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.
The aim of this study is 1) to identify older patients’ risk factors for drug-related readmissions and 2) to assess the preventability of older patients’ drug-related revisits. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The vast majority of older adults who are chronically ill rely on informal caregivers for support. Caregivers often require additional support to facilitate their role. Using existing research, this scoping review provides a comprehensive picture of what caregivers have indicated as priorities for support. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The objective of the present study is to measure the impact of the intervention of combining a medication review with an integrated care approach on potentially inappropriate medications and hospital readmissions in frail older adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This scoping review aimed to locate interventions that support couples to maintain their relationship satisfaction when living with dementia. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
To deliver safe and high-quality care, clinical data on nursing-sensitive indicators and transparency are needed. A comprehensive narrative review of the literature was conducted to describe the prevalence and incidence of nursing-sensitive indicators, namely, falls, incontinence, malnutrition, pain, pressure injury and restraints in home care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This study aimed to examine gabapentin utilization trends among older adults with different cognitive statuses and investigate concurrent medication use of potentially inappropriate medications. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The aim of the present systematic review was to investigate cultural factors associated with burden in unpaid caregivers of older adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Older adults are particularly affected by medication-related harm (MRH) during transitions of care. The PRIME study (prospective study to develop a model to stratify the risk of MRH in hospitalized patients) developed and internally validated a risk-prediction tool (RPT) that provides a percentage score of MRH in adults over 65 in the eight-weeks following hospital discharge. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
COVID-19 had a devastating impact on older people living in care homes. This study explored the clinical trajectory and management of COVID-19, as well as recovery of older people following infection during the early stages of the pandemic (May to August 2020). To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Multimorbidity was linked to a higher hospitalization risk, and this risk was not affected by the country’s wealth and patient’s gender. Multimorbidity was also linked to a higher hospital readmission rate in older adults.
Open Access Article
a Frailty Index (FI) calculated by the accumulation of deficits is often used to quantify the extent of frailty in individuals in specific settings. This study aimed to derive a FI that can be applied across three standardised international Residential Assessment Instrument assessments (interRAI), used at different stages of ageing and the corresponding increase in support needs.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
No convincing evidence exists regarding the optimal treatment strategy for those with a limited pre-fracture life expectancy, underpinning the importance of shared decision-making (SDM). This study investigated healthcare providers’ barriers to and facilitators of the implementation of SDM.
Open Access Article
The purpose of this scoping review is to identify and synthesise what is already known about the quality of life of older carers and care-recipients, considered together, which we refer to as ‘dyadic QoL’; both in general, and with regard to the impact of community-based social care. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This qualitative study aimed to explore the experiences of carers of people with dementia of South Asian origin, living in the UK. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
In this qualitative study, we explored views of social care professionals in England on supporting older carers, as well as the feasibility, potential benefits and challenges of applying a dyadic outcomes approach into policy and practice. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
While certain drug-use indicators are known to be associated with clinical outcomes, the relationship is unclear for some highly-prevalent conditions in in patients ≥65 years of age. We examine correlations between three drug-use indicators and post-discharge healthcare services use by older patients according to the presence of dementia, advanced age, and frailty. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.