Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families.


OBJECTIVE:to explore views on advance care planning in care homes for older people. DESIGN:qualitative exploration of views from care home staff and the family of residents in care homes for older people. SETTING:all care homes for the elderly in two London Boroughs. PARTICIPANTS:staff (care managers, nurses and care assistants), community nurses and families. METHODS:individual semi-structured interviews. RESULTS:themes of the analysis: (i) BENEFITS:staff and family revealed positive opinions towards advance care planning. Staff felt it provided choice for residents and encouraged better planning. (ii) Barriers: staff and families perceived residents as reluctant to discuss advance care planning. Some care assistants were reluctant to be involved. Furthermore, families and staff reported prevalence of dementia among residents as another barrier. Nurses and care managers identified both family involvement and unforeseen medical circumstances as problematic. (iii) Facilitators: (a) early initiation of discussions (b) family involvement to establish preferences (c) residents and staff being well-known to each other and (d) staff training, were perceived to facilitate ACP. CONCLUSIONS:overall, staff and families support the concept of ACP. Methods to overcome the identified barriers are required to embed ACP within end of life care in care homes.


Age Ageing


Age and ageing


Stewart F,Goddard C,Schiff R,Hall S




Has Abstract


2011-05-01 00:00:00














  • Proximity to death is associated with frequency of GP contacts in the oldest old: the Leiden 85-plus study.

    abstract:BACKGROUND:the relationship between proximity to death and the amount of care provided by general practitioners (GPs) is largely unknown. OBJECTIVE:to examine the influence of the proximity to death on the frequency and length of GP contacts in the oldest old. STUDY DESIGN:this population-based follow-up study includ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Blom JW,Lemmens SP,Assendelft WJ,Eekhof JA,Gussekloo J

    更新日期:2012-11-01 00:00:00

  • A dose response relationship between accelerometer assessed daily steps and depressive symptoms in older adults: a two-year cohort study.

    abstract:OBJECTIVES:this study investigated the prospective associations of accelerometer assessed daily steps with subsequent depressive symptoms in older adults. METHODS:a 2-year prospective study was performed in the community. A total of 285 older adults ≥65 years (mean age = 74.5) attended the baseline assessment in 2012....

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Hsueh MC,Stubbs B,Lai YJ,Sun CK,Chen LJ,Ku PW

    更新日期:2020-09-25 00:00:00

  • The prognostic value of haematocrit in acute stroke.

    abstract::One hundred and twenty-two consecutive patients admitted with acute stroke in a carotid distribution had venous blood taken for haematocrit (Hct), haemoglobin (Hb), white cell count (WCC) and urea estimations. Patients were followed for 12 weeks to determine the influence of haematocrit upon fatality. There were 96 pa...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Gray CS,French JM,James OF,Bates D,Cartlidge NE

    更新日期:1988-11-01 00:00:00

  • Short- and long-term prognosis for very old stroke patients. The Copenhagen Stroke Study.

    abstract:BACKGROUND AND PURPOSE:The very old are expected to become a growing part of the stroke population in the industrialised part of the world. The aims of this study were to evaluate clinical characteristics of patients aged 85 years or more at stroke onset and to investigate very old age as an independent predictor of sh...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Kammersgaard LP,Jørgensen HS,Reith J,Nakayama H,Pedersen PM,Olsen TS,Copenhagen Stroke Study.

    更新日期:2004-03-01 00:00:00

  • The place of the specialist home for the elderly mentally infirm in the care of mentally disturbed old people.

    abstract::In a city where specialist homes for the elderly mentally infirm (EMI) have been extensively developed, a study was carried out to determine if residents in such homes were mentally impaired to a degree intermediate between that of residents in ordinary homes, and those in psychogeriatric beds. The study, using valid ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: de Zoysa AS,Blessed G

    更新日期:1984-07-01 00:00:00

  • A multifactorial intervention for the prevention of falls in psychogeriatric nursing home patients, a randomised controlled trial (RCT).

