Fixing the broken image of care homes, could a 'care home innovation centre' be the answer?

Abstract:

:The UK has many excellent care homes that provide high-quality care for their residents; however, across the care home sector, there is a significant need for improvement. Even though the majority of care homes receive a rating of 'good' from regulators, still significant numbers are identified as requiring 'improvement' or are 'inadequate'. Such findings resonate with the public perceptions of long-term care as a negative choice, to be avoided wherever possible-as well as impacting on the career choices of health and social care students. Projections of current demographics highlight that, within 10 years, the part of our population that will be growing the fastest will be those people older than 80 years old with the suggestion that spending on long-term care provision needs to rise from 0.6% of our Gross Domestic Product in 2002 to 0.96% by 2031. Teaching/research-based care homes have been developed in the USA, Canada, Norway, the Netherlands and Australia in response to scandals about care, and the shortage of trained geriatric healthcare staff. There is increasing evidence that such facilities help to reduce inappropriate hospital admissions, increase staff competency and bring increased enthusiasm about working in care homes and improve the quality of care. Is this something that the UK should think of developing? This commentary details the core goals of a Care Home Innovation Centre for training and research as a radical vision to change the culture and image of care homes, and help address this huge public health issue we face.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Hockley J,Harrison JK,Watson J,Randall M,Murray S

doi

10.1093/ageing/afw154

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

175-178

issue

2

eissn

0002-0729

issn

1468-2834

pii

afw154

journal_volume

46

pub_type

杂志文章
  • Does admission to hospital improve the outcome for stroke patients?

    abstract:OBJECTIVES:to identify the factors associated with hospital admission and the differences in management and outcome of stroke patients between hospital and home. DESIGN:a prospective community stroke register (1995-8) with multiple notification sources. SETTING:an inner city multi-ethnic population of 234 533 in Sout...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.3.197

    authors: Bhalla A,Dundas R,Rudd AG,Wolfe CD

    更新日期:2001-05-01 00:00:00

  • Risk of imbalance in elderly people with impaired hearing or vision.

    abstract::We evaluated the effect of impaired hearing and vision on balance in a sample of 977 elderly people residing in the community. Of the sample, 21% reported balance problems, 27% vision problems, and 30% hearing problems. The increased relative risk for balance problems was 1.7 for each 10-year age increment. Women were...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.1.31

    authors: Gerson LW,Jarjoura D,McCord G

    更新日期:1989-01-01 00:00:00

  • Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study.

    abstract::A sample of 761 subjects 70 years and over was drawn from general-practice records of a rural township. Each subject was assessed and followed for 1 year to determine the incidence of and factors related to falls. The fall rate (number of falls per 100 person-years) increased from 47 for those aged 70-74 years to 121 ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.2.136

    authors: Campbell AJ,Borrie MJ,Spears GF,Jackson SL,Brown JS,Fitzgerald JL

    更新日期:1990-03-01 00:00:00

  • Gastrointestinal investigations for anaemia in the elderly: a prospective study.

    abstract::Of 60 patients referred for geriatric assessment with clinically significant hypochromic anaemia, in the absence of frank bleeding, 44 underwent upper gastrointestinal and 27 lower gastrointestinal investigations. The probability of identifying a potential cause at upper gastrointestinal endoscopy was three times that...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/16.6.399

    authors: Calvey HD,Castleden CM

    更新日期:1987-11-01 00:00:00

  • Physical activity levels across adult life and grip strength in early old age: updating findings from a British birth cohort.

    abstract:INTRODUCTION:observational studies do not always find positive associations between physical activity and muscle strength despite intervention studies consistently showing that exercise improves strength in older adults. In previous analyses of the MRC National Survey of Health and Development (NSHD), the 1946 British ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft124

    authors: Dodds R,Kuh D,Aihie Sayer A,Cooper R

    更新日期:2013-11-01 00:00:00

  • The impact of first- and second-eye cataract surgery on injurious falls that require hospitalisation: a whole-population study.

    abstract:BACKGROUND:cataract is a leading cause of reversible vision impairment and may increase falls in older adults. OBJECTIVE:to assess the risk of an injury due to a fall among adults aged 60+, 2 years before first-eye cataract surgery, between first-eye surgery and second-eye surgery and 2 years after second-eye surgery....

