Nearly two thirds (65%) of people admitted to hospital in the UK are aged over 65 years old. Many of them are frail and at high risk of poor healthcare outcomes – like staying longer in hospital, reduced physical abilities, becoming dependant, going to a care home, and even death.
National recommendations suggest that these high-risk older individuals should be routinely identified when they are admitted to hospital to allow healthcare teams to provide appropriate individual care that meets patient’s needs (1). It is unclear whether and how those people are identified in hospital. Therefore our study looked at the current practice in one hospital with regard to identification of patients at high-risk of poor healthcare outcomes. To do that, we reviewed a random sample of patient’s clinical notes and interviewed staff members who worked at five acute medicine for older people wards (2).
Almost a year on from my last post here and I’ve done a lot of work on my developing my research proposal – reading, learning, literature reviewing – but sadly not a lot has changed for people with dementia in acute hospitals. My desire to improve the quality of care, especially at meal times has certainly grown.
Previously I have written about using a detailed computer model to ask ‘what-if’ an emergency department could be run differently. Hidden away in complex models like these are important rules of thumb that tell us how to efficiently manage patient flow.
When people with dementia get admitted to hospital, their need for fundamental care can be high. Everyone coming in to hospital wants to be treated with respect and dignity by health care workers who have the time, resources and training needed to keep them safe and well cared for. But having dementia can put people at higher risk of not having these needs met.
For the past 50 years, May 12 – Florence Nightingale’s birthday – has been celebrated around the world as “International Nurses Day”. But who exactly is celebrating nursing in 2015, when nurses appear to be under constant criticism and their morale is at an all-time low?
Last month saw the publication by the NIHR of the final report on our study evaluating England’s first 100% single room hospital at Pembury, part of the Maidstone and Tunbridge wells trust, which opened in 2011 (1).
Spring. The headlines about A&E overcrowding are beginning to disappear just as a fresh wave of news reports burst forth with the NHS priorities for the next government.We now have the luxury of a brief respite to reflect on how we can improve the lot of our hospital A&E’s before the seasonal cycle repeats itself. I have spent my winter looking at A&E data examining the question – could the answer to A&E attendance lie in providing GP appointments for urgent – but non-emergency – care at the weekend?
I’m Nuno Tavares, a staff nurse at Queen Alexandra Hospital and I’m also a PhD student carrying out research for NIHR CLAHRC Wessex and Portsmouth Hospitals NHS Trust. My research is about improving end of life care for patients with COPD.
NHS clinical commissioning groups across the UK are all focused on improving patient care while facing the pressures of an aging population, increasing volumes of patients with multiple complex health problems and the stark political reality of the need to cut costs.
The complexity of these decisions and how to improve care is often enormously underestimated in the popular media. Take for example, the waiting time performance of accident and emergency (A&E) departments in the UK.
This site promotes independent research by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Funding Scheme. The views expressed in this blog are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health