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Welfare Reform on the Web (April 2009): Care of the elderly - UK

A bold blueprint for the future of elderly care

V. Russell

Public Finance, Mar. 6th-12th 2009, p. 16-17

A major injection in funding is needed to improve the social care system in England. There is growing interest in introducing some form of social insurance, but concern that debate about such a radical initiative could be put on hold due to the recession.

Critical issues in social work with older people

M. Ray, M. Bernard and J. Phillips

Basingstoke: Palgrave Macmillan, 2009

The book highlights the importance of a critical gerontological practice in social work with older people. It focuses on key issues relevant to social work practitioners, including dementia and presents the case for making critical gerontology central to contemporary social work with older people. It brings together the latest research in critical gerontology with social work knowledge and practice and considers issues such as:

  • Risk of poverty
  • Memory loss and dementia
  • Palliative and end of life care
  • Loss and bereavement
  • Moving into a care home

Delivering a gold standard of care at the end of life

K. Thomas

Journal of Care Services Management, vol. 3, 2009, p. 155-163

Training care workers to deliver the best possible service to the dying is one the key priorities of the government's End of Life Strategy. This article introduces the Gold Standards Framework for Care Homes programme which trains staff to improve the quality of care for people nearing the end of their lives, collaborate with GPs and specialist palliative care services, and avoid hospital admissions. As a result, more people should be able to die in their care home.

Depression and mental health in care homes for older people

T. Dening and A. Milne

Quality in Ageing, vol. 10, Mar. 2009, p. 40-46

The primary mental health problems among the 5% of older people who live in care homes in the UK are depression and dementia. Quality of care varies widely across the sector, including support from primary and specialist health services and level of staff training. In terms of enhancing care quality, there is evidence that investing in staff training and conditions, establishing good links with healthcare providers, and developing care standards that promote good practice are likely to improve resident quality of life.

Planning for and meeting the needs of an ageing population: Gloucestershire's experience

J. Stubbings and S. Foremen

Journal of Care Services Management, vol. 3, 2009, p.119-124

The growth of an older population in Gloucestershire presents significant long term challenges to service providers particularly in relation to sustainable health and social care, housing services, public transport infrastructure and community safety. At the same time it offers opportunities to encourage older people to remain in the labour market, engage in voluntary work, and become active in civic affairs. This article describes a number of projects under way in Gloucestershire to meet these challenges.

Recognition and response: approaches to late-life depression and mental health problems in primary care

S. Iliffe

Quality in Aging, vol. 10, Mar. 2009, p. 9-15

Depression in older people is difficult to diagnose and treat. It overlaps with dementia and may be confused with understandable sadness in response to bereavement or other loss. Primary care has a key role to play in supporting depressed older people through improved pattern recognition and diagnosis, by tailoring effective treatments to fit the individual, and by providing or signposting the older person to information and advice.

'We now understand what dignity means'

A.U. Sale

Community Care, Mar. 12th 2009, p. 24-25

In November 2006 the Department of Health launched the Dignity in Care campaign with the aim of building a care system where the abuse of, and disrespect towards, older people would be met with zero tolerance. This article reports progress and presents a project in Leeds as a case study.

Working with older people from black and minority ethnic groups who have depression: from margin to mainstream

J. Manthorpe and J. Moriarty

Quality in Aging, vol. 10, Mar. 2009, p. 24-31

This article discusses policy and legislative encouragements to think about equality of access and diversity issues in mental health services and wider mental health promotion activities. It analyses recent research and policy documents in the context of demographic change and practice. It debates whether specialist services should be developed targeted on black and minority ethnic groups. It argues that the personalisation agenda in England may provide new opportunities to consider what black and minority ethnic older people may find most acceptable and effective in meeting their needs.

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