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/aft177

    authors: Meuleners LB,Fraser ML,Ng J,Morlet N

    更新日期:2014-05-01 00:00:00

  • Upper gastro-intestinal endoscopy for Chinese elderly in an acute geriatric unit: a review.

    abstract::From December 1982 to August 1983, a total of 242 oesophago-gastro-duodenoscopies were performed for 208 elderly patients in the Geriatric Unit, Princess Margaret Hospital, Hong Kong. These were done as part of an investigatory procedure in the Geriatric Unit, the first of its kind in Hong Kong. In the 9-month survey,...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/13.5.285

    authors: Lee YC,Tam HC

    更新日期:1984-09-01 00:00:00

  • Trends in hip fracture incidence and mortality in Chinese population from Hong Kong 2001-09.

    abstract:BACKGROUND:there is a suggestion that while the age-adjusted incidence of hip fracture in the West may be declining, the incidence may be rising in Asia. OBJECTIVE:this study examines the incidence and post-fracture mortality from 2001 to 2009 among the population aged 65 years and over. METHODS:hip fracture incidenc...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afs177

    authors: Chau PH,Wong M,Lee A,Ling M,Woo J

    更新日期:2013-03-01 00:00:00

  • Use of antipsychotics among nonagenarian residents in long-term institutional care in Finland.

    abstract:BACKGROUND:There is a paucity of information about the use of antipsychotic medication in long-term care, especially among the oldest-old residents. OBJECTIVE:To analyse the factors associated with the use of antipsychotic medication among nonagenarian residents in long-term institutional care. DESIGN:A retrospective...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afl065

    authors: Alanen HM,Finne-Soveri H,Noro A,Leinonen E

    更新日期:2006-09-01 00:00:00

  • Public knowledge and understanding of dementia-evidence from a national survey in Ireland.

    abstract:Background:there is growing consensus around the importance of population level approaches which seek to improve public knowledge and awareness of dementia. Aim:to assess knowledge of the relationship between dementia and ageing, and of the risk and protective factors associated with it, among the general public in Ir...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx082

    authors: Glynn RW,Shelley E,Lawlor BA

    更新日期:2017-09-01 00:00:00

  • Validity of direct assessment of functional status as a tool for measuring Alzheimer's disease severity.

    abstract:OBJECTIVE:to assess the validity of the Direct Assessment of Functional Status (DAFS) performance-based functional scale for the staging of dementia severity by comparing it with established clinical, functional and cognitive scales. PATIENTS AND METHODS:93 consecutive Alzheimer's disease patients underwent DAFS. Soci...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.5.615

    authors: Zanetti O,Frisoni GB,Rozzini L,Bianchetti A,Trabucchi M

    更新日期:1998-09-01 00:00:00

  • Adrenal function after upper femoral fracture in elderly people: persistence of stimulation and the roles of adrenocorticotrophic hormone and immobility.

    abstract::Previous work has shown persistent elevations in plasma cortisol concentration following upper femur fracture in elderly people. To investigate this phenomenon further, we measured plasma cortisol and adrenocorticotrophin (ACTH) and performed overnight dexamethasone suppression tests in carefully characterized patient...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.5.304

    authors: Roberts NA,Barton RN,Horan MA,White A

    更新日期:1990-09-01 00:00:00

  • Effect of a lathyrogen (aminoacetonitrile hydrochloride) on aortic physiosclerosis and skeletal mineralization in growing rats of different age.

