Geriatric Medicine

2019 ◽  
Author(s):  
Dan Furmedge
Keyword(s):  
Inner City ◽  
Nursing Care ◽  
Geriatric Medicine ◽  
Medical Specialty ◽  
Life Care ◽  
Acute Medical Unit ◽  
The United Kingdom ◽  
Co Morbidity ◽  
Hospital At Home ◽  
Medical Wards

Geriatric medicine is the largest ‘medical’ specialty in the United Kingdom, with the number of geriatricians expanding at a huge rate with significant demand. Pragmatic specialists in frailty and complex co- morbidity, the work of geriatricians reaches across geriatric medicine wards, the acute medical unit, emergency departments and acute frailty units, surgical wards, and tertiary medical wards and in the community from inner city London to rural Scotland. They can be found in residential and nursing care homes, rehabilitation teams, and hospital at home teams. Frailty, falls, delirium, dementia, continence, immobility, rehabilitation, polypharmacy, nutrition, end- of- life care, advanced care planning, com­munity medicine, and legal and ethical medicine are all core features of a geriatrician’s day. In this chapter, the questions give a taste of some of these concepts and will also demonstrate how geriatric medicine crosses almost every specialty.

scholarly journals Delivering outpatient antibiotic therapy (OPAT) in an Acute Medical Unit

2011 ◽  
Vol 10 (1) ◽  
pp. 22-25
Author(s):  
Yin May Yan ◽  
◽  
Karl Tonks ◽  
Manjit Singh ◽  
J Kavi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Antibiotic Therapy ◽  
Inner City ◽  
City Hospital ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
The United Kingdom ◽  
Acute Hospitals ◽  
The Cost ◽  
Delivery Models

Outpatient antibiotic therapy (OPAT) is being developed and practised in an increasing number of acute hospitals within the United Kingdom. This article is a review of the OPAT service delivered by a large inner city hospital over the last two years. The service demonstrates the key elements of OPAT demonstrating different delivery models, aspects of patient selection, spectrum of infections treated, choice and delivery of antimicrobials, efficacy, patient safety, outcomes, and the cost-effectiveness of this programme.

scholarly journals Nursing care at end of life: a UK-based survey of the deaths of people living in care settings for people with intellectual disability

2018 ◽  
Vol 24 (6) ◽  
pp. 366-382 ◽  
Author(s):  
Ruth Northway ◽  
Stuart Todd ◽  
Katherine Hunt ◽  
Paula Hopes ◽  
Rachel Morgan ◽  
...  
Keyword(s):  
Intellectual Disability ◽  
End Of Life ◽  
Nursing Care ◽  
End Of Life Care ◽  
Life Care ◽  
Care Providers ◽  
Nursing Support ◽  
Respiratory Problems ◽  
The Uk ◽  
The Impact

Background People with intellectual disability are believed to be at risk of receiving poor end-of-life care. Nurses, given their advocacy role and duty to provide compassionate end-of-life care, have the potential to change this situation but research regarding this aspect of their role is limited. Aims This paper thus seeks to answer the question ‘How and when are nurses involved in providing care at end of life for people with intellectual disability?’ Methods A total of 38 intellectual disability care providers in the UK providing support to 13,568 people with intellectual disability were surveyed. Data regarding 247 deaths within this population were gathered in two stages and subsequently entered into SPSSX for analysis. Results Findings revealed that the majority of deaths occurred between the ages of 50 and 69 years, the most commonly reported cause of death being respiratory problems. Both community and hospital-based nurses were involved in supporting individuals during their final 3 months of life, and sometimes more than one type of nurse provided support to individuals. Generally nursing care was rated positively, although room for improvement was also identified. Conclusions Nurses are involved in supporting people with intellectual disability at end of life and appropriate education is required to undertake this role. This may require change in curricula and subsequent research to determine the impact of such change on nursing support to this population.

scholarly journals Presentations to An Acute Medical Unit Due to Headache: A Review of 306 Consecutive Cases

2012 ◽  
Vol 11 (3) ◽  
pp. 144-150
Author(s):  
James Knox ◽  
◽  
Chandini Chuni ◽  
Zehra Naqvi ◽  
Pam Crawford ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Ambulatory Care ◽  
Significant Proportion ◽  
Care Pathways ◽  
Intracranial Tumour ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
The United Kingdom ◽  
Acute Headache

The United Kingdom National Health Service has recently prioritised the need for ambulatory care pathways for acute headache. The present study sought to better characterise patients referred to an Acute Medical Unit so as to inform pathway development. In 2011, York Hospital received 306 referrals due to acute headache, representing 3% of acute medical admissions. Investigations included CT scan (38%), lumbar puncture (38%), and MRI (18%); there were no specialised investigations in 26%, and 18% of patients were discharged on the day of presentation. Subarachnoid haemorrhage occurred in only 4 patients (1%), meningitis in 10 (3%), and intracranial tumour in 5 (2%). The findings indicate that a significant proportion of patients with acute headache could be managed by ambulatory care.

scholarly journals Asian Attitudes and Perceptions Toward Hospital-At-Home: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Yi Feng Lai ◽  
Yee Wei Lim ◽  
Win Sen Kuan ◽  
Joel Goh ◽  
John Tshon Yit Soong ◽  
...  
Keyword(s):  
Home Environment ◽  
The United States ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Attitudes And Perceptions ◽  
Hospital At Home ◽  
Medical Wards ◽  
Survey Responses ◽  
At Home

