Social care online

Objective: To write a narrative review of the role of primary care physicians in the long-term care of people with dementia living at home, with a focus on psychosocial interventions, the provision of information and carer support, behavioural and psychological symptoms and case management.

Methods: The systematic review carried out for the NICE/SCIE Guidelines was updated from January 2006, Cochrane Reviews were identified and other publications found by consultations with experts.

The safe self management of medicines will be affected by the presence of dementia. A qualitative study using grounded theory was undertaken by a community nursing organisation in Melbourne, Australia, in order to develop a strength-based and person-centred approach to the assessment of medication ability. The perspectives of the person with dementia and their carers were explored to see if there were any significant differences in their medication management experiences when compared to those of older adults without dementia and their carers.

Drawing on recent guidelines and research this clinical review presents recent knowledge and practice on assessing and helping older carers. The review has sections on: how carers should be identified; how a carer assessment should be undertaken; useful interventions to support carers; and the major challenges facing clinicians regarding assessment. Short case scenarios are used to illustrate the issues.

This article describes the development of a new service for people with dementia and their carers in a large post-industrial city in the north of England, UK. The service arose in response to the perceived inadequacies of existing respite care provision and has proved very successful in meeting the needs of people with dementia and their family carers, and in providing high levels of job satisfaction for staff. The success of the initiative can be understood using the Senses Framework and relationship-centred care as an analytic lens to identify key attributes of the service.

This document provides guidance on how registered nurses, care and support staff can enable relationship-centred care, and how they can work with others to achieve personalised care and support.

In February 2009 the government set out its plan to meet one of the biggest challenges facing England's health and social care system - dementia. The national dementia strategy is one year old but a key study has found progress is slow. Vern Pitt visited Croydon – which has long been held up as a leader in dementia care – to ask professionals and carers about how the strategy’s objectives and the challenges posed by the condition are being tackled.

Work has been underway for some while to regulate domiciliary care services, where personal care is provided, in Wales following powers provided under section 22 of the Care Standards Act 2000. The Minister for Health and Social Services established a Task and Finish Working Group in August 2002 to provide expert advice on the realities of applying Regulations and National Minimum Standards to domiciliary care agencies in Wales.

As the numbers of older people increase in future years, demand for long-term care is also likely to increase substantially. Since the long-term care system in England depends heavily on informal or unpaid care, the increase in demand for long-term care is likely to mean an increase in demand for informal care. [...]

This article considers the coping strategies of families with children and adults with intellectual disabilities. It is argued that the literature on coping and resilience in families has often been overlooked in favour of deficit models of family functioning. The study was designed to provide a further test of the transactional model of coping, but more especially, to explore which problem-solving, cognitive and stress reduction coping strategies family members found useful.

This Act makes three main changes to the law with the objective of providing further support for carers and helping to ensure that they are not placed at a disadvantage because of the care they provide. First, the Act requires local authorities to inform carers, in certain circumstances, that they may be entitled to an assessment under the 1995 and 2000 Acts. Second, when undertaking a carer's assessment, the local authority must consider whether the carer works, undertakes any form of education, training or leisure activity, or wishes to do any of those things.