the interrelation of these various associations.

scholarly journals New Ways not working? Psychiatrists' attitudes

2009 ◽  
Vol 33 (6) ◽  
pp. 204-207 ◽  
Author(s):  
Jenny Dale ◽  
Gabrielle Milner
Keyword(s):  
Response Rate ◽  
Quality Of Work Life ◽  
Clinical Implications ◽  
Direct Experience ◽  
The West ◽  
Quality Of Work ◽  
New Ways Of Working ◽  
West Midlands

Aims and MethodA questionnaire survey of general adult psychiatric consultants and specialist registrars in the West Midlands was conducted to examine attitudes towards New Ways of Working (NWW) for psychiatrists; these were measured using a 5-point Likert scale. Participants were also asked about their own experiences of NWW. the data were analysed using Mann–Whitney U-test.ResultsThe response rate was 31.2%. Attitudes were generally negative, particularly regarding the effect on patient care, the erosion of the professional role of the consultant and effect on quality of work life. the attitudes of those who did not have any direct experience of working to the NWW models were more negative than those who had direct experience of NWW.Clinical ImplicationsThere are significant concerns about NWW among consultants and specialist registrars. There is a need for further debate and research with regard to the proposals.

scholarly journals SAFER MEDICATION MANAGEMENT FOR HOME-DWELLING OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S758-S758
Author(s):  
Henk Verloo ◽  
Armin von Gunten ◽  
Boris Wernli ◽  
Marie SANTIAGO-DELEFOSSE ◽  
Maria Manuela MARTINS ◽  
...  
Keyword(s):  
Older Adults ◽  
Side Effects ◽  
Adverse Effects ◽  
Chronic Conditions ◽  
Medication Management ◽  
Informal Caregivers ◽  
Premature Death ◽  
Difficult Challenge ◽  
At Home

Abstract Taking several medications at the same time can lead to adverse effects and dangerous situations for home-dwelling older adults with chronic conditions. Accurate medication management can be a difficult challenge, especially for people living at home. However, little research has been carried out into the experience of older adults and their informal caregivers with medication management. The aim of the study is, first, to identify factors that can cause undesirable side effects and make taking multiple medications potentially dangerous for home-dwelling older adults. Second, the study will investigate the experiences of this group of patients with medication management. Third, the role of both professional and informal caregivers will be examined. Recommendations will be made on how to improve the safety of medication management for home-dwelling older adults with chronic conditions and should help to prevent the adverse effects and dangerous situations that can lead to hospitalization, institutionalization or premature death

Usage of clozapine and the new neuroleptics

1999 ◽  
Vol 23 (8) ◽  
pp. 478-480
Author(s):  
M. F. Bristow
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Atypical Antipsychotic ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
England And Wales

Aims and methodTo explore clozapine and atypical antipsychotic usage in England and Wales, particularly availability, restrictions on use and shifting of prescribing to general practitioners. To examine the hypothesis that respondents in acute trusts would encounter more restrictions. Method used – postal questionnaire sent to general psychiatrists derived from the 1996 Medical Directory.ResultsThere was an 80% response rate and over 90% of respondents used clozapine, with only 9% reporting any difficulty in obtaining it. Difficulty was not associated with any particular type of trust. Only about 4% of respondents suggested that general practitioners regularly took over the prescribing costs of the drug.Clinical implicationsOptimistic, with widespread usage and few difficulties in obtaining clozapine. General practitioner prescribing is still very low and needs to increase.

scholarly journals The INSPIRE Population Survey: development, dissemination and respondent characteristics

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Flaka Siqeca ◽  
Katrina Obas ◽  
Olivia Yip ◽  
Samuel Stenz ◽  
Penelope Vounatsou ◽  
...  
Keyword(s):  
Older Adults ◽  
Older People ◽  
Marketing Strategy ◽  
Population Survey ◽  
Response Rate ◽  
Community Dwelling ◽  
Care Models ◽  
Respondent Characteristics ◽  
Expert Input ◽  
At Home

