Older patients - who cares?

Article Abstract:

Community care support varies from area to area as there is not one national tool to assess community care needs. The NHS and Community Care Act 1990 aimed to ensure that care was given according to individual needs, but local authorities have only reluctantly taken on the management of community care. Many care managers are not qualified and have little experience in providing health care, and it is widely thought that nurses and other health care professionals should be involved in assessing health care needs. This would mean that older clients would be assessed by a specialist elderly care nurse.

Management, Community health services, Community health nursing, Community health services for the aged

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How education can work to improve care standards

Article Abstract:

Elderly people often receive inadequate community care and service provision can sometimes be patchy and lacking in coordination. The dearth of long-stay beds in National Health Service hospitals means that more of the elderly and vulnerable are being cared for in private institutions where the quality of their care cannot be guaranteed and where many carers are untrained and not professionally accountable. It is suggested that an educational framework for care workers and health professionals could help to ensure that clients receive the highest standards of care services.

Institutional care

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Dangerous liaisons

Article Abstract:

A survey of 170 nurses involved in care of the aged taken in September 1998 at a 'Nursing Times' Live event indicated that 53% had restrained a patient within the past year. It also indicated that four fifths had suffered aggression from patients and that two fifths had suffered assault. Some 17% of those who had restrained patients had not suffered an assault during the period, which indicated that restraint had been used for non-aggressive patients. The use of restraint is a confusing and difficult issue.

United Kingdom, Surveys, Patients, Restraint of patients, Physical restraint

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