    abstract::In one experiment, four groups of six-week-old-male PVG rats were, respectively, given tap water ('control group'), 0.00125M, 0.0025M, and 0.005M lathyrogen (aminoacetonitrile hydrochloride: AAN) solutions ad libitum for a period of 20 weeks. In a second experiment, 12-week-old male rats were similarly treated. It was...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/5.3.155

    authors: Morgan AJ,Bellamy D

    更新日期:1976-08-01 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

    doi:10.1093/ageing/afs062

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

    更新日期:2012-11-01 00:00:00

  • Intraventricular haemorrhage and seizures in a patient with dementia: a case of chronic neurobrucellosis.

    abstract::Brucellosis is the most commonly reported zoonosis. Nervous system participation can occur at any stage of the disease either in acute or subacute or chronic form. Isolated nervous system involvement or neurobrucellosis is a relatively rare form of the disease. We describe an unusual case of an older patient with deme...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz020

    authors: Spyrou A,Natsis KS,Papamichalis E,Mourtzinos H

    更新日期:2019-07-01 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

    doi:10.1093/ageing/afh052

    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

  • Prevalence of biliary lithiasis in the elderly people of a small town in Sicily.

    abstract::The aim of the present study was to determine the prevalence of biliary lithiasis (BL) and its major associated factors in the elderly people of a small town in Sicily. All inhabitants over the age of 65 were interviewed and underwent a general physical examination, blood tests and ultrasonography of the gallbladder a...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/21.5.338

    authors: Montalto G,Soresi M,Carroccio A,Averna MR,Muratore R,Li Castri C,Barbagallo CM,Cavera G,Sapienza M,Notarbartolo A

    更新日期:1992-09-01 00:00:00

  • Alcohol and age.

    abstract::Alcohol consumption constitutes a substantial burden of disease. Older people are being admitted to hospital for alcohol problems in increasing numbers. A recent systematic review reports cautious supportive evidence for primary prevention interventions in reducing excessive alcohol consumption in older drinkers, but ...

    journal_title:Age and ageing

    pub_type: 评论,杂志文章

    doi:10.1093/ageing/afx191

    authors: Crome IB,Crome P

    更新日期:2018-03-01 00:00:00

  • Lower urinary tract dysfunction in Parkinson's disease: changes relate to age and not disease.

    abstract::Lower urinary tract symptoms are frequency report in Parkinson's disease. Whether these are causally related to Parkinson's disease rather than the known effects of age on the urinary tract is unknown. In this study we compared urodynamic data from 1864 women and 357 men with no neurological disease with data from 34 ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/24.6.499

    authors: Gray R,Stern G,Malone-Lee J

    更新日期:1995-11-01 00:00:00

  • Betahistine hydrochloride (Serc) in cerebrovascular disease: a placebo-controlled study.

    abstract::A double-blind, placebo-controlled, clinical study was performed to assess the effects of oral betahistine hydrochloride (Serc) on mental impairment and physical disability in patients with established cerebrovascular disease. Fifty-three patients were admitted to the study during 18 months. Forty-five patients comple...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章

    doi:10.1093/ageing/6.3.179

    authors: Pathy J,Menon G,Reynolds A,Van Strik R

    更新日期:1977-08-01 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

    doi:10.1093/ageing/afn297

    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

  • A prospective study of elderly general surgical patients: II. Post-operative complications.

    abstract::A prospective study was carried out on 288 general surgical patients aged 65 years and over. Over 40% of patients suffered no post-operative complication. The commonest post-operative problem was respiratory, with 17% of patients having simple atelectasis, 12% acute bronchitis and 10% pneumonia. Six per cent of patien...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.5.316

    authors: Seymour DG,Vaz FG

    更新日期:1989-09-01 00:00:00

  • Pain and delirium in people with dementia in the acute general hospital setting.

    abstract:Background:Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting. Objective:To investigate the relationship between pain and delirium in peop...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afy112

    authors: Feast AR,White N,Lord K,Kupeli N,Vickerstaff V,Sampson EL

    更新日期:2018-11-01 00:00:00

  • A general population survey of rest cramps.

