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The assessment of services promoting independence and recovery in elders trial (ASPIRE): A pre-planned meta-analysis of three independent randomised controlled trial evaluations of ageing in place initiatives in New Zealand

Introduction: intermediate care has been developed to support older people to remain living in their own homes, combining a higher level of support with a rehabilitation focus. Evidence around their effectiveness remains mixed and there is ambiguity around the components.

Aims: to establish the impact of intermediate care on institutional free survival in frail older people referred for needs assessment in New Zealand (NZ).

Thu, 07/20/2017 - 15:22

Which cancer patients are referred to hospital at home for palliative care?

Previous research has shown that palliative home care use is influenced by variables such as age, socioeconomic status, presence of an informal carer, diagnosis, and care dependency. However, there is little information on its association with other health service use. This study compared 121 cancer patients referred to Hospital at Home (HAH) for palliative care with a sample of 206 cancer patients not referred who died within the same period. Electronic record linkage of NHS databases enabled investigation of patients' total input of care in their last year of life.

Thu, 07/20/2017 - 15:22

Young carers

The article reviews the web site www.youngcarer.com. Young carers have specific needs that are not being met and this initiative provides information advice and training to anyone who works with young carers and their families. The website provides an online forum for those working with young carers, sharing ideas and experiences and identifying scope for collaborative project work.

Thu, 07/20/2017 - 15:22

Young Carers' Movement in Toronto

The article focuses on the Young Carers Program of Hospice Toronto, a non-profit group that provides volunteer-based, in-home hospice and palliative care services. Information on the key objectives of the program is provided. Both children and youth who assumes a caregiving role for a family member are supported by the program. A variety of weekly activities, workshops and special events are facilitated by the program throughout Toronto, Ontario.

Thu, 07/20/2017 - 15:22

Caregiving in multiple sclerosis and quality of life: A meta-synthesis of qualitative research

Objective: The lack of adequate conceptualisation and operationalisation of quality of life (QoL) limits the ability to have a consistent body of evidence to improve QoL research and practice in informal caregiving for people with multiple sclerosis (MS). Thus, we conducted a meta-synthesis of qualitative research to improve the conceptual understanding of the experiences of MS carers and to identify factors that affect carers’ QoL.

Thu, 07/20/2017 - 15:22

Dementia and ethics: Views of informal carers

There has been little work on the ethical issues facing non-professionals who care for relatives or others with dementia. A qualitative pilot study was conducted in ten such individuals, eight of them women, caring for persons drawn mainly from one general practice. The interviews indicated that many of the dilemmas faced by carers are ethical and that the issues differ from those faced by professionals. Ethical issues are sometimes the most troublesome matter for carers. Unlike issues for professionals, they arise from a personal context and are shaped by long-term relationships.

Thu, 07/20/2017 - 15:22

Working with carers in the Bangladeshi community

Focuses on the study conducted by the University of Wales which identifies the social care needs of informal carers for dependent adult relatives from a Bangladeshi community in Wales. Health risk assessment of the community; Assessment of the health care services in the community; Necessity for community nurses to be culturally proficient through the provision of accurate education.

Thu, 07/20/2017 - 15:22

The Oxford Friends and Family Empowerment (OFAFE) service: support and education for those affected by friends or family with personality disorder

The Oxford Friends and Family Empowerment (OFAFE) service is a carer support service that originated in a collaboration between the Oxfordshire Complex Needs Service and the national mental health charity Rethink. OFAFE provides support and education for adults supporting an individual with a personality disorder. This paper describes the background and operation of the OFAFE service, along with the early stages of the development of a similar service for young carers, the Young Friends and Family Empowerment (YFAFE) service.

Thu, 07/20/2017 - 15:22

Guidelines for conducting and reporting economic evaluation of fall prevention strategies

Summary: Falls in older people result in substantial health burden. Compelling evidence indicates that falls can be prevented. We developed comprehensive guidelines for economic evaluations of fall prevention interventions to facilitate publication of high-quality economic evaluations of the effective strategies and aid decision making.

Thu, 07/20/2017 - 15:22

The experiences of young carers: a meta-synthesis of qualitative findings

The aim of this meta-synthesis was to explore young carers' accounts of caring for a family member with an illness, difficulty or disability, and to promote a phenomenological understanding of their experiences. A meta-ethnographic method of meta-synthesis was adopted, utilising the process of reciprocal translation to synthesise 11 qualitative studies. The synthesis yielded four main concepts: (1) becoming a caring person; (2) the adult child - the marks of being different; (3) who is a carer?

Thu, 07/20/2017 - 15:22

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