Advance care planning is an effective and feasible strategy to facilitate frail elderly to express their healthcare wishes timely and improve their outcomes. This study could provide proof for a better understanding of the subject and help direct future clinical practice.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Previous research has identified the critical role of primary care for suicide prevention. Although several suicide prevention resources for primary care already exist, it is unclear how many have been created specifically for older veterans. This environmental scan sought to assemble a compendium of suicide prevention resources to be utilized in primary care.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Implications for practice and research
-While virtual wards are now an accepted model of care delivery for older people further research and evaluation of this model specifically focused on patient selection, the use of technology, impact on carers, and patient and carer satisfaction is needed.
-The use of virtual modalities of care for older people can be a viable alternative to face to face assessment and care.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study aimed to investigate the associations between inappropriate prescribing and number of medications identified at discharge from geriatric rehabilitation with subsequent post-discharge health outcomes. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Implications for practice and research:
-Increasing light exposure in care facilities improves mood and behaviour in older adults with intellectual disability (ID).
-Light exposure protocols should be implemented and investigated to determine the optimal intervention parameters.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Whilst guidelines for frailty management usually entails lifestyle modifications (e.g. physical exercise, diet), the mediating role of lifestyle on the excess mortality associated with frailty is unclear. This study estimates the death risk due to frailty that could be avoided with a healthy lifestyle in older adults.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
our findings supported a causal relationship between genetically predicted depression and frailty in both directions.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Welfare commissioners conduct individual visits to provide psychological support for older people who are housebound, including those who refuse to participate in group settings. Our findings highlight the need to revive the community structure that previously existed in Japan, in which residents of all ages are acquainted with each other, and to assist in efforts to support older people through mutual aid among residents.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This collaborative project aimed to understand and enhance the knowledge, confidence and capability of community nurses to manage frailty in a community setting. A person-centred coaching and educational programme was co-developed with community nurse participants to strengthen their leadership role in managing frailty within interprofessional teams.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Frailty corresponds to individual-level changes in adaptation to a living environment and the loss of ability to evolve or react in that environment. Therefore, we suggest that by considering the geriatric notion of frailty as a particular form of relational vulnerability, healthcare professionals could better understand the specific needs of frail, older people—and thus provide more appropriate care.
Open Access Article
To provide post-hoc analyses of a clinical trial that reported beneficial effects of medication reviews on health-related quality of life. Specifically, to describe the medication changes with a focus on deprescribing, and to explore patient- and medication-related factors that may identify patients most likely to benefit from medication reviews. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The paper provides a review of recent and current developments in relation to the human rights of older people and some discussion of these issues. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Aim: To determine the feasibility of a nurse-led, primary care-based comprehensive geriatric assessment (CGA) intervention.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Hospital-associated deconditioning can be reduced or prevented through mobilisation strategies such as those promoted by the #EndPJparalysis campaign. This article explains the importance of reducing or preventing hospital-associated deconditioning and nurses’ role in this.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Commentary on: Solis-Navarro L, Gismero A, Fernández-Jané C, Torres-Castro R, Solá-Madurell M, Bergé C, Pérez LM, Ars J, Martín-Borràs C, Vilaró J, Sitjà-Rabert M. Effectiveness of home-based exercise delivered by digital health in older adults: a systematic review and meta-analysis. Age and Ageing. 2022 Nov 2;51(11):afac243. doi: 10.1093/ageing/afac243
Implications for practice and research
As the available evidence supports the effectiveness of digitally delivered and home-based physical exercises (DHE) to promote healthy ageing, healthcare practitioners (eg, family doctors and nurses) should encourage older adults to use such digital tools.
Further research is necessary to gain a more nuanced understanding of factors that influences the effectiveness of DHE.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Extract: The Centre for Ageing Better (2021a) have asserted that from 30 years of age, the health status of different ethnic groups diverge so that the differences in the health status of older people from ethnic minorities and those of White populations are pronounced and that these differences have persisted for over 20 years
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Loneliness at older ages has been associated with higher morbidity and mortality. One of the risk factors for loneliness may be age-related decline in skeletal muscle strength, which may limit the possibilities for engagement in usual social activities and maintaining relationships. We aimed to identify if decrease in grip strength is an independent determinant of subsequent change in loneliness. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In response to the COVID pandemic when new robust discharge criteria were introduced to facilitate early discharge to optimise hospital capacity, Virtual Frailty Ward (VFW) was established. VFW provides nurse-led telephone follow-up for patients discharged primarily from the Emergency Department (ED) and the Acute Frailty unit (AFU). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Medication-related harm (MRH) events are increasing among older adults especially in the 8-weeks after hospital discharge. The Discharge Medical Service (DMS), a UK initiative, aims to reduce post-discharge MRH. In this study, we will compare the clinical, economic, and service outcomes of the DMS. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Among the elderly the availability of tool assessing psychosomatic syndromes is limited. The present study aims at testing inter-rater reliability and concurrent validity of the semi-structured interview for the Diagnostic Criteria for Psychosomatic Research (DCPR-R-SSI) in the elderly of the general population.