    abstract::Two hundred and eighteen subjects, out of 250 individuals taken from a general practice register, returned completed questionnaires giving details about rest cramps, and a further 15 were contacted by telephone. The overall prevalence of rest cramps in the survey population was 37%. The symptom was more prevalent in o...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/23.5.418

    authors: Naylor JR,Young JB

    更新日期:1994-09-01 00:00:00

  • Safe working in a 7-day service. Experience of hip fracture care as documented by the UK National Hip Fracture Database.

    abstract:Objective:to describe differences in care and 30-day mortality of patients admitted with hip fracture on weekends (Saturday-Sunday) compared to weekdays (Monday-Friday), and their relationship to the organisation of care. Methods:data came from the National Hip Fracture Database (NHFD) linked to ONS mortality data on ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy074

    authors: Neuburger J,Currie C,Wakeman R,Georghiou T,Boulton C,Johansen A,Tsang C,Wilson H,Cromwell DA,van der Meulen J

    更新日期:2018-09-01 00:00:00

  • Long-term physical activity is associated with reduced arterial stiffness in older adults: longitudinal results of the SAPALDIA cohort study.

    abstract:BACKGROUND:longitudinal analyses of physical activity (PA) and arterial stiffness in populations of older adults are scarce. We examined associations between long-term change of PA and arterial stiffness in the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults (SAPALDIA). METHODS:we assessed PA...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afv172

    authors: Endes S,Schaffner E,Caviezel S,Dratva J,Autenrieth CS,Wanner M,Martin B,Stolz D,Pons M,Turk A,Bettschart R,Schindler C,Künzli N,Probst-Hensch N,Schmidt-Trucksäss A

    更新日期:2016-01-01 00:00:00

  • Four-year clinical results of transcatheter self-expanding Medtronic CoreValve implantation in high-risk patients with severe aortic stenosis.

    abstract:BACKGROUND:transcatheter aortic valve implantation (TAVI) has emerged as an alternative to surgical aortic valve replacement for patients with severe aortic stenosis considered inoperable or at high operative risk, but the long-term outcome remains unknown. HYPOTHESIS:we assessed the 4-year clinical and echocardiograp...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw038

    authors: Thomopoulou S,Vavuranakis M,Karyofyllis P,Kariori M,Karavolias G,Balanika M,Smyrli A,Stefopoulos C,Sbarouni E,Moldovan C,Khoury M,Stefanadis C,Voudris V

    更新日期:2016-05-01 00:00:00

  • Reappraising 'the good death' for populations in the age of ageing.

    abstract::This is the second in an occasional series of paired commentaries in Age and Ageing, the Journal of the British Geriatrics Society and the Journal of the American Geriatrics Society (JAGS). The aim is to address issues of current significance and to foster dialogue and increased understanding between academics and cli...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy008

    authors: Pollock K,Seymour J

    更新日期:2018-05-01 00:00:00

  • The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool.

    abstract:BACKGROUND:the Falls Risk for Older People in the Community assessment (FROP-Com) tool was designed for use in targeted multi-factorial falls prevention programmes. It fills the gap between the short screening tools and the longer assessment tools, e.g. the physiological profile assessment (PPA). The aim of this study ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afn129

    authors: Russell MA,Hill KD,Blackberry I,Day LM,Dharmage SC

    更新日期:2008-11-01 00:00:00

  • Outcomes of Mobilisation of Vulnerable Elders in Ontario (MOVE ON): a multisite interrupted time series evaluation of an implementation intervention to increase patient mobilisation.

    abstract:Background:older patients admitted to hospitals are at risk for hospital-acquired morbidity related to immobility. The aim of this study was to implement and evaluate an evidence-based intervention targeting staff to promote early mobilisation in older patients admitted to general medical inpatient units. Methods:the ...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ageing/afx128

    authors: Liu B,Moore JE,Almaawiy U,Chan WH,Khan S,Ewusie J,Hamid JS,Straus SE,MOVE ON Collaboration.

    更新日期:2018-01-01 00:00:00