Introduction: Hospital-at-Home (HaH) programmes are well-established in Australia, Europe, and the United States. However, there is limited experience in Asia, where the hospital is traditionally seen as a safe and trusted space for healing. This cross-sectional study aimed to explore attitudes and perceptions among patients and caregivers in Singapore toward this care model.Methods: A quantitative study design was adopted to collect data among patients and their caregivers from medical wards within two acute hospitals in Singapore. Using a series of closed-ended and open-ended questions, the investigator-administered survey aimed to explore barriers and facilitators determining patients' and caregivers' responses. The study questionnaire was pretested and validated. Data were summarised using descriptive statistics, and logistic regression was performed to determine key factors influencing patients' decisions to enrol in such programmes.Results: Survey responses were collected from 120 participants (101 patients, 19 caregivers; response rate: 76%), of which 87 respondents (72.5%) expressed willingness to try HaH if offered. Many respondents valued non-quantifiable programme benefits, including perceived gains in quality of life. Among them, reasons cited for acceptance included preference for the comfort of their home environment, presence of family members, and confidence toward remote monitoring modalities. Among respondents who were unwilling to accept HaH, a common reason indicated was stronger confidence toward hospital care.Discussion: Most patients surveyed were open to having acute care delivered in their home environment, and concerns expressed may largely be addressed by operational considerations. The findings provide useful insights toward the planning of HaH programmes in Singapore.

Rehabilitation and palliative care

2015 ◽  
pp. 777-787
Author(s):  
Donna J. Wilson ◽  
Kathleen Michael
Keyword(s):  
Physical Activity ◽  
Palliative Care ◽  
End Of Life ◽  
Nursing Care ◽  
Human Dignity ◽  
Disease Process ◽  
Life Care ◽  
Level Of Functioning ◽  
Self Confidence ◽  
Tailored Program

This chapter applies the concept of physical activity to palliative care across settings. A physical activity program for each patient should be presented at the time of diagnosis and extend to end-of-life care. Even when it is not possible to cure or reverse a disease process, or to restore a previous level of functioning and independence, a rehabilitative approach to nursing care adds quality to the experience of living until life’s completion. The language of rehabilitation nursing is a language shared with those who practice palliative care. Feelings of self-confidence, independence, hope, human dignity, and autonomy are all influenced by an individually tailored program of rehabilitation.

University/Community Partnerships

2011 ◽  
pp. 70-86
Author(s):  
Ann Roberts ◽  
Roger Boyle
Keyword(s):  
United Kingdom ◽  
Inner City ◽  
Undergraduate Students ◽  
Community Partnerships ◽  
The United Kingdom ◽  
Economically Deprived ◽  
The University ◽  
University Community

The University of Leeds is the largest campus-based university in the United Kingdom in terms of student numbers. The School of Computing has, in recent years, sought to share its academic and technical advantages with schools in economically deprived inner-city areas. This chapter describes some of the projects which have been initiated and managed by the School of Computing. We discuss how these have benefited both the schools and our participating undergraduate students. The chapter concludes with a discussion on some of the difficulties encountered and those factors that, from our experience, help to achieve success.

scholarly journals A moral profession: Nurse educators’ selected narratives of care and compassion

2017 ◽  
Vol 26 (1) ◽  
pp. 105-115 ◽  
Author(s):  
Roger Newham ◽  
Louise Terry ◽  
Siobhan Atherley ◽  
Sinead Hahessy ◽  
Yolanda Babenko-Mould ◽  
...  
Keyword(s):  
United Kingdom ◽  
Discourse Analysis ◽  
Nursing Care ◽  
Moral Philosophy ◽  
Nurse Educators ◽  
Central Component ◽  
Moral Vision ◽  
Moral Orientation ◽  
The United Kingdom ◽  
Burden Of Caring

Background: Lack of compassion is claimed to result in poor and sometimes harmful nursing care. Developing strategies to encourage compassionate caring behaviours are important because there is evidence to suggest a connection between having a moral orientation such as compassion and resulting caring behaviour in practice. Objective: This study aimed to articulate a clearer understanding of compassionate caring via nurse educators’ selection and use of published texts and film. Methodology: This study employed discourse analysis. Participants and research context: A total of 41 nurse educators working in universities in the United Kingdom (n = 3), Ireland (n = 1) and Canada (n = 1) completed questionnaires on the narratives that shaped their understanding of care and compassion. Findings: The desire to understand others and how to care compassionately characterised educators’ choices. Most narratives were examples of kindness and compassion. A total of 17 emphasised the importance of connecting with others as a central component of compassionate caring, 10 identified the burden of caring, 24 identified themes of abandonment and of failure to see the suffering person and 15 narratives showed a discourse of only showing compassion to those ‘deserving’ often understood as the suffering person doing enough to help themselves. Discussion: These findings are mostly consistent with work in moral philosophy emphasising the particular or context and perception or vision as well as the necessity of emotions. The narratives themselves are used by nurse educators to help explicate examples of caring and compassion (or its lack). Conclusion: To feel cared about people need to feel ‘visible’ as though they matter. Nurses need to be alert to problems that may arise if their ‘moral vision’ is influenced by ideas of desert and how much the patient is doing to help himself or herself.

Sign in / Sign up

Export Citation Format

Share Document