A rapid response and treatment service for care homes: a case study

2021 ◽  
Vol 26 (1) ◽  
pp. 6-12
Author(s):  
Mandy Waldon

Rapid response services provide opportunities for older people living with frailty to remain in their own homes during an episode of deteriorating health. The government has announced additional funding to increase capacity and responsiveness for these services through the Ageing Well programme as part of the NHS Long Term Plan. Older people living with frailty are particularly at risk of the adverse effects of a hospital admission and evidence is emerging of the benefits of enhanced healthcare support to allow them to remain in their own home. The Hospital at Home model offers short-term, targeted interventions at acute hospital level care that can provide a truly person-centred experience within the home. This article describes a Rapid Response and Treatment service for older people living in care homes in Berkshire West and shares Sid's story to demonstrate how such a service is delivered. The COVID-19 pandemic has presented additional challenges and opportunities that highlight the ongoing need for the development of services that will support older people to prioritise what matters to them most.

2021 ◽  
Vol 13 (14) ◽  
pp. 7906
Author(s):  
Nikola Medová ◽  
Lucie Macková ◽  
Jaromir Harmacek

This paper focuses on the dynamic of the recent upheaval in the tourism and hospitality sector due to the COVID-19 epidemic in Greece and Santorini island. It uses the case study of a country one-fourth of whose GDP consists of tourism. We compare the available statistical data showing the change in variables in the previous years with 2020 and look into the new challenges and opportunities posed by the drop in the numbers of visitors and flights. We focus mainly on the economic and social impact on the destination and possible future scenarios for further development in the area. Data show a significant effect of the pandemic on multiple variables, such as the long-term trend of the importance of tourism sector in GDP in Greece, the number of flights and visitors to Greece and Santorini island, and the contribution of tourism and travel to GDP. Based on the available data, we also construct three foresight scenarios that describe the possible futures for Santorini island in terms of the pandemic evolution. These scenarios may help various stakeholders and policymakers to be better prepared for different developments that may appear.


1989 ◽  
Vol 29 (4) ◽  
pp. 241-257 ◽  
Author(s):  
Carolyn Norris-Baker ◽  
Rick J. Scheidt

Robert Kastenbaum posits that functional aging results in the overadaptation to our own routines and expectations, producing “hyperhabituation,” mental stagnation, and novaphobic response orientations. This article examines the promise and implications of this notion for two areas of environment-aging research: psychological control and environmental comprehension. Possible causal and mediating links between control and habituation are considered, as well as the impact of habituation on environmental perception, cognition, and appraisal. Personal and situational characteristics of older people likely to be at risk for habituated responses are suggested. The article also speculates about individually- and environmentally-targeted interventions which might prevent and/or ameliorate tendencies toward hyperhabituated responses among older people who reside in highly ritualized and constant environments such as long-term care institutions. Interventions subject to future evaluations include modifications for the social, physical, and policy milieux and desensitization of novaphobic responses.


2017 ◽  
Vol 27 (4) ◽  
pp. 447-464 ◽  
Author(s):  
Joni Meenagh

With the rise of neoliberalism, postfeminism and “hookup culture,” young women face both challenges and opportunities when constructing themselves as sexual subjects. This paper explores the experiences of a young woman who sought to have sex with someone new in order to move on from the breakup of a long-term relationship. This case study is part of a larger project which explored how young people (aged 18–25) negotiate their love/sex relationships within the context of new media environments. While this young woman described her experience of having sex with someone new as “empowering,” within a neoliberal, postfeminist context the concept of empowerment may not be a useful theoretical tool for understanding young women’s sexuality. Situating her story within its broader sociocultural context, this paper explores how structural factors shape this young woman’s ability to navigate normative discourses about sexual empowerment and construct herself as a sexual subject.


2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Krystal Warmoth ◽  
Jo Day ◽  
Emma Cockcroft ◽  
Donald Nigel Reed ◽  
Lucy Pollock ◽  
...  

