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Subject = Older people;
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Displaying Results 1 - 25 of 733 on page 1 of 30
Marked
Mark
'I'd prefer to stay at home but I don't have a choice': Meeting Older People's Preference for Care: Policy, but what about practice?
(2016)
Donnelly, Sarah; O'Brien, Marita; Begley, Emer; Brennan, John
'I'd prefer to stay at home but I don't have a choice': Meeting Older People's Preference for Care: Policy, but what about practice?
(2016)
Donnelly, Sarah; O'Brien, Marita; Begley, Emer; Brennan, John
Abstract:
Background: Research indicates that most older people would prefer to live in their own homes and have support services provided to enable them to do so for as long as possible (Barry, 2010). However, there is an evident tension between this objective and the promotion of 'ageing in place', with the consequent heavy reliance on the Nursing Home Support Scheme (NHSS) in the Irish context (Donnelly and O¿Loughlin, 2015). This study set out to explore the perspectives and experiences of social workers in Republic of Ireland working with older people to identify issues/barriers in accessing community supports and to examine older people's involvement in decision-making, including those with a cognitive impairment/dementia. Methods: A mixed methods study design was adapted and the study consisted of two phases: Phase 1 consisted of an on-line survey of social workers using Survey Monkey. Phase 2 consisted of in-depth semi-structured telephone interviews with at least two s...
http://hdl.handle.net/10197/7670
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'I'd prefer to stay at home but I don't have a choice': meeting older people's preference for care: policy, but what about practice?
(2016)
Donnelly, Sarah; O'Brien, Marita; Begley, Emer; Brennan, John
'I'd prefer to stay at home but I don't have a choice': meeting older people's preference for care: policy, but what about practice?
(2016)
Donnelly, Sarah; O'Brien, Marita; Begley, Emer; Brennan, John
http://hdl.handle.net/10147/617542
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"It's our home": the quality of life in private and voluntary nursing homes.
(1986)
O'Connor, Joyce; Walsh, Marie
"It's our home": the quality of life in private and voluntary nursing homes.
(1986)
O'Connor, Joyce; Walsh, Marie
Abstract:
Coping with a Resident who Wants to go Home Discontentment among residents is seen as one of the most difficult situations facing a staff member. Essentially, they bear the brunt of the resident's discontent in a situation which is not of their making. Some homes deal with this problem by not accepting on a long-term basis, any resident who does not wish to stay. For this reason, in some homes, residents are accepted initially on a trial basis, and if this does not work to the satisfaction of both parties, then the resident is not accepted on a permanent basis. Some staff say that the residents are free to leave if the family are willing to take them. This is the nub of the problem as far as the staff are concerned. They must find a way of dealing with the resident who wants to go home, when their relatives are unable or unwilling to have him or her at home.
http://hdl.handle.net/10147/335742
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"Time is more important than anything else": Tensions of time in home care of older adults in Ireland
(2019)
Timonen, Virpi
"Time is more important than anything else": Tensions of time in home care of older adults in Ireland
(2019)
Timonen, Virpi
Abstract:
This article explores perceptions of time reported by service users, family carers, care workers, nurses, social workers and agency managers across home support services for older adults in Ireland. The findings are organised around: time spent waiting for care; time spent ?processing? care across primary and secondary care boundaries; time and person-centred care; and time, technology and communication. Time emerges as a problematic aspect of all processes and structures around formal home care, suggesting that addressing issues around time is central to resolving systemic challenges. Greater flexibility in time allocation and effective communication among stakeholders could improve experiences of care.
http://hdl.handle.net/2262/89306
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10 year action plan for services for older persons: 1999-2008 (2.56 MB)
(1998)
Eastern Health Board (EHB)
10 year action plan for services for older persons: 1999-2008 (2.56 MB)
(1998)
Eastern Health Board (EHB)
Abstract:
EHB / 1998
http://hdl.handle.net/10147/45689
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3 year Implementation Programme for the " Ten year action plan for the services for older persons 1999 - 2008"
(2008)
Eastern Health Board (EHB)
3 year Implementation Programme for the " Ten year action plan for the services for older persons 1999 - 2008"
(2008)
Eastern Health Board (EHB)
Abstract:
Specific health promotion campaigns in the area of falls, cardiovascular disease, mental health, smoking, nutrition and diet, physical activity and housing & environment could be targeted on "a pilot basis" by the newly formed Health Promotion Unit in conjunction with partners in the various fields, ie. in the case of physical activity, Age & Opportunity or in the case of housing & environment with the local authorities. This could be carried out by way of public campaigns aimed at older people.
