Being Home and Inspiration From Away

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This week the team I work with were involved in the publication of 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 to 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 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 about 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 at put the link here.

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.

Looking back at #DAW2017 and Looking Forward; Anticipatory Care Planning

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As my followers will know it was Dementia Awareness Week in Scotland last week so for those of you who got involved here are some things you might like:

  • #DAW2017 went viral with a video of PC Marshall visiting a Musical Minds group in Kilmarnock during DAW. The video on the ALZScot Ayrshire page was shared across Scottish media including The Scotsman, The Scottish Sun, The Sunday Post and many more!
  • Check out the Dementia Awareness Week gallery over on Facebook and tag yourself.
  • To support the week AlzScot also shared a blog a day from Allied Health Professionals who wanted to share who they are and how they CAN help if you are living with dementia. If you can review the blogs by visiting Let’s Talk about Dementia

Last week also saw the publication of ‘My Anticipatory Care Plan’ (ACP). An anticipatory care plan toolkit designed by Healthcare Improvement Scotland.

Antipatory Care Planning ahead can help many people with chronic health problems to plan what they would like their care to look like on a daily basis or help them to plan fro and manage situations which they may find threatening, like sudden hospital admission.  ACP’s are not legally binding in any way (in the UK) and can be updated at any time to reflect changes in the person’s thinking. Remember this is designed to be their plan and it’s entirely up to the person to decide who to share this information with.

For more information about ACP’s and to access the toolkit please click here

You can also download their ACP App for both iPhone and Android when you visit the site. It really is a fabulous resource and although it may originate in Scotland, it could be used anywhere!

 

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

 

 

Unintentional Ageism and Some Fab Stuff

I am not expecting this to surprise many of you by saying that the leading cause of trauma to older people is falls from a standing height, most of which happen at home. However what will surprise you is that a ten-year study by the Trauma Audit and Research Network revealed that this is the leading cause of major trauma across the country ahead of road traffic accidents, work-based accidents and assaults.

So what’s that got to do with unintentional ageism?  Janet Morrison,  who has written this week’s blog post for campaigning and support group Independent Age explains very nicely how Trauma Centre’s (A&E’s) are set up to deal with younger people with high impact injuries but that is no longer the bulk of their work. The report itself is very revealing particularly in relation to what happens next after an older person’s trauma is recognised. To read or listen to Janet’s blog click here

If you are dealing with falls, particularly falls at home, regularly you may find this page useful 

If falls are not your thing the here is somewhere else to go browsing. This is a link to the Academy of Fabulous Stuff. 

If you want to know what it’s about and what it does watch the video:

“Staying Sharp” and the Future of Frailty Screening

Earlier this month a new resource called “Staying Sharp” was launched by Age UK. Staying Sharp is a new online hub on brain ageing, which has been developed in collaboration with the Centre for Cognitive Ageing and Cognitive Epidemiology (CCACE) at the University of Edinburgh.

It has been developed because for many older people, losing their mental sharpness is one of their biggest fears. However, although it is generally accepted that some of our thinking skills, for example, our memory and speed of processing information will change, approximately three-quarters of the changes in our thinking skills across our lives are really down to lifestyle and environmental factors. Many of these factors may be things we can try and control or change which is why the hub has been created.

Staying Sharp is a superb resource for the many people out there who are concerned about losing their thinking skills as they grow older. So please recommend it!

Also found out this week that there is going to be a requirement for GPs to routinely identify frailty in patients as part of the new GP Contract being rolled out in NHS England in 2017-18. Which really begs the question how are they going to identify who is frail.? Well a wee bit of digging and I have come across the following paper:

Development and validation of an electronic frailty index using routine primary care electronic health record data

When tested out this index identified 35 per cent of the population aged 65 and over who have ‘mild’ frailty. Using this tool the intention is to pick up this group using this frailty identification tool in its early stages in order to provide opportunities for the prevention of poor quality ageing. Now just what exactly will that involve?

Oh… hang on… what was that “Staying Sharp” resource about?

Worrying Times; So Let’s Talk about Depression.

Worrying times for UK nursing particularly in England and Wales where the nursing bursary has been scrapped. Figures from UCAS show a worrying drop in applicant numbers at a time when there is a huge shortage of nurses UK wide. Less than a year and clearly it’s already time for a re-think.  See Mature students decide against nursing .

I am not sure how many of you will have read about this but I think it is well worth reading about, particularly if you work in an area where no resuscitation team is accessible, care homes particularly.

In January the Nursing and Midwifery Council’s (NMC’s) Conduct and Competence Committee (January 2017) ; found against a nurse who did not attempt CPR on, or call the emergency services to, a nursing home resident she believed had already died.

This ruling had caused concern and considerable debate among nurses and other health care professionals who feared the risk of criticism or disciplinary action should they be faced with a similar situation.

Bearing this in mind it is worth reading both of these statements. One from the Resuscitation Council (UK) itself and the other from the RCN.

Resuscitation Council (UK) Statement  this is the RCN/BMA Statement

Finally, something else that may have passed you by this week. WHO announced that Depression is now the leading cause of ill-health and disability worldwide. According to the latest estimates from WHO, more than 300 million people are now living with depression, an increase of more than 18% between 2005 and 2015. WHO will start a year-long campaign targeting depression called “Depression: let’s talk” which will commence on World Health Day which is today of course! (7th. of April 2017).

Its going to be a bit overshadowed by the launching of Fifty-nine Tomahawk cruise missiles sadly.