    abstract:OBJECTIVE:to evaluate the effectiveness of a multifactorial intervention on incidence of falls in psychogeriatric nursing home patients. DESIGN:cluster-randomised controlled 12-month trial. SETTING:psychogeriatric wards in 12 nursing homes in The Netherlands. PARTICIPANTS:psychogeriatric nursing home patients (n = 5...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Neyens JC,Dijcks BP,Twisk J,Schols JM,van Haastregt JC,van den Heuvel WJ,de Witte LP

    更新日期:2009-03-01 00:00:00

  • Myocardial contractility in aged rats.

    abstract::The elastic and mechanical behaviour of isolated papillar muscle was studied in aged and in young rats. The spontaneous fall in tension (stress relaxation phenomenon) and the duration of the active state of the contractile element during the isometric and isotonic contraction were greater in aged than in young rats. T...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Minelli R,Reggiani C,De Nicola P

    更新日期:1976-05-01 00:00:00

  • Epidemiology and outcome of older patients presenting with dyspnoea to emergency departments.

    abstract:OBJECTIVES:To describe the epidemiology and outcomes of non-traumatic dyspnoea in patients aged 75 years or older presenting to emergency departments (EDs) in the Asia-Pacific region. METHODS:A substudy of a prospective interrupted time series cohort study conducted at three time points in EDs in Australia, New Zealan...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Kelly AM,Keijzers G,Klim S,Craig S,Kuan WS,Holdgate A,Graham CA,Jones P,Laribi S

    更新日期:2021-01-08 00:00:00

  • Prevention of adverse drug reactions in hospitalized older patients with multi-morbidity and polypharmacy: the SENATOR* randomized controlled clinical trial.

    abstract:BACKGROUND:Multi-morbidity and polypharmacy increase the risk of non-trivial adverse drug reactions (ADRs) in older people during hospitalization. Despite this, there are no established interventions for hospital-acquired ADR prevention. METHODS:We undertook a pragmatic, multi-national, parallel arm prospective random...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: O'Mahony D,Gudmundsson A,Soiza RL,Petrovic M,Jose Cruz-Jentoft A,Cherubini A,Fordham R,Byrne S,Dahly D,Gallagher P,Lavan A,Curtin D,Dalton K,Cullinan S,Flanagan E,Shiely F,Samuelsson O,Sverrisdottir A,Subbarayan S,V

    更新日期:2020-07-01 00:00:00

  • The association between life course socioeconomic position and life satisfaction in different welfare states: European comparative study of individuals in early old age.

    abstract:BACKGROUND:whether socioeconomic position over the life course influences the wellbeing of older people similarly in different societies is not known. OBJECTIVE:to investigate the magnitude of socioeconomic inequalities in life satisfaction among individuals in early old age and the influence of the welfare state regi...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Niedzwiedz CL,Katikireddi SV,Pell JP,Mitchell R

    更新日期:2014-05-01 00:00:00

  • Poor oral hygiene, oral microorganisms and aspiration pneumonia risk in older people in residential aged care: a systematic review.

    abstract:BACKGROUND:aspiration pneumonia increases hospitalisation and mortality of older people in residential aged care. OBJECTIVES:determine potentially pathogenic microorganisms in oral specimens of older people with aspiration pneumonia and the effect of professional oral care in reducing aspiration pneumonia risk. DATA ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Khadka S,Khan S,King A,Goldberg LR,Crocombe L,Bettiol S

    更新日期:2021-01-08 00:00:00

  • The usefulness of carotid sinus massage in different patient groups.

    abstract:AIM:to determine the positive yield of carotid sinus massage in different patient groups: unexplained syncope, falls, dizziness and controls. DESIGN:observational study. SETTING:teaching hospital. METHODS:we studied consecutive patients over the age of 60 years referred to the 'falls clinic' with a history of unexpl...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Kumar NP,Thomas A,Mudd P,Morris RO,Masud T

    更新日期:2003-11-01 00:00:00

  • Mortality of older patients with dementia after surgery for chronic subdural hematoma: a nationwide study.

    abstract:BACKGROUND:dementia is associated with an excess risk of death but mortality after chronic subdural hematoma (CSDH) evacuation in older people with dementia is unknown. We assessed the association between dementia and 1-year case-fatality in older persons undergoing CSDH evacuation. METHODS:we conducted a nationwide F...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Tommiska P,Korja M,Siironen J,Kaprio J,Raj R

