We Like NIHR Signals!

First of all my heart goes out to everyone caught up in last nights tragedy in Barcelona, a city which I visited for the first time very recently. There are no words to express the shock and horror that will be felt by anyone who lost a loved one. My deepest felt sympathy to everyone affected.

The last few weeks I have concentrated too much perhaps on both dementia and Scotland so today I’ll thank Margo Stewart the Nursing Subject Librarian here at UWS for sharing this with me.

The National Institute for Health Research (NIHR) Dissemination Centre has a page called “Discover the Latest Research” where they release a series of reports called NIHR Signals. NIHR Signals are timely summaries of the most important research that aim to cut through the noise and provide decision makers and others with research evidence they can use. You can find out more about them here and by watching the video!

 

 

Recently the Dissemination Centre launched a new series called ‘My Signals’ where patients, service users and health and social care staff can comment and add their perspectives to Signals summaries of research. It’s not obvious how you do this but if you open the Signal you want to read you will find within it a menu that consists of:

Signal   Published Abstract   Definitions   Comments

Click on the comments link and you can both see what been said and add your own comments.

They are particularly interested in the views of patients and have created a guide to encourage them to contribute My Signals – Patients

The next editions of ‘My Signals’ will feature a Director of Public Health (in September) and three GPs (in October). Further editions will feature the views of surgeons, of nurses and of physiotherapists, so a site worth keeping an eye on.

Note also it’s a brilliant resource presenting easy to understand information, like NHS Choice’s Behind the Headlines which I have posted about before.

 

Recognising the Work of Scotland’s National Dementia Champions

Nicola Wood

Congratulations to Nicola Wood who works at Forth Valley Royal Hospital in Larbert Scotland who this year was Highly Commended in The Nursing Older People category of the RCNi  Nurse Awards 2017. Nicola’s work on reducing hospital interhospital movement for people with dementia featured in the July edition of Nursing Older People. You can see an item about the article at the Nursing Older People Journal site at the moment. As you might know, the School of Nursing here at the University of the West of Scotland are responsible for delivering the National Dementia Champions programme and Nicola is one of the 700 plus champions already out in the field. See National Dementia Champions

If you want to find out more about more what else the National Dementia Champions are involved in go to Twitter and look for #oneweething

Enriching End of Life Care and 4-year-olds in Care Homes

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A few weeks ago I blogged about attending a public lecture on issues related to end of life care in hospitals in three different countries. What I should have added the was that around the same time NHS Education for Scotland and Scottish Social Service Council also published a new framework to support the learning and development needs of the health and social service workforce in Scotland. The new framework is part of addressing the 10 commitments made by the Scottish Government to be met by 2021 with regard to Palliative and End of Life Care and can be found at the NHS Palliative and End of Life Care Community of Practice page which you can click here to view.

This week also saw Channel 4 in the UK showing quite an unusual programme on an intergenerational experiment to introduce children into a care home and film what happens. One of the doctors involved in setting up the experiment was Dr Zoe Wyrko, a Consultant physician at University Hospital Birmingham and she has written about her experience and the programme on the British Geriatric Society’s Blog. See Old People’s Home for 4-year-olds

 

 

Our New Masters Pathway!

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Since last year the NES/SSSC National Dementia Champions teaching team, which I am part of has been working towards setting up a Masters Programme that will extend the work they do to create an Expert Level of Dementia Practice course. To put this into context click here to see the Promoting Excellence Knowledge and Skills Framework site

Details of the new MSc in Gerontology (with Dementia Care) can be found at

http://www.mastersportal.eu/studies/156034/gerontology-and-later-life-studies.html

or contact me directly at raymond.duffy@uws.ac.uk

Other big news was the publication of Scotland’s Third National Dementia Strategy 2017-2020. which although a little later than expected has finally arrived! To read about and download the strategy click here 

Alzheimers Scotland’s comments on the new strategy can be viewed by clicking this link 

Part of the new strategy is a commitment to test new ways of supporting people with advanced dementia and at the end of life including testing Alzheimers Scotland’s Advanced Dementia Practice Model. Very timely for the team here at UWS, as advanced dementia is a key theme throughout our new programme.

