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Scopus scopus - exported 1/8/16

Older people. We can work it out

The ageing baby boomer generation means the NHS will have to care for a greater number of people with dementia, while the number of informal carers drops. Unplanned admissions will incentivise the NHS to ensure joint commissioning with social care works. Observers believe acute staff are currently poorly trained in identifying and dealing with dementia.

Thu, 07/20/2017 - 15:11

Resuming previously valued activities post-stroke: Who or what helps

Purpose. In this article, we aim to develop the understanding of what helps or hinders resumption of valued activities up to 12-months post-stroke.

Thu, 07/20/2017 - 15:11

The Impact of Direct Payments on Service Users Requiring Care and Support at Home

Background: Direct Payments (DP) is a service user-implemented scheme in which the individuals assessed as needing personal, social or health-related care services are given cash payments, allowing them to ‘buy in’ services they require. Previous research indicates DP offer the user greater control and flexibility over their care.

Thu, 07/20/2017 - 15:11

Review: Assistive technology for the benefit of users and carers

This paper describes the methodology and results of a review, carried out to get an overview of international research on effectiveness of lifting aids. A 62 terms data-base returned 3520 references. After screening the documents followed by quality assessment, 13 articles were left for the review. Generally, lifting aids were found to be effective, e.g. reducing absence due to work-related illness and thereby also reducing societal costs. However, user benefits, effectiveness in private homes and for informal carers were not addressed.

Thu, 07/20/2017 - 15:11

Mixed Methods Evaluation Research for a Mental Health Screening and Referral Clinical Pathway

Rationale: This study is an exemplar of mixed method evaluation research for development of a clinical pathway.

Aim: To develop and evaluate an evidence-based, feasible mental health screening and referral clinical pathway for Department of Veterans’ Affairs-funded community nursing care of war veterans and war widows in the Australian context.

Thu, 07/20/2017 - 15:10

Future costs for long-term care: Cost projections for long-term care for older people in the United Kingdom

The purpose of this paper is to analyse the future sustainability of the UK system for provision of long-term care (LTC) due to changes in demography and health status among the older people. It considers how demand for LTC will evolve and to what extent there will be sufficient supply to meet demand. For formal care, this requires an estimate of how much the public purses, and hence taxpayers, will be burdened with LTC costs. For informal care, it involves estimating whether there will be enough carers if current patterns of provision were to continue.

Thu, 07/20/2017 - 15:10

Family members in end-of-life care - The diversity of their roles and challenges

Although there is an increased interest in family caregivers research in this area is still in its infants in the german speaking countries. This is suprising in light of awareness of hospice and palliative care and the relevance of the family in these concepts. It is the family which provides basic care for the terminally ill at home. In addition informal carers contribute to social inclusion of the dying. However, there specific needs with regard to support as well as coping with death, dying and bereavement may not be neglected in the context of health promotion.

Thu, 07/20/2017 - 15:10

An investigation into the usability of the STAR training and re-skilling website for carers of persons with dementia

Due to the successes in medical science people are now beginning to live much longer. With this brings increased problems associated with ageing, with one exemplar being dementia. Persons with dementia require care with activities of daily living, for example, with washing, dressing and eating. This requires additional care, which is usually provided by family and friends who assume the role of informal carers. Provision of care by informal carers brings irreversible changes to their lives that can lead to depression and feelings of loneliness.

Thu, 07/20/2017 - 15:10

Predictors of Societal Costs in Dementia Patients and Their Informal Caregivers: A Two-Year Prospective Cohort Study

Objectives: Dementia poses a substantial economic burden on society. Knowing which factors predict high costs in dementia may help to better target interventions and optimize resource allocation. This study aimed to identify predictors of the total societal costs in dementia patients and their informal caregivers.

Design: Prospective cohort study with 2-year follow up.

Setting and Participants: 192 community-dwelling patients with dementia and their primary informal caregivers in the Netherlands.

Thu, 07/20/2017 - 15:10

Advanced chronic obstructive pulmonary disease: More than a lung disease

Chronic obstructive pulmonary disease (COPD) is unique among leading causes of death in Western society. While the impact of other major diseases are on the decline, the prevalence, associated morbidity and attributable mortality of COPD continue to rise. The emotional burdens to patients and care-givers and financial burdens of COPD to our healthcare system are substantial. The traditional biomedical approach to COPD is failing with its focus on the underlying pathophysiology, and treatment of acute exacerbations.

Thu, 07/20/2017 - 15:10