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Case management

(Cost)-effectiveness of case-management by district nurses among primary informal caregivers of older adults with dementia symptoms and the older adults who receive informal care : design of a randomized controlled trial

Background: Dementia is an incurable disease with devastating consequences for both patients and their relatives. The objective of this study is to describe the study protocol of a randomized controlled trial with assignment to either usual care or case-management by district nurses, among informal caregivers of older adults with dementia symptoms who live at home and the older adults who receive informal care.

Thu, 07/20/2017 - 15:17

Comparison of specialist and mainstream programs for older carers of adults with intellectual disability: considerations for service development

Older carers of adults with intellectual disabilities experience unique challenges. Outreach initiatives identify a high number who are unknown to support services and a case is made to proactively engage them to assist in future planning for their adult children. An earlier study by the authors suggested that, in Victoria, specialist case management programmes for older carers occupied a unique place within the service system.

Thu, 07/20/2017 - 15:16

Selling social work by the pound? The pros and cons of agency care management

This article considers the experiences of a small group of agency care managers (n=23) working in London and the north of England. It was discovered that employment for occupationally migrant care managers can provide access to a potentially rich source of knowledge and skills, as well as a diverse and sometimes stimulating form of irregular employment. However, it was also discovered that work intensification, job insecurity and limited time spent with users and carers were common, and this further intensified the deskilling and lack of discretion which is common for many care managers.

Thu, 07/20/2017 - 15:13

Patient and carer perceptions of case management for long-term conditions

Nurse-led case management programmes have become increasingly popular over the last 15 years. Countries such as the USA, Canada, Sweden and the Netherlands have long running case management programmes in place for frail elderly people. The Department of Health in England has recently introduced a 'community matron' role to provide case management to patients with highly complex long-term conditions; a group that is predominantly comprised of elderly people.

Thu, 07/20/2017 - 15:13

An experience of social work case management for frail elders in Hong Kong

Eighty-three hospital-discharged elders were served by a social work case manager in our 18-month case management project in July 2000. Results indicate that elderly care-recipients utilized less hospital services without sacrificing the quality-of-life of their informal carers. This paper shares the experience in the process of case management interventions and suggests strategies to implement case management interventions successfully.

Thu, 07/20/2017 - 15:11

Primary care and dementia: 2. long-term care at home: psychosocial interventions, information provision, carer support and case management

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.

Thu, 07/20/2017 - 15:10

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