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Results: 24
Living in uncertain times
Stephen Barclay, Katherine Froggatt, Clare Crang, Elspeth Mathie, Melanie Handley, Steve Iliffe, Jill Manthorpe, Heather Gage, Claire Goodman
Nov 19, 2018
BACKGROUND: Older people living in care homes often have limited life expectancy. Practitioners and policymakers are increasingly questioning the appropriateness of many acute hospital admissions and the quality of end-of-life...
care homes dying trajectories end-of-life care Palliative Care Primary Health Care advance care planning Aged Aged 80 and over Attitude of Health Personnel England Frail Elderly Health Services Research Homes for the Aged Hospitalization Humans Nursing Homes Policy Making Primary Health Care Professional-Patient Relations Prospective Studies qualitative research Terminal Care
Who Lives Where and Does It Matter? Changes in the Health Profiles of Older People Living in Long Term Care and the Community over Two Decades in a High Income Country.
Fiona E Matthews, Holly Bennett, Raphael Wittenberg, Carol Jagger, Tom Dening, Carol Brayne, Ageing Studies (CFAS) collaboration Cognitive Function
Sep 29, 2016
Influences on Decision-Making Regarding Antipsychotic Prescribing in Nursing Home Residents With Dementia
Kieran A Walsh, Rebecca Dennehy, Carol Sinnott, John Browne, Stephen Byrne, Jennifer McSharry, Eoin Coughlan, Suzanne Timmons
Dec 11, 2017
BACKGROUND: Antipsychotic prescribing is prevalent in nursing homes for the management of behavioral and psychological symptoms of dementia (BPSD), despite the known risks and limited effectiveness. Many studies have attempted...
Beth Blane, Hayley J Brodrick, Theodore Gouliouris, Kirsty E Ambridge, Angela D Kidney, Catherine M Ludden, Direk Limmathurotsakul, M Estée Török, Sharon J Peacock
Nov 11, 2015
Chromogenic agar detection Enterobacteriaceae Extended-spectrum β-lactamase Selectivity sensitivity Anti-Bacterial Agents Carrier State Ceftizoxime Disk Diffusion Antimicrobial Tests Enterobacteriaceae Enterobacteriaceae Infections Feces Humans Nursing Homes Sensitivity and Specificity beta-Lactamases
Primary palliative care research
Stephen Barclay, Emily Moran, Sue Boase, Margaret Johnson, Roberta Lovick, Jonathan Graffy, Patrick L White, Brenda Deboys, Katy Harrison, Brooke Swash
Feb 08, 2019
Comparison of two chromogenic media for the detection of vancomycin-resistant enterococcal carriage by nursing home residents.
Theodore Gouliouris, Beth Blane, Hayley J Brodrick, Kathy E Raven, Kirsty E Ambridge, Angela D Kidney, Nazreen F Hadjirin, M Estée Török, Direk Limmathurotsakul, Sharon J Peacock
May 13, 2016
detection Enterococcus faecium Selectivity sensitivity VRE Vancomycin-Resistant Enterococci Bacteriological Techniques Carrier State Chromogenic Compounds Culture Media Enterococcus faecalis Enterococcus faecium Feces Gram-Positive Bacterial Infections Humans Nursing Homes Prospective Studies Sensitivity and Specificity Vancomycin-Resistant Enterococci
The difference an End of Life diagnosis makes
Background
Increasing numbers of people die of the frailty and multimorbidity associated with old age, often without receiving an End-of-Life diagnosis. Compared to those with a single life-limiting condition such as cancer...
Place of death for the 'oldest old'
Jane Fleming, Jun Zhao, Morag Farquhar, Carol Brayne, Stephen Barclay, Cambridge City over-75s Cohort (CC75C) study collaboration
Mar 01, 2019
BACKGROUND: Deaths are rising fastest among the oldest old but data on their transitions in place of care at the end of life are scarce. AIM: To examine the place of residence or care of > or =85 year-olds less than a year...
An occupational therapy intervention for residents with stroke related disabilities in UK care homes (OTCH)
Catherine M Sackley, Marion F Walker, Christopher R Burton, Caroline L Watkins, Jonathan Mant, Andrea K Roalfe, Keith Wheatley, Bart Sheehan, Leslie Sharp, Katie E Stant, Joanna Fletcher-Smith, Kerry Steel, Kate Wilde, Lisa Irvine, Guy Peryer, OTCH trial investigators
Mar 10, 2015
Ethnographic process evaluation of a quality improvement project to improve transitions of care for older people.
The experience of transitions in care in very old age
Fiona Scheibl, Jane Fleming, Jackie Buck, Stephen Barclay, Carol Brayne, Morag Farquhar
Apr 05, 2019
BACKGROUND: It can be challenging for general practitioners to support their oldest old patients through the complex process of relocation. OBJECTIVE: To provide a typology of the experiences of moving in very old age that is...
Exploring Antipsychotic Prescribing Behaviors for Nursing Home Residents With Dementia
Kieran A Walsh, Carol Sinnott, Aoife Fleming, Jenny Mc Sharry, Stephen Byrne, John Browne, Suzanne Timmons
Sep 29, 2018
OBJECTIVES: Caution is advised when prescribing antipsychotics to people with dementia. This study explored the determinants of appropriate, evidence-based antipsychotic prescribing behaviors for nursing home residents with...