http://hdl.handle.net/10147/263712
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A 24 –month observational study to evaluate the safety of Lucentis™ (0.5mg) in a cohort of patients with choroidal neovascularization secondary to age-related macular degeneration
(2011)
A 24 –month observational study to evaluate the safety of Lucentis™ (0.5mg) in a cohort of patients with choroidal neovascularization secondary to age-related macular degeneration
(2011)
http://hdl.handle.net/10147/198689
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Mark
A 76 year old female diagnosed with cystic fibrosis
(2014)
O’Brien, ME; Murphy, DM; Plant, BJ
A 76 year old female diagnosed with cystic fibrosis
(2014)
O’Brien, ME; Murphy, DM; Plant, BJ
Abstract:
The diagnosis of Cystic Fibrosis (CF) requires a high clinical suspicion in patients presenting at all ages. Early recognition permits referral to a specialist centre and may reduce the morbidity and mortality associated with CF. We report the case of the oldest patient in Ireland diagnosed with CF at 76 years of age and highlight the clinical features of her presentation.
http://hdl.handle.net/10147/326165
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A Common Awareness and Knowledge Platform for Studying and Enabling Independent Living – CAPSIL
(2010)
Bennis, C.; McGrath, D.; Caulfield, B.; Knapp, R. Benjamin; Coghlan, Niall
A Common Awareness and Knowledge Platform for Studying and Enabling Independent Living – CAPSIL
(2010)
Bennis, C.; McGrath, D.; Caulfield, B.; Knapp, R. Benjamin; Coghlan, Niall
Abstract:
The population of the world is growing older, and the balance of old to young is shifting so that by 2050 over 30% of the population is expected to be over 60 years old[1], with particularly high ratios of old to young in the EU, USA and Japan. CAPSIL is an FP7 Coordinating Support Action that incorporates a strategic international coalition of University and Industrial partners that already have extensive teams developing hardware/software/knowledge solutions to independent living based on user requirements. CAPSIL has two fundamental goals: 1. To carry out an analysis of the state of the art with regards to technology, healthcare and public policy in the EU, US and Japan for enabling independent living for older adults. Based on this analysis, develop a detailed roadmap for EU research to achieve effective and sustainable solutions for independent living 2. To support aging research by proposing procedures to incorporate all of these diverse solutions into WiKi entries (CAPSIL WiK...
http://eprints.dkit.ie/274/
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A community virtual ward model to support older persons with complex health care and social care needs
(2017)
Lewis, C; Moore, Z; Doyle, F; Martin, A; Patton, D; Nugent, LE
A community virtual ward model to support older persons with complex health care and social care needs
(2017)
Lewis, C; Moore, Z; Doyle, F; Martin, A; Patton, D; Nugent, LE
Abstract:
: A quantitative observational study was conducted to examine if a CVW model of care reduced unplanned hospital admissions and emergency department (ED) presentations in 54 patients over a 12-month period. The sign-rank test examined matched data on bed days, ED presentations, and unplanned hospital admissions pre- and post-CVW implementation. Other risk factors for admission to hospital were examined using the Mann–Whitney test preand post-CVW admission, including falls, living alone, and cognition. Correlations between hospital admission avoidances and unplanned hospital admissions and ED presentations were tested using Spearman’s ρ test.
http://hdl.handle.net/10147/621487
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A comprehensive fracture prevention strategy in older adults: the european union geriatric medicine society (eugms) statement
(2018)
Blain, H.; Masud, T.; Dargent-Molina, P.; Martin, F.C.; Rosendahl, E.; van der Velde, N...
