Domiciliary Setting Research Articles

Physiotherapy care between hospital and home: patients’ views

An investigation of physiotherapy at the interface between primary and secondary care was carried out in Aberdeen. Patients from a secondary care orthopaedic setting who had transferred to a primary care domiciliary setting were interviewed. The project was carried out by physiotherapists in two local trusts and has improved communication between staff in the two settings.

Coding Changes for 2001

Coding Changes for 2001

The role of the Macmillan carer in a new community care service

Care in the community has become a central feature of government policy for health and social care in the, 1990s. Reflecting this there is now widespread interest in the provision of palliative care services in community and domiciliary settings. In, 1995 Macmillan Cancer Relief embarked on a programme of development projects concerned to provide support in the home to patients who have palliative care needs, together with their informal carers. The key workers in the schemes are specially trained health care assistants, known as Macmillan Carers. An evaluation of the English schemes has been conducted and this paper draws on one distinct element of the study. Based on interviews with 37 Macmillan Carers, the paper highlights a number of key issues: first, the role of the qualified and unqualified nurse; second, the implications of the health and social care divide for this type of service; third, wider concepts of formal and informal care

Subcutaneous clodronate: A study evaluating efficacy in hypercalcemia of malignancy and local toxicity

The logistics of administering intravenous bisphosphonates may be problematic in the care of advanced cancer patients, especially in the home setting. Hypodermoclysis is a convenient method of administering fluid via subcutaneous infusion, presently used in the domiciliary setting. Results of the administration of clodronate via this route are reported.

Privatisation should not cause redundancy

I read with sadness ‘Going private’ (News analysis January 29). Until May last year, I worked as professional lead for learning disability nursing for Hull and Holderness NHS Community Trust. During tire time I worked there, I was always impressed with the standard of nursing care offered to people with learning disabilities, both in residential and domiciliary settings.

Bathing the Alzheimer's patient in long term care: Results and recommendations from three studies

In the management of persons with Alzheimer's disease and related dementias, bathing constitutes a major source of agitation and discomfort for care recipients, and represents a significant job stress for caregivers. This paper reports three studies that were conducted in nursing facilities to help guide staff and administrators in efforts to improve resident bathing. The first study, a mail survey of nursing directors or charge nurses in 71 skilled care facilities, documented a high level of problematic behaviors (43.2 percent) during bathing of residents with dementia, a concomitant low level of satisfaction (50.7 percent) with bathing, and a wide range of recommended environmental modifications to improve bathing areas. The second study, a review of 515 incident reports from bathing areas in 25 nursing homes, found that agitation was rarely reported, and that the majority of injuries occurred when a caregiver was absent. The third study, a critical review of 14 specialized tubs in terms of suitability for the Alzheimer patient, found wide differences in accessibility for caregivers, disinfection times, reported safety and repair records, and suitabilityfor persons at various stages of dementia. The results of these studies provide practical recommendations for nursing facilities, domiciliary care settings, and home caregivers interested in improving the bathing process for persons with Alzheimer's disease.

Anorexia nervosa: nocturnal supplementary nasogastric feeding in the community

Nocturnal supplementary nasogastric feeding in a domiciliary setting coupled with dietary counselling in 4 patients with a diagnosis of anorexia nervosa is detailed. The four patients were given nocturnal supplementary nasogastric feeds, for periods of 16 days to 12 weeks. In three of the four patients substantial weight gains of 4.3 to 11.5 kg were achieved and all four patients reported substantial increases in daily voluntary oral food intake.We conclude that this approach may enable the patient to be managed at home and provides a basis for further psychotherapy treatment.

Domiciliary Rehabilitation of Elderly Amputees

<h2>Summary</h2> During the ambulance drivers' dispute of November 1989 to April 1990 it became necessary to rehabilitate primary amputees in the domiciliary setting. This article looks at this period and the following two months and concludes that an inadequate transport system precludes effective and efficient out-patient rehabilitation of amputees. Domiciliary walking training is a viable alternative when carried out by a physiotherapist with a special interest in amputees and when an in-patient stay is not possible.

Defining Community Care: realities and myths

AbstractThis article looks critically at the concept of community care and argues that it is unhelpful and redundant. It makes three main points: first, that many care settings have elements of institutional and so‐called community care and that there is no clear dichotomy between the two. Second, it is argued that the real distinction is not between the institution and the community but is between the institution and home. Community care is not provided by anonymous, altruistic others but comes from specific individuals (usually women) in domiciliary settings. The concept and definition of “home” are briefly discussed and it is suggested that most care is delivered either in a home, from home or at home. The third argument is that careful individual assessment is required to ensure that dependent people are not offered housing or residential solutions when what they need (and want) is care and services.

A system for accelerated provision of hearing aids to residents of homes for the elderly.

A study was undertaken to detect undiagnosed deafness in elderly people, living in Part III Residential Homes in North Tees, South Tees and Hartlepool Health Districts, to provide hearing aids and to estimate the subsequent success in rehabilitation. The residents were referred by the senior staff in the homes and assessed by a doctor and audiology technician in a domiciliary setting. Those found to have a significant hearing impairment were prescribed hearing aids without formal pure tone audiometry. A pilot study compared the method of hearing evaluation employed with such conventional testing. Six months after fitting, the degree of compliance with aiding was assessed. The results show a significant level of undiagnosed deafness in the community and, with this method of provision, an acceptance rate of 41.2 per cent of those recommended for aiding at six months which is higher than suggested by previous similar studies of this population.

AIDS, ARC and the Occupational Therapist

This paper suggests precautions to be taken around individuals infected with the human immunodeficiency virus (HIV). Infection control and health risks are discussed, which are of relevance to the occupational therapist in the hospital and in a domiciliary setting. The importance of safe sex for the total population is emphasized. Counselling issues are discussed briefly.

The Mac Andrew alcoholism scale. A cross-validation in a domiciliary setting.

The Mac Andrew alcoholism scale. A cross-validation in a domiciliary setting.

USE OF THE ORAL DIRECTIONS TEST IN A DOMICILIARY SETTING.

USE OF THE ORAL DIRECTIONS TEST IN A DOMICILIARY SETTING.