Theoretical Domains Framework (TDF) antipsychotics behavioral and psychological symptoms of dementia (BPSD) Dementia nursing home Qualitative Adult Aged Antipsychotic Agents Attitude of Health Personnel Behavioral Symptoms Clinical Competence Dementia Facility Design and Construction Family Female Humans Ireland Male Middle Aged Nursing Homes Nursing Staff Patient Advocacy Practice Guidelines as Topic Quality of life
Sedative load of medications prescribed for older people with dementia in care homes.
Carole Parsons, Jane Haydock, Elspeth Mathie, Natasha Baron, Ina Machen, Elizabeth Stevenson, Sarah Amador, Claire Goodman
Oct 20, 2011
Colonisation with ESBL-producing and carbapenemase-producing Enterobacteriaceae, vancomycin-resistant enterococci, and meticillin-resistant Staphylococcus aureus in a long-term care facility over one year.
Catherine Ludden, Martin Cormican, Akke Vellinga, James R Johnson, Bernie Austin, Dearbháile Morris
Sep 29, 2016
BACKGROUND: This study examined colonisation with and characteristics of antimicrobial-resistant organisms among residents of a long-term care facility (LTCF) over one year, including strain persistence and molecular diversity...
Aged Aged 80 and over Bacterial Proteins Carrier State Electrophoresis Gel Pulsed-Field Enterobacteriaceae Enterobacteriaceae Infections Escherichia coli Escherichia coli Infections Female Gram-Negative Bacterial Infections Gram-Positive Bacterial Infections Humans Klebsiella Infections Klebsiella pneumoniae Long-Term Care Male Methicillin Methicillin-Resistant Staphylococcus aureus molecular epidemiology Nursing Homes Polymerase Chain Reaction Staphylococcal Infections Vancomycin-Resistant Enterococci beta-Lactamases
What is the impact of population ageing on the future provision of end-of-life care? Population-based projections of place of death.
Anna E Bone, Barbara Gomes, Simon N Etkind, Julia Verne, Fliss Em Murtagh, Catherine J Evans, Irene J Higginson
Nov 26, 2020
Aged Forecasting health services need and demand Mortality Palliative Care Adolescent Adult Aged Aged 80 and over aging Child Child Preschool England Female Forecasting Health Services Needs and Demand Home Care Services Hospital Mortality Humans Male Middle Aged Mortality Nursing Homes Palliative Care Wales Young Adult
The difficulties of discharging hospice patients to care homes at the end of life
BACKGROUND: Discharge from inpatient palliative care units to long-term care can be challenging. In the United Kingdom, hospice inpatients move to a care home if they no longer require specialist palliative care and cannot be...
Dying comfortably in very old age with or without dementia in different care settings – a representative "older old" population study
Jane Fleming, Carol Brayne, R Calloway, A Perrels, M Farquhar, Stephen Barclay, CC75C Cambridge City over-75s Cohort
Sep 12, 2017
Living and dying
Melanie Handley, Claire Goodman, Katherine Froggatt, Elspeth Mathie, Heather Gage, Jill Manthorpe, Stephen Barclay, Clare Crang, Steve Iliffe
Dec 03, 2018
The aim of the study was to describe the expectations and experiences of end-of-life care of older people resident in care homes, and how care home staff and the healthcare practitioners who visited the care home interpreted...
general practitioners advance care planning care home staff district nurses dying end-of-life care residential care homes advance care planning Aged Aged 80 and over Attitude of Health Personnel England Female Humans Male Medical Staff Middle Aged Nursing Homes Professional Role Professional-Patient Relations Prospective Studies qualitative research Terminal Care
Place of death and end-of-life transitions experienced by very old people with differing cognitive status
Anouk J Perrels, Jane Fleming, Jun Zhao, Stephen Barclay, Morag Farquhar, Hilde M Buiting, Carol Brayne, Cambridge City over-75s Cohort (CC75C) study collaboration
Jun 14, 2019
BACKGROUND: Despite fast-growing 'older old' populations, 'place of care' trajectories for very old people approaching death with or without dementia are poorly described and understood. AIM: To explore end-of-life transitions...
80 and over COGNITIVE IMPAIRMENT Aged Delivery of Health Care Dementia Frail Elderly Homes for the Aged Nursing Homes Patient Transfer residential characteristics Terminal Care Aged 80 and over Cognition Disorders Cohort Studies Female Hospital Mortality Humans Male Nursing Homes Terminal Care Terminally Ill United Kingdom
Care home residents admitted to hospital through the emergency pathway
BACKGROUND: Routinely collected hospital information could help to understand the characteristics and outcomes of care home residents admitted to hospital as an emergency. METHODS: This retrospective 2-year service evaluation...
Improving the Quality of Care in Care Homes Using the Quality Improvement Collaborative Approach
Reena Devi, Graham Martin, Jay Banerjee, Louise Butler, Tim Pattison, Lesley Cruickshank, Caroline Maries-Tillott, Tracie Wilson, Sarah Damery, Julienne Meyer, Antonius Poot, Peter Chamberlain, Debbie Harvey, Clarissa Giebel, Kathryn Hinsliff-Smith, Neil Chadborn, Adam Lee Gordon
Oct 20, 2020
The Breakthrough Series Quality Improvement Collaborative (QIC) initiative is a well-developed and widely used approach, but most of what we know about it has come from healthcare settings. In this article, those leading QICs to...
Isolating residents including wandering residents in care and group homes
Kathleen Liddell, Alexander Ruck Keene, Anthony Holland, Julian Huppert, Benjamin R Underwood, Orna Clark, Stephen Ig Barclay
Apr 27, 2021
This article investigates the lawfulness of isolating residents of care and group homes during the COVID-19 pandemic. Many residents are mobile, and their freedom to move is a central ethical tenet and human right. It is not...