A comprehensive fracture prevention strategy in older adults: the european union geriatric medicine society (eugms) statement
(2018)
Blain, H.; Masud, T.; Dargent-Molina, P.; Martin, F.C.; Rosendahl, E.; van der Velde, N.; Bousquet, J.; Benetos, A.; Cooper, C.; Kanis, J.A.; Reginster, J.Y.; Rizzoli, R.; Cortet, B.; Barbagallo, M.; Dreinhöfer, K.; Vellas, B.; Maggi, S.; Strandberg, T.; Alvarez, M.N.; Annweiler, C.
http://hdl.handle.net/10379/10451
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A cross sectional study of the relationship between self-reported levels of loneliness and the experience of Pastoral Care in an Older Adult Day-care Service
(2018)
Kiely, Elizabeth
A cross sectional study of the relationship between self-reported levels of loneliness and the experience of Pastoral Care in an Older Adult Day-care Service
(2018)
Kiely, Elizabeth
Abstract:
Thesis submitted for the Masters in Counselling and Pastoral Care At the Irish College of Humanities and Applied Sciences. The thesis seeks to establish if a correlation exists between self-reported levels of loneliness and the experience of pastoral care in Older Adult Daycare Services (OADS).
http://hdl.handle.net/10147/623333
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A discussion paper on theories of ageing and approaches to welfare in Ireland, north and south
(2010)
Pierce, Maria; Timonen, Virpi
A discussion paper on theories of ageing and approaches to welfare in Ireland, north and south
(2010)
Pierce, Maria; Timonen, Virpi
http://hdl.handle.net/10147/299848
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A European research agenda on integrated care for older people / Henk Nies
(2004)
European Health Management Association (EHMA)
A European research agenda on integrated care for older people / Henk Nies
(2004)
European Health Management Association (EHMA)
Abstract:
EHMA / 2004
http://hdl.handle.net/10147/43501
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A fair deal the nursing home care support scheme 2008
(2008)
Health Service Executive (HSE), Department of Health and Children (DOHC)
A fair deal the nursing home care support scheme 2008
(2008)
Health Service Executive (HSE), Department of Health and Children (DOHC)
http://hdl.handle.net/10147/65062
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A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).
(2010)
Romero-Ortuno, Roman; Walsh, Cathal Dominic; Lawlor, Brian A; Kenny, Rose Anne
A frailty instrument for primary care: findings from the Survey of Health, Ageing and Retirement in Europe (SHARE).
(2010)
Romero-Ortuno, Roman; Walsh, Cathal Dominic; Lawlor, Brian A; Kenny, Rose Anne
Abstract:
Background: A frailty paradigm would be useful in primary care to identify older people at risk, but appropriate metrics at that level are lacking. We created and validated a simple instrument for frailty screening in Europeans aged ≥50. Our study is based on the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE, http://www.share-project.org), a large population-based survey conducted in 2004-2005 in twelve European
PUBLISHED
peer-reviewed
http://hdl.handle.net/10344/4934
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A framework for quality in long-term residential care for older people in Ireland / National Council on Ageing and Older People
(2000)
National Council on Ageing and Older People (NCAOP)
A framework for quality in long-term residential care for older people in Ireland / National Council on Ageing and Older People
(2000)
National Council on Ageing and Older People (NCAOP)
Abstract:
National Council for Aging and Older People 2000
http://hdl.handle.net/10147/46364
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Mark
A guiding framework for education and awareness in the development of person centred dementia care for Nurses and Care staff working across all care groups in the HSE
(2012)
Health Service Executive (HSE)
A guiding framework for education and awareness in the development of person centred dementia care for Nurses and Care staff working across all care groups in the HSE
(2012)
Health Service Executive (HSE)
Abstract:
The main aim of this project is to address care staff's knowledge deficit regarding caring for older people with dementia and to facilitate them to create a caring and dignified environment, where a person-centred approach to dementia care can be fostered.
