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To review the evidence for different models of community-based respite care for frail older people and their carers, where the participant group included older people with frailty, disability, cancer or dementia. Where data permitted, subgroups of carers and care recipients, for whom respite care is particularly effective or cost-effective, were to be identified.

The purpose of this article is to propose a method to facilitate analysis of the processes involved in the transformation of support networks for caregivers of persons with dementia. The authors are particularly interested in the preliminary phases of the caregiver's career: the initial period ranging from the first manifestations of dementia to the confirmation of a diagnosis. This method combines the social network approach with narratice analysis.

Aim.  This paper presents findings from a study that was designed to understand, from the perspective of cancer patients and their family caregivers, what spiritual care is wanted from nurses.

Background.  Distressing and transformative spiritual responses to living with cancer have been documented. Although there is momentum for providing spiritual care, previous research provides scanty and conflicting evidence about what are the clients’ wishes or preferences with regard to receiving spiritual care from nurses.

BACKGROUND: Previous research has focused on the longer term needs of 'new' stroke patients at fixed time intervals after the event, but neglected those of stroke patients who may have had the event many years earlier.

OBJECTIVE: To identify the long-term support needs of patients with prevalent stroke, and their carers identified from practice stroke registers.

DESIGN OF STUDY: Patients and their carers were invited to attend focus groups at the university, a nursing home or in the community.

The carers grant has been doubled and its long-term future secured as part of a new spending programme on adult care. But even now less than five per cent of carers will get the breaks from caring that they deserve, says Katie Leason. 

Examines some issues related to the grant given by the government to caregivers in the U.S. Aim of the grant; Expansion of the carers grant program; Benefits of the grant to caregivers; Limitations of the grant program.

The changing role of users and carers in the care system is examined. The four main user groups are identified as those with physical disabilities, learning disabilities or mental health problems and older people. The growth of the Disabled Living Movement since the 1970s has radically altered thinking and policy, but changes in practice have been slower. Normalisation theory has dominated service development for those with learning disabilities. Difficulties in implementing a care in the community policy for mental health are discussed.

Findings from a survey in 2000 ['Carers 2000', Joanne Maher and Hazel Green] and the 2001 census have revealed the extent of unpaid caring for family members and friends and the effects on the carers. 

Proposals for councils to register adult placement schemes will come as a relief to individual carers who will be spared the regulatory load. Anabel Unity Sale looks at why change is necessary and asks whether it will improve practice. [Introduction]

AIMS AND METHOD: The aim of this study was to explore older users' and carers' views of attending out-patient clinics for older adults. A questionnaire was designed to be distributed to all patients attending out-patient clinics for a period of 1 month in January 2007. RESULTS: The response rate for returning the completed questionnaire was 71 per cent, and 95 per cent of these respondents were satisfied with their overall experience of attending out-patient clinics.

Objective: to undertake a systematic literature review of risk factors for abuse in community-dwelling elders, as a first step towards exploring the clinical utility of a risk factor framework. Search strategy and selection criteria: a search was undertaken using the MEDLINE, CINAHL, EMBASE and PsycINFO databases for articles published in English up to March 2011, to identify original studies with statistically significant risk factors for abuse in community-dwelling elders.