September 7, 2015
Source: BMC Palliative Care 2015
Follow this link for the full-text article
Date of publication: August 2015
Publication type: Article
In a nutshell: This paper focuses on communication between hospital staff and family carers of patients dying on acute hospital wards, with an emphasis on the family carers’ perspective. The results of this research indicate that carers’ experience of the end of life care of their relative was enhanced when mutual understanding was achieved with healthcare professionals. However, some carers reported communication to be ineffective. They felt unsure about what was happening with their relative and were distressed by the experience of their relative’s end of life care. In conclusion, it is suggested that establishing a concordant relationship, based on negotiated understanding of shared perspectives, can help to improve communication between healthcare professionals and family carers of their patients.
Length of publication: 14 pages
Leave a Comment » | Article, Contents, England, Health services research, Palliative Care, Patient Centred Care, Publication type, Qualitative research, Research, Terminal Care, United Kingdom, Volume 7 Issue 8-9 | Tagged: Acute care, Communication, Compliance, End of Life Care, Family Caregiver, Family Carers, Older People, Patient Centred Care, Staff-Carer Communication | Permalink
Posted by hmedley99
July 9, 2014
Source: Social Care Institute for Excellence
Follow this link for website
Date of publication: June 2014
Publication type: Guidelines
In a nutshell: This guide captures the latest research findings on this important and emerging area of social care. It also provides some practice examples of good work in this area. The guide is aimed at health and social care commissioners of home care services for older people with complex needs.
Length of publication: 40 pages
Leave a Comment » | Change, Commissioning, Contents, Guidelines, Patient Centred Care, Publication type, Strategic change, United Kingdom, Volume 6 Issue 7 | Tagged: Domiciliary Care, End of Life Care, Home Care, Older People, Palliative Care, Social Care | Permalink
Posted by hmedley99
December 21, 2012
Source: National Council for Palliative Care
Follow this link for the full-text report
Date of publication: November 2012
Publication type: Report
In a nutshell: This report calls on Health and Wellbeing Boards to join up support for people approaching the end of life, based on research from September-October 2012, in which the boards’ emerging strategies were reviewed by NCPC. NCPC have produced a What about end of life care? Action Sheet to help boards consider end of life care and support – visit www.ncpc.org.uk/influencing-toolkit for more information.
Length of publication: 8 pages
Leave a Comment » | Commissioning, England, Palliative Care, Patient Centred Care, Patient Choice, Publication type, Report, Strategic change, Terminal Care, Volume 5 Number 1, Wales | Tagged: Dignity, End of Life Care, England, Good Practice, Health and Wellbeing Boards, National Council for Palliative Care, Older People, Patient Choice, Strategic Framework, Toolkit, Wales | Permalink
Posted by hmedley99
April 26, 2012
Source: Palliative Medicine, 2011, vol./is. 25/6(650-657), 0269-2163 (2011)
Follow this link for fulltext
Date of publication: September 2011
Publication type: Article
In a nutshell: In light of recent emphasis on place of death in UK policy, this article reviews some of the challenges faced by older people who live alone towards the end of life. The implications of issues that impact on opportunity to achieve their preferred place of death are addressed including, finances, support mechanisms and the home environment.
Length of publication: 8 pages
Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library
Acknowledgement: BNI
Leave a Comment » | Article, Patient Choice, United Kingdom, Volume 4 Issue 5 | Tagged: Commissioning, End of Life Care, Older People | Permalink
Posted by janrowewirralnhs
January 27, 2012
British Journal of Nursing vol. 21(1) p 8 – 15
Follow this link for the abstract
Date of Publication: January 2012
Publication Type: Article
In a nutshell: This paper explores the suggestion that there is an imbalance between the ideal and the actual palliative care provision for some older people living and dying in care homes in Scotland. Successive studies demonstrate that care home residents are increasingly frail and disabled. Many experience challenging physical and psychosocial symptoms which could benefit from a palliative approach to alleviate suffering and promote comfort. However, palliative needs for people with non-malignant conditions, such as dementia, can be complex, and not easily identified or managed.
Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library
Leave a Comment » | Article, Death, Dementia, Palliative Care, Patient Centred Care, Publication type, Research, Scotland, Terminal Care, Terminal Illness, United Kingdom, Volume 4 Issue 2 | Tagged: Care Homes, Dementia, Older People, Palliative Care, Scotland | Permalink
Posted by hmedley99
December 19, 2011
Source: Joseph Rowntree Foundation
Follow this link for the full report
Date of publication: December 2011
Publication type: Report
In a nutshell: This research set out to investigate what happens when older people are given the opportunity to shape service commissioning and delivery. The study also raises wider questions about the impact of their involvement, particularly whether it can change the nature of local power relations in the long term.
Length of publication: 76 pages
Acknowledgements: National End of Life Care Programme
Leave a Comment » | Contents, Health services research, Publication type, Report, United Kingdom, Volume 4 Issue 1 | Tagged: Commissioning, Health Services, Older People | Permalink
Posted by hmedley99
November 21, 2011
Source: British Journal of Community Nursing 2011, v.16(11) p522
Follow this link for the article abstract
Date of publication: November 2011
Publication type: Article
In a nutshell: The recently published report by the Care Quality Commission (CQC, 2011) Dignity and Nutrition for Older People, makes a number of negative observations about poor quality of care in the 100 hospitals they inspected. The report concluded that many hospitals are failing to meet basic needs of older people. It is important that we nurses provide essential care, as there is nothing basic about patients’ needs, wishes and aspirations at the end of their lives.
Length of publication: 1 page
Some important notes: Contact you local health library to obtain a copy of this article. Follow this link to find you local health library
Leave a Comment » | Palliative Care, Patient Centred Care, Patient Choice, Professionalism, Terminal Care, Terminal Illness, United Kingdom, Volume 3 Issue 12 | Tagged: Care Quality Commission, Hospitals, Older People, Palliative Care | Permalink
Posted by hmedley99
August 30, 2011
Source: International Journal of Palliative Nursing Vol. 17(6) p301-308
Follow this link for the full text article
Date of publication: June 2011
Publication type: Article
In a nutshell: This article explores the use of telehealth in palliative care and how it can be used to meet and support patients’ health needs in the community. Literature suggests that telehealth has much to offer people who are living with and dying from advanced illness.
Length of publication: 8 pages
Some important notes: An NHS Athens password is required to access this article online. Follow this link to register for Athens.
Leave a Comment » | Article, Health services research, Palliative Care, Patient Centred Care, Publication type, Research, Terminal Care, Terminal Illness, United Kingdom, Volume 3 Issue 9 | Tagged: End of Life Care, Older People, Palliative, Telecare, Telehealth, Telemedicine | Permalink
Posted by hmedley99
May 26, 2011
Source: Emergency Medical Journal 2011 Vol. 28(6), p491-495
Follow link to abstract
Date: October 2010
Publication type: Article
Publication length: 5 pages
In a nutshell: The objective of this study is to determine the prevalence and nature of
palliative care needs in people aged 65 years or more (65+) who die in emergency departments (EDs). This was a retrospective analysis of routine hospital data from two EDs in South London. Palliative care needs identified by diagnosis and symptoms, and problems likely to benefit from palliative care documented in clinical records 3 months prior to the final ED attendance were extracted. The article concludes that there is considerable palliative care need among older people who ultimately died in the ED, of whom only a minority were known to palliative care services. More older people in need of palliative care must be identified and managed earlier to avoid future undesired admissions and deaths in hospital.
Some important notes: An NHS Athens password is required to access this article online. To register for Athens follow this link.
Leave a Comment » | Article, Death, England, Health services research, Palliative Care, Publication type, Research, Terminal Illness, United Kingdom, Volume 3 Issue 6 | Tagged: Death, Emergency Department, Hospital Admissions, Older People, Palliative Care, Prevalence, United Kingdom | Permalink
Posted by hmedley99
March 25, 2011
Source: Palliative Medicine
Follow this link for the fulltext article
Date of publication: March 2011
Publication type: Article
In a nutshell: This study describes a mixed methods design identifying external influences on the quality of end-of-life care in nursing homes. Two qualitative case studies were conducted and a postal survey of 180 nursing homes surrounding the case study sites. In the case studies, qualitative interviews were held with seven members of nursing home staff and 10 external staff. Problems in accessing support for end-of-life care are reported. Results suggest that that critical factors in improving end-of-life care in nursing homes include developing clinical leadership, developing relationships with GPs, the support of ‘key’ external advocates and leverage of additional resources by adoption of care pathway tools.