2020 ◽  
Vol 49 (6) ◽  
pp. 901-906 ◽  
Author(s):  
Sarah J Richardson ◽  
Camille B Carroll ◽  
Jacqueline Close ◽  
Adam L Gordon ◽  
John O’Brien ◽  
...  

Abstract Older people are disproportionately affected by the COVID-19 pandemic, which has had a profound impact on research as well as clinical service delivery. This commentary identifies key challenges and opportunities in continuing to conduct research with and for older people, both during and after the current pandemic. It shares opinions from responders to an international survey, a range of academic authors and opinions from specialist societies. Priorities in COVID-19 research include its specific presentation in older people, consequences for physical, cognitive and psychological health, treatments and vaccines, rehabilitation, supporting care homes more effectively, the impact of social distancing, lockdown policies and system reconfiguration to provide best health and social care for older people. COVID-19 research needs to be inclusive, particularly involving older people living with frailty, cognitive impairment or multimorbidity, and those living in care homes. Non-COVID-19 related research for older people remains of critical importance and must not be neglected in the rush to study the pandemic. Profound changes are required in the way that we design and deliver research for older people in a world where movement and face-to-face contact are restricted, but we also highlight new opportunities such as the ability to collaborate more widely and to design and deliver research efficiently at scale and speed.


2018 ◽  
Vol 25 (2) ◽  
pp. 300-321
Author(s):  
Jessica Stroja

AbstractVarying models of community engagement provide methods for museums to build valuable relationships with communities. These relationships hold the potential to become ongoing, dynamic opportunities for active community participation and engagement with museums. Nevertheless, the nuances of this engagement continue to remain a unique process that requires delicate balancing of museum obligations and community needs in order to ensure meaningful outcomes are achieved. This article discusses how community engagement can be an active, participatory process for visitors to museums. Research projects that utilise aspects of community-driven engagement models allow museums to encourage a sense of ownership and active participation with the museum. Indeed museums can balance obligations of education and representation of the past with long-term, meaningful community needs via projects that utilise aspects of community-driven engagement models. Using an oral history project at Historic Ormiston House as a case study,1 the article argues that museums and historic sites can encourage ongoing engagement through active community participation in museum projects. While this approach carries both challenges and opportunities for the museum, it opens doors to meaningful and long-term community engagement, allowing visitors to embrace the museum and its stories as active participants rather than as passive consumers.


2007 ◽  
Vol 17 (2) ◽  
pp. 75-91 ◽  
Author(s):  
David Oliver

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.


2016 ◽  
Vol 5 (2) ◽  
pp. 305
Author(s):  
Syarif Hidayatullah

The article describes a case study on KH Abdul Muhaimin and his Pesantren of Nurul Ummahat who has a curious awareness and some real actions to growing up multiculturalism consciousness. The study results that Kyai recognizes a vision of the pesantren with three words: Modernity, Moderates, and Humanity, that viewed to respond any challenges and opportunities of the modernization and the globalization, including multiculturalism awareness. So, the Kyai elaborates about nationalism based on theological perspective, beside sociological and cultural. Theologically, the Kyai views that any human being must be recognized rightly at all, and do not depend on their position and entity. In this context, the Kyai and his Pesantren of Nurul Ummahat had done several actions, namely: academic discussions, dialogues among religious peoples, launching of FPUB, the Toya Mili movement, and the Palem Consortium. The article intends become a solution for the government, especially in creating new policies to respond radicalism in the pesantrens.


2019 ◽  
pp. 380-417 ◽  
Author(s):  
Ashley Totin ◽  
Brett Connor

This research examines the spare parts data business models allowing the government to produce parts on demand (i.e., only when required versus long-term warehousing) and at the point-of-need using additive manufacturing. The research includes a survey of acquisition and engineering professionals within government and industry, and an analysis using an aviation case study.


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