Abstract Background Most older adults prefer to continue living at home despite increasing care needs and demand for services. To aid in maintaining independence, integrated care models for community-dwelling older people are promoted as the most cost-effective approach. The implementation of such care models is challenging and often the end-users are not involved or their needs are not considered. We conducted a population survey in order to understand the needs and preferences of home-dwelling older adults living in Canton Basel-Landschaft, Switzerland. The aims of this paper are to chronicle the development of the INSPIRE Population Survey, outline its variables and measurements, describe the marketing strategy utilized for survey dissemination and report on the response rate and respondent characteristics. Methods The INSPIRE Population Survey, conducted between March and August 2019, is a cross-sectional survey of older adults aged 75 and older living at home in Canton Basel-Landschaft. The questionnaire was developed by expert input and stakeholder involvement. Its readability and acceptability were pilot-tested with older people. To ensure the likelihood of a high and representative response rate, a meticulous step-by-step marketing strategy was developed prior to the dissemination of the questionnaire. Results The overall response rate was 30.7% (n = 8,846), with variations between 20.6 and 34.5% across the different care regions in the canton. A generally higher response rate was found in the care regions with a higher density and which bordered the urban city of Basel. We received support from local stakeholders, policy makers and media through using a broad combination of marketing channels and targeting our community partners who have a strong relationship with our target audience. Conclusions Although recruiting older adults in research is challenging, our study shows that a high response rate can be achieved by developing the survey through expert input and by involving all important stakeholders, including older adults, throughout the entire process.

scholarly journals Someone at Home: How Kinship Support Influences Aging-in-Place Decisions Among Childless Older Adults in Rural China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 435-436
Author(s):  
Chen Hongzhou ◽  
Vivian Lou ◽  
Hongzhou Chen
Keyword(s):  
Older Adults ◽  
Filial Piety ◽  
Rural China ◽  
Theory Approach ◽  
Kinship Support ◽  
Kinship Relations ◽  
Grounded Theory Approach ◽  
At Home

Abstract Background and aim: 80% of childless older adults in rural China choose to ageing-in-place (AIP) rather than moving to residential facilities, regardless the fact that they were financially constrained, scarily supported and some were physically disabled. This research explores the reason why AIP were prevailing preferred. Research design and Method: A qualitative method adopting constructive grounded theory approach was utilized in this research. 20 in-depth interviews were conducted among childless rural residents (aged 60 to 83 years old, 8 of them were over 75 years old) in Yunnan, one of the most economically disadvantaged provinces in China. Data was transcript and coded line-by-line, a in Vivo coding strategy was engaged to capture local language and meanings. Results: A phrase - ‘there’s someone at home’ - was used by rural childless older adults to explain their AIP decision, which demonstrating the role of kinship relations. Three sub-themes were emerged regarding to the phrase: 1) reciprocity, as the support were mutual and predictable; 2) justified conflicts, as older adults and ‘someone’ managing the support relation with subtle conflict; 3) unspoken agreement, as childless older adults being constrained by filial piety when negotiating for further support. All of sub-themes were related with sense of certainty. For participants who were over 75, growing old were “naturally” related with decreased social support. The daily-based kinship support and sense of certainty was particularly important among childless older adults who would like to choose AIP but still questioning the sustainability of self-reliance at an uncertain rural place.

scholarly journals The Evolving Role of Area Agencies on Aging Through the COVID-19 Pandemic and Beyond

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Elizabeth Blair ◽  
Traci Wilson
Keyword(s):  
Older Adults ◽  
Response Rate ◽  
National Association ◽  
Challenges And Opportunities ◽  
Video Vignettes ◽  
Implementing Strategies ◽  
Equity And Inclusion ◽  
Client Needs

Abstract Area Agencies on Aging (AAAs) have played an important and well-documented role in meeting the nutritional and wellness needs of older adults during COVID-19. To better understand the continued impact of COVID-19 pandemic on AAA services, partnerships, and clients, the National Association of Area Agencies on Aging surveyed the nation’s 618 AAAs in February 2021, with a 27% response rate. As a result of COVID-19, most AAAs reported both increased numbers of new clients and needs of existing clients; three-quarters of AAAs developed new external partnerships; and over half are implementing strategies to address equity and inclusion regarding their services and clients. Nearly 80% of AAAs are involved with COVID-19 vaccine outreach and delivery, from scheduling appointments to administering the vaccine to homebound clients. We will describe these and other transformations of services, partnerships, and client needs; discuss challenges and opportunities; and provide examples and video vignettes from AAA directors.

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