Length of publication: 13 pages
Some important notes: Contact your local health library for a copy of this article. To find you local health library, follow this link.
Leave a Comment » | Article, England, Health services research, Palliative Care, Qualitative research, Research, United Kingdom, Volume 3 Issue 4 | Tagged: Case Studies, End of Life Care, England, Nursing Homes, Older People, Quality | Permalink
Posted by hmedley99
November 25, 2010
Source: National End of Life Care Intelligence Network
Follow this link for fulltext
Date of publication: November 2010
Publication type: News item
In a nutshell: A new report entitled Deaths in Older Adults in England compiled by the South West Public Health Observatory and produced by the National End of Life Care Intelligence Network (NEoLCIN) analyses the numbers of deaths in people aged over 75, broken down into five-year age bands up to the over 90s and provides data on the location and cause of death. The data shows that there will be a significant increase in numbers of people needing end of life care during the course of the next 30 years.
Length of publication: 3 pages
Leave a Comment » | Commissioning, News Story, Uncategorized, United Kingdom, Volume 2 Issue 11 | Tagged: Commissioning, End of Life Care, End of Life Care Strategy, Older People, Service Provision | Permalink
Posted by janrowewirralnhs
September 20, 2010
Source: Nursing Standard, v. 24(47) p20-1
Follow this link for the full text article
Date: July 2010
Publication type: Article
Publication length: 2 pages
In a nutshell: This article discusses provision of palliative care to elderly people with dementia by a specialist nurse employed by the organisation Housing 21. Housing 21 provide residential care and support services to elderly people in London.
Some important notes: An NHS Athens password is required to access this article online. Follow this link to register for an Athens Password.
Leave a Comment » | Article, Dementia, Palliative Care, Patient Centred Care, United Kingdom, Volume 2 Issue 9 | Tagged: Community Nursing, Community Palliative Care, Dementia, Domicillary Palliative Care, London, Older People, Palliative Care, Residential Care | Permalink
Posted by hmedley99
June 21, 2010
Title: Palliative care provision for older people in care homes
Source: British Journal of Community Nursing v15(4), p170-176
Follow this link the article abstract
Date of publication: April 2010
Publication type: Article
In a nutshell: The aim of this study was to demonstrate the current involvement of district nurses in care homes and identify the potential implications for future practice in providing palliative care in this setting. The findings suggested that even experienced district nurses, wanted support and education about when to commence palliative care. They also wanted earlier involvement with care home residents who have a life-limiting condition and care home managers were seen as being essential contributors towards planning care.
Length of publication: 7 pages
Some important notes: Please contact your library for a copy of this article. To find your local health library follow this link.
Leave a Comment » | Article, Palliative Care, Patient Centred Care, Professionalism, Staff Training, Terminal Care, Terminal Illness, United Kingdom, Volume 2 Issue 6 | Tagged: Advanced Care Planning, Care Homes, Education, End of Life Care, Nursing, Older People, Palliative Care, Patient Centred Care, Staff Training | Permalink
Posted by hmedley99
November 26, 2009
Source: European Journal of Palliative Care 2009, vol. 16(5) p240-3
Date: Sept/ Oct 2009
Publication Type: Article
In a nutshell: This article examines research carried out in NHS North West Greater Manchester PCT evaluating the use of the Gold Standards Framework and the Liverpool Care Pathway for the Dying Patient, as models of care to improve the quality of end-of-life care for older patients with dementia in long-term care settings. The effects on patients, their families, carers and staff were assessed.
Length of Publication: 3 pages
Acknowledgements: British Nursing Index
Notes: Contact your local health library to obtain a copy of this article. There are no links available to the abstract of this article.
Leave a Comment » | Article, Dementia, Ethical Considerations, Palliative Care, Patient Centred Care, Terminal Care, Volume 1 Issue 10 | Tagged: Care Pathways, Dementia, End of Life Care, Gold Standard Framework, Greater Manchester, Liverpool Care Pathway, Older People | Permalink
Posted by hmedley99