    更新日期:2020-10-06 00:00:00

  • Health conditions, health symptoms and driving difficulties in older adults.

    abstract:OBJECTIVES:Previous research has indicated that age-related medical or health conditions can affect driving performance in older adults but little, if any, research has examined the mechanisms through which health conditions affect driving difficulties in older adults. DESIGN:Cross-sectional, correlational study. SET...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Tuokko HA,Rhodes RE,Dean R

    更新日期:2007-07-01 00:00:00

  • Survey of 160 centenarians in Shanghai.

    abstract::One hundred and sixty centenarians were discovered and followed up for 7 years (1982-88) in Shanghai. The proportion of centenarians in the population was non-significantly greater in the urban than in the rural area and centenarians were in general increasing in both areas over the years. The factors promoting longev...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Zheng ZX,Wang ZS,Zhu HM,Yang JY,Peng HY,Wang LX,Li J,Jiang XW,Yu YF

    更新日期:1993-01-01 00:00:00

  • The effects of discontinuing long-term diuretic therapy in the elderly.

    abstract::The effects of discontinuing long-term diuretic therapy were investigated by means of a double-blind randomized controlled trial. A total of 141 elderly patients in the long-stay wards of six hospitals were found to be taking maintenance diuretics, and for 33 of these the drugs were judged to be mandatory. Of the rema...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Burr ML,King S,Davies HE,Pathy MS

    更新日期:1977-02-01 00:00:00

  • Is retirement associated with physical health benefits? A longitudinal investigation with older New Zealanders.

    abstract:OBJECTIVES:the impact of retirement on physical health is an important focus of ageing research; however, research findings vary greatly. To investigate under what conditions retirement might benefit health, we examined physical functioning 8 years pre- and post-retirement. METHODS:using longitudinal data from the New...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Szabó Á,Allen J,Stephens C,Alpass F

    更新日期:2019-03-01 00:00:00

  • Combined resistance and balance-jumping exercise reduces older women's injurious falls and fractures: 5-year follow-up study.

    abstract:BACKGROUND AND OBJECTIVE:previously, a randomised controlled exercise intervention study (RCT) showed that combined resistance and balance-jumping training (COMB) improved physical functioning and bone strength. The purpose of this follow-up study was to assess whether this exercise intervention had long-lasting effect...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Karinkanta S,Kannus P,Uusi-Rasi K,Heinonen A,Sievänen H

    更新日期:2015-09-01 00:00:00

  • Socioeconomic status and the trajectory of self-rated health.

    abstract:BACKGROUND:self-rated health (SRH) likely reflects both mental and physical health domains, and is assessed by asking individuals to describe their health status. Poor SRH is associated with disease incidence and subsequent mortality. Changes in SRH across time in persons with different incident diseases are uncharacte...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Foraker RE,Rose KM,Chang PP,McNeill AM,Suchindran CM,Selvin E,Rosamond WD

    更新日期:2011-11-01 00:00:00

  • The value of specialist clinical assessment of older people prior to entry to care homes.

    abstract:OBJECTIVE:to ascertain the value of employing a specialist clinician's contribution to the assessment of older people prior to care home entry. DESIGN:randomised controlled trial. METHOD:256 older people at risk of care home entry were randomly allocated to either a control group, who received the usual care manageme...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Challis D,Clarkson P,Williamson J,Hughes J,Venables D,Burns A,Weinberg A

    更新日期:2004-01-01 00:00:00

  • Effect of the COVID-19 Lockdown on Disease Recognition and Utilization of Healthcare Services in the Older Population in German: A Cross-sectional Study.

    abstract:BACKGROUND:There is little evidence about the utilization of healthcare services and disease recognition in the older population, which was urged to self-isolate during the COVID-19 lockdowns. OBJECTIVES:We aimed to describe the utilization of physician consultations, specialist referrals, hospital admissions, and the...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Michalowsky B,Hoffmann W,Bohlken J,Kostev K

    更新日期:2020-11-17 00:00:00

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    abstract:BACKGROUND:home visits and telephone calls are two often used approaches in transitional care, but their differential economic effects are unknown. OBJECTIVE:to examine the differential economic benefits of home visits with telephone calls and telephone calls only in transitional discharge support. DESIGN:cost-effect...

