Geriatrician input into nursing homes reduces emergency hospital admissions

Lisk, Radcliffe; Yeong, Keefai; Nasim, Ashraf; Baxter, Mike; Mandal, Bhaskar; Nari, Raad; Dhakam, Zahid

doi:10.1016/j.archger.2011.10.014

Cited by 28 publications

(37 citation statements)

References 10 publications

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“…This in line with the results of previous work which report a reduction in hospital admissions following interventions delivering educational sessions to care home staff on EoLC (Roberts,12 2015) or facilitating geriatrician input into nursing homes (Lisk et al, 2012). Palliative care knowledge and practice within nursing homes is associated with a reduction in futile interventions/acute care use (Miller et al, 2015); targeting EoLC training and education to the needs of care home staff may reduce inappropriate admissions to hospital at the EoL.…”

supporting

confidence: 77%

Developing, implementing and evaluating an end of life care intervention

Cox

Arber

Bailey

et al. 2017

Nursing Older People

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To develop, implement and evaluate a collaborative intervention in care homes seeking to increase the confidence and competence of staff in end of life care and enable more people to receive end of life care in their usual place of residence.\ud Aim To develop, implement and evaluate a collaborative intervention in care homes seeking to increase the confidence and competence of staff in end of life care and enable more people to receive end of life care in their usual place of residence.\ud \ud Method A two-phase exploratory mixed methods design was used, evaluating the effect of an end of life care toolkit and associated training in care homes, facilitated by a specialist palliative care team. Six care homes in England were recruited to the intervention; 24 staff participated in discussion groups; 54 staff attended at least one training session; and pre- and post-intervention questionnaires were completed by 78 and 103 staff respectively.\ud \ud Results Staff confidence in receiving emotional and clinical support and managing end of life care symptoms increased post-intervention, but confidence in discussing death and dying with residents and relatives decreased. Audit data indicate greater reduction in the number of residents from participating care homes dying in hospital than those from comparison homes.\ud \ud Conclusion Collaborative end of life care interventions support care home staff to manage end of life and may enable residents to have choice about their place of death

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supporting

confidence: 77%

Developing, implementing and evaluating an end of life care intervention

Cox

Arber

Bailey

et al. 2017

Nursing Older People

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“…43 Several limitations must be considered in the interpretation of the results. The presence of a geriatrician in the facility is important for the specific and complex care needs of these frail persons.…”

Section: Discussionmentioning

confidence: 99%

Quality of life in older people with dementia: A multilevel study of individual attributes and residential care center characteristics

Marventano

Flores

Sanz-Barbero

et al. 2014

Geriatrics Gerontology Int

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“…In a study of three nursing homes that had the highest hospital admissions to a trust, it was discovered that emergency admissions reduced where there was regular contact with consultant geriatricians. Residents were also found to spend less time in hospital (Lisk et al., ).…”

Section: Introductionmentioning

confidence: 99%

Family involvement in timely detection of changes in health of nursing homes residents: A qualitative exploratory study

Powell

Blighe

Froggatt

et al. 2017

Journal of Clinical Nursing

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Aims and objectivesTo explore family perspectives on their involvement in the timely detection of changes in their relatives' health in UK nursing homes.BackgroundIncreasingly, policy attention is being paid to the need to reduce hospitalisations for conditions that, if detected and treated in time, could be managed in the community. We know that family continue to be involved in the care of their family members once they have moved into a nursing home. Little is known, however, about family involvement in the timely detection of changes in health in nursing home residents.DesignQualitative exploratory study with thematic analysis.MethodsA purposive sampling strategy was applied. Fourteen semi‐structured one‐to‐one interviews with family members of people living in 13 different UK nursing homes. Data were collected from November 2015–March 2016.ResultsFamilies were involved in the timely detection of changes in health in three key ways: noticing signs of changes in health, informing care staff about what they noticed and educating care staff about their family members' changes in health. Families suggested they could be supported to detect timely changes in health by developing effective working practices with care staff.ConclusionFamilies can provide a special contribution to the process of timely detection in nursing homes. Their involvement needs to be negotiated, better supported, as well as given more legitimacy and structure within the nursing home.Relevance to clinical practiceFamilies could provide much needed support to nursing home nurses, care assistants and managers in timely detection of changes in health. This may be achieved through communication about their preferred involvement on a case‐by‐case basis as well as providing appropriate support or services.

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Geriatrician input into nursing homes reduces emergency hospital admissions

Cited by 28 publications

References 10 publications

Developing, implementing and evaluating an end of life care intervention

Developing, implementing and evaluating an end of life care intervention

Quality of life in older people with dementia: A multilevel study of individual attributes and residential care center characteristics

Family involvement in timely detection of changes in health of nursing homes residents: A qualitative exploratory study

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