Promoting Dignity in Care
People complain that dignity is difficult to define, but we can recognise care where dignity has been ignored or compromised in some way.
Frail older people and emergency care
This case study illustrates some best practice solutions to support frail patients, carers and families if admitted to emergency care.
Spirituality - How should we assess the spiritual needs of our patients?
While it may be unrealistic to celebrate every significant day for every patient, we know that assessment of a person’s spiritual needs should be an integral part of our professional assessment.
Telehealth and ‘assistive technology’ What it means and impact on care
Assistive technology or telehealth, is designed to support people in their own homes. Telehealth is the remote exchange of data between a patient at home and clinicians to assist in diagnosis and monitoring.
Productive practice in health care
Productive working is often associated with manufacturing, where being productive results in producing items. Many of the techniques that can be used to assess and improve productivity originated in the car manufacturing industry.
I often suspect that an older person is depressed, but I cannot persuade colleagues to consider this diagnosis.
Nurses frequently complain to me that when they think an older patient might have depression they have difficulty in convincing colleagues to take action. This could be because of the under-recognition of depression in old age, and also the way in which nurses articulate their concerns.
Sexual Intimacy in Residential Care
In 2008 a letter was sent to 826 residential homes in one state in Australia asking them what information was available that addressed issues of intimacy and sexuality.
Quality care for older people with urgent and emergency care needs - the 'Silver Book' - is a review of the problems older people encounter when they need emergency medical care. It shows how emergency admissions can be reduced and the experience of those admitted improved.
Mental health - Helping an older person who is experiencing anxiety?
Feeling anxious from time to time is a normal human experience. When someone is anxious they might experience feelings of tension, nervousness, heightened awareness, fear or uncertainty, dry mouth and throat, and tightness in the chest.
Mental health nurses and older patients’ physical health needs
Physical health problems, particularly chronic health problems such as obesity, diabetes and smoking-related illnesses, are more common in people with long-term mental illness.