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Found 26 results
  1. Content Article
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    Evidence suggests that care, treatment and outcomes of hospital admission are markedly poorer for people with dementia than for those without. Several potential factors may contribute to this, including: pressures of acute care the unique and complex needs of the person with dementia not being recognised organisational systems and processes – acute general hospitals are fast-paced and intense, with a focus on rapid responses, meeting acute needs and achieving discharge as soon as possible. These can lead to a number of risks for people with dementia, including: prolonged stay in hospital increased complications, such as pressure ulcers, falls and delirium increased adverse drug reactions loss of previous abilities and increased levels of dependence incidents of incontinence that can become permanent decline in cognitive function an increased likelihood of admission to a care home increased morbidity and mortality.
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  6. News Article
    NHS England has said disabled and vulnerable patients must not be denied personalised care during the coronavirus pandemic and repeated its warning that blanket do not resuscitate orders should not be happening. In a joint statement with disabled rights campaigner and member of the House of Lords, Baroness Jane Campbell, NHS England said the COVID-19 virus and its impact on the NHS did not change the position for vulnerable patients that decisions must be made on an individualised basis. It said: “This means people making active and informed judgements about their own care and treatment, at all stages of their life, and recognises people’s autonomy, as well as their preferences, aspirations, needs and abilities. This also means ensuring reasonable adjustments are supported where necessary and reinforces that the blanket application of do not attempt resuscitation orders is totally unacceptable and must not happen.” Read full story Source: The Independent, 26 May 2020
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    Palliative care doctors are urging people to have a conversation about what they would want if they, or their loved ones, became seriously unwell with coronavirus. We should discuss all possible scenarios - even those we are not "comfortable to talk about", they said. Medics said the virus underlined the importance of these conversations. New guidelines are being produced for palliative care for Covid-19 patients, the BBC understands. Read full story Source: BBC News, 21 March 2020
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    The aim of the audit was to assess the standard of care provided to patients with lower leg ulceration and to understand who provides care and where this care is provided. The specific objectives within the audit were: To ascertain the number of people presenting with lower leg ulceration. To assess the standard of care provided to people with lower leg ulceration. To assess the provision and uptake of training amongst health care professionals. To determine if health and social care trusts have policies and documentation in place for the treatment of lower leg ulceration. To provide information to assist in establishing regional best practice guideline and care standards for the delivery of lower leg ulceration in Northern Ireland.
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  12. Community Post
    Hi All, I was looking through a recent coroners case ( https://www.judiciary.uk/wp-content/uploads/2020/01/Julie-Taylor-2019-0454.pdf ) Where a learning disability patient deteriorated while in an acute care setting. One of the recommendations was that the Trust should have used a 'reasonable adjustment care plan'. I haven't heard or seen one of these before. So I had a quick look on the internet and found this. http://www.bristol.ac.uk/sps/media/cipold_presentations/workshop3presentation1-linda-swann.pdf Does anyone else use a care plan that they wouldn't mind sharing? Thanks - Claire
  13. Content Article
    Key outcomes UTI hospital admissions reduced by 36% in the four pilot care homes (150 residents). UTIs requiring antibiotics reduced by 58%. The gap between UTIs increased from an average of nine days in the baseline period to 80 days in the implementation and sustainability phase. One residential home was UTI-free for 243 consecutive days. Similar outcomes noted in pilot 2 care homes (215 residents).
  14. Content Article
    What will I learn? History of sepsis guidance Oxford AHSN approach to implementation of the guidance Care bundles (resource) Regional pathway for sepsis How to measure surveillance Limitations of coding sepsis Patient outcomes
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  16. Community Post
    How are people getting on with the NatSSIPs? PDF version to share NatSSIPs headline booklet.pdf
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    The high complexity model is intended for services that have more complex pathways e.g. chronic (more than one year) services in acute, mental health or community services, where patients may return for several follow up appointments at intervals which may change depending on how their condition progresses. You can use this model to inform decision making and planning, in supporting delivery of timely care to patients. This web page includes the following tools: high complexity model user guidance demand and capacity: high complexity model (blank) demand and capacity: high complexity model (populated).
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    This booklet is for patients to download and use. It includes: My basic information Things you must know about me Things that are important to me My likes and dislikes This passport can be taken into any healthcare setting.
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    In this report the CQC have seen much good and outstanding care, in particular around: responsiveness staff interactions with patients effective treatment leadership and engagement with staff and patients. However, there were a number of areas where services needed to make substantial improvements: governance clinical audit safety culture.
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  22. Community Post
    What training have you had to have that crucial end of life conversation with a patient and their relatives? What has helped you have those conversations?
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