scholarly journals Effective Restorative Home Support for Older People Living with Dementia and Their Caregivers: A New Zealand Case Study

2019 ◽  
Author(s):  
Annie Weir
Keyword(s):  
New Zealand ◽  
Older People ◽  
Home Support

scholarly journals Deprescribing to reduce polypharmacy: study protocol for a randomised controlled trial assessing deprescribing of anticholinergic and sedative drugs in a cohort of frail older people living in the community

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ulrich Bergler ◽  
Nagham J. Ailabouni ◽  
John W. Pickering ◽  
Sarah N. Hilmer ◽  
Dee Mangin ◽  
...  
Keyword(s):  
New Zealand ◽  
General Practitioner ◽  
Older People ◽  
Residential Care ◽  
Controlled Trial ◽  
Community Dwelling ◽  
Trial Registration ◽  
Home Support ◽  
Sedative Drugs ◽  
Randomised Controlled

Abstract Background Targeted deprescribing of anticholinergic and sedative medications in older people may improve their health outcomes. This trial will determine if pharmacist-led reviews lead to general practitioners deprescribing anticholinergic and sedative medications in older people living in the community. Methods and analysis The standard protocol items: Recommendations for Interventional Trials (SPIRIT) checklist was used to develop and report the protocol. The trial will involve older adults stratified by frailty (low, medium, and high). This will be a pragmatic two-arm randomized controlled trial to test general practitioner uptake of pharmacist recommendations to deprescribe anticholinergic and sedative medications that are causing adverse side effects in patients. Study population Community-dwelling frail adults, 65 years or older, living in the Canterbury region of New Zealand, seeking publicly funded home support services or admission to aged residential care and taking at least one anticholinergic or sedative medication regularly. Intervention New Zealand registered pharmacists using peer-reviewed deprescribing guidelines will visit participants at home in the community, review their medications, and recommend anticholinergic and sedative medications that could be deprescribed to the participant’s general practitioner. The total use of anticholinergic and sedative medications will be quantified using the Drug Burden Index (DBI). Outcomes The primary outcome will be the change in total DBI between baseline and 6-month follow-up. Secondary outcomes will include entry into aged residential care, prolonged hospitalization, and death. Data collection points Data will be collected at the time of interRAI assessments (T0), at the time of the baseline review (T1), at 6 months following the baseline review (T2), and at the end of the study period, or end of study participation for participants admitted into aged residential care, or who died (T3). Ethics and dissemination Ethical approval has been obtained from the Human, Disability and Ethics Committee: ethical number (17CEN265). Trial registration ClinicalTrials.gov ACTRN12618000729224. Registered on May 2, 2018, with the Australian New Zealand Clinical Trials Registry

scholarly journals Supported Independent Accommodation for Older New Zealanders: a Review of Current Policy and Innovative Practice

2021 ◽  
Author(s):  
◽  
Maxwell F Reid
Keyword(s):  
New Zealand ◽  
Older People ◽  
Models Of Care ◽  
Policy Implications ◽  
Service Development ◽  
Intersectoral Collaboration ◽  
Study Approach ◽  
The Cost ◽  
Care For Older People

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>

scholarly journals Supported Independent Accommodation for Older New Zealanders: a Review of Current Policy and Innovative Practice

2021 ◽  
Author(s):  
◽  
Maxwell F Reid
Keyword(s):  
New Zealand ◽  
Older People ◽  
Models Of Care ◽  
Policy Implications ◽  
Service Development ◽  
Intersectoral Collaboration ◽  
Study Approach ◽  
The Cost ◽  
Care For Older People

