Institute proposes programme to meet the health needs of older people

BMJ ◽  
2008 ◽  
Vol 337 (jul25 2) ◽  
pp. a1042-a1042
Author(s):  
M. Gould
Keyword(s):  

2019 ◽  
Vol 48 (6) ◽  
pp. 785-788 ◽  
Author(s):  
Jackie Bridges ◽  
Catherine Pope ◽  
Jeffrey Braithwaite

Abstract This commentary highlights the importance of health system responsiveness to older people living with complex health needs. Age-related changes and associated morbidity can present barriers to identifying an individual’s health needs, expectations, values and preferences, and so sufficient time, skill and resource is required to inform the development of a tailored plan for each individual. A focus on responsiveness moves thinking beyond the responsibilities of the individual clinician in the single encounter, and allows us to identify elements of the wider system that may constrain how well the clinician is able to respond. Setting the goal of responsive health care requires us to assess the suitability of wider health system features and processes for meeting the diverse needs of individual people throughout their journey, and the extent to which the system can adapt dynamically as needs change. Standardised approaches to care prescribed across organisations (such as time-based targets or routinised approaches to inpatient nursing care) are likely to result in low responsiveness as individual complexity grows, disadvantaging patients with needs that do not fit the prescribed approach. Responsiveness is high when individual practitioners and clinical teams have the resources, decentralised authority, flexibility and autonomy to provide the care required. Building a more responsive health system requires a greater understanding of how these conditions can be achieved.



2006 ◽  
Vol 19 (5) ◽  
pp. 962-973 ◽  
Author(s):  
Robert M. Lawrence ◽  
Julia Head ◽  
Georgina Christodoulou ◽  
Biljana Andonovska ◽  
Samina Karamat ◽  
...  

Background: The aim of this survey is to investigate professional attitudes to the presence and value of spiritual care from Old Age Psychiatrists.Method: All registered members of the Faculty of the Psychiatry of Old Age in the United Kingdom were asked to complete a 21-question semi-structured questionnaire. The first mail shot took place in 2002 and the second mail shot to non-respondents in 2003. Quantitative and qualitative analyses were carried out on the answers received.Results: The response rate was 46%. The majority of respondents (92%) recognize the importance of spiritual dimensions of care for older people with mental health needs and about a quarter of respondents appear to consider referring patients to the chaplaincy service. In contrast, integration of spiritual advisors within the assessment and management of individual cases is rare.Conclusions: Opinions vary as to whether provision of spiritual care should become widely available to older people with mental health needs who are admitted to hospital. Old age psychiatrists recognize that awareness of spiritual dimensions may be important for their patients. They seem less clear about the role of spiritual advisors and how NHS multidisciplinary clinical teams and spiritual and pastoral care services can be best integrated. Much work needs to be done on developing effective training and operational policies in this area.



2007 ◽  
Vol 4 (6) ◽  
pp. 347-352
Author(s):  
Esther Redmond ◽  
A. G. Rudd ◽  
F.C Martin


1994 ◽  
Vol 14 (1) ◽  
pp. 75-95
Author(s):  
Barry Checkoway

ABSTRACTOlder people are increasing in number and proportion of the population in Latin America and, as they do their health needs and social resources are becoming more apparent. In response, gerontologiacal health promotion is emerging as a new field emphasizing the community as a unit of health and the participation of older people in the process. Recognizing the need for more empirical research on the topic, this paper identifies initiatives that promote the health of perople in Costa Rica, Chile, and Argentina, by enabling them to plan programmes, develop services, and advocate change at the community level. It analyzes some of their common themes, and discusses general prospects for the future.



2012 ◽  
Vol 15 (5) ◽  
pp. 15-15
Keyword(s):  


2007 ◽  
Vol 11 (1) ◽  
pp. 26-27
Author(s):  
Jane Gilliard

Older people with mental health needs are everybody's business, says Jane Gilliard in this article outlining the Department of Health's policy framework for delivering better services to this long‐neglected group.



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