Being Home and Inspiration From Away

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This week the team I work with were involved in the publication of a new report looking at the preparedness of Scotland’s housing to deal with the increasing numbers of people living with dementia. Called “Being Home: An overview of the current housing situation for people affected by dementia in Scotland” it Is the first report of its type done in the UK that I am aware of. Very timely too as the UK begins to examine the emerging crisis it faces with regard to social housing in the wake of the tragic events at Grenfell Tower Block in London. To download the report go to this link.

I also attended a public lecture this week which looked at comparing work done on the likelihood of dying within a year after hospital admission in Scotland; with work done in both Denmark and New Zealand. Sounds depressing I know, but it gives you wonderful insight into just how frail our hospital population truly is.

What was really good about this wasn’t just the insight about international frailty it was finding out about the work of Merryn Gott and her team in NZ. Very inspiring, so I am going to suggest taking a look at her research team’s Blog which you can find by clicking on this link

The Te Arai Research Group which she is part of focuses on palliative care and end of life research and are located at the University of Auckland. Her own view of the public lecture in Glasgow that I was at can be found on the group’s blog at this location

Revisiting Deconditioning and Elder Abuse

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At the end of April 2017, I posted some information about a campaign aimed at trying to limit the extent of deconditioning syndrome by encouraging older people in hospital to get up and get dressed in their day clothes sooner in order to encourage more walking and safer walking early in rehabilitation called  #EndPJparalysis . In support of this campaign, this month Nursing Older People’s Research Focus page suggests some articles that you might want to read on this topic that support the campaign. Two of them are quite old but one is a recent French study has a strong message for all staff dealing with older people in Hospital. The article is

Sourdet, S., Lafont, C., Rolland, Y., Nourhashemi, F., Andrieu, S. and Vellas, B. (2015). Preventable iatrogenic disability in elderly patients during hospitalisation. Journal of the American Medical Directors Association16(8), pp.674-681.

Which you can access via Science Direct. You can take a look at the abstract here

Two other things of note this month. This week is Carers week and an interesting YouGov poll was conducted on behalf of eight major charities who are calling on the new UK Government and society to do more to recognise the important contribution that unpaid carers make. You can view and download the report called “Building a carer
friendly society” at the Carers Week website 

Finally, yesterday was World Elder Abuse Awareness Day and the WHO have estimated that as many as 1 in 6 older people are affected by abuse. They have created a page in support of this day that includes a link to a report published in Lancet Global Health which you can download and read on elder abuse prevalence at  WHO Elder Abuse Awareness

There Infographic is also great.

The Importance of Vision Assessment

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In January (I know that’s a while back and usually I am more up to date than this), the  Royal College of Physicians in partnership with the National Audit of Inpatient Falls (NAIF) and others produced a new vision assessment tool which enables ward staff to quickly assess a patient’s eyesight in order to help prevent them falling or tripping while in hospital. Look out! Bedside vision check for falls prevention is an innovatively designed guide which aims to support busy clinical staff in assessing visual impairment in older people. It uses a mixture of questions and visual aids to help doctors, nurses and therapists check eyesight at the patient’s bedside. Results give an indication of the extent of any visual problems, known or unknown, that the patient may have. For more information click the link.

If we stick to the same topic the Royal National Institute for the Blind (RNIB) have created a resource page called Promoting good eye health for Dementia and Sight Loss Awareness Week 2017

There is a strong link between visual impairment and dementia as their 2016 PrOVIDe study showed. Most of the visual impairments they encountered though were easily correctable. So go and have a look at what they suggest.

Note the page was designed for England and Wales so if you are Scottish and want to become a Dementia Friend you need to click on this link