http://hdl.handle.net/10147/267813
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A person centred approach to care of older people: the perceptions of people in the North Wexford Area / [thesis] by Anne Coakley
(2004)
Coakley, Anne
A person centred approach to care of older people: the perceptions of people in the North Wexford Area / [thesis] by Anne Coakley
(2004)
Coakley, Anne
Abstract:
The need for a more efficient co-ordination of care and service provision for older people is a constant theme in the reports and recommendations, both by government and voluntary agencies. This represents a crucial challenge to the development of appropriate health and social care planning for the growing numbers of older people, as a proportion of the population. Given the finite financial resources available, this population must be enabled to share in the responsibilities for priority setting of services and decision-making, leading to more efficient utilisation of resources. The North Wexford Area was selected for this study, which includes the town of Gorey and its environs, as the number of individuals, aged 65 years or over, in this selected area increased by 18% between 1996 and 2002. This study explores the perceptions of people 70 years or over regarding their knowledge of and individual requirements of the service both now and in the future. It also sought to establish i...
http://hdl.handle.net/10147/100311
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A profile of elderly fallers referred for physiotherapy in the Emergency Department of a Dublin teaching hospital
(2013)
Crehan, F; O’Shea, D; Ryan, JM; Horgan, F
A profile of elderly fallers referred for physiotherapy in the Emergency Department of a Dublin teaching hospital
(2013)
Crehan, F; O’Shea, D; Ryan, JM; Horgan, F
Abstract:
Ireland has an ageing population and the elderly are over-represented in Emergency Departments (ED) - a quarter of these presentations resulting from falls. A prospective study design was employed using a convenience sample to profile elderly fallers referred for physiotherapy in ED. Forty-subjects were assessed over 14 weeks. Mean age was 84.88 years (s.d. 7.3) and 31 (77.5%) were female. All demonstrated slow walking speed and 26 (65%) demonstrated poor grip strength. A quarter of subjects reported fear of falling and 30 (75%) were classified as frail. Elderly fallers in ED are a frail group of socially vulnerable patients who demonstrate a risk of further falls. Osteoporosis had been diagnosed in 9 (22.5%) subjects â a low prevalence compared with international research, but 25 (62.5%) subjects had never had a DEXA scan. The prevalence of frailty in the sample of elderly fallers in this study was very high (75%).
http://hdl.handle.net/10147/294113
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A prospective evaluation of bone mineral density measurement in females who have fallen
(2003)
Kenny, Rose
A prospective evaluation of bone mineral density measurement in females who have fallen
(2003)
Kenny, Rose
Abstract:
doi: https://doi.org/10.1093/ageing/afg062
Background: the National Service Framework for Older Persons recognises the relationship between falls and osteoporosis; however, the best method for the evaluation of bone mineral density measurement in fallers is unclear. Dual energy X-ray absorptiometry of lumbar spine and hip is the gold standard for bone mineral density measurement, but is time consuming and may not be readily available. A cheaper, more portable alternative is peripheral dual energy X-ray absorptiometry of the heel. This predicts overall fracture risk as effectively as dual X-ray at the spine and hip,although site speciWc measurements provide the best estimate of fracture risk at a particular location. Aims: 1. To validate peripheral dual energy X-ray in fallers by comparing heel bone mineral density measurement with measurements obtained at the lumbar spine and hip. 2. To determine the prevalence of osteoporosis in an unselected cohort of fallers...
http://hdl.handle.net/2262/89281
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A randomised trial of the effect of different fluid consistencies used in the management of dysphagia on quality of life: a time trade-off study: table 1.
(2018)
Lim, Daniel J. H.; Mulkerrin, Siofra Maire; Mulkerrin, Eamon C.; O'Keeffe, Shaun T.
A randomised trial of the effect of different fluid consistencies used in the management of dysphagia on quality of life: a time trade-off study: table 1.
(2018)
Lim, Daniel J. H.; Mulkerrin, Siofra Maire; Mulkerrin, Eamon C.; O'Keeffe, Shaun T.
