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Using technology to support people at risk of falling

In 2012 it was estimated 800 people fell daily in the West Midlands and fall detectors were an under-used resource. A fall detector does not prevent a fall but sends an alert so that someone knows a person has fallen making a difference to living independently by restoring confidence. There is a direct correlation between recovery and how long people lie on the floor after a fall; the speedier the response, the lower the risk of hospital admission and the shorter the length of hospital stay and subsequent support requirements on discharge.

Thu, 07/20/2017 - 15:12

Practitioners’ Perspectives on Choice for Older Spousal Caregivers in Rural Areas

Recent shifts toward individual choice and consumer-directed practices largely conflict with traditional expectations of familial obligation and informal caregiving. The research reported on in this paper aimed to understand how practitioners’ perspectives of spousal caregiving obligations impact on choice in rural communities. Seven focus groups were conducted in rural and outer regional areas of North East Victoria, comprising 42 practitioners who work with older couples who reside in the community.

Thu, 07/20/2017 - 15:12

Future of social media in health and care with co-production

Future of health in EU faces the triple challenges of ageing, fiscal restriction and inclusion. In the UK the number of aged people will increase to 6.6 million in the next 25 years. In Scotland, the group people 74+ are projected to increase most dramatically by 82% by 2035. That statistics show every day the needs of older people are growing and an increasing number of carers are required. Now the number of carers are around 10% of population of the UK. In next 25 years the population of carers will rise to 9 million.

Thu, 07/20/2017 - 15:12

Capturing the carer's experience: a researcher's reflections

AIM: To reflect on the methodological challenges of conducting a study exploring the effects on quality of life of being an informal carer for a person with palliative heart failure, as well as the factors that influence a carer's perception of caring.

BACKGROUND: There are multi-faceted influences on the positive and negative effects of being a carer for a patient with palliative heart failure. By conducting a mixed methods study the aim was to examine and explore similarities and differences of the phenomenon of being a carer.

Thu, 07/20/2017 - 15:12

Gender restructuring, employment, and caring

In market capitalism, the tension between the demands of employment and the requirement for caring has, historically, largely been met by the domestication of women via the “male breadwinner” model of employment and family. However, the rising level of women's employment has destabilized this arrangement. In this article we evaluate a range of prescriptive responses to this situation: rightist, center-leftist, and feminist. To varying degrees, “family-friendly” state welfare policies have attempted to grapple with the resolution of the employment/caring conundrum.

Thu, 07/20/2017 - 15:12

'The living death of Alzheimer's' versus 'Take a walk to keep dementia at bay': representations of dementia in print media and carer discourse

Understanding dementia is a pressing social challenge. This article draws on the ‘Dementia talking: care conversation and communication’ project which aims to understand how talk about, and to people living with dementia is constructed. In this article I draw on the construction of dementia manifest in two data sets – a corpus of 350 recent UK national newspaper articles and qualitative data derived from in-depth interviews with informal carers. These data were analysed using a thematic discursive approach. A ‘panic-blame’ framework was evident in much of the print media coverage.

Thu, 07/20/2017 - 15:12

Effectiveness of the Liverpool care pathway for the dying in residential care homes: An exploratory, controlled before-and-after study

Background: Clinical pathways aim to ensure that individuals receive appropriate evidence-based care and interventions, with the Liverpool Care Pathway for the Dying Patient focusing on end of life. However, controlled studies of the Liverpool Care Pathway for the Dying Patient, particularly outside of cancer settings, are lacking.

Aim: To compare the effects of the Liverpool Care Pathway for the Dying Patient and usual care on patients’ symptom distress and well-being during the last days of life, in residential care homes.

Thu, 07/20/2017 - 15:12

Long-term clinical and cost-effeciveness of psychological intervention for family carers of people with dementia: a single-blind, randomised, controlled trial

Background: Two-thirds of people with dementia live at home supported mainly by family carers. These carers frequently develop clinical depression or anxiety, which predicts care breakdown. We aimed to assess the clinical effectiveness (long-term reduction of depression and anxiety symptoms in family carers) and cost-effectiveness of a psychological intervention called START (STrAtegies for RelaTives).

Thu, 07/20/2017 - 15:12

Strain and its correlates among carers of people with dementia in low-income and middle-income countries; a 10/66 Dementia Research Group population-based survey

Objectives: In a multi-site population-based study in several middle-income countries, we aimed to investigate relative contributions of care arrangements and characteristics of carers and care recipients to strain among carers of people with dementia. Based on previous research, hypotheses focused on carer sex, care inputs, behavioural and psychological symptoms (BPSD) and socioeconomic status, together with potential buffering effects of informal support and employing paid carers.

Thu, 07/20/2017 - 15:12

Now I have a voice: service user and carer involvement in clinical psychology training

Purpose – This paper aims to describe the challenges and rewards of service user and carer involvement in clinical psychology training as experienced in one training centre. 

Thu, 07/20/2017 - 15:12