    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Wong FK,So C,Chau J,Law AK,Tam SK,McGhee S

    更新日期:2015-01-01 00:00:00

  • Clinical correlates of sway in old age--sensory modalities.

    abstract::Sway has been measured by Wright's Ataxiameter in 151 frail elderly and five young subjects, and compared with various sensory modalities. There is a close relationship between increased sway and impaired vibration sense in the legs. No correlations emerged with proprioception but this may reflect the imprecision of t...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Brocklehurst JC,Robertson D,James-Groom P

    更新日期:1982-02-01 00:00:00

  • Lesson of the week: perils of pessaries.

    abstract::Vaginal pessaries are widely considered to be a safe alternative to surgery in older women. We report a case of near fatal septicaemia in a 75-year-old woman associated with a shelf pessary, the presence of which was identified during an exploratory laparotomy. This case highlights the importance of the gynaecological...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Wheeler LD,Lazarus R,Torkington J,O'Mahony MS,Woodhouse KW

    更新日期:2004-09-01 00:00:00

  • The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke: a safe and humane screening tool.

    abstract:BACKGROUND:dysphagia is common in acute stroke. Accurate detection of the presence or absence of aspiration by bedside swallowing assessment is difficult without objective methods, tending to over-diagnose aspiration. As a result, some patients suffer restricted oral intake unnecessarily. OBJECTIVE:we examined the pre...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Smith HA,Lee SH,O'Neill PA,Connolly MJ

    更新日期:2000-11-01 00:00:00

  • Increased levels of soluble Receptor for Advanced Glycation End-products (RAGE) are associated with a higher risk of mortality in frail older adults.

    abstract:OBJECTIVE:to evaluate the relationship between serum levels of the soluble Receptor for Advanced Glycation End-products (sRAGE) and mortality in frail and non-frail older adults. METHODS:we studied 691 subjects (141 frail and 550 non-frail) with a median age of 75 years from two population-based cohorts, the Toledo St...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究


    authors: Butcher L,Carnicero JA,Gomez Cabrero D,Dartigues JF,Pérès K,Garcia-Garcia FJ,Rodriguez-Mañas L,Erusalimsky JD,FRAILOMIC Consortium.

    更新日期:2019-09-01 00:00:00

  • Older adults and carers' perceptions of pre-discharge occupational therapy home visits in acute care.

    abstract:BACKGROUND:pre-discharge occupational therapy (OT) home visits are an integral part of the discharge process for older adults in acute care. There is limited quality research demonstrating that these pre-discharge visits enhance the health and well being of older adults. This paper outlines the perceptions of older adu...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Atwal A,McIntyre A,Craik C,Hunt J

    更新日期:2008-01-01 00:00:00

  • Changes in physical and mental health are associated with cardiovascular disease incidence in postmenopausal women.

    abstract:BACKGROUND:physical and mental health are important risk factors for cardiovascular disease (CVD) incidence and death among postmenopausal women. The objective of this study was to assess whether changes in physical and mental health were associated with CVD incidence and death. METHODS:in the Women's Health Initiativ...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Saquib N,Brunner R,Desai M,Kroenke C,Martin LW,Daviglus M,Allen NB,Robinson J,Tindle H,Stefanick ML

    更新日期:2019-05-01 00:00:00

  • Effects of functional tasks exercise on older adults with cognitive impairment at risk of Alzheimer's disease: a randomised controlled trial.

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    journal_title:Age and ageing

    pub_type: 杂志文章,随机对照试验


    authors: Law LL,Barnett F,Yau MK,Gray MA

    更新日期:2014-11-01 00:00:00

  • Interleukin-1 production by human monocytes in ageing and disease.

    abstract::Interleukin-1 mediates the febrile response which is often said to be reduced in the elderly. Interleukin-1 production by monocytes cultured in vitro and stimulated with bacterial lipopolysaccharide was measured. Three groups of subjects were studied; 40 normal young, 33 well elderly and 40 elderly with a history of r...

    journal_title:Age and ageing

    pub_type: 杂志文章


    authors: Rudd AG,Banerjee DK

    更新日期:1989-01-01 00:00:00