<p>Existing research establishes a clear link between poor housing and poor health. There is also growing evidence that the physical, mental and social wellbeing of individuals and households can be improved by ensuring their access to suitable accommodation. Despite the growing body of research documenting the benefits of supported independent accommodation (SIA) as a means of maintaining the independence and wellbeing particularly of older people, there is little research evaluating the place of such accommodation within the New Zealand context. This thesis aims to address that gap. It reviews the existing body of literature surrounding this topic - exploring population and accommodation demographics, and analysing government policy in relation to both housing and health. It considers six New Zealand examples of SIA - each selected on the basis of their distinctiveness and innovation - documents these, and compares them using a case study approach. Adopting a general inductive methodology, each case study is then analysed against themes identified in the literature review, identifying any further trends, and the implications of these for ongoing policy and service development. Intersectoral collaboration is identified as having had particular bearing upon the development of SIA within the New Zealand context. This thesis concludes that SIA will play an increasingly important role in the continuum of accommodation and care for older people. It offers an alternative to more institutionalised models of care for older people, maintaining their independence and social integration within their own community. As demographic and economic factors drive up the cost of more traditional models of residential care, SIA offers government an equally important alternative. However, ongoing development in this area is not without it challenges. To this end, a number of policy implications are also identified and discussed.</p>

Jobs for older people: Case study of a legislative triumph.

1983 ◽  
Vol 38 (3) ◽  
pp. 319-322
Author(s):  
Edward F. Howard
Keyword(s):  
Older People

William Smyth (1838–1913), a commercial taxidermist of Dunedin, New Zealand

2018 ◽  
Vol 45 (2) ◽  
pp. 292-308 ◽  
Author(s):  
Rosi Crane ◽  
B. J. GILL
Keyword(s):  
New Zealand ◽  
Museum Collections ◽  
Professional Interaction ◽  
New Zealand Birds ◽  
Public Museum

William Smyth, unable to get work in a New Zealand museum, ran a commercial taxidermy business at Caversham, Dunedin, from about 1873 to 1911 or 1912. His two decades of correspondence with Thomas Frederic Cheeseman at the Auckland Museum provide a case study of Smyth's professional interaction with one of New Zealand's main museums. We have used this and other sources to paint a picture of Smyth's activities and achievements during a time when there was great interest in New Zealand birds but few local taxidermists to preserve their bodies. Besides the Auckland Museum, Smyth supplied specimens to various people with museum connections, including Georg Thilenius (Germany) and Walter Lawry Buller (New Zealand). Smyth was probably self-taught, and his standards of preparation and labelling were variable, but he left a legacy for the historical documentation of New Zealand ornithology by the large number of his bird specimens that now reside in public museum collections in New Zealand and elsewhere.

Exploring disaster resilience within the hotel sector: A case study of Wellington and Hawke's Bay New Zealand

2021 ◽  
Vol 55 ◽  
pp. 102080
Author(s):  
Nancy A. Brown ◽  
Shirley Feldmann-Jensen ◽  
Jane E. Rovins ◽  
Caroline Orchiston ◽  
David Johnston
Keyword(s):  
New Zealand ◽  
Disaster Resilience ◽  
Hotel Sector

scholarly journals Rights of Nature Versus Nature Conservation Rights of Nature Versus Conventional Nature Conservation: International Lessons from Australia’s Tarkine Wilderness

2021 ◽  
pp. 1-15
Author(s):  
Benjamin Richardson ◽  
Nina Hamaski
Keyword(s):  
Nature Conservation ◽  
New Zealand ◽  
Protected Areas ◽  
Research Question ◽  
Natural World ◽  
Important Research ◽  
Rights Of Nature ◽  
Conceptual Shift ◽  
Important Research Question

The rights-of-nature model is gaining traction as an innovative legal approach for nature conservation. Although adopted in several countries, it remains in its infancy, including in Australia. An important research question is whether rights of nature will offer superior environmental outcomes compared to traditional nature conservation techniques including creation of protected areas. This article investigates that question through a case study of the Tarkine wilderness, in the Australia state of Tasmania. It first identifies key lessons from existing international experience with affirmation of rights of nature, such as in New Zealand and Ecuador. The article then explores how rights of nature could apply in Australia’s Tarkine region and their value compared to existing or potential protected areas and other nature conservation measures under Australian or Tasmanian law. Affirming rights of nature represents a major conceptual shift in how people via the law relate to the natural world, but whether the model offers practical benefits for nature conservation depends on a variety of conditions, in addition to the need to address broader societal drivers of environmentaldegradation.

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