Abstract:
Methods: the risk of aspiration with thin fluids was explained to consecutive hospital patients without dysphagia (n = 76) and to a convenience sample of healthcare professionals (n = 75) who were then randomly allocated to drink as much as possible of 200 ml of pre-prepared water of Grade 1 (very mildly thick) or Grade 2 (mildly thick) consistency. A standardised script with a ping-pong approach was then used to elicit TTO utilities for use of thickened fluids using a 10-year horizon. Results: median (inter-quartile range) utilities were 0.7 (0.5-0.9) for those receiving Grade 1 and 0.5 (0.3-0.7) for those receiving Grade 2 consistency fluid (Mann-Whitney test, P = 0.001). Thus, for example, on average those allocated to Grade 2 fluid would be willing to sacrifice 5 years of a 10-year lifespan not to be restricted to fluid of that consistency. There were no significant differences between patient and professional values. Conclusion: patients and professionals judge that long-term u...
http://hdl.handle.net/10379/12455
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A review of nocturnal leg cramps in older people
(2018)
Rabbitt, Louise; Mulkerrin, Eamon C.; O'Keeffe, Shaun T.
A review of nocturnal leg cramps in older people
(2018)
Rabbitt, Louise; Mulkerrin, Eamon C.; O'Keeffe, Shaun T.
Abstract:
Nocturnal leg cramps are common and troublesome, especially in later life, and have a significant impact on quality of life, particularly sleep quality. This article reviews the current state of knowledge regarding the diagnosis, frequency, pathophysiology and management of cramps. Recent evidence suggests that diuretic and long-acting beta-agonist therapy predispose to leg cramps. There is conflicting evidence regarding the efficacy of prophylactic stretching exercises in preventing cramps. Quinine remains the only medication proven to reduce the frequency and intensity of leg cramps. However, the degree of benefit from quinine is modest and the risks include rare but serious immune-mediated reactions and, especially in older people, dose-related side effects. Quinine treatment should be restricted to those with severe symptoms, should be subject to regular review and requires discussion of the risks and benefits with patients.
http://hdl.handle.net/10379/13554
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A review of potentially inappropriate prescribing in over 65’s in Livinghealth clinic
(2015)
Sweeney, J; Laoire, F; Linehan, G; Herlihy, D
A review of potentially inappropriate prescribing in over 65’s in Livinghealth clinic
(2015)
Sweeney, J; Laoire, F; Linehan, G; Herlihy, D
Abstract:
Polypharmacy and potentially inappropriate prescribing (PIP) are areas of growing importance and concern. Optimising drug prescribing in older people is challenging and complex at the individual GP level. At a national level it is an important public health issue for the care and management of the ageing Irish population. The aim of this study was to estimate the prevalence of PIP in Livinghealth Clinic using the STOPP (Screening Tool for Older Personsâ Prescribing) criteria and to identify areas of PIP. LHC audits demonstrated PIP levels of between 16% and 29%. Our findings were similar to other studies in that proton pump inhibitors (PPIs) at maximum therapeutic dosage for >8 weeks, and long acting benzodiazepines prescribed for >1 month, continue to be significant areas of PIP. However, not all identified PIP maybe inappropriate. The STOPP criteria are a useful screening tool for older personsâ prescribing, but are best used together with clinical assessment and discret...
http://hdl.handle.net/10147/558610
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A review of safe-staffing models and their applicability to care homes
(2018)
Mitchell, Gary; Cousins, Carol; Burrows, Ruth; Cousins, Gary
A review of safe-staffing models and their applicability to care homes
(2018)
Mitchell, Gary; Cousins, Carol; Burrows, Ruth; Cousins, Gary
Abstract:
Presently, there are a range of evidence-based staffing tools that have been used to inform nursing, midwifery and health care capacity. These tools are designed to be used with professional judgement and include frameworks such as Rhys Hearn, the National Services Scotland Care Home Staffing Project, a variety of Royal College of Nursing Tool Kits including the Older People in Hospital's tool and the only National Institute of Clinical Excellence approved safe-staffing tool, Shelford's Safer Nursing Tool. These safe-staffing tools are used to score a patient's or resident's level of dependency across a number of domains, for example a patient/resident's ability to wash, dress, mobilise or fulfil their own elimination needs. While these tools have been beneficial with regards to informing staff levels there are a number of limitations that are important to highlight. Succinctly, most are not readily applicable to care home settings nor do they focus on more ...
http://hdl.handle.net/10379/12920
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