Food security: Who is being excluded? A case of older people with dementia in long-term care homes

2014 ◽  
Vol 18 (7) ◽  
pp. 685-691 ◽  
Author(s):  
Mandana Vahabi ◽  
L. Schindel Martin
Keyword(s):  
Food Security ◽  
Older People ◽  
Long Term Care ◽  
Care Homes ◽  
Term Care ◽  
People With Dementia

scholarly journals Critical Contextual Elements in Facilitating and Achieving Success with a Person-Centred Care Intervention to Support Antipsychotic Deprescribing for Older People in Long-Term Care

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Lynn Chenoweth ◽  
Tiffany Jessop ◽  
Fleur Harrison ◽  
Monica Cations ◽  
Janet Cook ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Direct Care ◽  
Care Staff ◽  
Care Homes ◽  
Term Care ◽  
Train The Trainer ◽  
People With Dementia ◽  
Contextual Elements

Antipsychotic and other tranquilising medicines are prescribed to help care staff manages behaviour in one-quarter of older people living in Australian long-term care homes. While these medicines pose significant health risks, particularly for people with dementia, reliance on their use occurs when staff are not educated to respond to resident behaviour using nonpharmacological approaches. The Halting Antipsychotic use in Long-Term care (HALT) single-arm study was undertaken to address this issue with 139 people 60 years and over with behaviours of concern for staff living in 24 care homes. A train-the-trainer approach delivered person-centred care education and support for 22 HALT (nurse) champions and 135 direct care staff, dementia management education for visiting general practitioners (GP) and pharmacists, use of an individualised deprescribing protocol for residents, and awareness-raising for the resident’s family. The HALT champions completed open-ended questionnaires and semistructured interviews to identify the contextual elements they considered most critical to facilitating, educating care staff, and achieving success with the study intervention. They reported that person-centred approaches helped care staff to respond proactively to resident behaviours in the absence of antipsychotic medicines; the champions considered that this required strong managerial support, champion empowerment to lead change, reeducation of care staff, and the cooperation of families and GPs.

Preventing falls and falls-injuries in hospitals and long-term care facilities

2007 ◽  
Vol 17 (2) ◽  
pp. 75-91 ◽  
Author(s):  
David Oliver
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Falls Prevention ◽  
Care Homes ◽  
Term Care ◽  
Long Term Conditions ◽  
Global Challenge ◽  
The Uk ◽  
Developed Nations

Falls are predominantly a problem of older people. In the UK, people over 65 currently account for around 60% of admissions and 70% of bed days in hospitals. There are approximately half a million older people in long-term care settings – many with frailty and multiple long-term conditions. The proportion of the population over 65 years is predicted to rise 25% by 2025, and that over 80 by 50%, with a similar increase in those with dependence for two or more activities of daily living. Despite policies to drive care to the community, it is likely that the proportion of older people in hospitals and care homes will therefore increase. Accidental falls are the commonest reported patient/resident safety incidents. Similar demographic trends can be seen in all developed nations, so that the growing problem of fall prevention in institutions is a global challenge. There has been far more focus in falls-prevention research on older people in ‘community’ settings, but falls are a pressing issue for hospitals and care homes, and a threat to the safety of patients and residents, even if a relatively small percentage of the population is in those settings at any one time.

Future costs of dementia-related long-term care: exploring future scenarios

2010 ◽  
Vol 23 (1) ◽  
pp. 20-30 ◽  
Author(s):  
Adelina Comas-Herrera ◽  
Sara Northey ◽  
Raphael Wittenberg ◽  
Martin Knapp ◽  
Sarmishtha Bhattacharyya ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Base Case ◽  
Future Scenarios ◽  
Methodological Issues ◽  
Small Reduction ◽  
Term Care ◽  
Forecasting Methods ◽  
People With Dementia

ABSTRACTBackground: This study explores how the views of a panel of experts on dementia would affect projected long-term care expenditure for older people with dementia in England in the year 2031.Methods: A Delphi-style approach was used to gather the views of experts. The projections were carried out using a macro-simulation model of future demand and associated expenditure for long-term care by older people with dementia.Results: The panel chose statements that suggested a small reduction in the prevalence of dementia over the next fifty years, a freeze in the numbers of people in care homes, and an increase in the qualifications and pay of care assistants who look after older people with dementia. Projections of expenditure on long-term care that seek to capture the views of the panel suggest that future expenditure on long-term care for this group will rise from 0.6% of GDP in 2002 to between 0.82% and 0.96% of GDP in 2031. This range is lower than the projected expenditure of 0.99% of GDP in 2031 obtained under a range of base case assumptions.Conclusions: This paper attempts to bridge the gap between qualitative forecasting methods and quantitative future expenditure modelling and has raised a number of important methodological issues. Incorporating the panel's views into projections of future expenditure in long-term care for people with dementia would result in projected expenditure growing more slowly than it would otherwise.

Why deprescribing antipsychotics in older people with dementia in long‐term care is not always successful: Insights from the HALT study

2019 ◽  
Vol 34 (11) ◽  
pp. 1572-1581 ◽  
Author(s):  
Liesbeth Aerts ◽  
Monica Cations ◽  
Fleur Harrison ◽  
Tiffany Jessop ◽  
Allan Shell ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Term Care ◽  
People With Dementia
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