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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

Caregivers’ estimation of patients’ quality of life (QoL) in Alzheimer's disease (AD): An approach using the ADRQL

The purpose of this study was to describe the QoL of patients with AD (PAD) as perceived by family caregivers, and to analyze the correlates of such QoL. This study covered 92 PAD enrolled in a cognitive-motor stimulation study. The severity of cognitive impairment ranged from mild cognitive impairment to severe dementia. QoL was measured using the AD-related quality of life (ADRQL) scale. Social and clinical variables (for both PAD and caregiver) as well as other variables relating to cognition, activities of daily living (ADL), behavior, mood and caregiver burden were recorded.

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

Caring and women's labour market participation

The impact of caring on the income and labour market participation of carers can be substantial. In this article, the authors describe the labour force status of carers who receive an Australian Government payment directed to carers, with a particular focus on the degree to which non-employed carers want to be in paid employment.

Thu, 07/20/2017 - 15:11

A questionnaire to measure satisfaction with community services for informal carers of stroke patients: construction and initial piloting

Stroke affects 120 000 people each year in the UK and is the most common cause of adult-onset disability. Most stroke patients are cared for at home by informal carers. Support for these carers is provided by the community services, but although single-item measures have shown that there is a relatively high level of dissatisfaction with those services, there is no specific satisfaction measurement instrument. The present study aimed to construct and initially validate a questionnaire to measure carers’ satisfaction with community services for clinical and research purposes.

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

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